DETERMINATION OF NOTCH PATHWAY ACTIVITY USING UNIQUE COMBINATION OF TARGET GENES

1 . A computer implemented method for determining the activity level of a Notch cellular signaling pathway in a subject performed by a computerized device having a processor comprising:

a. calculating an activity level of a Notch transcription factor element in a sample isolated from the subject, wherein the activity level of the Notch transcription factor element in the sample is associated with Notch cellular signaling, and wherein the activity level of the Notch transcription factor element in the sample is calculated by:

i. receiving data on the expression levels of at least three target genes derived from the sample, wherein the Notch transcription factor element controls transcription of the at least three target genes, and wherein the at least three target genes are selected from DTX1, EPHB3, HES1, HES4, HES5, HEY2, MYC, NFKB2, NRARP, PIN1, PLXND1, wherein at least two of the target genes are selected from DTX1, HES1, HES4, HES5, HEY2, MYC, and NRARP, and at least one of the target genes is selected from EPHB3, NFKB2, PIN1, PLXND1, and SOX9;

ii. calculating the activity level of the Notch transcription factor element in the sample using a calibrated pathway model, wherein the calibrated pathway model compares the expression levels of the at least three target genes in the sample with expression levels of the at least three target genes in the calibrated pathway model which define an activity level of the Notch transcription factor element; and,

b. calculating the activity level of the Notch cellular signaling pathway in the sample based on the calculated activity level of the Notch transcription factor element in the sample.

2 . The method of claim 1 , further comprising assigning a Notch cellular signaling pathway activity status to the calculated activity level of the Notch cellular signaling pathway in the sample, wherein the activity status is indicative of either an active Notch cellular signaling pathway or a passive Notch cellular signaling pathway.

3 . The method of claim 2 , further comprising displaying the Notch cellular signaling pathway activity status.

4 . The method of claim 1 , wherein the calibrated pathway model is a probabilistic model incorporating conditional probabilistic relationships that compare the expression levels of the at least three target genes in the sample with expression levels of the at least three target genes in the calibrated pathway model which define a level of the Notch transcription factor element to determine the activity level of Notch transcription factor element in the sample.

5 . The method of claim 1 , wherein the calibrated pathway model is a linear model incorporating relationships that compare the expression levels of the at least three target genes in the sample with expression levels of the at least three target genes in the calibrated pathway model which define a level of the Notch transcription factor element to determine the activity level of the Notch transcription factor element in the sample.

6 . A computer program product for determining the activity level of a Notch cellular signaling pathway in a subject comprising:

a. a non-transitory computer readable storage medium having computer readable program code embodied therewith, the computer readable program code executable by at least one processor to:

i. calculate an activity level of a Notch transcription factor element in a sample isolated from a subject, wherein the activity level of the Notch transcription factor element in the sample is associated with Notch cellular signaling, and wherein the activity level of the Notch transcription factor element in the sample is calculated by:

1. receiving data on the expression levels of at least three target genes derived from the sample, wherein the at least three target genes are selected from DTX1, EPHB3, HES1, HES4, HES5, HEY2, MYC, NFKB2, NRARP, PIN1, PLXND1, wherein at least two of the target genes are selected from DTX1, HES1, HES4, HES5, HEY2, MYC, and NRARP, and at least one of the target genes is selected from EPHB3, NFKB2, PIN1, PLXND1, and SOX9;

2. calculating the activity level of the Notch transcription factor element in the sample using a calibrated pathway model, wherein the calibrated pathway model compares the expression levels of the at least three target genes in the sample with expression levels of the at least three target genes in the calibrated pathway model which define an activity level of the Notch transcription factor element; and,

ii. calculate the activity level of the Notch cellular signaling pathway in the sample based on the calculated activity level of the Notch transcription factor element in the sample.

7 . A method of treating a subject suffering from a disease associated with an activated Notch cellular signaling pathway comprising:

a. receiving information regarding the activity level of a Notch cellular signaling pathway derived from a sample isolated from the subject, wherein the activity level of the Notch cellular signaling pathway is determined by:

i. calculating an activity level of a Notch transcription factor element in a sample isolated from the subject, wherein the activity level of the Notch transcription factor element in the sample is associated with Notch cellular signaling, and wherein the activity level of the Notch transcription factor element in the sample is calculated by:

1. receiving data on the expression levels of at least three target genes derived from the sample, wherein the Notch transcription factor element controls transcription of the at least three target genes, and wherein the at least three target genes are selected from DTX1, EPHB3, HES1, HES4, HES5, HEY2, MYC, NFKB2, NRARP, PIN1, PLXND1, wherein at least two of the target genes are selected from DTX1, HES1, HES4, HES5, HEY2, MYC, and NRARP, and at least one of the target genes is selected from EPHB3, NFKB2, PIN1, PLXND1, and SOX9;

2. calculating the activity level of the Notch transcription factor element in the sample using a calibrated pathway model, wherein the calibrated pathway model compares the expression levels of the at least three target genes in the sample with expression levels of the at least three target genes in the calibrated pathway model which define an activity level of Notch transcription factor element; and,

ii. calculating the activity level of the Notch cellular signaling pathway in the sample based on the calculated activity level of the Notch transcription factor element in the sample; and,

b. administering to the subject a Notch inhibitor if the information regarding the activity level of the Notch cellular signaling pathway is indicative of an active Notch cellular signaling pathway.

8 . The method of claim 7 , wherein the Notch inhibitor is DAPT, PF-03084014, MK-0752, RO-4929097, LY450139, BMS-708163, LY3039478, IMR-1, Dibenzazepine, LY411575, or FLI-06.

9 . The method of claim 7 , wherein the disease is a cancer or an immune disorder.

10 . A kit for measuring expression levels of Notch cellular signaling pathway target genes comprising:

a. a set of polymerase chain reaction primers directed to at least six Notch cellular signaling pathway target genes derived from a sample isolated from a subject; and

b. a set of probes directed to the at least six Notch cellular signaling pathway target genes;

wherein the at least six target genes are selected from DTX1, EPHB3, HES1, HES4, HES5, HEY2, MYC, NFKB2, NRARP, PIN1, PLXND1, wherein at least two of the target genes are selected from DTX1, HES1, HES4, HES5, HEY2, MYC, and NRARP, and at least one of the target genes is selected from EPHB3, NFKB2, PIN1, PLXND1, and SOX9.

11 . The kit of claim 10 , further comprising a computer program product for determining the activity level of a Notch cellular signaling pathway in the subject comprising:

a. a non-transitory computer readable storage medium having computer readable program code embodied therewith, the computer readable program code executable by at least one processor to:

i. calculate an activity level of a Notch transcription factor element in the sample, wherein the activity level of the Notch transcription factor element in the sample is associated with Notch cellular signaling, and wherein the activity level of the Notch transcription factor element in the sample is calculated by:

1. receiving data on the expression levels of the at least six target genes derived from the sample;

2. calculating the activity level of the Notch transcription factor element in the sample using a calibrated pathway model, wherein the calibrated pathway model compares the expression levels of the at least six target genes in the sample with expression levels of the at least six target genes in the calibrated pathway model which define an activity level of the Notch transcription factor element; and,

ii. calculate the activity level of the Notch cellular signaling pathway in the sample based on the calculated activity level of the Notch transcription factor element in the sample.

12 . A kit for determining the activity level of a Notch cellular signaling pathway in a subject comprising:

a. one or more components capable of identifying expression levels of at least three Notch cellular signaling pathway target genes derived from a sample of the subject, wherein the at least three target genes are selected from DTX1, EPHB3, HES1, HES4, HES5, HEY2, MYC, NFKB2, NRARP, PIN1, PLXND1, wherein at least two of the target genes are selected from DTX1, HES1, HES4, HES5, HEY2, MYC, and NRARP, and at least one of the target genes is selected from EPHB3, NFKB2, PIN1, PLXND1, and SOX9; and,

b. optionally, a non-transitory computer readable storage medium having computer readable program code embodied therewith, the computer readable program code executable by at least one processor to:

i. calculate an activity level of a Notch transcription factor element in the sample, wherein the activity level of the Notch transcription factor element in the sample is associated with Notch cellular signaling, and wherein the activity level of the Notch transcription factor element in the sample is calculated by:

1. receiving data on the expression levels of the at least three target genes derived from the sample;

2. calculating the activity level of the Notch transcription factor element in the sample using a calibrated pathway model, wherein the calibrated pathway model compares the expression levels of the at least three target genes in the sample with expression levels of the at least three target genes in the calibrated pathway model which define an activity level of the Notch transcription factor element; and,

ii. calculate the activity level of the Notch cellular signaling pathway in the sample based on the calculated activity level of the Notch transcription factor element in the sample.