Effective treatment of cancer is a major challenge faced by healthcare providers, due to the highly individualized nature of patient responses to treatment. This is caused by the heterogeneity seen in cancer-causing alterations (mutations) across patient genomes. Limited availability of response data in patients makes it difficult to train personalized treatment recommendation models on mutations from clinical genomic sequencing reports. Prior methods tackle this by utilising larger, labelled pre-clinical laboratory datasets (‘cell lines’), via transfer learning. These methods augment patient data by learning a shared, domain-invariant representation, between the cell line and patient domains, which is then used to train a downstream drug response prediction (DRP) model. This approach augments data in the shared space but fails to model patient-specific characteristics, which have a strong influence on their drug response. We propose a novel generative attention-based data augmentation and predictive modeling framework, GANDALF, to tackle this crucial shortcoming of prior methods. GANDALF not only augments patient genomic data directly, but also accounts for its domain-specific characteristics. GANDALF outperforms state-of-the-art DRP models on publicly available patient datasets and emerges as the front-runner amongst SOTA cancer DRP models.

Cancer remains a global challenge due to its growing clinical and economic burden. Its uniquely personal manifestation, which makes treatment difficult, has fuelled the quest for personalized treatment strategies. Thus, genomic profiling is increasingly becoming part of clinical diagnostic panels. Effective use of such panels requires accurate drug response prediction (DRP) models, which are challenging to build due to limited labelled patient data. Previous methods to address this problem have used various forms of transfer learning. However, they do not explicitly model the variable length sequential structure of the list of mutations in such diagnostic panels. Further, they do not utilize auxiliary information (like patient survival) for model training. We address these limitations through a novel transformer-based method, which surpasses the performance of state-of-the-art DRP models on benchmark data. Code for our method is available at https://github.com/CDAL-SOC/PREDICT-AI.

A Synthetic Lethal (SL) interaction is a functional relationship between two genes or functional entities where the loss of either entity is viable but the loss of both is lethal. Such pairs can be used to develop targeted anticancer therapies with fewer side effects and reduced overtreatment. However, finding clinically relevant SL interactions remains challenging. Leveraging unified gene expression data of both disease-free and cancerous samples, we design a new technique based on statistical hypothesis testing, called ASTER, to identify SL pairs. We empirically find that the patterns of mutually exclusivity ASTER finds using genomic and transcriptomic data provides a strong signal of synthetic lethality. For large-scale multiple hypothesis testing, we develop an extension called ASTER++ that can utilize additional input gene features within the hypothesis testing framework. Our computational and functional experiments demonstrate the efficacy of ASTER in identifying SL pairs with potential therapeutic benefits.

Study of pairwise genetic interactions, such as mutually exclusive mutations, has led to understanding of underlying mechanisms in cancer. Investigation of various combinatorial motifs within networks of such interactions can lead to deeper insights into its mutational landscape and inform therapy development. One such motif called the Between-Pathway Model (BPM) represents redundant or compensatory pathways that can be therapeutically exploited. Finding such BPM motifs is challenging since most formulations require solving variants of the NP-complete maximum weight bipartite subgraph problem. In this paper we design an algorithm based on Integer Linear Programming (ILP) to solve this problem. In our experiments, our approach outperforms the best previous method to mine BPM motifs. Further, our ILP-based approach allows us to easily model additional application-specific constraints. We illustrate this advantage through a new application of BPM motifs that can potentially aid in finding combination therapies to combat cancer.

MOTIVATION: A synthetic lethal (SL) interaction is a relationship between two functional entities where the loss of either one of the entities is viable but the loss of both entities is lethal to the cell. Such pairs can be used as drug targets in targeted anticancer therapies, and so, many methods have been developed to identify potential candidate SL pairs. However, these methods use only a subset of available data from multiple platforms, at genomic, epigenomic and transcriptomic levels; and hence are limited in their ability to learn from complex associations in heterogeneous data sources. RESULTS: In this article, we develop techniques that can seamlessly integrate multiple heterogeneous data sources to predict SL interactions. Our approach obtains latent representations by collective matrix factorization-based techniques, which in turn are used for prediction through matrix completion. Our experiments, on a variety of biological datasets, illustrate the efficacy and versatility of our approach, that outperforms state-of-the-art methods for predicting SL interactions and can be used with heterogeneous data sources with minimal feature engineering. AVAILABILITY AND IMPLEMENTATION: Software available at https://github.com/lianyh. SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.