DrSCS

Predicting subclonal drug response from single-cell sequencing for precision oncology

Started
September 29, 2022
Status
Completed
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Abstract

Tumors evolve as heterogeneous populations of cells, which may be distinguished by different genomic aberrations and transcriptomic differences. The resulting intra-tumor heterogeneity plays an important role in cancer patient relapse and treatment failure, so that obtaining a clear understanding of each patient's tumor composition and evolutionary history is key for personalised therapies. Single-cell DNA sequencing now provides the possibility to resolve tumor heterogeneity at the highest resolution of individual tumor cells, while single-cell RNA sequencing offers expression profiling of tumor subpopulations as well as characterisation of the immune compartment of the tumor microenvironment. In parallel, ex vivo drug screening gives a direct measurement of the aggregate response of tumor cells to various compounds.

With 136 samples profiled in a recent collaboration, we developed and incorporated new prediction models for the drug response of the individual subclones in each patient's tumor. Our approach account for the tumor heterogeneity and for potentially different responses of constituent tumor parts to treatment. To integrate the different data modalities, we first integrate the single-cell DNA and RNA information with joint modelling of the tumor evolution to more accurately understand its composition in terms of the existing subpopulations and their expression and copy number profiles. By additionally integrating drug response information, we can, for the first time, build and test drug prediction models at the level of tumor subclones. The potential of understanding the effect of different treatments on the heterogeneous parts of a tumor and thereby designing treatments for the full composite tumor could have great impact in aiding precision oncology.

This project is co-funded by PHRT.

People

Collaborators

SDSC Team:
Quentin Duchemin
Daniel Trejo Banos
Guillaume Obozinski

PI | Partners:

ETH Zurich, Department of Biosystems Science and Engineering:

  • Dr Jack Kuipers
  • Prof Niko Beerenwinkel

More info

ETH Zurich, Clinical Bioinformatics Unit:

  • Franziska Singer
  • Anne Bertolini

More info

description

Motivation

During tumor progression, cancers may evolve into a complex system of heterogeneous subpopulations of cells harbouring different genomic aberration. Diversity and heterogeneity within a tumor is a considerable cause of treatment failure and relapse, since subclonal cell populations may be resistant to treatment and therefore progress. Effective treatment should target all subpopulations, or evolve with the tumor to adapt as new clones become dominant. Uncovering the genetic makeup and evolutionary history of each tumor and linking these molecular alterations to the chances of reatment success is thus key to developing targeted therapies.

Proposed Approach / Solution

We introduce scClone2DR, a novel method that leverages single-cell DNA and RNA sequencing data alongside ex vivo drug screening results. Our approach aims to predict drug impact at the subclonal level, thereby accounting for the diverse cellular populations within tumors. scClone2DR operates as a generative probabilistic model, incorporating information from both single-cell DNA and RNA sequencing datasets to accurately model tumor heterogeneity. By considering subclone proportions and cell counts in drug screening wells, our method offers a comprehensive understanding of the tumor response to different compounds. We perform extensive validation using simulated and real world data as obtained from the Tumor Profiler Consortium.

Impact

The impact of our work is at least threefold:

  • Clinical impact: scClone2DR equips practitioners with tools to prescribe personalized treatments that effectively target all tumor subpopulations within a patient. Unlike existing approaches that often only reduce the size of the largest tumor clones, scClone2DR ensures that even small, drug-resistant subclones are accounted for—helping to prevent long-term relapse.
  • Research impact: The interpretability of scClone2DR enables oncology researchers to explore the drug–gene associations identified by the model. This not only helps validate the model by comparing its predictions with existing literature, but also opens opportunities to uncover novel mechanisms of drug action.
  • Experimental impact: Thanks to its generative nature, scClone2DR makes it possible to evaluate how many replicates per drug are needed in pharmascopy data to reliably assess model performance using only observed data. Our work, particularly on simulated datasets, has shown that scClone2DR can accurately estimate parameters—but may struggle to confidently assess performance if the number of replicates is too low, due to inherent noise in pharmascopy measurements.
Figure 1: From single-cell RNA and DNA sequencing we obtain immune cell informationand expression clusters along with copy number clones. From the measured aggregatedrug response, we learn a model predicting the drug sensitivity at thesubclonal level to target treatment of the entire tumor.

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Annexe

Additional resources

Bibliography

  1. Kuipers, J., Tuncel, M. A., Ferreira, P., Jahn, K., & Beerenwinkel, N. (2020). Single-cell copy number calling and event history reconstruction. doi:10.1101/2020.04.28.065755
  2. Ferreira, P. F., Kuipers, J., & Beerenwinkel, N. (2021). Mapping single-cell transcriptomes to copy number evolutionary trees. doi:10.1101/2021.11.04.467244
  3. Bertolini, A., Prummer, M., Tuncel, M. A., Menzel, U., Rosano-González, M. L., Kuipers, J., … Singer, F. (2022). scAmpi-A versatile pipeline for single-cell RNA-seq analysis from basics to clinics. PLoS Computational Biology, 18(6), e1010097. doi:10.1371/journal.pcbi.1010097
  4. Irmisch, A., Bonilla, X., Chevrier, S., Lehmann, K.-V., Singer, F., Toussaint, N. C., … Levesque, M. P. (2021). The Tumor Profiler Study: integrated, multi-omic, functional tumor profiling for clinical decision support. Cancer Cell, 39(3), 288–293. doi:10.1016/j.ccell.2021.01.004

Publications

Duchemin, Q.; Trejo Banos, D.; Bertolini, A.; Ferreira, P. F.; Schill, R.; Lienhard, M.; Wegmann, R.; Snijder, B.; Stekhoven, D.; Beerenwinkel, N.; et al. "Clone-level multi-modal prediction of tumour drug response" Preprint 2026 View publication
Duchemin, Q.; Wegmann, R.; Kuipers, J.; Bertolini, A.; Singer, F.; Lienhard, M. "Preprocessed dataset for scClone2DR analysis in acute myeloid leukemia, derived from the Tumor Profiler study" Available at: https://zenodo.org/records/20035241 2026 View publication
Duchemin, Q. "scClone2DR Package" Available at: https://github.com/cbg-ethz/scClone2DR/tree/main 2026 View publication

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