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The Gene Expression Classifier ALLCatchR Identifies B-cell Precursor ALL Subtypes and Underlying Developmental Trajectories Across Age
T. Beder, BT. Hansen, AM. Hartmann, J. Zimmermann, E. Amelunxen, N. Wolgast, W. Walter, M. Zaliova, Ž. Antić, P. Chouvarine, L. Bartsch, MJ. Barz, M. Bultmann, J. Horns, S. Bendig, J. Kässens, C. Kaleta, G. Cario, M. Schrappe, M. Neumann, N....
Status neindexováno Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
NLK
Directory of Open Access Journals
od 2018
PubMed Central
od 2017
Europe PubMed Central
od 2017
Wiley-Blackwell Open Access Titles
od 1997
- Publikační typ
- časopisecké články MeSH
Current classifications (World Health Organization-HAEM5/ICC) define up to 26 molecular B-cell precursor acute lymphoblastic leukemia (BCP-ALL) disease subtypes by genomic driver aberrations and corresponding gene expression signatures. Identification of driver aberrations by transcriptome sequencing (RNA-Seq) is well established, while systematic approaches for gene expression analysis are less advanced. Therefore, we developed ALLCatchR, a machine learning-based classifier using RNA-Seq gene expression data to allocate BCP-ALL samples to all 21 gene expression-defined molecular subtypes. Trained on n = 1869 transcriptome profiles with established subtype definitions (4 cohorts; 55% pediatric / 45% adult), ALLCatchR allowed subtype allocation in 3 independent hold-out cohorts (n = 1018; 75% pediatric / 25% adult) with 95.7% accuracy (averaged sensitivity across subtypes: 91.1% / specificity: 99.8%). High-confidence predictions were achieved in 83.7% of samples with 98.9% accuracy. Only 1.2% of samples remained unclassified. ALLCatchR outperformed existing tools and identified novel driver candidates in previously unassigned samples. Additional modules provided predictions of samples blast counts, patient's sex, and immunophenotype, allowing the imputation in cases where these information are missing. We established a novel RNA-Seq reference of human B-lymphopoiesis using 7 FACS-sorted progenitor stages from healthy bone marrow donors. Implementation in ALLCatchR enabled projection of BCP-ALL samples to this trajectory. This identified shared proximity patterns of BCP-ALL subtypes to normal lymphopoiesis stages, extending immunophenotypic classifications with a novel framework for developmental comparisons of BCP-ALL. ALLCatchR enables RNA-Seq routine application for BCP-ALL diagnostics with systematic gene expression analysis for accurate subtype allocation and novel insights into underlying developmental trajectories.
Clinical Research Unit CATCH ALL funded by the Deutsche Forschungsgemeinschaft Bonn Germany
Department of Human Genetics Hannover Medical School Hannover Germany
Department of Medicine 2 Hematology Oncology Goethe University Hospital Frankfurt M Germany
Department of Pediatrics University Hospital Schleswig Holstein Kiel Germany
Medical Department 2 Hematology and Oncology University Hospital Schleswig Holstein Kiel Germany
Citace poskytuje Crossref.org
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