Swarm intelligence-enhanced diagnosis and therapy selection for cancer using tumor- educated platelets
A cancer, lung cancer technology, applied in the field of medical diagnosis, disease diagnosis and monitoring
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Embodiment 1
[0209] General Materials and Methods
[0210] Study Design and Sample Selection
[0211] At VU University Medical Center, Amsterdam, The Netherlands, Netherlands Cancer Institute (NKI / AvL), Amsterdam, The Netherlands, Academy Medical Center, Amsterdam, The Netherlands, Utrecht Medical Center, Utrecht, The Netherlands, Umea, Umea, Sweden University Hospital, the Hospital GermansTrias iPujol in Barcelona, Spain, the University Hospital of Pisa in Pisa, Italy, and Massachusetts General Hospital in Boston, USA, from patients with cancer, inflammatory and other Peripheral whole blood was drawn from patients with non-cancerous conditions as well as from asymptomatic individuals. Whole blood was collected in 4, 6, or 10-mL EDTA-coated purple-capped BD Vacutainers containing the anticoagulant EDTA. Patients with cancer were diagnosed clinically, radiologically, and pathologically, and confirmed to have a detectable tumor burden at the time of blood collection. The 106 NSCLC samp...
Embodiment 2
[0263] By analyzing SMARTer-amplified platelet RNA samples, we observed subtle differences in SMARTer cDNA profiles (Fig. 4f), as measured by the Bioanalyzer DNA High Sensitivity Chip. The slopes of cDNA products could be subdivided into protruding, smooth and intermediate-order protruding / smooth profiles and did not tend to be disease specific (Fig. 4g). The most abundantly observed pattern of protrusions of slope (in non-cancer as 59% of the NSCLC cohort) may be related to the relatively small diversity of RNA molecules in platelets (approximately 4000-5000 different RNAs measured). The remaining samples were characterized by smooth or mid-order protruding / smooth cDNA product profiles. Notably, Picochip RNA profiles and DNA7500Truseq cDNA profiles were similar across the three SMARTer groups (Fig. 4f), and none of the SMARTer groups were enriched in low-quality RNA samples. The average cDNA length can be correlated with the SMARTer profile, and the cDNA yield after SMARTer ...
Embodiment 3
[0265]RNA-seq data offer the opportunity to quantify virtually any region of the transcriptome at high resolution. We therefore investigated the distribution of RNA species in the platelet RNA profile. The platelets analyzed in this study constitute a snapshot of all platelets circulating in the blood at the time of blood collection and can be affected by variables such as total platelet count, medications, bleeding disorders, injury, activity or exercise, and circadian rhythms. For the following analyses, to reduce the influence of factors highly suspected of confounding platelet characteristics (Table 4), we selected 263 patients matched for age and blood storage time. Based on intron read count analysis, we identified 1625 spliced platelet genes with significantly differential splicing levels (FDR<0.01, 698 genes with enhanced splicing in platelets from NSCLC patients and 927 genes in platelets from NSCLC patients gene has reduced splicing), consistent with previous find...
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