Former Projects
CKDNapp: CKDNapp: A toolbox for monitoring and tailoring treatment of chronic kidney disease patients - a personalized systems medicine approach
Aims of the project
Chronic Kidney Disease (CKD) is a disease of multiple causes. It is characterized by a variable course of diseases and a high burden of cardiovascular (CV) and metabolic comorbidities, complicating optimal treatment.
To provide optimal, personalized medical care for each patient, physicians need to obtain a detailed, overall picture of that patient’s state and therapy decisions derived from that.
For this purpose, he/she integrates different levels of data, e.g., clinical/demographic parameters, biomarkers, and drug information, with medical knowledge.
Because CKD is a complex disease, this data integration process is extremely challenging.
The collaborative aims are:
1. to computationally model this complex CKD system
2. to enrich these models with novel omics data
3. to discover novel biomarkers and
4. to build a clinical decision support (CDS) software based on these models assisting physicans in personalized everyday CKD patient care
The CDS software, called CDKNapp (CKD Nephrologists'app) will predict adverse medical events and disease progression, refine diagnosis of CKD staging, return transparent reasoning for all predictions and recommendations, offer in silicio modification of patient parameters by the physican, and will deliver comprehensive literature support. It will be made available as an easy-to-use software for smartphones, tablets and desktop computers.
Contribution of the Department of Medical Bioinformatics
The Department of Medical Bioinformatics is involved in the subproject 3 and 4.
Subproject 3: Algorithmic foundation of CKDNapp
PI: Prof. Dr. Michael Altenbuchinger
The Chronic Disease Nephrologist's App (CKDNapp) is designed as a clinical decision support system to assist the practising nephrologist in the management of patients with chronic kidney didease. The software uses the complex relationship between a variety of patient parameters, such as the patients's age, laboratory parameters and gender. Learning such relationships is a typical problem in machine learning.
In this subproject, customised algorithms will be developed for this purpose, which will then serve as a basis for the development of CKDNapp. In addition, methodology will be developed to extract metabolite concentrations from metabolite profiles generated from blood samples of the patient with kidney disease using NMR spectroscopy. These concentrations are a rich source to investigate possible effects of the kidney disease on the patient's metabolism. All developed algorithms will finally be made available to the public as user-friendly software.
Subproject 4: CKDNapp application and web service development
PI: Dr. Jürgen Dönitz (previous Dr. Johannes Raffler)
The final goal of the CKDNapp project is to support local nephrologist to choose the best treatment for the single patients. The models developed by the other project partners will be completed with other public data, literature and guidelines in an interactive application.
The project is fundet by the BMBF.
Publications
Zacharias, H. U., Altenbuchinger, M., Schultheiss, U. T., Raffler, J., Kotsis, F., Ghasemi, S., ... & Oefner, P. J. (2021).
A Predictive Model for Progression of CKD to Kidney Failure Based on Routine Laboratory Tests.
American Journal of Kidney Diseases.
Altenbuchinger, M., Zacharias*, H. U., Solbrig, S., Schäfer, A., Büyüközkan, M., Schultheiß, U. T., Kotsis, F., Köttgen, A., Spang, R., Oefner, P. J., Krumsiek, J., Gronwald, W. (2019). A multi-source data integration approach reveals novel associations between metabolites and renal outcomes in the German Chronic Kidney Disease study.
Scientific Reports, 9(1), 1-13.
Zacharias, H. U., Altenbuchinger, M., Schultheiss, U. T., Samol, C., Kotsis, F., Poguntke, I., Sekula, P., Krumsiek, J., Köttgen, A., Spang, R., Oefner, P. J., & Gronwald, W. (2019).
A Novel Metabolic Signature To Predict the Requirement of Dialysis or Renal Transplantation in Patients with Chronic Kidney Disease.
Journal of Proteome Research, 18 (4), 1796-1805.
PANDA: Personalized ANalysis for Drug Activity in Pancreatic Cancer
Funded by: Federal Ministry of Education and Research
Duration: 10/2024 - 03/2025 (6 months)
Aim of the project
This project aims to analyze existing drug screening data from pancreatic cancer cell lines to identify personalized treatment strategies for patients. Using advanced bioinformatics tools, particularly our previously developed MTB-Reporting framework, we will extend our current capabilities to analyze drug response data based on large drug screens and integrate these findings into our Molecular Tumor Board (MTB) reports. The outcomes of this project are expected to include actionable insights into effective treatment options pancreatic cancer and help us to define subtypes with specific treatment options. Our goal is further to extend our existing MTB-Reporting framework for interpreting biomarkers, which helps scientists and doctors understand the effects of genetic variations on cancer and identify the most effective treatment options for individual patients. This tool has a modular architecture to be open for further extensions to new methods or biomarker. Currently the focus is on a web interface designed for the preparation of an MTB. However, due to the modular character bioinformatic work flows can be build to cover new use scenaria. Pancreatic cancer is particularly challenging to treat, and having tools that can precisely predict how different drugs will work in different patients is crucial for improving outcomes. Our existing MTB-Reporting framework will be enhanced to analyze drug screening data, which involves testing how cancer cells respond to a wide range of drugs.
Workpackages
Background and Workpackages
The datasets come from the Clinical Research Group 5002 (KFO5002), focusing on pancreatic cancer (PDAC) under the leadership of Tim Beißbarth and Günter Schneider. They include RNA-seq, panel-seq, and drug screening data, which are crucial for the development of precision medicine treatment strategies. The Lower Saxony-funded MTB-Report project, led by Tim Beißbarth and Jürgen Dönitz, resulted in the development of Onkopus, a modular framework for biomarker interpretation and therapy prioritization, which has been described and validated in several publications.
Work Package 1: Data Integration and Initial Analysis
RNA-seq, panel-seq, and drug screening data from 17 pancreatic cancer CDX cell lines will be integrated. The genetic profiles will be combined with the drug response data, the datasets will be aligned, and quality checks will be conducted to ensure data integrity.
Work Package 2: Tool Development and Extension
In this work package, the MTB-Reporting framework will be expanded to analyze drug screening data. New functionalities will be developed to correlate drug responses with genetic variants and generate personalized treatment recommendations, based on the requirements of clinicians and bioinformaticians.
Work Package 3: Validation and Report
The extended MTB-reporting framework will be applied to the integrated dataset to generate personalized treatment recommendations for pancreatic cancer cell lines. These recommendations will be assessed by comparing them to clinical outcomes and literature. Comprehensive reports will also be created, summarizing potential treatment strategies for different subtypes. Where possible, a retrospective analysis will be conducted to validate the effectiveness of the recommendations.
Work Package 4: Dissemination and Future Planning
The final work package focuses on disseminating the results of the project and planning for future developments.
Project Coordination and Partners
Project coordinator:
Dr. rer nat Jürgen Dönitz, University Medical Center Göttingen,
Department of Medical Bioinformatics,
Partners:Prof. Dr. Tim Beißbarth, University Medical Center Göttingen
Department of Medical Bioinformatics
Prof. Dr. med. Günter Schneider; University Medical Center Göttingen,
Clinic for General, Visceral, and Pediatric Surgery
Publications
- Perera-Bel J, Hutter B, Heining C, Bleckmann A, Fröhlich M, Fröhling S, Glimm H, Brors B, Beißbarth T. From somatic variants towards precision oncology: Evidence-driven reporting of treatment options in molecular tumor boards. Genome Med; 2018; 10(1):18. doi:10.1186/s13073-018-0529-2.
- Kurz NS, Perera-Bel J, Höltermann C, Tucholski T, Yang J, Beißbarth T, Dönitz J. Identifying Actionable Variants in Cancer - The Dual Web and Batch Processing Tool MTB-Report. Stud Health Technol Inform; 2022; 17:296:73-80. doi:10.3233/SHTI220806.
- Yang J, Beißbarth T, Dönitz J. Onkopipe: A Snakemake Based DNA-Sequencing Pipeline for Clinical Variant Analysis in Precision Medicine. Stud Health Technol Inform; 2023; 12:307:60-68. doi:10.3233/SHTI230694.
- Schlotzig V, Kornrumpf K, König A, Tucholski T, Hügel J, Overbeck TR, Beißbarth T, Koch R, Dönitz J. Predicting the Effect of Variants of Unknown Significance in Molecular Tumor Boards with the VUS-Predict Pipeline. Stud Health Technol Inform; 2021; 283:209-216. doi:10.3233/SHTI210562.
- Kornrumpf K, Kurz NS, Drofenik K, Krauß L, Schneider C, Koch R, Beißbarth T, Dönitz J. SeqCAT: Sequence Conversion and Analysis Toolbox. Nucleic Acids Research; 2024; 52(W116–W120). doi:10.1093/nar/gkae422.
- Yang J, Chereda H, Dönitz J, Bleckmann A, Beißbarth T. Deciphering BRCAness Phenotype in Cancer: A Graph Convolutional Neural Network Approach with Layer-wise Relevance Propagation Analysis. bioRxiv; 2024; doi:10.1101/2024.06.26.600328.
- Yang J, Wang M, Dönitz J, Chapuy B, Beißbarth T. Advancing Personalized Cancer Therapy: Onko DrugCombScreen - A Novel Shiny App for Precision Drug Combination Screening. medRxiv; 2024; doi:10.1101/2024.06.20.24309094.
- Kurz NS, Kornrumpf K, Tucholski T, Drofenik K, Beißbarth T, Dönitz J. Onkopus: A Modular Biomarker Interpretation Framework for Variant Pathogenicity Prediction and Evidence-Based Prioritization of Actionable Variants. Manuscript in preparation; 2024.
Aim of the project
Tumour tissue is a heterogeneous combination of different cells. Therefore, a tumour consists not only of tumour cells, but also of cells of the immune system, such as B-cells, T-cells and macrophages. The amount of tumor-infiltrating immune cells affect the progression of the disease and the success of treatment. Immune therapies block communication lines between tumor cells and infiltrating immune cells. Whether they are successful or not depends on the presence, quantity, and molecular sub-type of the infiltrating immune cells. Thus, an accurate estimate of a tissue’s cellular composition is essential.
The composition of the tissue can help to predict the progression of a patient's disease. For example, if tumour cells succeed in becoming invisible to the immune system, they will no longer be recruited to the tumour and their proportion in its vicinity will decrease.
Modern high-throughput measurements such as FACS (fluorescence-activated cell sorting) or single-cell sequencing allow us to read out the cellular composition of tumour tissue. These technologies are rarely available for large numbers of patients. A cost-effective alternative is Digital Tissue Deconvolution (DTD), which does not require additional measurements but performs the deconvolution of complex tissue specimens digitally.
Overall, the goals in this project are:
1. Use large single-cell data sets to optimise DTD models.
2. Apply DTD to analyse tumour gene expression profiles.
3. Develop a user-friendly software that allows the user to apply pre-trained models for digital tissue deconvolution
4. Develop a user-friendly software for loss-function learning so that DTD can be adapted to specific tissues.
The project was funded by the DFG (2019 - 2024).
Publications:
Görtler, F., Schoen, M., Simeth, J., Solbrig, S., Wettig, T., Oefner, P. J., ... & Altenbuchinger, M. (2020).
Loss-function learning for digital tissue deconvolution.
Journal of Computational Biology, 27(3), 342-355.
Schön, M., Simeth, J., Heinrich, P., Görtler, F., Solbrig, S., Wettig, T., ... & Spang, R. (2020).
DTD: an R package for digital tissue Deconvolution.
Journal of Computational Biology, 27(3), 386-389.
MATCH: From Molecular phenotyping to personalized pharmacotherapy in cardiology
Cardiovascular disease (CVD) represents the most important cause of morbidity and mortality in the EU.
Within the MATCH project an interdisciplinary and translational approach integrating knowledge from comprehensive Omics-based molecular phenotype analyses, cardiovascular epidemiology, imaging, bioinformatics, statistics and molecular biology will be taken.
Evidence-based medicine has considerably advanced the treatment of coronary heart disease (CHD), and its implementation was driven by multicenter interventional trials. However, most large‐scale clinical trials and therapies did not relevantly reduce the residual risk. Therefore, innovative approaches to foster individualized pharmacotherapy in CHD are urgently needed. The objective of MATCH is the identification of a biomarker signature, which associates with beneficial outcome on specific lipid therapy.
We will take an interdisciplinary approach integrating knowledge from various disciplines. Bioinformatics analyses will generate a molecular biomarker signature of responders (subjects with no clinical events during follow-up) versus non-responders (subjects with multiple events during follow-up) across cardiovascular lipid trials. This signature will be optimized in human cohorts and atherosclerosis-prone mouse models and validated in a second subset of patients. Finally, the signature shall be translated in an imaging-based OCT- (optical coherence tomography) trial longitudinally assessing the progress of coronary atherosclerosis in subjects with CHD.
For more information, please see the official project-site.
Our department is involved in the Workpackages 2 and 5:
Work Package WP2: Bioinformatical derivation of molecular biomarker signature
Within MATCH a molecular biomarker signature to discriminate responders to various lipid therapies from non-resonders will be established. Based on the comprehensive set of Omics data established by WP1 (Hamburg), the application of bioinformatical, statistical and systems medicine approaches shall derive the best molecular biomarker signature for discrimination.
Here in Göttingen, we will perform bioinformatical and statistical analyses to derive and validate biomarker signature.
Work Package WP5: Project coordination, management and ELSA
Efficient and effective project management ensures that the project meets the timeline and delivers the anticipated results.
Due to the clinical dimension of MATCH and the use of patient biomaterial and data within this project, ethical, legal and social aspects (ELSA) will be taken care of.
Project Partners
Coordinator:
PD Dr. Mahir Karakas (Univerity Medical Center Hamburg-Eppendorf)
Prof. Tanja Zeller (University Medical Center Hamburg-Eppendorf)
Partners:
Prof. Tim Beißbarth (University Medical Center Göttingen)
Prof. Dr. Massimiliano Caprio (IRCCS San Raffaele, Italy)
Dr. David-Alexandre Tregouet (Institute for Cardiometabolism and Nutrition Pierre & Marie Curie, Paris, France)
A knowledge base for generating patient-specific pathways for individualized treatment decicions in clinical applications
Molecular biomarkers play an increasing role for the diagnosis and prediction of progression or therapy response in complex diseases such as cancer. In modern Systems Medicine approaches the aim is to look at increasingly complex interactions of complete signaling pathways in order to get a more holistic view for individualized treatment decisions. Individualized treatment decisions and newly developed specialized drugs warrant the need to broaden the focus in individualized medicine from singular biomarkers to pathways. Furthermore, the Omics-era enables research to incorporate whole genome, transcriptome and proteome views of the patient status. On the one hand genomics technologies allow the parallel measurement of many different components of the system. On the other hand pathway databases offer vast amounts of knowledge on biological networks, freely available and encoded in semi-structured formats. However, the vast amount of published data on molecular interactions makes it increasingly challenging for life science researchers to find and extract the most relevant information. Currently, the tools to use this information and integrate it in a clinical context are still lacking.
This project aims at providing more efficient data use in Systems Medicine by integrating patient clinical and genomics data with pathway knowledge. The goal is to present the most relevant, meaningful and interpretable patient-specific pathways to clinicians and researchers in order to enable further medical and pharmaceutical insights. In particular our approach will generate a knowledge base and methods to generate context-specific pathways, i.e. patient-specific, disease-specific or cohort-specific pathways. The project will deliver condensed knowledge of molecular networks in order to stratify and analyze sample groups in a clinical research environment. The knowledge base will utilize an innovative Software-as-a- Service architecture to receive, store and deliver data. The module-based architecture facilitates an inter- play with the local clinical information system, the cancer registry and the geneXplain platform for bioinformatics analyses. Internally, a nanopublication-inspired metadata store will be created to dynamically link data of multiple knowledge domains. This project systematically integrates established ontologies, databases, tools and unstructured patient data using metadata annotations in order to offer a refined view on patient-specific pathway knowledge. Specifically our aims are:
- Link clinical information systems with patient-specific Omics data and generate a tool for data integration and easy access in a clinical environment.
- Collect information from public pathway and literature databases and develop methods and tools to generate context-specific pathways from individual patient data.
- Apply the new tools and methods to data on colorectal and metastatic cancer to test the utility in clinical practice and the benefit in a clinical research setting.
- Integrate the developed tools into the geneXplain platform to make them available to a broader community of scientists and clinicians and to test them in practical applications.
With this we aim to reduce the gap between patient-centered routine documentation and ontology-driven pathway and gene annotation. Thus, we establish a seamless data-flow from single patient data to Systems Medicine as a clinical resource and as a tool for knowledge discovery. We will implement and validate a software that offers a consistent, intuitive annotation of this data for the following user groups:
- Systems Medicine researchers, as a tool to annotate data and interpret data from clinical cohorts.
- Medical doctor with research focus, as a tool to enhance interaction with bioinformatics researchers.
- Medical doctor in patient care, as a tool to improve clinical diagnosis and decision making.
The developed software will be used and validated in projects with a clinical research aim first. Here the goal will be to test the developed tools in a clinical setting on data from patients with colorectal carcinomas collected and annotated within the clinical research group 179 (KFO179) and on data from patients with metastases collected in the MetastaSys project. In the long term we aim to establish this as a tool that can be used in clinical research as well as in clinical routine. For example, the tumor conference, a local board where the specific data and indications of individual cancer patients are discussed, would greatly benefit from this tool. This vision would be a first step on the way towards providing services similar to the online service Patients like me1, where patients can enter searches like “show me a summary of the existing data and tell me what it means in the context of the current literature”.
Funding period: 01.04.2016 - 31.12. 2021
The project was funded by the Federal Ministry of Education and Research (BMBF) within the initiative “i:DSem – Integrative Datensemantik in der Systemmedizin”.
Partners:
Prof. Dr. Tim Beißbarth
Director of the Institut Medical Bioinformatics , University Medical Center Göttingen
Prof. Dr. Frank Kramer
IT Infrastructure for Translational Medical Research, University of Augsburg
Prof. Dr. Ulrich Sax
Department of Medical Informatics, University Medical Center Göttingen
Prof. Dr. Edgar Wingender
Former Head of the Institute of Bioinformatics, University Medical Center Göttingen, Now: Chief Executive Officer geneXplain GmbH Wolfenbüttel
Dr. Annalen Bleckmann
Clinic for Hematology an Oncology, University Medical Center Göttingen
PD Dr. Jochen Gaedcke
Department of General, Visceral and Pediatric Surgery, University Medical Center Göttingen
Dr. Alexander Kel
Chief Scientifc Officer at geneXplain GmbH Wolfenbüttel
For more information, publications, resources see the official website: http://mypathsem.bioinf.med.uni-goettingen.de/
ExITox/ ExlTox2
Acronym: ExITox (Explain Inhalation Toxicity)
Full title of the project: “Development of an integrated testing strategy for the prediction of toxicity after repeated dose inhalation exposure: a proof of concept”
This project aims at developing an integrated testing strategy (ITS) for the human health risk assessment of repeated dose toxicity after inhalation exposure for the replacement of de novo animal testing. In the pilot phase chemicals with different mode of action will be selected and tested with human precision cut lung slices (PCLS) and human pulmonary cell cultures in order to identify route specific biomarkers. Genome wide transcriptome analyses will be conducted in these models and evaluated using bioinformatics methods. These results will be complemented with data mining results and QSAR predictions. Further, structurally related chemicals will be tested in addition to investigate the possibility of the test system to support read across. The outcome of this pilot project will be a proposal for an integrated testing strategy for respiratory toxicity. Further validation e.g. testing of a broader spectrum of chemicals is foreseen in a follow up project. The proposed ITS, the developed methodologies on data sharing and data integration are not limited to the evaluation of transcriptome data but allow to integrate proteome and metabolome data in a follow up project.
The project is funded by the German Federal Ministry of Education and Research (BMBF) in the framework of the call e:ToP.
Funding period: 01.11.2013 – 31.10.2015
Partners:
Dr. S. Escher, Fraunhofer ITEM, Hannover (coordinator)
Dr. K. Sewald, Airway Immunology, Fraunhofer ITEM, Hannover
Dr. M. Niehof, In Vitro and Mechanistic Toxicology, Fraunhofer ITEM, Hannover
Dr. C. Helma, Inst. f. Physics/In Silico Toxicol. Group, Albert Ludwigs University of Freiburg
Dr. A. Kel, geneXplain GmbH, Wolfenbüttel
Publications:
Bhar, A., Haubrock, M., Mukhopadhyay, A., Wingender, E:
Multiobjective triclustering of time-series transcriptome data reveals key genes of biological processes
BMC Bioinformatics 16, 200 (2015).
doi:10.1186/s12859-015-0635-8
Koschmann, J., Bhar, A., Stegmaier,P., Kel, A.E. and Wingender, E.:
“Upstream Analysis”: An integrated promoter-pathway analysis approach to causal interpretation of microarray data
Microarrays 4, 270-286 (2015).
doi:10.3390/microarrays4020270
The Department of Bioinformatics is participating in the Heart Research Center Göttingen (HRGC, a partner in the German Center for Cardiovascular Research / Deutsches Zentrum für Herz-Kreislauf-Forschung, DZHK).
The frame of the collaboration comprises several topics. Current research is focused on the evaluation of the DNA microarray experiments carried out at the Department of Cardiology and Pneumology, at the Department of Pharmacology, as well as by other participants of the HRCG. The immense recent growth in knowledge in the systems biology and network analysis has established new benchmarks in the analysis of microarray data. In the frame of the collaboration, we aim at an interdisciplinary integration of the partner's experimental knowledge in tissue engineering with case-tailored statistical and computational methodologies in order to help experimenters in analyzing their data by bringing together input from all aspects of theoretical molecular biology.
These sources comprise the wealth of knowledge contained in the TRANSPATH and TRANSFAC libraries on signal transduction and transcription factor binding sites, combined with a unique tool set designed to evaluate the TRANSFAC data for the benefit of binding site prediction. Moreover, we envisage to incorporate the state of the art in computational statistics, dealing with its considerable challenges from multiple testing and high-dimensionality with intricate dependency structures.
Publication:
Zeidler, S., Meckbach, C., Tacke, R., Raad, F. S., Roa, A., Uchida, S., Zimmermann, W. H., Wingender, E. and Gültas, M.:
Computational detection of stage-specific transcription factor clusters during heart development
Front. Genet. 7, 33 (2016).
doi: 10.3389/fgene.2016.00033
Full Title of the project: Lipid droplets as dynamic organelles of fat deposition and release: Translational research towards human disease
The project aims to exploit the recent developments in lipidomics technology to establish high-throughput methods, to define druggable targets and novel biomarkers related to lipid droplet (LD) composition. It focuses on lipid protein interactions and investigates the dynamics of fat deposition and release in relevant cells as a hallmark of energy overload diseases with major health care impact in Europe.
Funded by the European Commission within FP7, under the thematic area "High throughput analysis of lipid and lipid-protein interactions", contract number HEALTH 2007-2.1.1-6
Partners:
University Regensburg (Prof. G. Schmitz, coordinator)
24 further partners
Project page: www.lipidomicnet.org
Achievements:
In the course of this project, Bioinformatics/UMG has significantly updated the EndoNet database on intercellular signaling pathways, especially by pathways that are relevant to control human lipid metabolism. The EndoNet database was equipped with a new user interface, and its structure was largely redesigned and enriched by new contents, relations, and functions. EndoNet was integrated under the BioUML platform of partner P28 (Institute for Systems Biology, Novosibirsk, Russia)
Also the connected Cytomer ontology was revised and updated. To facilitate re-use of this and other ontologies, a novel tool for embedding the contents of ontologies in other applications was deviced (OBA, Ontology Based Answers) and made publicly available.
Publications:
Dönitz, J. and Wingender, E.:
The ontology-based answers (OBA) service: A connector for embedded usage of ontologies in applications
Front. Gene. 3, 197 (2012).
Wingender, E., Schoeps, T. and Dönitz, J.:
TFClass: An expandable hierarchical classification of human transcription factors
Nucleic Acids Res. 41, D165-D170 (2013).
Li, J., Hua, X., Haubrock, M., Wang, J. and Wingender, E.:
The architecture of the gene regulatory networks of different tissues
Bioinformatics 28, i509-514 (2012).
Potapov, A. P., Goemann, B. and Wingender, E.:
The pairwise disconnectivity index as a new metric for the topological analysis of regulatory networks
BMC Bioinformatics 9, 227 (2008).
Acronym: MetastaSys – investigating the systems biology of metastasis
Full title of the project: “Analysis of Molecular Markers and Pathways in Cancer Cells and Microenviroment that determine the Fate and Localization of Tumor Metastases”
The aim of the project is to identify molecular markers and pathways in cancer cells and their microenvironment that govern the fate and localization of tumor metastases.
The project was funded by the German Federal Ministry of Education and Research (BMBF) in the framework of the call e:bio.
Funding period: 01.02.2013-31.01.2015
Partners:
Prof. Dr. T. Beissbarth, Department for Medical Statistics, UMG
8 partners from UMG (Göttingen) and DKFZ (Heidelberg)
Publication:
Wlochowitz, D., Haubrock, M., Arackal, J., Bleckmann, A., Wolff, A., Beissbarth, T., Wingender, E. and Gültas, M.:
Computational identification of key regulators in two different colorectal cancer cell lines
Front. Genet. 7, 42 (2016).
doi: 10.3389/fgene.2016.00042
Biological Basis of Individual Tumour Response in Patients with Rectal Cancer
General summary and background
The Clinical Research Group 179 (KFO 179) with the topic "Biological Basis of Individual Tumor Response in Patients with Rectal Cancer" represents a collaboration of clinicians and scientists from various fields: surgery, gastroenterology, oncology, molecular oncology, radiation therapy/radio-oncology, pharmacology, pathology, human genetics, nuclear medicine, biochemistry, medical (bio)statistics, medical informatics, and medical ethics. In Europe and the USA, colorectal cancer accounts for over 15% of all cancer cases, with a rising trend. In Germany, colorectal cancer, with over 60,000 new cases per year regardless of gender, ranks as the second most common malignant tumor disease, with over half of the patients succumbing to its consequences. Approximately 30% of these cases occur in the last section of the intestine, the rectum. Until a few years ago, the treatment for this tumor disease consisted of immediate surgery followed by radiation and chemotherapy. However, recent scientific findings have led to a change where treatment now begins with radiation and chemotherapy, followed by surgery. Although this therapy approach (neoadjuvant pre-therapy) offers significant advantages, treating physicians still face the dilemma that patients react very differently to this treatment: Some tumors respond very well to it, while others show little or no change. Furthermore, some patients suffer considerable side effects from this pre-therapy. This is where the work of the Clinical Research Group 179 comes in. The goal of this interdisciplinary research group was to understand why patients with rectal carcinoma respond differently to the standard therapy, thereby advancing the development of a therapy tailored to the individual patient (for better chances of recovery and higher quality of life). This involves both the response of the tumor to the therapy and the occurrence of side effects. The consortium consisted of seven (first funding period) or nine (second funding period) independent subprojects with the participation of international partners. The basis was the genetic/molecular biological as well as clinical analysis of different patient groups.
Subproject SP8: Development of statistical and computational methods, tools, and infrastructures as well as data analysis, data management, and support for clinical researchers
Prof. Dr. Tim Beißbarth (Department of Medical Bioinformatics, UMG)
Prof. Dr. Ulrich Sax (Department of Medical Informatics, UMG)
The first aim of this subproject was to establish a professional IT-Infrastructure according to GCP guidelines and German privacy law. Two databases were implemented: one for clinical data and one for biomaterial data. In the course of the two funding periods, five different projects were implemented in the clinical database (one validation study) with overall 3.375 patients and 100 users entering the data. 52.710 biomaterial samples were stored in the database. Together with the Department of Bioinformatics, the implementation of these databases enabled the researchers to perform different data queries for different data analyzes but also for data quality assurance. Along with the IT-Infrastructure, a data protection concept was written and subsequently approved by the local data protection officer. To combine the different data from the two databases, i.e. for combined data analyses, the query tool i2b2 was tested together with a couple of researchers from other subgroups.
In order to assess the options to reuse health care data in this clinical research setting, the implementation of a research-focused form in the Göttingen clinical workspace (electronic patient record) was piloted, and a customized form to report quality specific events was set-up. Unfortunately, it turned out that the currently used IT System for the clinical workspace did support the form, but did not offer a sufficient reporting tool to actually use the data. A new approach will be followed based on the KFO 179 experience as soon as an improved electronic health record will be in place at the UMG.
The second aim of this subproject was to provide biostatistics and bioinformatics support for the entire KFO 179. Clinical data and data from laboratory research were collected and analyzed with appropriate statistical and bioinformatics methodology. Major aims were to test for biomarkers that can predict outcome of CRT or disease progression. Different types of molecular data were utilized here. Lowdimensional data from immunohistochemistry as well as basic clinical data from the time of biopsy or the time of surgery were used to predict progression-free survival. High-dimensional data from gene expression microarrays or methylation were used to predict outcome after CRT. Further analysis of more targeted experiments in cell lines were used to analyze the basic mechanisms and pathways involved in CRT-resistance. The collaborative efforts led to many discoveries of relevant biomarkers and disease mechanisms in rectal cancer, which resulted in a multitude of peer-reviewed publications and several clinical trials.
Besides the aim to provide support in data analysis for the KFO 179, another aim of this subproject was to establish the required biostatistics and bioinformatics methodology on campus and to test and improve methodology. The methodological research focused on three topics:
1. Analytic methods for microarray data
2. Methods of risk prediction for cancer patients
3. Reconstruction and analysis of signaling pathways
Specifically, aims for the KFO 179 were the following: 1
1. Develop classification methods for building disease signatures from multiple data.
2. Implement reconstruction methods for pathways and regulation mechanisms involved in colorectal cancer.
3. Develop and enhance classification procedures that allow multiple or ordinal responses.
A number of novel methodological developments were achieved in this subproject:
1. A new method to assign multiple testing adjusted confidence intervals on high-dimensional gene expression fold-changes was developed (Jung et al. BMC Bioinformatics 2011).
2. Methods for global tests were implemented and improved (Jung et al. Bioinformatics 2011; Jung et al. Bioinformatics 2014).
3. A new sensitivity preferred strategy to build classifiers was developed (Jung et al. Computer Methods and Programs in Biomedicine 2010).
4. It was demonstrated that for high-dimensional data interim analysis without additional testing correction is valid (Leha et al. BMC Bioinformatics 2011).
5. A new method to train ordinal response classifiers on high-dimensional data was developed and compared with existing strategies (Leha et al. Proc. of the German Conference on Bioinformatics 2013). 6. Several methods to fuse miRNA and mRNA expression data were developed (Artmann et al. PLoS One 2012; Fuchs et al. Computer Methods and Programs in Biomedicine 2013; Gade et al. Bioinformatics 2011).
Funded by the DFG (2007 - 2014)
More information: DFG
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