Genome sequencing technology has been transformative in the analysis of cancer. From genomic, transcriptomic,andepigeneticdata,researchersaremakingnewdiscoveriesaboutthemechanismsofcancer developmentthat are leading tonew therapiesanddiagnostic tests. Accelerating these discoveries,genomic analysisisbeingappliedtoawidevarietyofanalytessuchascell-freeDNAandsinglecellsfromtissuebiopsies. However, given the increasing range ofavailable genomic sequencing assays available for cancer genomic studies, a major challenge comes from the limited amounts of clinical tumor samples. Tissue biopsies and samplesoftentimesprovideasmallamountofgenomicanalyte.Asaresult,onlyoneortwogenomicsequencing experimentscanbeperformed,whichleadstoalessthancompletepictureoffeaturesofapatienttumor. Toaddressthisissue,wedevelopedandvalidatedatechnologycalledAPEX?thissequencingtechnology enablesrepeateduseofthesame nucleicacidanalytesderivedfromavarietyofclinicalsamplesrelevantfor cancertranslationalresearchandclinicalstudies.Asaresult,researchershavetheopportunitytoconductmany types of genomic analyses on the same sample and genomic material. APEX technology is based on the covalent attachment of nucleic acid analytes to a solid support, so that the original genomic material is permanentlyretained,canbesubjecttoavarietyofsequencingassaysandasaresult,canbeanalyzedthrough manyiterations.Theuseofmultipleiterationsalsooffersanopportunitytoimprovethedelineationsofcritical genomicaberrationsthatoccurinonlyasmallfractionofthetumorcells.WeproposethedevelopmentofAPEX for integrated multi-modal and iterative genomic analyses of primary cancer biopsies and cell free DNA from patients.
Aim1 focusesoncell-freeDNAanalytes,andAim2focusesonsingle-celltranscriptomesequencing. Overall, our proposed APEX technology will broadly impact the field of translational cancer research by providinganewplatformwherebyclinicalsamplescanbeusedasarenewableresourceforsubsequentgenomic sequencing. It removes constraints afforded by limited amountsof tissue samples from translational clinical studies.Withtheseimprovements,APEXwillimprovetheassessmentofsomaticgenomicalterationsincancer cells, integration of multi-modal sequencingtechnologies,and offerpersonalized molecular analyses for each cancerpatient.

Public Health Relevance

Genomic sequencing technologies have rapidly emerged to enable the identification of markers that can diagnose cancers, identify potential targeted therapies, and predict outcomes for cancer patients. However, tiny amounts of available biopsy material limit the types of genomic analyses that can be performed. Our project solves this limitation by the development of a technology that enables material from clinical biopsies to be used repeatedly without loss, enabling a wide breadth of sequencing analyses can be performed on a patient?s cancer with more accurate results.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Exploratory/Developmental Grants Phase II (R33)
Project #
1R33CA247700-01A1
Application #
10112576
Study Section
Special Emphasis Panel (ZCA1)
Program Officer
Mckee, Tawnya C
Project Start
2021-03-03
Project End
2024-02-29
Budget Start
2021-03-03
Budget End
2022-02-28
Support Year
1
Fiscal Year
2021
Total Cost
Indirect Cost
Name
Stanford University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
009214214
City
Stanford
State
CA
Country
United States
Zip Code
94305