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Building	
  Be*er	
  Models	
  of	
  Disease	
  Together	
  



                 Stephen	
  H	
  Friend	
  MD	
  PhD	
  
                     Sage	
  Bionetworks	
  

                  NIGM	
  4th	
  Annual	
  Retreat	
  
                      May	
  23	
  2012	
  
                             Sea*le	
  
What	
  is	
  the	
  problem?	
  

	
  	
  	
  Most	
  approved	
  therapies	
  assume	
  indica2ons	
  would	
  
            represent	
  homogenous	
  popula2ons	
  



  	
  Our	
  exis2ng	
  disease	
  models	
  o8en	
  assume	
  pathway	
  
      knowledge	
  sufficient	
  to	
  infer	
  correct	
  therapies	
  
Personalized Medicine 101:
Capturing Single bases pair mutations = ID of responders
Reality: Overlapping Pathways
The value of appropriate representations/ maps
Disease	
  PrevenLon	
  and	
  Treatment	
  
•  To	
  Prevent	
  need	
  to:	
  
    –  Have	
  clinical	
  &	
  molecular	
  definiLon	
  of	
  disease	
  	
  
    –  Be	
  able	
  to	
  predict	
  progression	
  
    –  Have	
  drugs	
  that	
  target	
  mechanisms	
  that	
  drive	
  
       progression	
  

•  To	
  Treat	
  need	
  to:	
  
    –  Have	
  clinical	
  &	
  molecular	
  definiLon	
  of	
  disease	
  	
  
    –  Disease	
  modifying	
  therapies	
  

       For	
  Alzheimer’s	
  we	
  need	
  work	
  to	
  develop	
  all	
  of	
  these!	
  
Data-­‐driven	
  Target	
  Iden2fica2on	
  

   If	
  we	
  accept	
  that	
  disease	
  is	
  driven	
  by	
  the	
  complex	
  interplay	
  of	
  geneLcs	
  and	
  environment	
  
   mediated	
  through	
  molecular	
  networks…….	
  	
  
                                                                                                                              GeneLcs	
  
GeneLcs	
  
                                                        Disease	
  progression	
  




                                                            Disease	
  Modifying	
  	
  
                                                                 Therapy	
  
                            Healthy	
  	
                                                       Disease	
  	
             Environment	
  
Environment	
                State	
                                                             State	
  
  ………………………….then	
  it	
  follows	
  we	
  must	
  study	
  these	
  networks	
  and	
  how	
  they	
  respond	
  to	
  
  perturbagens,	
  how	
  they	
  differ	
  in	
  disease,	
  etc	
  
what will it take to understand disease?




	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  DNA	
  	
  RNA	
  PROTEIN	
  (dark	
  ma*er)	
  	
  

MOVING	
  BEYOND	
  ALTERED	
  COMPONENT	
  LISTS	
  
WHY	
  NOT	
  USE	
  	
  
      “DATA	
  INTENSIVE”	
  SCIENCE	
  
TO	
  BUILD	
  BETTER	
  DISEASE	
  MAPS?	
  
2002 Can one build a “causal” model?
How is genomic data used to understand biology?
                                                                RNA amplification




                                                    Tumors
                                                             Microarray hybirdization




                                                    Tumors
                                                             Gene Index

   Standard GWAS Approaches                                          Profiling Approaches
   Identifies Causative DNA Variation but       Genome scale profiling provide correlates of disease
           provides NO mechanism                                  Many examples BUT what is cause and effect?




                                                                      Provide unbiased view of
                                                                      molecular physiology as it
                                                                     relates to disease phenotypes
                                      trait
                                                                        Insights on mechanism
                                                                   Provide causal relationships
                                                                       and allows predictions

                                                                                             14
                   Integrated Genetics Approaches
Preliminary Probabalistic Models- Rosetta /Schadt

                                                                              Networks facilitate direct
                                                                           identification of genes that are
                                                                                   causal for disease
                                                                          Evolutionarily tolerated weak spots


                                 Gene symbol   Gene name                   Variance of OFPM    Mouse   Source
                                                                           explained by gene   model
                                                                           expression*
                                 Zfp90         Zinc finger protein 90      68%                 tg      Constructed using BAC transgenics
                                 Gas7          Growth arrest specific 7    68%                 tg      Constructed using BAC transgenics
                                 Gpx3          Glutathione peroxidase 3    61%                 tg      Provided by Prof. Oleg
                                                                                                       Mirochnitchenko (University of
                                                                                                       Medicine and Dentistry at New
                                                                                                       Jersey, NJ) [12]

                                 Lactb         Lactamase beta              52%                 tg      Constructed using BAC transgenics
                                 Me1           Malic enzyme 1              52%                 ko      Naturally occurring KO
                                 Gyk           Glycerol kinase             46%                 ko      Provided by Dr. Katrina Dipple
                                                                                                       (UCLA) [13]
                                 Lpl           Lipoprotein lipase          46%                 ko      Provided by Dr. Ira Goldberg
                                                                                                       (Columbia University, NY) [11]
                                 C3ar1         Complement component        46%                 ko      Purchased from Deltagen, CA
                                               3a receptor 1
                                 Tgfbr2        Transforming growth         39%                 ko      Purchased from Deltagen, CA
Nat Genet (2005) 205:370                       factor beta receptor 2
Extensive Publications now Substantiating Scientific Approach
              Probabilistic Causal Bionetwork Models
• >80 Publications from Rosetta Genetics


    Metabolic                "Genetics of gene expression surveyed in maize, mouse and man." Nature. (2003)
     Disease     "Variations in DNA elucidate molecular networks that cause disease." Nature. (2008)
                 "Genetics of gene expression and its effect on disease." Nature. (2008)
                 "Validation of candidate causal genes for obesity that affect..." Nat Genet. (2009)
                 ….. Plus 10 additional papers in Genome Research, PLoS Genetics, PLoS Comp.Biology, etc
   CVD                               "Identification of pathways for atherosclerosis." Circ Res. (2007)
                           "Mapping the genetic architecture of gene expression in human liver." PLoS Biol. (2008)
                                     …… Plus 5 additional papers in Genome Res., Genomics, Mamm.Genome

   Bone          "Integrating genotypic and expression data …for bone traits…" Nat Genet. (2005)
                                                            d
                   ..approach to identify candidate genes regulating BMD…" J Bone Miner Res. (2009)
   Methods       "An integrative genomics approach to infer causal associations ... Nat Genet. (2005)
                 "Increasing the power to detect causal associations… PLoS Comput Biol. (2007)
                 "Integrating large-scale functional genomic data ..." Nat Genet. (2008)
                 …… Plus 3 additional papers in PLoS Genet., BMC Genet.
Sage Mission
      Sage Bionetworks is a non-profit organization with a vision to
   create a commons where integrative bionetworks are evolved by
       contributor scientists with a shared vision to accelerate the
                       elimination of human disease

Building Disease Maps                              Data Repository




Commons Pilots                                    Discovery Platform
 Sagebase.org
Sage Bionetworks Collaborators

  Pharma Partners
     Merck, Pfizer, Takeda, Astra Zeneca,
      Amgen, Johnson &Johnson
  Foundations
     Kauffman CHDI, Gates Foundation

  Government
     NIH, LSDF

  Academic
     Levy (Framingham)
     Rosengren (Lund)
     Krauss (CHORI)

  Federation
     Ideker, Califarno, Butte, Schadt       18
Alzheimer’s	
  Disease:	
  IdenLfying	
  key	
  disease	
  systems	
  and	
  genes	
  

1.)	
  IdenLfy	
  groups	
  of	
  genes	
  that	
  move	
  together	
  –	
  coexpressed	
  “modules”	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  -­‐	
  correlated	
  expression	
  of	
  mulLple	
  genes	
  across	
  many	
  paLents	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  -­‐	
  coexpression	
  calculated	
  separate	
  for	
  Disease/healthy	
  groups             	
  	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  -­‐	
  these	
  gene	
  groups	
  are	
  ogen	
  coherent	
  cellular	
  subsystems,	
  enriched	
  in	
  one	
  or	
  more	
  GO	
  funcLons   	
  



                                                        Data	
  source:	
                                                                         Harvard	
  Brain	
  
                                                                                                                                             Tissue	
  Resource	
  Center	
  
                                                                                                                                                            SNPs,	
  
                                                                                                                                                    Gene	
  Expression,	
  
                                                                                                                                                     Clinical	
  Traits	
  
                                                                                                                 AD	
                                   n	
  =	
  284	
  
                                                  Pre	
  Frontal	
  Cortex	
  
                                                                                                               Control	
                                     153	
  
                                                                                                                    AD	
                                             168	
  
                                                       Visual	
  Cortex	
  
                                                                                                               Control	
                                             116	
  
                                                                                                                    AD	
                                             220	
  
                                                         Cerebellum	
  
                                                                                                               Control	
                                             122	
  
IdenLfying	
  key	
  disease	
  systems	
  and	
  genes	
  

 1.)	
  IdenLfy	
  groups	
  of	
  genes	
  that	
  move	
  together	
  –	
  coexpressed	
  “modules”	
  
 	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  -­‐	
  correlated	
  expression	
  of	
  mulLple	
  genes	
  across	
  many	
  paLents	
  
 	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  -­‐	
  coexpression	
  calculated	
  separate	
  for	
  Disease/healthy	
  groups            	
  	
  
 	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  -­‐	
  these	
  gene	
  groups	
  are	
  ogen	
  coherent	
  cellular	
  subsystems,	
  enriched	
  in	
  one	
  or	
  more	
  GO	
  funcLons   	
  



Alzheimer’s-­‐specific	
  regulatory	
  relaLonship	
                                                                                                  Microarray	
  result	
  


                                  Transcription
                                     factor



                Gene A                                             Gene B
Where	
  does	
  coexpression	
  come	
  from?	
  	
  
                  What	
  does	
  a	
  “link”	
  in	
  these	
  networks	
  mean?	
  

•  What	
  is	
  the	
  evidence	
  that	
  coexpression	
  is	
  produced	
  by	
  regulatory	
  	
  
	
  	
  	
  	
  	
  	
  rela6onships?	
  
•    Gene	
  coexpression	
  has	
  mulLple	
  biophysical	
  sources:	
  
      1:	
  TranscripLonal	
  overrun	
  	
  /	
  	
  chromosome	
  locaLon	
  (Ebisuya	
  2008)	
  
      2:	
  Common	
  transcripLon	
  factor	
  binding	
  sites	
  (Marco	
  2009)	
  
      3:	
  EpigeneLc	
  regulaLon	
  (Chen	
  2005)	
  
      4:	
  3D	
  Chromosome	
  configuraLon	
  (Deng	
  2010)	
                                 Chromosome	
  segment	
  
      –  VariaLon	
  in	
  cell-­‐type	
  density	
  (Oldham	
  2008)	
         #1	
  
                                                                                                                 #4	
  



                                                                            #2/TF	
  
                                                    Gene	
  A	
  
                                                    Gene	
  B	
  
                                                    Gene	
  C	
  
                                                    Promoter	
  x	
  	
  
                                                    Promoter	
  y	
  
                                                                                         #3	
                      21	
  
IdenLfying	
  key	
  disease	
  systems	
  and	
  genes	
  

1.)	
  IdenLfy	
  groups	
  of	
  genes	
  that	
  move	
  together	
  –	
  coexpressed	
  “modules”	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  -­‐	
  correlated	
  expression	
  of	
  mulLple	
  genes	
  across	
  many	
  paLents	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  -­‐	
  coexpression	
  calculated	
  separate	
  for	
  Disease/healthy	
  groups            	
  	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  -­‐	
  these	
  gene	
  groups	
  are	
  ogen	
  coherent	
  cellular	
  subsystems,	
  enriched	
  in	
  one	
  or	
  more	
  GO	
  funcLons   	
  




            Example	
  “modules”	
  of	
  coexpressed	
  genes,	
  color-­‐coded	
  
IdenLfying	
  key	
  disease	
  systems	
  and	
  genes	
  

1.)	
  IdenLfy	
  groups	
  of	
  genes	
  that	
  move	
  together	
  –	
  coexpressed	
  “modules”	
  

2.)	
  PrioriLze	
  the	
  disease-­‐relevance	
  of	
  the	
  modules	
  by	
  clinical	
  and	
  network	
  measures	
  




     PrioriLze	
  modules	
  through	
  expression	
  
     synchrony	
  with	
  clinical	
  measures	
  or	
  tendency	
  
     too	
  reconfigure	
  themselves	
  in	
  disease	
  


                                        vs	
  
IdenLfying	
  key	
  disease	
  systems	
  and	
  genes	
  

1.)	
  IdenLfy	
  groups	
  of	
  genes	
  that	
  move	
  together	
  –	
  coexpressed	
  “modules”	
  

2.)	
  PrioriLze	
  the	
  disease-­‐relevance	
  of	
  the	
  modules	
  by	
  clinical	
  and	
  network	
  measures	
  




     PrioriLze	
  modules	
  through	
  expression	
                   CombinaLon	
  of	
  cogniLve	
  funcLon,	
  Braak	
  score,	
  
     synchrony	
  with	
  clinical	
  measures	
  or	
  tendency	
     corLcal	
  atrophy	
  with	
  differenLal	
  expression	
  	
  	
  	
  
     too	
  reconfigure	
  themselves	
  in	
  disease	
                and	
  differenLal	
  coexpression	
  rank	
  modules.	
  

                                        vs	
  
IdenLfying	
  key	
  disease	
  systems	
  and	
  genes	
  

1.)	
  IdenLfy	
  groups	
  of	
  genes	
  that	
  move	
  together	
  –	
  coexpressed	
  “modules”	
  

2.)	
  PrioriLze	
  the	
  disease-­‐relevance	
  of	
  the	
  modules	
  by	
  clinical	
  and	
  network	
  measures	
  

3.)	
  Incorporate	
  geneLc	
  informaLon	
  to	
  find	
  directed	
  relaLonships	
  between	
  genes	
  



     PrioriLze	
  modules	
  through	
  expression	
                           Infer	
  directed/causal	
  relaLonships	
  
     synchrony	
  with	
  clinical	
  measures	
  or	
  tendency	
             and	
  clear	
  hierarchical	
  structure	
  by	
  
     too	
  reconfigure	
  themselves	
  in	
  disease	
                        incorporaLng	
  eSNP	
  informaLon	
  
                                                                               (no	
  hair-­‐balls	
  here)	
  
                                        vs	
  
Example	
  network	
  finding:	
  microglia	
  acLvaLon	
  in	
  AD	
  
Module	
  selec2on	
  –	
  what	
  iden2fies	
  these	
  modules	
  as	
  relevant	
  to	
  Alzheimer’s	
  disease?	
  
The	
  eigengene	
  of	
  a	
  module	
  of	
  ~400	
  probes	
  correlates	
  with	
  Braak	
  score,	
  age,	
  cogniLve	
  disease	
  severity	
  and	
  
corLcal	
  atrophy.	
  	
  Members	
  of	
  this	
  module	
  are	
  on	
  average	
  differenLally	
  expressed	
  (both	
  up-­‐	
  and	
  down-­‐regulated).	
  

Evidence	
  these	
  modules	
  are	
  related	
  to	
  microglia	
  func2on	
  
The	
  members	
  of	
  this	
  module	
  are	
  enriched	
  with	
  GO	
  categories	
  (p<.001)	
  such	
  as	
  “response	
  to	
  bioLc	
  sLmulus”	
  that	
  
are	
  indicaLve	
  of	
  immunologic	
  funcLon	
  for	
  this	
  module.	
  	
  
The	
  microglia	
  markers	
  CD68	
  and	
  CD11b/ITGAM	
  are	
  contained	
  in	
  the	
  module	
  (this	
  is	
  rare	
  –	
  even	
  when	
  a	
  module	
  
appears	
  to	
  represent	
  a	
  specific	
  cell-­‐type,	
  the	
  histological	
  markers	
  may	
  be	
  lacking).	
  
Numerous	
  key	
  drivers	
  (SYK,	
  TREM2,	
  DAP12,	
  FC1R,	
  TLR2)	
  are	
  important	
  elements	
  of	
  microglia	
  signaling.	
  


                        Alzgene	
  hits	
  found	
  in	
  co-­‐regulated	
  microglia	
  module:	
  
Figure	
  key:	
  

Five	
  main	
  immunologic	
  families	
  
found	
  in	
  Alzheimer’s-­‐associated	
  
module	
  

Square	
  nodes	
  in	
  surrounding	
  network	
  
denote	
  literature-­‐supported	
  nodes.	
  

Node	
  size	
  is	
  propor6onal	
  to	
  
connec6vity	
  in	
  the	
  full	
  module.	
  

Core	
  	
  family	
  members	
  are	
  shaded.     	
  




(Interior	
  	
  circle)	
  Width	
  of	
  
connec6ons	
  between	
  5	
  
immune	
  families	
  are	
  
linearly	
  scaled	
  to	
  the	
  
number	
  of	
  inter-­‐family	
  
connec6ons.	
  


Labeled	
  nodes	
  are	
  either	
  highly	
  
connected	
  in	
  the	
  original	
  network,	
  
implicated	
  by	
  at	
  least	
  2	
  papers	
  as	
  
associated	
  with	
  Alzheimer’s	
  disease,	
  
or	
  core	
  members	
  of	
  one	
  of	
  the	
  5	
  
immune	
  families.	
  	
  
Transforming	
  networks	
  into	
  biological	
  hypotheses	
  
TesLng	
  network-­‐based	
  hypotheses	
  
TesLng	
  network-­‐based	
  hypotheses	
  
TesLng	
  network-­‐based	
  hypotheses	
  
Current	
  AD	
  projects	
  with	
  Sage	
  in	
  collaboraLon	
  

                          Follow-­‐up	
  microglia	
  experiments	
  
  Confirming	
  TYROBP	
  relevance	
  in	
  human-­‐derived	
  microglia-­‐neuron	
  co-­‐culture	
  
                  Similar	
  microglia	
  experiments	
  with	
  Fc	
  receptor	
  
                                  (Neumann,	
  Gaiteri)	
  

            Novel	
  genes	
  validated	
  with	
  in	
  vitro	
  and	
  in	
  vivo	
  model	
  systems	
  
              Cell	
  culture	
  &	
  transgenic	
  FAD	
  crosses	
  with	
  novel	
  gene	
  KO’s	
  
                                        (Wang,	
  Kitazawa,	
  Gaiteri)	
  

                        Addi2onal	
  microarrays	
  from	
  model	
  systems	
  	
  
             Check	
  network	
  predic6ons	
  to	
  refine	
  both	
  algorithm	
  &	
  biology	
  	
  
                                       (Schadt/Neumann)	
  

                                      Larger	
  cohorts,	
  proteomics	
  
Building	
  networks	
  in	
  3x	
  larger	
  dataset,	
  newer	
  plaZorm,	
  w/	
  detailed	
  clinical	
  info	
  
                                               (Myers,	
  Gaiteri)	
  
Design-­‐stage	
  AD	
  projects	
  at	
  Sage	
  
    Fusing	
  our	
  experLse	
  in…	
                                     Gene	
  regulatory	
  networks	
  

              Diffusion	
  Spectrum	
  Imaging	
  




                                                                            Feedback	
  
                                                                                            Microcircuits	
  &	
  	
  
                                                                                            neuronal	
  diversity	
  




To	
  build	
  mulL-­‐scale	
  biophysical	
  disease	
  models.	
  	
  
Join	
  us	
  in	
  uniLng	
  genes,	
  circuits	
  and	
  regions!	
  
Contact	
  chris.gaiteri@sagebase.org	
  
List of 50 Influential Papers in Network Modeling




                                        http://sagebase.org/research/resources.php
Fundamentally	
  Biological	
  Science	
  hasn’t	
  changed	
  because	
  of	
  the	
  ‘Omics	
  RevoluLon……	
  




…..it	
  is	
  about	
  the	
  process	
  of	
  linking	
  a	
  system	
  to	
  a	
  hypothesis	
  to	
  some	
  data	
  to	
  some	
  analyses	
  	
  




              Biological                                                Data                                                   Analysis
               System




 But	
  the	
  way	
  we	
  do	
  it	
  has	
  changed…………………………………………	
  
Driven	
  by	
  molecular	
  technologies	
  we	
  have	
  become	
  more	
  data	
  intensive	
  leading	
  to	
  more	
  
specializaLon:	
  data	
  generators	
  (centralized	
  cores),	
  data	
  analyzers	
  (bioinformaLcians),	
  
validators	
  (experimentalists:	
  lab	
  &	
  clinical)	
  
This	
  is	
  reflected	
  in	
  the	
  tendency	
  for	
  more	
  mulL	
  lab	
  consorLum	
  style	
  grants	
  in	
  which	
  the	
  
data	
  generators,	
  analyzers,	
  validators	
  may	
  be	
  different	
  labs.	
  


                    Single Lab Model                                                                      Data

           •     R01 Funding
           •     Hypothesis->data->analysis->paper
           •     Small-scale data / analysis
           •     Reproducible?                                                             Biological                 Analysis
                                                                                            System




                  Multiple Lab Model
                                                                                                           Data
            •    P01 Funding
            •    Hypothesis->data->analysis->paper
            •    Medium-scale data / analysis
            •    Data Generators/Analysts/Validators maybe
                 different groups                                                         Biological                 Analysis
            •    Reproducible?                                                             System
What	
  does	
  this	
  New	
  Model	
  Enable	
  


                                                        “Open Market” Model


                                                                  Data
•    Democratization of Biology
      •  Large scale data, compute,
         analysis open to all

•    Dissociation of Data Generators
     from Analysts from Validators – if
     scientists want to work on other
     people’s data they can, or validate
     someone else’s findings?                        Biological
                                                                         Analysis
                                                      System
•    New ways to fund and incentivize
     research
       •  BRIDGE
       •  Collaborative Competitions
Open and Networked Approaches
 and the “Democratization” of Science

                     BioMedicine Information Commons
                                                                           Patients/
                                                                           Citizens
                          Data
•  “Open” access to     Generators
                                                 CURATED
   data, tools,                                    DATA
   models                                                                    Data
                                                             TOOLS/         Analysts

                                                            METHODS
•  Wide
   constituency of                        RAW
                                          DATA
   users and
   contributors
                                                     ANALYZES/
•  Break the “link”                                   MODELS
   between data and
   ownership                 Clinicians


                                                 SYNAPSE
                                                                      Experimentalists
UlLmately	
  these	
  efforts	
  will	
  fail	
  without	
  
      more	
  ambiLous	
  thinking	
  
 –  AcLvate	
  PaLents	
  
     •  PaLents	
  want	
  to	
  be	
  involved,	
  to	
  fund	
  research,	
  to	
  direct	
  the	
  
        research	
  quesLons,	
  to	
  hold	
  the	
  scienLfic	
  community	
  to	
  
        account	
  
     •  Portable	
  Legal	
  Consent	
  
 –  Collect	
  Large	
  Scale	
  Longitudinal	
  Data	
  
     •  We	
  need	
  to	
  collect	
  the	
  right	
  kind	
  of	
  data.	
  Molecular	
  and	
  
        Phenotypic	
  in	
  a	
  longitudinal	
  fashion	
  on	
  10s-­‐100,000s	
  of	
  
        individuals	
  
     •  Real	
  Names	
  Discovery	
  Project	
  
 –  Build	
  an	
  InformaLon	
  Commons	
  
     •  Synapse	
  
 –  Engage	
  in	
  CollaboraLve	
  Challenges	
  
     •  Breast	
  Cancer	
  Challenge-­‐	
  IBM/Google/	
  Science	
  Transl	
  Med	
  
Networked Approaches and the                                                         3	
  
                                                                2	
  
                                                                                   REWARDS	
  
 “Democratization” of Science                                 USABLE	
           RECOGNITION	
  
                                                               DATA	
  
                  1	
  
               PRIVACY	
  
               BARRIERS	
                   BioMedical Information Commons
                                                                                           Patients/
                                                                                           Citizens
                            Data
•  “Open” access to       Generators
                                                         CURATED
   data, tools,                                            DATA
   models                                                                                    Data
                                                                        TOOLS/              Analysts

                                                                       METHODS
•  Wide
   constituency of                               RAW
                                                 DATA
   users and
   contributors                      6	
  
                                  ROLES	
                    ANALYZES/
•  Break the “link”                                           MODELS                   4	
  
                                   FOR	
  	
  
   between data and              CITIZENS	
                                       GOVERNANCE	
  
   ownership                   Clinicians
                                                                 5	
  
                                                             HOW	
  TO	
  
                                                        SYNAPSE
                                                            DISTRIBUTE	
              Experimentalists

                                                               TASKS	
  
Open and Networked Approaches:Democratization of Science


                                                           4	
  
      1	
                                                RULES	
  
   PRIVACY	
                                          GOVERNANCE	
  
                   PORTABLE	
  LEGAL	
  CONSENT	
                       THE	
  FEDERATION	
  
   BARRIERS	
  




      2	
                                                   5	
  
    USABLE	
                                            HOW	
  TO	
  
     DATA	
                                            DISTRIBUTE	
  
                                                          TASKS	
  
                        SYNAPSE	
                                       COLLABORATIVE	
  
                                                                        CHALLENGES	
  


      3	
                                                   6	
  
   REWARDS	
                                             ROLES	
  
 RECOGNITION	
                                            FOR	
  	
  
                                                        CITIZENS	
  
                        SYNAPSE	
                                         BRIDGE	
  
Open and Networked Approaches:Democratization of Science

     1	
  
  PRIVACY	
      PORTABLE	
  LEGAL	
  CONSENT:	
  weconsent.us	
  
  BARRIERS	
     John	
  Wilbanks	
  
Open and Networked Approaches:Democratization of Science




                        2	
  
                      USABLE	
  
                       DATA	
  

                                      SYNAPSE	
  




                         3	
  
                      REWARDS	
  
                    RECOGNITION	
  
                                      SYNAPSE	
  
Why not share clinical /genomic data and model building in the ways
             currently used by the software industry
           (power of tracking workflows and versioning
sage bionetworks synapse project
     Watch What I Do, Not What I Say        Reduce, Reuse, Recycle




                                          My Other Computer is Amazon
    Most of the People You Need to Work
          with Don’t Work with You
sage bionetworks synapse project
sage bionetworks synapse project
Open and Networked Approaches:Democratization of Science

                    THE	
  FEDERATION	
  
        4	
  
      RULES	
  
   GOVERNANCE	
  
Pipeline	
  Strategy	
  

           A	
                     B	
                                     C	
  



                                                   Divide	
  and	
  Conquer	
  Strategy	
  


                                                                       D	
  

A	
                B	
                     C	
  


                                                            Parallel/IteraLve	
  Strategy	
  

        A	
                B	
                      C	
  
sage federation:
model of biological age




                                                        Faster Aging
        Predicted	
  Age	
  (liver	
  expression)	
  




                                                                                            Slower Aging

                                                                                     Clinical Association
                                                                                     -  Gender
                                                                                     -  BMI
                                                                                     -  Disease
                                                         Age Differential            Genotype Association
                                                                                     Gene Pathway Expression




                                                            Chronological	
  Age	
  (years)	
  
sage federation: Google- SageBionetworks / The Federation
Open and Networked Approaches:Democratization of Science




              5	
  
          HOW	
  TO	
     COLLABORATIVE	
  
         DISTRIBUTE	
     CHALLENGES	
  
            TASKS	
  
LOG	
  ON	
  AND	
  SIGN-­‐UP	
  FOR	
  THE	
  BREAST	
  CANCER	
  CHALLENGE	
  SAGE/DREAM/GOOGLE	
  
Open and Networked Approaches:Democratization of Science

        6	
  
     ROLES	
        BRIDGE	
  
      FOR	
  	
  
    CITIZENS	
  
We	
  pursue	
  Medical	
  Care	
  is	
  if	
  it	
  were	
  an	
  “Infinite	
  Game”	
  

                                         and	
  

We	
  pursue	
  Medical	
  Research	
  as	
  if	
  it	
  were	
  a	
  “Finite	
  Game”	
  
We	
  pursue	
  Medical	
  Care	
  is	
  if	
  it	
  were	
  an	
  “Infinite	
  Game”	
  

                                                 and	
  

       We	
  pursue	
  Medical	
  Research	
  as	
  if	
  it	
  were	
  a	
  “Finite	
  Game”	
  

                                                 YET	
  

     We	
  should	
  pursue	
  Medical	
  Care	
  is	
  if	
  it	
  were	
  a	
  “Finite	
  Game”	
  

                                                 and	
  

We	
  should	
  pursue	
  Medical	
  Research	
  as	
  if	
  it	
  were	
  an	
  “Infinite	
  Game”	
  
Who will build the datasets/ models capable of providing powerful
         insights enabling disease modifying therapies?
                                         Power	
  of	
  CollaboraLve	
  Challenges	
  
                  Evolving	
  Models	
  from	
  Deep	
  Data	
  Driven	
  Longitudinal	
  Cohorts	
  
                              	
  in	
  Worldwide	
  Open	
  InformaLon	
  Commons	
  
 InsLtutes	
  

 Industry	
  

 FoundaLons	
              NETWORK	
  
                           PLATFORM	
  
 PPP	
  

 Or	
  

 ??????	
  




Scientists Physicians Citizens “Knowledge Expert”

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Friend NIGM 2012-05-23

  • 1. Building  Be*er  Models  of  Disease  Together   Stephen  H  Friend  MD  PhD   Sage  Bionetworks   NIGM  4th  Annual  Retreat   May  23  2012   Sea*le  
  • 2. What  is  the  problem?        Most  approved  therapies  assume  indica2ons  would   represent  homogenous  popula2ons    Our  exis2ng  disease  models  o8en  assume  pathway   knowledge  sufficient  to  infer  correct  therapies  
  • 3. Personalized Medicine 101: Capturing Single bases pair mutations = ID of responders
  • 5. The value of appropriate representations/ maps
  • 6. Disease  PrevenLon  and  Treatment   •  To  Prevent  need  to:   –  Have  clinical  &  molecular  definiLon  of  disease     –  Be  able  to  predict  progression   –  Have  drugs  that  target  mechanisms  that  drive   progression   •  To  Treat  need  to:   –  Have  clinical  &  molecular  definiLon  of  disease     –  Disease  modifying  therapies   For  Alzheimer’s  we  need  work  to  develop  all  of  these!  
  • 7. Data-­‐driven  Target  Iden2fica2on   If  we  accept  that  disease  is  driven  by  the  complex  interplay  of  geneLcs  and  environment   mediated  through  molecular  networks…….     GeneLcs   GeneLcs   Disease  progression   Disease  Modifying     Therapy   Healthy     Disease     Environment   Environment   State   State   ………………………….then  it  follows  we  must  study  these  networks  and  how  they  respond  to   perturbagens,  how  they  differ  in  disease,  etc  
  • 8.
  • 9.
  • 10.
  • 11. what will it take to understand disease?                    DNA    RNA  PROTEIN  (dark  ma*er)     MOVING  BEYOND  ALTERED  COMPONENT  LISTS  
  • 12. WHY  NOT  USE     “DATA  INTENSIVE”  SCIENCE   TO  BUILD  BETTER  DISEASE  MAPS?  
  • 13. 2002 Can one build a “causal” model?
  • 14. How is genomic data used to understand biology? RNA amplification Tumors Microarray hybirdization Tumors Gene Index Standard GWAS Approaches Profiling Approaches Identifies Causative DNA Variation but Genome scale profiling provide correlates of disease provides NO mechanism   Many examples BUT what is cause and effect?   Provide unbiased view of molecular physiology as it relates to disease phenotypes trait   Insights on mechanism   Provide causal relationships and allows predictions 14 Integrated Genetics Approaches
  • 15. Preliminary Probabalistic Models- Rosetta /Schadt Networks facilitate direct identification of genes that are causal for disease Evolutionarily tolerated weak spots Gene symbol Gene name Variance of OFPM Mouse Source explained by gene model expression* Zfp90 Zinc finger protein 90 68% tg Constructed using BAC transgenics Gas7 Growth arrest specific 7 68% tg Constructed using BAC transgenics Gpx3 Glutathione peroxidase 3 61% tg Provided by Prof. Oleg Mirochnitchenko (University of Medicine and Dentistry at New Jersey, NJ) [12] Lactb Lactamase beta 52% tg Constructed using BAC transgenics Me1 Malic enzyme 1 52% ko Naturally occurring KO Gyk Glycerol kinase 46% ko Provided by Dr. Katrina Dipple (UCLA) [13] Lpl Lipoprotein lipase 46% ko Provided by Dr. Ira Goldberg (Columbia University, NY) [11] C3ar1 Complement component 46% ko Purchased from Deltagen, CA 3a receptor 1 Tgfbr2 Transforming growth 39% ko Purchased from Deltagen, CA Nat Genet (2005) 205:370 factor beta receptor 2
  • 16. Extensive Publications now Substantiating Scientific Approach Probabilistic Causal Bionetwork Models • >80 Publications from Rosetta Genetics Metabolic "Genetics of gene expression surveyed in maize, mouse and man." Nature. (2003) Disease "Variations in DNA elucidate molecular networks that cause disease." Nature. (2008) "Genetics of gene expression and its effect on disease." Nature. (2008) "Validation of candidate causal genes for obesity that affect..." Nat Genet. (2009) ….. Plus 10 additional papers in Genome Research, PLoS Genetics, PLoS Comp.Biology, etc CVD "Identification of pathways for atherosclerosis." Circ Res. (2007) "Mapping the genetic architecture of gene expression in human liver." PLoS Biol. (2008) …… Plus 5 additional papers in Genome Res., Genomics, Mamm.Genome Bone "Integrating genotypic and expression data …for bone traits…" Nat Genet. (2005) d ..approach to identify candidate genes regulating BMD…" J Bone Miner Res. (2009) Methods "An integrative genomics approach to infer causal associations ... Nat Genet. (2005) "Increasing the power to detect causal associations… PLoS Comput Biol. (2007) "Integrating large-scale functional genomic data ..." Nat Genet. (2008) …… Plus 3 additional papers in PLoS Genet., BMC Genet.
  • 17. Sage Mission Sage Bionetworks is a non-profit organization with a vision to create a commons where integrative bionetworks are evolved by contributor scientists with a shared vision to accelerate the elimination of human disease Building Disease Maps Data Repository Commons Pilots Discovery Platform Sagebase.org
  • 18. Sage Bionetworks Collaborators   Pharma Partners   Merck, Pfizer, Takeda, Astra Zeneca, Amgen, Johnson &Johnson   Foundations   Kauffman CHDI, Gates Foundation   Government   NIH, LSDF   Academic   Levy (Framingham)   Rosengren (Lund)   Krauss (CHORI)   Federation   Ideker, Califarno, Butte, Schadt 18
  • 19. Alzheimer’s  Disease:  IdenLfying  key  disease  systems  and  genes   1.)  IdenLfy  groups  of  genes  that  move  together  –  coexpressed  “modules”                                -­‐  correlated  expression  of  mulLple  genes  across  many  paLents                                -­‐  coexpression  calculated  separate  for  Disease/healthy  groups                                  -­‐  these  gene  groups  are  ogen  coherent  cellular  subsystems,  enriched  in  one  or  more  GO  funcLons   Data  source:   Harvard  Brain   Tissue  Resource  Center   SNPs,   Gene  Expression,   Clinical  Traits   AD   n  =  284   Pre  Frontal  Cortex   Control   153   AD   168   Visual  Cortex   Control   116   AD   220   Cerebellum   Control   122  
  • 20. IdenLfying  key  disease  systems  and  genes   1.)  IdenLfy  groups  of  genes  that  move  together  –  coexpressed  “modules”                                -­‐  correlated  expression  of  mulLple  genes  across  many  paLents                                -­‐  coexpression  calculated  separate  for  Disease/healthy  groups                                  -­‐  these  gene  groups  are  ogen  coherent  cellular  subsystems,  enriched  in  one  or  more  GO  funcLons   Alzheimer’s-­‐specific  regulatory  relaLonship   Microarray  result   Transcription factor Gene A Gene B
  • 21. Where  does  coexpression  come  from?     What  does  a  “link”  in  these  networks  mean?   •  What  is  the  evidence  that  coexpression  is  produced  by  regulatory                rela6onships?   •  Gene  coexpression  has  mulLple  biophysical  sources:   1:  TranscripLonal  overrun    /    chromosome  locaLon  (Ebisuya  2008)   2:  Common  transcripLon  factor  binding  sites  (Marco  2009)   3:  EpigeneLc  regulaLon  (Chen  2005)   4:  3D  Chromosome  configuraLon  (Deng  2010)   Chromosome  segment   –  VariaLon  in  cell-­‐type  density  (Oldham  2008)   #1   #4   #2/TF   Gene  A   Gene  B   Gene  C   Promoter  x     Promoter  y   #3   21  
  • 22. IdenLfying  key  disease  systems  and  genes   1.)  IdenLfy  groups  of  genes  that  move  together  –  coexpressed  “modules”                                -­‐  correlated  expression  of  mulLple  genes  across  many  paLents                                -­‐  coexpression  calculated  separate  for  Disease/healthy  groups                                  -­‐  these  gene  groups  are  ogen  coherent  cellular  subsystems,  enriched  in  one  or  more  GO  funcLons   Example  “modules”  of  coexpressed  genes,  color-­‐coded  
  • 23. IdenLfying  key  disease  systems  and  genes   1.)  IdenLfy  groups  of  genes  that  move  together  –  coexpressed  “modules”   2.)  PrioriLze  the  disease-­‐relevance  of  the  modules  by  clinical  and  network  measures   PrioriLze  modules  through  expression   synchrony  with  clinical  measures  or  tendency   too  reconfigure  themselves  in  disease   vs  
  • 24. IdenLfying  key  disease  systems  and  genes   1.)  IdenLfy  groups  of  genes  that  move  together  –  coexpressed  “modules”   2.)  PrioriLze  the  disease-­‐relevance  of  the  modules  by  clinical  and  network  measures   PrioriLze  modules  through  expression   CombinaLon  of  cogniLve  funcLon,  Braak  score,   synchrony  with  clinical  measures  or  tendency   corLcal  atrophy  with  differenLal  expression         too  reconfigure  themselves  in  disease   and  differenLal  coexpression  rank  modules.   vs  
  • 25. IdenLfying  key  disease  systems  and  genes   1.)  IdenLfy  groups  of  genes  that  move  together  –  coexpressed  “modules”   2.)  PrioriLze  the  disease-­‐relevance  of  the  modules  by  clinical  and  network  measures   3.)  Incorporate  geneLc  informaLon  to  find  directed  relaLonships  between  genes   PrioriLze  modules  through  expression   Infer  directed/causal  relaLonships   synchrony  with  clinical  measures  or  tendency   and  clear  hierarchical  structure  by   too  reconfigure  themselves  in  disease   incorporaLng  eSNP  informaLon   (no  hair-­‐balls  here)   vs  
  • 26. Example  network  finding:  microglia  acLvaLon  in  AD   Module  selec2on  –  what  iden2fies  these  modules  as  relevant  to  Alzheimer’s  disease?   The  eigengene  of  a  module  of  ~400  probes  correlates  with  Braak  score,  age,  cogniLve  disease  severity  and   corLcal  atrophy.    Members  of  this  module  are  on  average  differenLally  expressed  (both  up-­‐  and  down-­‐regulated).   Evidence  these  modules  are  related  to  microglia  func2on   The  members  of  this  module  are  enriched  with  GO  categories  (p<.001)  such  as  “response  to  bioLc  sLmulus”  that   are  indicaLve  of  immunologic  funcLon  for  this  module.     The  microglia  markers  CD68  and  CD11b/ITGAM  are  contained  in  the  module  (this  is  rare  –  even  when  a  module   appears  to  represent  a  specific  cell-­‐type,  the  histological  markers  may  be  lacking).   Numerous  key  drivers  (SYK,  TREM2,  DAP12,  FC1R,  TLR2)  are  important  elements  of  microglia  signaling.   Alzgene  hits  found  in  co-­‐regulated  microglia  module:  
  • 27. Figure  key:   Five  main  immunologic  families   found  in  Alzheimer’s-­‐associated   module   Square  nodes  in  surrounding  network   denote  literature-­‐supported  nodes.   Node  size  is  propor6onal  to   connec6vity  in  the  full  module.   Core    family  members  are  shaded.   (Interior    circle)  Width  of   connec6ons  between  5   immune  families  are   linearly  scaled  to  the   number  of  inter-­‐family   connec6ons.   Labeled  nodes  are  either  highly   connected  in  the  original  network,   implicated  by  at  least  2  papers  as   associated  with  Alzheimer’s  disease,   or  core  members  of  one  of  the  5   immune  families.    
  • 28. Transforming  networks  into  biological  hypotheses  
  • 32. Current  AD  projects  with  Sage  in  collaboraLon   Follow-­‐up  microglia  experiments   Confirming  TYROBP  relevance  in  human-­‐derived  microglia-­‐neuron  co-­‐culture   Similar  microglia  experiments  with  Fc  receptor   (Neumann,  Gaiteri)   Novel  genes  validated  with  in  vitro  and  in  vivo  model  systems   Cell  culture  &  transgenic  FAD  crosses  with  novel  gene  KO’s   (Wang,  Kitazawa,  Gaiteri)   Addi2onal  microarrays  from  model  systems     Check  network  predic6ons  to  refine  both  algorithm  &  biology     (Schadt/Neumann)   Larger  cohorts,  proteomics   Building  networks  in  3x  larger  dataset,  newer  plaZorm,  w/  detailed  clinical  info   (Myers,  Gaiteri)  
  • 33. Design-­‐stage  AD  projects  at  Sage   Fusing  our  experLse  in…   Gene  regulatory  networks   Diffusion  Spectrum  Imaging   Feedback   Microcircuits  &     neuronal  diversity   To  build  mulL-­‐scale  biophysical  disease  models.     Join  us  in  uniLng  genes,  circuits  and  regions!   Contact  chris.gaiteri@sagebase.org  
  • 34. List of 50 Influential Papers in Network Modeling   http://sagebase.org/research/resources.php
  • 35.
  • 36. Fundamentally  Biological  Science  hasn’t  changed  because  of  the  ‘Omics  RevoluLon……   …..it  is  about  the  process  of  linking  a  system  to  a  hypothesis  to  some  data  to  some  analyses     Biological Data Analysis System But  the  way  we  do  it  has  changed…………………………………………  
  • 37. Driven  by  molecular  technologies  we  have  become  more  data  intensive  leading  to  more   specializaLon:  data  generators  (centralized  cores),  data  analyzers  (bioinformaLcians),   validators  (experimentalists:  lab  &  clinical)   This  is  reflected  in  the  tendency  for  more  mulL  lab  consorLum  style  grants  in  which  the   data  generators,  analyzers,  validators  may  be  different  labs.   Single Lab Model Data •  R01 Funding •  Hypothesis->data->analysis->paper •  Small-scale data / analysis •  Reproducible? Biological Analysis System Multiple Lab Model Data •  P01 Funding •  Hypothesis->data->analysis->paper •  Medium-scale data / analysis •  Data Generators/Analysts/Validators maybe different groups Biological Analysis •  Reproducible? System
  • 38. What  does  this  New  Model  Enable   “Open Market” Model Data •  Democratization of Biology •  Large scale data, compute, analysis open to all •  Dissociation of Data Generators from Analysts from Validators – if scientists want to work on other people’s data they can, or validate someone else’s findings? Biological Analysis System •  New ways to fund and incentivize research •  BRIDGE •  Collaborative Competitions
  • 39. Open and Networked Approaches and the “Democratization” of Science BioMedicine Information Commons Patients/ Citizens Data •  “Open” access to Generators CURATED data, tools, DATA models Data TOOLS/ Analysts METHODS •  Wide constituency of RAW DATA users and contributors ANALYZES/ •  Break the “link” MODELS between data and ownership Clinicians SYNAPSE Experimentalists
  • 40. UlLmately  these  efforts  will  fail  without   more  ambiLous  thinking   –  AcLvate  PaLents   •  PaLents  want  to  be  involved,  to  fund  research,  to  direct  the   research  quesLons,  to  hold  the  scienLfic  community  to   account   •  Portable  Legal  Consent   –  Collect  Large  Scale  Longitudinal  Data   •  We  need  to  collect  the  right  kind  of  data.  Molecular  and   Phenotypic  in  a  longitudinal  fashion  on  10s-­‐100,000s  of   individuals   •  Real  Names  Discovery  Project   –  Build  an  InformaLon  Commons   •  Synapse   –  Engage  in  CollaboraLve  Challenges   •  Breast  Cancer  Challenge-­‐  IBM/Google/  Science  Transl  Med  
  • 41.
  • 42. Networked Approaches and the 3   2   REWARDS   “Democratization” of Science USABLE   RECOGNITION   DATA   1   PRIVACY   BARRIERS   BioMedical Information Commons Patients/ Citizens Data •  “Open” access to Generators CURATED data, tools, DATA models Data TOOLS/ Analysts METHODS •  Wide constituency of RAW DATA users and contributors 6   ROLES   ANALYZES/ •  Break the “link” MODELS 4   FOR     between data and CITIZENS   GOVERNANCE   ownership Clinicians 5   HOW  TO   SYNAPSE DISTRIBUTE   Experimentalists TASKS  
  • 43. Open and Networked Approaches:Democratization of Science 4   1   RULES   PRIVACY   GOVERNANCE   PORTABLE  LEGAL  CONSENT   THE  FEDERATION   BARRIERS   2   5   USABLE   HOW  TO   DATA   DISTRIBUTE   TASKS   SYNAPSE   COLLABORATIVE   CHALLENGES   3   6   REWARDS   ROLES   RECOGNITION   FOR     CITIZENS   SYNAPSE   BRIDGE  
  • 44. Open and Networked Approaches:Democratization of Science 1   PRIVACY   PORTABLE  LEGAL  CONSENT:  weconsent.us   BARRIERS   John  Wilbanks  
  • 45. Open and Networked Approaches:Democratization of Science 2   USABLE   DATA   SYNAPSE   3   REWARDS   RECOGNITION   SYNAPSE  
  • 46. Why not share clinical /genomic data and model building in the ways currently used by the software industry (power of tracking workflows and versioning
  • 47. sage bionetworks synapse project Watch What I Do, Not What I Say Reduce, Reuse, Recycle My Other Computer is Amazon Most of the People You Need to Work with Don’t Work with You
  • 50. Open and Networked Approaches:Democratization of Science THE  FEDERATION   4   RULES   GOVERNANCE  
  • 51. Pipeline  Strategy   A   B   C   Divide  and  Conquer  Strategy   D   A   B   C   Parallel/IteraLve  Strategy   A   B   C  
  • 52. sage federation: model of biological age Faster Aging Predicted  Age  (liver  expression)   Slower Aging Clinical Association -  Gender -  BMI -  Disease Age Differential Genotype Association Gene Pathway Expression Chronological  Age  (years)  
  • 53. sage federation: Google- SageBionetworks / The Federation
  • 54. Open and Networked Approaches:Democratization of Science 5   HOW  TO   COLLABORATIVE   DISTRIBUTE   CHALLENGES   TASKS  
  • 55.
  • 56. LOG  ON  AND  SIGN-­‐UP  FOR  THE  BREAST  CANCER  CHALLENGE  SAGE/DREAM/GOOGLE  
  • 57. Open and Networked Approaches:Democratization of Science 6   ROLES   BRIDGE   FOR     CITIZENS  
  • 58.
  • 59.
  • 60. We  pursue  Medical  Care  is  if  it  were  an  “Infinite  Game”   and   We  pursue  Medical  Research  as  if  it  were  a  “Finite  Game”  
  • 61. We  pursue  Medical  Care  is  if  it  were  an  “Infinite  Game”   and   We  pursue  Medical  Research  as  if  it  were  a  “Finite  Game”   YET   We  should  pursue  Medical  Care  is  if  it  were  a  “Finite  Game”   and   We  should  pursue  Medical  Research  as  if  it  were  an  “Infinite  Game”  
  • 62. Who will build the datasets/ models capable of providing powerful insights enabling disease modifying therapies? Power  of  CollaboraLve  Challenges   Evolving  Models  from  Deep  Data  Driven  Longitudinal  Cohorts    in  Worldwide  Open  InformaLon  Commons   InsLtutes   Industry   FoundaLons   NETWORK   PLATFORM   PPP   Or   ??????   Scientists Physicians Citizens “Knowledge Expert”