Determination of cytotoxic gene signature and associated systems and methods for response prediction and treatment
Disclosed herein are systems, methods, and compositions for treating a subject diagnosed with, or suffering from cancer. In some embodiments, the method comprises determining whether a tumor sample from the subject includes a cytotoxic gene signature, and treating the subject based on the determination. In some embodiments, the subject has or is suspected of having a loss of heterozygosity in human leukocyte antigen (HLA) class I genes. In some embodiments, the therapy comprises one or more checkpoint inhibitors. In some embodiments, the cancer is colorectal, uterine, stomach, lung, skin, head or neck, or non-small cell lung carcinoma.
1 . A method comprising:
(A) performing RNA sequencing on a sample of a cancer from a subject to provide RNA sequence data;
at a computer system having one or more processors, and memory storing one or more programs for execution by the one or more processors:
(B) processing the RNA sequence data to provide expression level data for at least 10 signature genes selected from the group consisting of CCL5, GZMA, NKG7, CCL4, GZMH, CST7, GZMB, GZMK, GNLY, PRF1, CCL4L2, CD52, IL32, CD74, CRIP1, CCL3, ITM2C, S100A10, TUBA4A, FGFBP2, S100A4, EOMES, HOPX, DUSP4, PLEK, S100A11, LGALS1, CTSC, ZNF683, SRRT, CLEC2B, LDHA, ENC1, OASL, ZEB2, HSPE1, GIMAP4, PTMS, GIMAP7, TNFSF9, ISG20, CCL3L1, PKM, CXCR3, SLA, XCL2, RNF213, SLAMF7, FABP5, FCRL6, ITM2A, SYTL3, TXNIP, TYROBP, RPS27L, H2AFZ, ITGA1, XCL1, RGCC, CACYBP, LYST, GGA2, ID2, PTPN7, MT2A, TGFB1, HAVCR2, ISG15, GBP5, KRT86, MAP3K8, SYNE1, SLC7A5, ARHGAP30, HSPH1, CORO1B, KIAA1551, PARP8, THEMIS, MYOIF, FKBP4, CTSW, IFNG, LAG3, ABI3, KLRD1, SIPR5, RGS1, LGALS3, KLRG1, TRAT1, SAMSN1, CRTAM, DUSP2, CXCR6, DNAJA1, PDCD1, TBX21, FASLG, and CD70, wherein the at least 10 signature genes comprises CCL5, granzyme A, NKG7, CCL4, granzyme B, granzyme H, granulysin, CCL4L2, and perforin 1;
(C) inputting the expression levels of the at least 10 signature genes to one or more models that are collectively trained to identify subjects as not likely to experience a progression event while being treated with an immune checkpoint inhibitor (ICI) therapy; and
(D) identifying the subject as not likely to experience a progression event while being treated with the ICI therapy; and
(E) administering the ICI therapy to the subject identified as not likely to experience a progression event while being treated with the ICI therapy.
2 . The method of claim 1 , wherein the one or more models are collectively trained to provide a cytotoxic (CT) score.
3 . The method of claim 1 , wherein the one or more models are collectively trained to provide a tumor mutation burden (TMB) for the subject's cancer wherein the TMB is determined based on an analysis of a mutation status for the one or more genes in the subject's cancer, and wherein the one or more genes is selected from ABCB1, ABCC3, ABL1, ABL2, FAM175A, ACTA2, ACVR1, ACVR1B, AGO1, AJUBA, AKT1, AKT2, AKT3, ALK, AMER1, APC, APLNR, APOB, AR, ARAF, ARHGAP26, ARHGAP35, ARIDIA, ARIDIB, ARID2, ARID5B, ASNS, ASPSCR1, ASXL1, ATIC, ATM, ATP7B, ATR, ATRX, AURKA, AURKB, AXIN1, AXIN2, AXL, B2M, BAP1, BARD1, BCL10, BCL11B, BCL2, BCL2L1, BCL2L11, BCL6, BCL7A, BCLAF1, BCOR, BCORL1, BCR, BIRC3, BLM, BMPR1A, BRAF, BRCA1, BRCA2, BRD4, BRIP1, BTG1, BTK, BUB1B, C11orf65, C3orf70, C8orf34, CALR, CARD11, CARM1, CASP8, CASR, CBFB, CBL, CBLB, CBLC, CBR3, CCDC6, CCND1, CCND2, CCND3, CCNE1, CD19, CD22, CD274, CD40, CD70, CD79A, CD79B, CDC73, CDH1, CDK12, CDK4, CDK6, CDK8, CDKN1A, CDKN1B, CDKN1C, CDKN2A, CDKN2B, CDKN2C, CEBPA, CEP57, CFTR, CHD2, CHD4, CHD7, CHEK1, CHEK2, CIC, CIITA, CKS1B, CREBBP, CRKL, CRLF2, CSF1R, CSF3R, CTC1, CTCF, CTLA4, CTNNA1, CTNNB1, CTRC, CUL1, CUL3, CUL4A, CUL4B, CUX1, CXCR4, CYLD, CYP1B1, CYP2D6, CYP3A5, CYSLTR2, DAXX, DDB2, DDR2, DDX3X, DICER1, DIRC2, DIS3, DIS3L2, DKC1, DNM2, DNMT3A, DOT1L, DPYD, DYNC2H1, EBF1, ECT2L, EGF, EGFR, EGLN1, EIF1AX, ELF3, TCEB1, C11orf30, ENG, EP300, EPCAM, EPHA2, EPHA7, EPHB1, EPHB2, EPOR, ERBB2, ERBB3, ERBB4, ERCC1, ERCC2, ERCC3, ERCC4, ERCC5, ERCC6, ERG, ERRFI1, ESR1, ETS1, ETS2, ETV1, ETV4, ETV5, ETV6, EWSR1, EZH2, FAM46C, FANCA, FANCB, FANCC, FANCD2, FANCE, FANCF, FANCG, FANCI, FANCL, FANCM, FAS, FAT1, FBXO11, FBXW7, FCGR2A, FCGR3A, FDPS, FGF1, FGF10, FGF14, FGF2, FGF23, FGF3, FGF4, FGF5, FGF6, FGF7, FGF8, FGF9, FGFR1, FGFR2, FGFR3, FGFR4, FH, FHIT, FLCN, FLT1, FLT3, FLT4, FNTB, FOXA1, FOXL2, FOXO1, FOXO3, FOXP1, FOXQ1, FRS2, FUBP1, FUS, G6PD, GABRA6, GALNT12, GATA1, GATA2, GATA3, GATA4, GATA6, GEN1, GLI1, GLI2, GNA11, GNA13, GNAQ, GNAS, GPC3, GPS2, GREM1, GRIN2A, GRM3, GSTP1, H19, H3F3A, HAS3, HAVCR2, HDAC1, HDAC2, HDAC4, HGF, HIF1A, HISTIHIE, HIST1H3B, HIST1H4E, HLA-A, HLA-B, HLA-C, HLA-DMA, HLA-DMB, HLA-DOA, HLA-DOB, HLA-DPA1, HLA-DPB1, HLA-DPB2, HLA-DQA1, HLA-DQA2, HLA-DQB1, HLA-DQB2, HLA-DRA, HLA-DRB1, HLA-DRB5, HLA-DRB6, HLA-E, HLA-F, HLA-G, HNF1A, HNF1B, HOXA11, HOXB13, HRAS, HSD11B2, HSD3B1, HSD3B2, HSP90AA1, HSPH1, IDH1, IDH2, IDO1, IFIT1, IFIT2, IFIT3, IFNAR1, IFNAR2, IFNGR1, IFNGR2, IFNL3, IKBKE, IKZF1, IL1ORA, IL15, IL2RA, IL6R, IL7R, ING1, INPP4B, IRF1, IRF2, IRF4, IRS2, ITPKB, JAK1, JAK2, JAK3, JUN, KAT6A, KDM5A, KDM5C, KDM5D, KDM6A, KDR, KEAP1, KEL, KIF1B, KIT, KLF4, KLHL6, KLLN, KMT2A, KMT2B, KMT2C, KMT2D, KRAS, L2HGDH, LAG3, LATS1, LCK, LDLR, LEF1, LMNA, LMO1, LRP1B, LYN, LZTR1, MAD2L2, MAF, MAFB, MAGI2, MALT1, MAP2K1, MAP2K2, MAP2K4, MAP3K1, MAP3K7, MAPK1, MAX, MCIR, MCL1, MDM2, MDM4, MED12, MEF2B, MEN1, MET, MGMT, MIB1, MITF, MKI67, MLH1, MLH3, MLLT3, MN1, MPL, MRE11A, MS4A1, MSH2, MSH3, MSH6, MTAP, MTHFD2, MTHFR, MTOR, MTRR, MUTYH, MYB, MYC, MYCL, MYCN, MYD88, MYH11, NBN, NCOR1, NCOR2, NF1, NF2, NFE2L2, NFKBIA, NHP2, NKX2-1, NOP10, NOTCH1, NOTCH2, NOTCH3, NOTCH4, NPM1, NQO1, NRAS, NRG1, NSD1, WHSC1, NT5C2, NTHL1, NTRK1, NTRK2, NTRK3, NUDT15, NUP98, OLIG2, P2RY8, PAK1, PALB2, PALLD, PAX3, PAX5, PAX7, PAX8, PBRM1, PCBP1, PDCD1, PDCDILG2, PDGFRA, PDGFRB, PDK1, PHF6, PHGDH, PHLPP1, PHLPP2, PHOX2B, PIAS4, PIK3C2B, PIK3CA, PIK3CB, PIK3CD, PIK3CG, PIK3R1, PIK3R2, PIM1, PLCG1, PLCG2, PML, PMS1, PMS2, POLD1, POLE, POLH, POLQ, POT1, POU2F2, PPARA, PPARD, PPARG, PPM1D, PPP1R15A, PPP2RIA, PPP2R2A, PPP6C, PRCC, PRDM1, PREX2, PRKAR1A, PRKDC, PARK2, PRSS1, PTCH1, PTCH2, PTEN, PTPN11, PTPN13, PTPN22, PTPRD, PTPRT, QKI, RAC1, RAD21, RAD50, RAD51, RAD51B, RAD51C, RAD51D, RAD54L, RAF1, RANBP2, RARA, RASA1, RB1, RBM10, RECQL4, RET, RHEB, RHOA, RICTOR, RINT1, RIT1, RNF139, RNF43, ROS1, RPL5, RPS15, RPS6KB1, RPTOR, RRM1, RSF1, RUNX1, RUNXIT1, RXRA, SCG5, SDHA, SDHAF2, SDHB, SDHC, SDHD, SEC23B, SEMA3C, SETBP1, SETD2, SF3B1, SGK1, SH2B3, SHH, SLC26A3, SLC47A2, SLC9A3R1, SLIT2, SLX4, SMAD2, SMAD3, SMAD4, SMARCA1, SMARCA4, SMARCB1, SMARCE1, SMCIA, SMC3, SMO, SOCS1, SOD2, SOX10, SOX2, SOX9, SPEN, SPINK1, SPOP, SPRED1, SRC, SRSF2, STAG2, STAT3, STAT4, STAT5A, STAT5B, STAT6, STK11, SUFU, SUZ12, SYK, SYNE1, TAF1, TANC1, TAP1, TAP2, TARBP2, TBC1D12, TBL1XR1, TBX3, TCF3, TCF7L2, TCL1A, TERT, TET2, TFE3, TFEB, TFEC, TGFBR1, TGFBR2, TIGIT, TMEM127, TMEM173, TMPRSS2, TNF, TNFAIP3, TNFRSF14, TNFRSF17, TNFRSF9, TOP1, TOP2A, TP53, TP63, TPM1, TPMT, TRAF3, TRAF7, TSC1, TSC2, TSHR, TUSC3, TYMS, U2AF1, UBE2T, UGT1A1, UGT1A9, UMPS, VEGFA, VEGFB, VHL, C10orf54, WEE1, WNK1, WNK2, WRN, WT1, XPA, XPC, XPO1, XRCC1, XRCC2, XRCC3, YEATS4, ZFHX3, ZMYM3, ZNF217, ZNF471, ZNF620, ZNF750, ZNRF3, and ZRSR2.
4 . The method of claim 1 , wherein at least one of the one or more models generate an IO Progression Risk Score.
5 . The method of claim 4 , wherein the IO Progression Risk Score reflects the probability of a progression event occurring in 3 months.
6 . The method of claim 4 , wherein the IO Progression Risk Score reflects the probability of a progression event occurring in 6 months.
7 . The method of claim 1 , wherein the subject's cancer is stage IV.
8 . The method of claim 1 , wherein the subject's cancer is non-small cell lung carcinoma (NSCLC).
9 . The method of claim 1 , wherein the subject's cancer is stage IV NSCLC, or non-stage IV NSCLC with a metastasis event.
10 . The method of claim 1 , wherein the subject's cancer is stage IV, or is earlier than stage IV with a metastasis event and no prior treatment with immune-oncology (IO) therapy.
11 . The method of claim 1 , wherein at least one of the one or more models calculates a CT score, at least one of the one or more models calculates a TMB, and at least one of the one or more models calculates an IO Progression risk score.
12 . The method of claim 11 , wherein the IO Progression Risk score is calculated based on the CT score and the TMB.
13 . The method of claim 1 , wherein the subject's cancer has a tumor mutational burden (TMB) below a TMB threshold.
14 . The method of claim 1 , wherein the at least 10 signature genes comprise NKG7, CCL5, GZMA, CCL4, CST7, GZMH, GZMB, GZMK, PRF1, GNLY, CCL4L2, CD74, IL32, CD52, CCL3, LAG3, CTSW, CTSC, CXCR6, ABI3, S100A4.