This dissertation proposes tools and analysis of mutational signatures in human cancer and their application to the stratification of patients for drug response.
To provide a comprehensive workflow for preprocessing, analysis, and visualization of mutational signatures, I created the Mutational Signature Comprehensive Analysis Toolkit (musicatk) package. musicatk enables users to select different schemas for counting mutation types and easily combine count tables from different schemas. Multiple distinct methods are available to deconvolute signatures and exposures or to predict exposures in individual samples given a pre-existing set of signatures. Additional exploratory features include the ability to compare signatures to the COSMIC database, embed tumors in two dimensions with UMAP, cluster tumors into subgroups based on exposure frequencies, identify differentially active exposures between tumor subgroups, and plot exposure distributions across user-defined annotations such as tumor type.
I then use musicatk to analyze the largest tumor sequencing dataset from a Chinese population to date. I identified differences in the levels of signature exposures compared to similar data from a Western cohort. Specifically, COSMIC signature SBS25 was higher in the Chinese dataset for Melanoma and Renal Cell Carcinoma patients and Melanoma patients had lower levels of SBS7a/b (Ultraviolet Light). My analysis also revealed a putative novel signature enriched in pancreatic cancers.
Lastly, I assess the ability of mutational signatures to identify patients who may respond to irofulven, a drug for late-stage cancer patients who have defects in the Transcription Coupled Nucleotide Excision Repair (TC-NER) pathway. As the functional understanding of which mutations successfully disrupt this pathway is incomplete, I develop an approach that classifies patients based on evidence of this pathway being disrupted based on levels of mutational signatures. I build a model that successfully predicts patients who will respond to treatment without a known relevant mutation in the TC-NER pathway.
The work from this study furthers our understanding of mutational signatures in different populations and demonstrates the feasibility of using mutational signatures to identify patients eligible for drug trials.
| Identifer | oai:union.ndltd.org:bu.edu/oai:open.bu.edu:2144/45168 |
| Date | 22 September 2022 |
| Creators | Chevalier, Aaron |
| Contributors | Campbell, Joshua D. |
| Source Sets | Boston University |
| Language | en_US |
| Detected Language | English |
| Type | Thesis/Dissertation |
| Rights | Attribution 4.0 International, http://creativecommons.org/licenses/by/4.0/ |
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