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Cancer Metabolomics and Its Applications Leo L. Cheng assachusetts General Hospita Harvard Medical School 1 L. L. Cheng

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Page 1: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Cancer Metabolomicsand Its Applications

Leo L. Cheng

Massachusetts General Hospital

Harvard Medical School

1L. L. Cheng

Page 2: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Informatics for Cancer Diagnosis- Altered molecular biology

Ris

k

Pre

dic

tab

ilit

y

Clinical Relevance

Genomics

Proteomics

Metabolo-mics

Pathology

2L. L. Cheng

Page 3: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

HRMAS MRS - Tissue Samples (~10mg)

- High Resolution Magic Angle Spinning

3L. L. Cheng

Page 4: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

w/o HRMAS

w/ HRMAS

x400

4L. L. Cheng

HRMAS MRS

Page 5: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

5L. L. Cheng

HRMAS MRS

Page 6: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

P1 P2 P3 P35 P36

S1 p1,1 p2,1 p3,1 p35,1 p36,1

S2 p1,2 p2,2 p3,2 p35,2 p36,2

S3 p1,3 p2,3 p3,3 p35,3 p36,3

S198 p1,198 p2,198 p3,198 p35,198 p36,198

S199 p1,199 p2,199 p3,199 p35,199 p36,199

PC1 PC2 PC3 PC35 PC36

P1 c1,1 c2,1 c3,1 c35,1 c36,1

P2 c1,2 c2,2 c3.2 c35,2 c36,2

P3 c1,3 c2,3 c3,3 c35,3 c36,3

P35 c1,35 c2,35 c3,35 c35,35 c36,35

P36 c1,36 c2,36 c3,36 c35,36 c36,36

Principal Component Analysis

- Intensities of 36 most common and intensive peaks.

Example:PC3 for Sample 2= A-(c3,1*p1,2 +c3,2*p2,2 +c3,3*p3,2+ … +c3,36*p36,2)

Peak Intensity

PC Coefficient

- 199 samples from 82 prostatectomy cases.

6L. L. Cheng

Page 7: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Prostate Tissue

7L. L. Cheng

Page 8: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

L. L. Cheng 8

E. V. % Cum%Epithelium

(r, p)

Cancer

(r, p)

Stroma

(r, p)

PC2 5.93 16.48 43.540.381,

<0.0001-0.303,

<0.0001

PC13 0.67 1.87 85.660.146, 0.0401

-0.154, 0.0302

PC14 0.55 1.54 87.20-0.160, 0.0243

-0.217, 0.0021

- First 16 PCs vs. Vol% of Epithelium, Cancer, & Stroma

Linear Regressions Analysis - Concentration

-20/199 samples have cancer glands; -13/82 cases have paired cancer/histol-benign analyzed;-12/13T2 and 1/13T3 tumors.

Page 9: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Canonical (Discriminant) Analysis- Metabolomic (concentration) Profile

10

Histo-benign

CancerP < 0.0001

0 1 2 3 4 5 6 7 8 9

Canonical Score 1

0

1

2

3

4

5

6

Can

onic

al S

core

2

9L. L. Cheng Cancer Res. 2005;65:3030-3034

Page 10: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Predicting Cancer Stage

10L. L. Cheng Cancer Res. 2005;65:3030-3034

Page 11: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

MetabolomicImaging

11L. L. Cheng

Page 12: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

MRSI

Carhuapoma JR etal. Stroke 2000, 31:726-73212L. L. Cheng

Page 13: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

MRSI

Horn JJ etal. Radiology 2006, 238:192-19913L. L. Cheng

Page 14: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Metabolomic Imaging - Phantom

14T

7T

1

3 2

14L. L. ChengSci. Transl. Med, 2010;2:16ra8

Page 15: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

L. L. Cheng 15

VEigen %Cum

%PCa vs.

HBHB Epi PCa Epi Stroma

PC1 9.2 25.5 25.5 p<0.050 p<0.001

PC3 3.4 9.4 49.7 p<0.001

PC6 1.9 5.3 69.0 p<0.017 p<0.002 p<0.003

PC10 1.0 2.8 83.3 p<0.026

- First 10 PCs vs. Vol% of Epithelium, Cancer, & Stroma

Linear Regressions Analysis – Relative Intensity

Page 16: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

16L. L. Cheng

Canonical (Discriminant) Analysis- Metabolomic (Relative Intensity) Profile

-12/13T2 and 1/13T3 tumors.

Sci. Transl. Med, 2010;2:16ra8

Page 17: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Principal Component Analysis (Std Peak pi, i=1,2, … 36): PCj for Sample 2 = Aj-(cj,1*p1,2+cj,2*p2,2+cj,3*p3,2+…+cj,36*p36,2)

= Aj-icj,i*pi,2 ; (i=1,2, … 36)

Metabolomic Profiles

Canonical Analysis (PCk, k=L,M … N):Canonical Score X for Sample 2 =

= BX-(eL,X*PCL+eM,X*PCM+…+eN,X*PCN) = BX-kek,X*PCk; (k=L,M … N) = BX-kek,X*(Ak-ick,i*pi,2) = BX-(kek,X*Ak)-ik ek,X*ck,i) pi,2

Overall Loading Factor

ek,X*ck,i

17L. L. Cheng

Page 18: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

18L. L. Cheng

Page 19: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

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Page 20: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

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Page 21: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Metabolomic Imaging - Whole Prostate ex vivo

Urethra

21L. L. ChengSci. Transl. Med, 2010;2:16ra8

Page 22: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

• Five prostates from prostatectomies;Metabolomic Imaging

• 7T human scanner;

• Three planes of 2D localized MRS, 16x16;

• Voxel = 3x3x3 mm3;

• Seven tumor histology regions, five inside- four T2 and one T3;

• Seven planes analyzed;

• Thirteen metabolomic regions (>M+SD, >2)22L. L. Cheng

Sci. Transl. Med, 2010;2:16ra8

Page 23: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Metabolomic Imaging

T2

T3

R2 = 0.998P < 0.001

P < 0.004 (T2)P < 0.008 (all)

AUC = 0.969(T2 Only)AUC = 0.925(Including T3)

R2 = 0.975P < 0.013

T2

T3

23L. L. ChengSci. Transl. Med, 2010;2:16ra8

Page 24: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Predicting TumorRecurrence

24L. L. Cheng

Page 25: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Chemical Recurrence

25L. L. Cheng Prostate, 2009, doi:10.1002/pros.21103

Page 26: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

1 - Specificity

PC4, 6, 7, & 8 PC1-9

Chemical Recurrence

26L. L. Cheng

AUC = 0.71 AUC = 0.78

Prostate, 2009, doi:10.1002/pros.21103

Page 27: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Lung CancerSerum Profiles

27L. L. Cheng

Page 28: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Lung Cancer

Lung Cancer, 2009, doi:10.1016/j.lingcan.2009.05.01228L. L. Cheng

Page 29: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Lung Cancer, 2009, doi:10.1016/j.lingcan.2009.05.01229L. L. Cheng

Lung Cancer: Clinical Data

Page 30: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Lung Cancer: Canonical Analysis

Lung Cancer, 2009, doi:10.1016/j.lingcan.2009.05.01230L. L. Cheng

Page 31: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

Lung Cancer: Nominal Logistic Regression Analysis

Serum Profile Based on Tissue (SPT)

AC:-1.10+0.27SPT-1.27SP

SCC:-1.73-1.86SPT+0.77SP

Ctrl:-2.90+2.12SPT+1.21SP

Nominal Logisticp < 0.0001

Lung Cancer, 2009, doi:10.1016/j.lingcan.2009.05.01231L. L. Cheng

Page 32: Cancer Metabolomics and Its Applications Leo L. Cheng Massachusetts General Hospital Harvard Medical School 1 L. L. Cheng

L. L. Cheng 32

MGH/HMSMelissa A. BurnsJennifer L. TaylorWnelei He Elkan F. HalpernW. Scott McDougalChin-Lee Wu

MGH/HMSChin-Lee WuKate W. JordanEva M. RataiChristen B. Adkins Elita M. DeFeoBruce G. JenkinsW. Scott McDougal

U. Wis-MilwaukeeJinhua Sheng Leslie Ying

MGH/HMSChristen B. Adkins Yifen ZhangElkan F. HalpernW. Scott McDougalChin-Lee Wu

Charite U., BerlinAndreas MaxeinerMatthias Taupitz

MGH/HMSKate W. JordanChristen B. Adkins Eugene J. Mark

HSPH/MGH/HMSLi SuDavid C. Christiani

Cancer Res 2005 Sci Transl Med 2010 Lung Ca 2009Prostate 2009

Conclusions and Acknowledgements

Grant Supports: NCI/NIH, DOD, MGH Martinos Center, and Bertucci Prostate Cancer Research Fund