Crystal balls in the hospital Predicting treatment response Dr. - - PowerPoint PPT Presentation

crystal balls in the hospital predicting treatment
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Crystal balls in the hospital Predicting treatment response Dr. - - PowerPoint PPT Presentation

Crystal balls in the hospital Predicting treatment response Dr. Cecilia Engel Thomas Post doc in Schwenk lab at SciLifeLab and KTH www.medicalnewstoday.com/articles/315901.php ? Bachelors in Technical Biomedicine Masters in Bioinformatics and


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Crystal balls in the hospital Predicting treatment response

  • Dr. Cecilia Engel Thomas

Post doc in Schwenk lab at SciLifeLab and KTH

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www.medicalnewstoday.com/articles/315901.php

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?

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Bachelors in Technical Biomedicine Masters in Bioinformatics and Systems Biology

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Cancer prediction Text mining of Electronic Patient Records Text mining of scientific literature Metagenomics habitat prediction Clustering of single cell data

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Crystal balls in the hospital Predicting treatment response

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Adapted from Schork 2015

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Source: https://www.drugs.com/sfx/rosuvastatin-side-effects.html

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Non-responder Responder

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How to make a “crystal ball” Step 1: Collect information/data on the patients Step 2: Come up with a good way to combine that data and make predictions

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Step 1: Collect information/data on the patients

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Genome Epigenome Transcriptome Proteome Metabolome Phenome

Cancer Diabetes Height Psyciatric disease Obesity

Molecular readouts

SNP CNV LOH Genomic rearrangement Rare variant DNA methylation Histone modifjcation Chromatin accessibility TF binding Gene expression Alternative splicing Long non-coding RNA Small RNA miRNA Protein expression Post-translational modifjcation Cytokine array Metabolite profjling in serum, plasma, urine, CSF, etc.

TF miRNA Adapted from Ritchie et al., 2015

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Step 2: Come up with a good way to combine that data and make predictions

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Machine learning

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Machine learning

Input Output/answer

Image sources: http://phdp.github.io/posts/2013-07-05-dtl.html, https://pixabay.com/en/computers-keys-rays-1420200/

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Input: Movies Mark has watched Output: Movies Mark will like

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Input: Omics data Output: Response to therapy Who will respond to therapy?

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Which patients with type 2 diabetes should get which treatment?

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Prevalence 415 million in 2013 642 million by 2040

Type 2 diabetes

Leading cause of non- traumatic amputations Complex disease with unknown cause Defined by dysregulation

  • f sugar metabolism

Higher risk with

  • verweight, smoking,

sedentary lifestyle, unhealthy eating habits, and genetics Can lead to blindness, dementia, need for dialysis…

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Nguyen & Varela 2016

Lifestyle change Medication Bariatric surgery

Image sources: https://www.everydayhealth.com/type-2-diabetes/guide/treatment/

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For whom can bariatric surgery be a treatment for type 2 diabetes?

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Image sources: http://www.hormone.org/questions-and-answers/2012/bariatric-surger, http://www.bariatriccarecenter.com/maintain-weight-loss-after-Bariatric-Surgery-california.htm

Nguyen & Varela 2016

Who will respond to therapy?

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Image sources: http://soonerorlighter.bangordailynews.com. Nguyen & Varela 2016

Diabetes Yes/No

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Still diabetic/non-responder Not diabetic/responder Prediction algorithm Input: Information about the patient Output: Response to therapy Who will respond to therapy?

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Still diabetic/non-responder Prediction algorithm

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Still diabetic/non-responder Prediction algorithm

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Not diabetic/responder Prediction algorithm

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