Network methods for inferring effects of complex genetic variation : development and application in SARS-COV-2 entry

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Abstract/Contents

Abstract
Many human diseases depend on complex genetic architectures, whereby genotypes or expression changes at multiple loci contribute cooperatively to the observed phenotype. High-throughput targeted mutagenesis techniques enable systematic genotype-phenotype mapping that encompasses near-complete first-order mutational landscapes at the level of both amino acids and genes. However, identifying the central patterns of variation that underlie a phenotype remains challenging due to the sparsity of experimental data relative to the combinatorial variant space. To address this limitation, we develop a hierarchical framework for interpreting large-scale screening data through biological network topologies at the level of amino acids, genes, and drugs. We apply this approach to variant screening datasets for critical SARS-CoV-2 entry proteins to identify key patterns of genetic variation that contribute to viral entry. Specifically, we first develop a framework for inferring epistatic relationships from deep mutational scanning data and use it to identify combinatorial Spike mutations conferring high activity. We next develop an improved pathway analysis algorithm that enables more accurate interpretation of functional genomics datasets and apply it to a collection of SARS-CoV-2 entry-factor screens. Finally, we perform mechanistic prioritization of drug repurposing opportunities in COVID-19 based on functional genomics datasets. We perform both experimental and large-scale, retrospective clinical validation of top candidate drugs, identifying a protective effect for spironolactone against severe COVID-19 consistent with an androgen-dependent mechanism. Our work provides broadly applicable bioinformatic tools that enable identification of conserved SARS-CoV-2 entry pathways, culminating in supporting evidence for a protective role for spironolactone in severe COVID-19.

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 2023; ©2023
Publication date 2023; 2023
Issuance monographic
Language English

Creators/Contributors

Author Cousins, Henry Corbett
Degree supervisor Altman, Russ
Thesis advisor Altman, Russ
Thesis advisor Chen, Jonathan H
Thesis advisor Cong, Le
Degree committee member Chen, Jonathan H
Degree committee member Cong, Le
Associated with Stanford University, School of Medicine
Associated with Stanford University, School of Medicine, Department of Biomedical Data Science

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Henry C. Cousins.
Note Submitted to the Department of Biomedical Data Science
Thesis Thesis Ph.D. Stanford University 2023.
Location https://purl.stanford.edu/zf832jh0369

Access conditions

Copyright
© 2023 by Henry Corbett Cousins
License
This work is licensed under a Creative Commons Attribution 3.0 Unported license (CC BY).

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