bioRxiv · 10.1101/2020.03.27.009043
Telomere length and chromosomal instability for predicting individual radiosensitivity and risk via machine learning
Abstract
The ability to predict a cancer patients response to radiotherapy and risk of developing adverse late health effects would greatly improve personalized treatment regimens and individual outcomes. Telomeres represent a compelling biomarker of individual radiosensitivity and risk, as exposure can result in dysfunctional telomere pathologies that coincidentally overlap with many radiation-induced late effects, ranging from degenerative conditions like fibrosis and cardiovascular disease to proliferative pathologies like cancer. Here, telomere length was longitudinally assessed in a cohort of fifteen prostate cancer patients undergoing Intensity Modulated Radiation Therapy (IMRT) utilizing Telomere Fluorescence in situ Hybridization (Telo-FISH). To evaluate genome instability and enhance predictions for individual patient risk of secondary malignancy, chromosome aberrations were also assessed utilizing directional Genomic Hybridization (dGH) for high-resolution inversion detection. We present the first implementation of individual telomere length data in a machine learning model, XGBoost, trained on pre-radiotherapy (baseline) and in vitro exposed (4 Gy {gamma}-rays) telomere length measures, to predict post-radiotherapy telomeric outcomes, which together with chromosomal instability provide insight into individual radiosensitivity and risk for radiation-induced late effects.
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Luxton, J. J., McKenna, M. J., Lewis, A. M., Taylor, L. E., Jhavar, S. G., Swanson, G. P., Bailey, S. M.. 2020-03-29. Telomere length and chromosomal instability for predicting individual radiosensitivity and risk via machine learning. https://doi.org/10.1101/2020.03.27.009043
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