Patient stratification and determining clinical outcome for cancer patients
AssigneesAgency for Science, Technology and Research, National University of Singapore
InventorsJean Paul Thiery, Yun-Ju Ruby Huang, Kian Ngiap Chua, Wen Jing Sim, Seiichi Mori
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Abstract
In a first aspect the present invention is directed to a method of generating a scheme allowing classification of a cancer of an individual patient for estimating a clinical outcome for said patient. It also refers to a method of estimating a clinical outcome of a patient suffering from epithelial ovarian cancer (EOC). The present invention also refers to a method of determining whether the epithelial mesenchymal score of a patient suffering from a cancer can be changed by administering an EMT reversal agent to increase patients susceptibility for an anti-cancer treatment.
Claims27
A method of generating a scheme allowing classification of a cancer of an individual patient for estimating a clinical outcome for said patient, wherein the method comprises:
- a) identifying subtype clusters of a cancer type based on comparison of a set of gene expression data derived from clinical cancer samples of multiple test subjects suffering from said cancer type;
- wherein clinical samples are divided into subtype clusters of said cancer type based on the similarity of their gene expression data;
- b) correlating the subtype clusters identified under a) to a specific clinical outcome of cancer;
- c) determining an epithelial-mesenchymal transition (EMT) score, comprising:
- i) determining the quantitative expression of at least two markers wherein each of these markers is either characteristic for a mesenchymal cell phenotype or for a epithelial cell phenotype, for determining said epithelial-mesenchymal transition (EMT) signature;
- ii) determining the quantitative expression of the at least two markers in said patient sample and comparing it with the epithelial-mesenchymal transition (EMT) signature to assign an epithelial-mesenchymal transition (EMT) score for said patient sample;
- d) estimating an outcome of a patient suffering from said cancer by assigning the set of gene expression data of said patient sample to any one of the subtype clusters according to a) and b), and by determining the patients epithelial-mesenchymal transition (EMT) score.
A method of estimating a clinical outcome of a patient suffering from epithelial ovarian cancer (EOC) wherein the method comprises:
- a) providing a set of expression data in a patient sample obtained from a patient suffering from epithelial ovarian cancer (EOC);
- b) assigning the set of expression data derived from said patient sample to one of five subtype clusters for epithelial ovarian cancer (EOC),
- wherein the first of the five subtype clusters of epithelial ovarian cancer (EOC) is characterized by the genes referred to in Gene List 2-Epi A;
- wherein the second of the five subtype clusters of epithelial ovarian cancer (EOC) is characterized by the genes referred to in Gene List 2-EpiB;
- wherein the third of the five subtype clusters of epithelial ovarian cancer (EOC) is characterized by the genes referred to in Gene List 2-Mes;
- wherein the fourth of the five subtype clusters of epithelial ovarian cancer (EOC) is characterized by the genes referred to in Gene List 2-StemA;
- wherein the fifth of the five subtype clusters of epithelial ovarian cancer (EOC) is characterized by the genes referred to in Gene List 2-StemB;
- c) determining an EMT score for the patient sample;
- and
- d) estimating the clinical outcome depending on any one of the five subtype clusters and the EMT score to which the patient sample is assigned.
A cluster characterized in that it comprises at least one subtype cluster selected from the group consisting of subtype clusters shown in Gene List 2-Epi A, subtype cluster shown in Gene List 2 Epi-B, subtype cluster shown in Gene List 2-Mes, subtype cluster shown in Gene List 2-Stem A and subtype cluster shown in Gene List 2-Stem B.
Dependencies are inferred from the claim text.