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Rare Disease Research & Drug
Development
Session Overview
Maureen Hoatlin, PhD, MBA
Fanconi Anemia Research Fund
Annual Scientific Symposium
Atlanta, GA
September 2017
image credit: Max Ogden @denormalize
Ideas-to-Treatment Pipeline
It takes too long
The failure rate is unacceptable
Solutions explored in this session: embrace
expertise of new stakeholders
Consider data integration
Data Integration method
Easy to aggregate data from diverse sources that may
differ widely in precision, accuracy and meaning.
Flexible! New information can be added without
affecting or being constrained by what is already there
Can test inferences can reveal hidden knowledge
https://goo.gl/q2K5Jx
Agenda
 Christine Colvis, PhD The Translator Project: Turning
Biomedical Data Into Knowledge
 Melissa Haendel, PhD Data Translator: an Open Science Data
Platform for Mechanistic Disease Discovery
 Maureen Hoatlin A Data Translator for Fanconi Anemia
 Jeff Siegel, MD Challenges and Opportunities in Rare Disease
Drug Development
A Data Translator for Fanconi
Anemia
image credit: Max Ogden @denormalize
Maureen Hoatlin, PhD, MBA
Fanconi Anemia Research Fund
Annual Scientific Symposium
Atlanta, GA
September 2017
Intellectual input
**
**
**First time at an FA meeting
Features of FA = Excellent Demonstrator
 Complex phenotype
 Many clinical and basic science questions
 Lots of genes and variants
 Multiple pathways, high complexity
 Environmental exposure component
 High unmet medical need
 Clinical relevance to broader population
 Incomplete data allows identification of gaps
 Model for other rare diseases
Example: How do defects in FA and
Aldehyde pathways interact?
Requires:
 Genes & variants for FA
 Genes & variants for ALDH
 Modifier variants
 Medical record integration
 Exposure history
Blackboard: flexible navigation of complex
problems
Gene X
For 12 of the 26 Fanconi gene set, we found other genes with similar
regulatory regions (>300 total distinct).
What genes contain similar transcription factor
binding site ordering as those in the FA gene
set?
1 2 3
Gene Y
24
YES
NO
FA gene set (1/26)
TF Reg Elements
1 2 3Baseline
>>Demonstrates data analysis from multiple sources ( JASPAR
UCSC NCBI)
20 Fanconi Anemia Genes
seed a network of:
 3,058 interactions
 972 genes
Fanconi Gene (FG)
FG -> FG Interaction
What proteins are in the Fanconi anemia
interaction network?
Result set seeded a network
of:
 10,259 Interactions
 3,585 Genes
Fanconi Gene (FG)
FG -> FG Interaction
Extended Fanconi Interaction Network
Gene Expression query
Find genes that, when knocked
down, induce gene-expression
changes similar to knockdowns
of FA core complex genes.
Experimental data underlying model
A B C D E
gene
change in
expression
perturbation
shRNA knockdown
(3553 genes total, 6 FA genes)
measurement
gene expression (Luminex)
(954 genes)
FANCA
Calculate intersections
and union of signatures
500 databases
Future queries
What candidate modifier variants
should be examined in patients for
phenotypic correlation and then
functionally validated?
What compounds compensate for the
knock down of an FA gene?
Summary
 First steps to building a Knowledge Graph for
Fanconi anemia --- inferences
 The complexity in FA makes it an ideal
demonstrator project for Translator
 Teams leverage Monarch etc., work together,
Open Science
 New data can be incorporated as it becomes
available (e.g, drug screens, patient data).
www.probmods.org
PGM structure: encodes assumptions (only 14
parameters are needed)
conditional distributions: fit from experimental data
Example probabilistic graphical model (PGM) encoding
conditional dependence assumptions in model structure
Common mechanistic underpinnings of
rare & common/complex disease
Neutral
ALDH
KO: ?
Rare,
Detrimental
Common,
Subtle
Rare and/or
Beneficial
DetrimentalBeneficial
PopulationFrequency
Acetaldehyde
metabolism
mutations:
500 Million People
Affected Fanconi Anemia:
1 in 160,000
individuals
worldwide
ALDH2
OtherFANCgenes
SESSION WRAP UP
Session wrap up & suggestions (including Salvo
La Rosas talk re NF Fndtn)
 Incorporate open & team science methods
 Shared data registries, curation and standardization needed
 Consider unified long-term strategy like NF example encompassing
all phasesidea to treatment
 FARF: gap analysis, set strategy, consider opportunity costs, allocate
funds where you want to go, locate expertise and partners
 Explore leveraging Translator and other efforts at NIH/NCATS
including FA registry, natural history studies and curation
 Partner/consult with experienced and willing experts at FDA and
drug development companies now, not later
 What questions do you have that Translator might answer?
 @hoatlinlab

More Related Content

Fanconi Anemia Research Symposium 2017 Hoatlin

  • 1. Rare Disease Research & Drug Development Session Overview Maureen Hoatlin, PhD, MBA Fanconi Anemia Research Fund Annual Scientific Symposium Atlanta, GA September 2017 image credit: Max Ogden @denormalize
  • 2. Ideas-to-Treatment Pipeline It takes too long The failure rate is unacceptable
  • 3. Solutions explored in this session: embrace expertise of new stakeholders
  • 5. Data Integration method Easy to aggregate data from diverse sources that may differ widely in precision, accuracy and meaning. Flexible! New information can be added without affecting or being constrained by what is already there Can test inferences can reveal hidden knowledge https://goo.gl/q2K5Jx
  • 6. Agenda Christine Colvis, PhD The Translator Project: Turning Biomedical Data Into Knowledge Melissa Haendel, PhD Data Translator: an Open Science Data Platform for Mechanistic Disease Discovery Maureen Hoatlin A Data Translator for Fanconi Anemia Jeff Siegel, MD Challenges and Opportunities in Rare Disease Drug Development
  • 7. A Data Translator for Fanconi Anemia image credit: Max Ogden @denormalize Maureen Hoatlin, PhD, MBA Fanconi Anemia Research Fund Annual Scientific Symposium Atlanta, GA September 2017
  • 9. Features of FA = Excellent Demonstrator Complex phenotype Many clinical and basic science questions Lots of genes and variants Multiple pathways, high complexity Environmental exposure component High unmet medical need Clinical relevance to broader population Incomplete data allows identification of gaps Model for other rare diseases
  • 10. Example: How do defects in FA and Aldehyde pathways interact? Requires: Genes & variants for FA Genes & variants for ALDH Modifier variants Medical record integration Exposure history
  • 11. Blackboard: flexible navigation of complex problems
  • 12. Gene X For 12 of the 26 Fanconi gene set, we found other genes with similar regulatory regions (>300 total distinct). What genes contain similar transcription factor binding site ordering as those in the FA gene set? 1 2 3 Gene Y 24 YES NO FA gene set (1/26) TF Reg Elements 1 2 3Baseline >>Demonstrates data analysis from multiple sources ( JASPAR UCSC NCBI)
  • 13. 20 Fanconi Anemia Genes seed a network of: 3,058 interactions 972 genes Fanconi Gene (FG) FG -> FG Interaction What proteins are in the Fanconi anemia interaction network?
  • 14. Result set seeded a network of: 10,259 Interactions 3,585 Genes Fanconi Gene (FG) FG -> FG Interaction Extended Fanconi Interaction Network
  • 15. Gene Expression query Find genes that, when knocked down, induce gene-expression changes similar to knockdowns of FA core complex genes.
  • 16. Experimental data underlying model A B C D E gene change in expression perturbation shRNA knockdown (3553 genes total, 6 FA genes) measurement gene expression (Luminex) (954 genes) FANCA Calculate intersections and union of signatures
  • 18. Future queries What candidate modifier variants should be examined in patients for phenotypic correlation and then functionally validated? What compounds compensate for the knock down of an FA gene?
  • 19. Summary First steps to building a Knowledge Graph for Fanconi anemia --- inferences The complexity in FA makes it an ideal demonstrator project for Translator Teams leverage Monarch etc., work together, Open Science New data can be incorporated as it becomes available (e.g, drug screens, patient data).
  • 20. www.probmods.org PGM structure: encodes assumptions (only 14 parameters are needed) conditional distributions: fit from experimental data Example probabilistic graphical model (PGM) encoding conditional dependence assumptions in model structure
  • 21. Common mechanistic underpinnings of rare & common/complex disease Neutral ALDH KO: ? Rare, Detrimental Common, Subtle Rare and/or Beneficial DetrimentalBeneficial PopulationFrequency Acetaldehyde metabolism mutations: 500 Million People Affected Fanconi Anemia: 1 in 160,000 individuals worldwide ALDH2 OtherFANCgenes
  • 23. Session wrap up & suggestions (including Salvo La Rosas talk re NF Fndtn) Incorporate open & team science methods Shared data registries, curation and standardization needed Consider unified long-term strategy like NF example encompassing all phasesidea to treatment FARF: gap analysis, set strategy, consider opportunity costs, allocate funds where you want to go, locate expertise and partners Explore leveraging Translator and other efforts at NIH/NCATS including FA registry, natural history studies and curation Partner/consult with experienced and willing experts at FDA and drug development companies now, not later What questions do you have that Translator might answer? @hoatlinlab