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BeNeLux Bioinformatics Conference – Antwerp, December 7-8 <strong>2015</strong><br />

Abstract ID: O9<br />

Oral presentation<br />

10th Benelux Bioinformatics Conference <strong>bbc</strong> <strong>2015</strong><br />

O9. DEVELOPMENT OF A DNA METHYLATION-BASED SCORE<br />

REFLECTING TUMOUR INFILTRATING LYMPHOCYTES<br />

Martin Bizet 1,2,3*# , Jana Jeschke 1# , Christine Desmedt 4 , Emilie Calonne 1 , Sarah Dedeurwaerder 1 ,<br />

Gianluca Bontempi 2,3 , Matthieu Defrance 1,2 , Christos Sotiriou 4 and Francois Fuks 1<br />

Laboratory of Cancer Epigenetics, Faculty of Medicine, Université Libre de Bruxelles 1 ; Interuniversity Institute of<br />

Bioinformatics in Brussels, Université Libre de Bruxelles & Vrije Universiteit Brussel 2 ; Machine Learning Group,<br />

Computer Science Department, Université Libre de Bruxelles, Brussels 3 ; Breast Cancer Translational Research<br />

Laboratory, Jules Bordet Institute, Université Libre de Bruxelles 4 ; # These authors contributed equally to this work;<br />

* mbizet@ulb.ac.be<br />

Tumour infiltrating lymphocytes (TIL) are increasingly recognised as one of the key feature to predict outcome and<br />

therapy response in malignancies. However, measuring quantities of TIL remains challenging since it relies on subjective<br />

and spatially-restricted measurements from a pathologist. In this study we used genome-scale DNA-methylation profiles<br />

from breast tumours to develop a so-called MeTIL score, which reflects TIL level within whole-tumour samples. We<br />

demonstrate the robustness to noise of the MeTIL score using simulated data as well as the ability of the MeTIL score to<br />

sensitively measure TIL in patient samples and to improve prediction of outcome.<br />

INTRODUCTION<br />

Breast cancer (BC) is one of the most common and<br />

deadliest diseases in women from Western countries.<br />

Tumour infiltrating lymphocytes (TIL) emerged as one of<br />

the key feature to predict outcome and response to<br />

treatment in this disease [ 1 ]. However the measurement of<br />

TIL levels remains challenging because it relies on manual<br />

readings of a tumour cancer slide by a pathologist, which<br />

is subjective by nature and does not necessary reflect the<br />

whole-tumour TIL content. In this study we took<br />

advantage of the high tissue-specificity of DNAmethylation<br />

patterns [ 2 ] to develop a so-called MeTIL<br />

score, which predicts the amount of lymphocytes within<br />

the tumour.<br />

METHODS<br />

The MeTIL score has been developed in 3 key-steps:<br />

We first used genome-scale DNA-methylation<br />

profiles data from 11 cell-lines (8 normal or<br />

cancerous epithelial breast and 3 T-lymphocytes)<br />

to extract 29 cytosines specifically unmethylated<br />

in T-lymphocytes (delta-beta < -0.8 and standard<br />

deviation between groups < 0.1).<br />

We then applied a cross-validated pipeline,<br />

associating mRMR feature selection and randomforest<br />

algorithm, on 118 BC samples to extract a<br />

minimal set of cytosines, which methylation level<br />

is predictive for quantities of TIL.<br />

Finally we used a “normalised PCA” approach to<br />

compute a unique MeTIL score from the<br />

individual methylation values.<br />

The robustness of the relation between the MeTIL score<br />

and TIL levels was also assessed using spearman<br />

correlation computed from 10 000 simulations with<br />

varying proportion of TIL (Fig.1B&C). The simulated<br />

data took two sources of noise into account:<br />

<br />

<br />

Technical noise modeled as a Gaussian noise<br />

Perturbations due to the presence of other celltypes<br />

within the tumour microenvironment that<br />

are not lymphocytic or epithelial, modeled by a<br />

methylation value sampled randomly among the<br />

array.<br />

Lastly, we measured TIL quantities with the MeTIL score<br />

in three independent BC cohorts and applied COX<br />

regression models to evaluate the prognostic value of the<br />

MeTIL score.<br />

RESULTS & DISCUSSION<br />

We first applied a hierarchical clustering analysis and<br />

observed that BC samples with high TIL infiltration show<br />

a hypomethylated pattern for all MeTIL markers (Fig.1A).<br />

Furthermore we demonstrated, using simulations, a strong<br />

correlation between the MeTIL score and TIL levels, even<br />

when high level of noise (0.7 times the standard deviation)<br />

and high proportion of perturbing unknown cell-types<br />

(70%) were included in the model (Fig.1B).<br />

(A)<br />

(C)<br />

(B)<br />

FIGURE 1. The MeTIL score reflects TIL levels (A) Heatmap showing the<br />

methylation values of the 5 MeTIL markers. A ‘TIL high’ group with a<br />

hypomethylated pattern (orange) appeared. (B) Color-map of the<br />

spearman correlation between MeTIL score and TIL level for increasing<br />

noise (y-axis) and abundance of unknown cell-types (x-axis) based on<br />

simulations. (C) Methylation value of each MeTIL marker was simulated<br />

as the sum of the methylation level in lymphocyte (M1), epithelial cell<br />

(M2) and other cell-types (random value M3) weighted by their<br />

proportion in the tissue (f1, f2, f3) and an Gaussian noise (e).<br />

Finally, we observed consistent patterns of TIL levels<br />

within BC subtypes in independent cohorts suggesting the<br />

robust nature of our score to evaluate TIL levels.<br />

Furthermore, COX regressions analysis revealed a<br />

prognostic value for the MeTIL score in triple negative<br />

and luminal BC (p-value < 0.05).<br />

REFERENCES<br />

[ 1 ] Loi, S., et al. Official journal of the European Society for Medical Oncology /<br />

ESMO 25, 1544-1550 (2014).<br />

[ 2 ] Jeschke, J., Collignon, E., Fuks, F. FEBS J., 282, 9:1801-14. (<strong>2015</strong>).<br />

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