Computational strategies for investigating cancer drug resistance using single-cell data

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Abstract/Contents

Abstract
Treatment of metastatic cancer utilizes chemotherapies or newer targeted therapies. However, treatment is thwarted by drug resistance where some cancer cells can survive and lead to relapse. Recent studies suggest that cancer cells can evade cell death after treatment through non-genetic means such as distinct signaling or differentiation states. To better understand these resistance mechanisms, we must study the dynamics of the anti-cancer drug response across time. We use high-dimensional single-cell platforms like mass cytometry and novel algorithms to visualize and trace the trajectories of subpopulations with different fates upon drug exposure. We present the development of a free, open-source R package known as FLOWMAPR that can represent complex timecourse datasets as a single, interpretable 2D graph. We apply this analytical approach to two novel studies of drug resistance: treatment of multiple myeloma using bortezomib and dexamethasone and response to BRAF inhibition in melanoma. Through visualization and computational modeling, we identify specific signaling or metabolic features that distinguish drug-resistant cells in models of both cancer subtypes. Moreover, through combination treatments with inhibitors directed against these features, we demonstrate the ability to reduce the fraction of drug-resistant cells present in both cell lines and in patients. Taken together, these studies demonstrate the potential for computational analysis of high-dimensional single-cell data to reveal mechanistic insights into cancer drug resistance, paving the way for the design of new treatments or more effective combination regimens.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2018; ©2018
Publication date 2018; 2018
Issuance monographic
Language English

Creators/Contributors

Author Ko, Melissa E
Degree supervisor Nolan, Garry P
Thesis advisor Nolan, Garry P
Thesis advisor Artandi, Steven E
Thesis advisor Khavari, Paul A
Thesis advisor Plevritis, Sylvia
Thesis advisor Wernig, Marius
Degree committee member Artandi, Steven E
Degree committee member Khavari, Paul A
Degree committee member Plevritis, Sylvia
Degree committee member Wernig, Marius
Associated with Stanford University, Cancer Biology Program.

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Melissa E. Ko.
Note Submitted to the Cancer Biology Program.
Thesis Thesis Ph.D. Stanford University 2018.
Location electronic resource

Access conditions

Copyright
© 2018 by Melissa Ellen Ko
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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