Jimenez-Sanchez, A. | Search bioRxiv

bioRxiv2018

Unraveling Tumor-Immune Heterogeneity in Advanced Ovarian Cancer Uncovers Immunogenic Effect of Chemotherapy

In metastatic cancer, the role of heterogeneity at the tumor-immune microenvironment, its molecular underpinnings and clinical relevance remain largely unexplored. To understand tumor-immune dynamics at baseline and upon chemotherapy treatment, we performed unbiased pathway and cell type-specific immunogenomics analysis of treatment-naive (38 samples from 8 patients) and paired chemotherapy treated (80 paired samples from 40 patients) high-grade serous ovarian cancer (HGSOC) samples. Whole transcriptome analysis and image-based quantification of T cells from treatment-naive tumors revealed ubiquitous variability in immune signaling and distinct immune microenvironments co-existing within the same individuals and within tumor deposits at diagnosis. To systematically explore cell type composition of the tumor microenvironment using bulk mRNA, we derived consensus immune and stromal cell gene signatures by intersecting state-of-the-art deconvolution methods, providing improved accuracy and sensitivity when compared to HGSOC immunostaining and leukocyte methylation data sets. Cell-type deconvolution and pathway analyses revealed that Myc and Wnt signaling associate with immune cell exclusion in untreated HGSOC. To evaluate the effect of chemotherapy on the intrinsic tumor-immune heterogeneity, we compared site-matched and site-unmatched tumors before and after neoadjuvant chemotherapy. Transcriptomic and T-cell receptor sequencing analyses showed that site-matched samples had increased cytotoxic immune activation and oligoclonal expansion of T cells after chemotherapy, which was not seen in site-unmatched samples where heterogeneity could not be accounted for. These results demonstrate that the tumor-immune interface in advanced HGSOC is intrinsically heterogeneous, and thus requires site-specific analysis to reliably unmask the impact of therapy on the tumor-immune microenvironment.

cancer biology↗

bioRxiv2018

Comprehensive Benchmarking and Integration of Tumour Microenvironment Cell Estimation Methods

The tumour microenvironment comprises complex cellular compositions and interactions between cancer, immune, and stromal components which all play crucial roles in cancer. Various computational approaches have been developed during the last decade that estimate the relative abundance of different cell types in an unbiased manner using bulk tumour RNA data. However, a comparison that objectively evaluates the performance of these approaches against one another has not been conducted. Here we benchmarked six widely used tools and gene sets: Bindea et al. gene sets, Davoli et al. gene sets, CIBERSORT, MCP-counter, TIMER, and xCell. We also introduce ConsensusTME, a consensus approach that uses the union of genes that the six tools used for cell estimation, and corrects for tumour-type specificity. We benchmarked the seven tools using TCGA DNA-derived purity scores (33 tumour-types), methylation-derived leukocyte scores (30 tumour-types), and H&E deep learning derived lymphocyte counts (13 tumour types), and individual benchmark data sets (PBMCs and 2 tumour types). Although none of the seven tools outperformed others in every benchmark, ConsensusTME ranked consistently well in all cancer-related benchmarks making it the top performing method overall. Computational methods that provide robust and accurate estimates of non-cancerous cell populations in the tumour microenvironment from tumour bulk expression data are important tools that can advance our understanding of tumour, immune, and stroma interactions, with potential clinical application if high accuracy estimates are achieved.

bioinformatics↗