SlideShare une entreprise Scribd logo
1  sur  95
Télécharger pour lire hors ligne
Stratified Medicine –
Opportunities for Business




     24th January 2013
Session 3 – Applications and 
Case Studies
 14:00 Systems Biology in Cancer
  – Dr Andrei Zinovyev, Institut Curie, Paris
 14:20 Single Molecule Imaging Technology
  – Professor George Fraser, University of Leicester
 14:35 Knowledge Engineering for Biomedical 
 Research
  – Dr Jonathan Tedds, University of Leicester
 14:50 Applications in an SME Environment
  – Dr Kevin Slater, PetScreen Ltd
Systems Biology in Cancer




      Dr Andrei Zinovyev
      Institut Curie, Paris
Systems Biology of Cancer
            Andrei Zinovyev
   Institut Curie - INSERM U900 / Mines ParisTech
      Computational Systems Biology of Cancer


   Stratified Medicine - Opportunities for Business
              Leicester - 23 January 2013
Institut Curie, Bioinformatics and Systems
           Biology of Cancer Department
Institut Curie
 • Created in 1909 by Marie Curie
 • From fundamental research to innovative treatment
 • Comprehensive Cancer Center
 • 2 cancer hospitals, focus on breast cancer, pediatric tumors,
 uveal melanoma
 • 15 research departments
 • 3,000 staff
Computational Systems Biology of Cancer group (http://sysbio.curie.fr)
• 15 people (physicists, mathematicians, biologists)
• Cancer data analysis
• Mathematical modeling of cancer processes
• Collaborations with pharmaceutical companies
Example of Stratified/Personalized Medicine:
    SHIVA clinical trial at Institut Curie
                              Informed
Patients with refractory
                               consent
cancer (all tumor types)
                                signed




                            Tumor biopsy
                                  +
                            Blood sample




                               High
                            Throughput
                            Sequencing                     Therapy based on molecular profiling
                                                           - Approved molecularly targeted agent


                                           Informed
                             Molecular
                             profiling
                                            consent
                                             signed    R
                                                           Conventional therapy based on
                             Molecular                     oncologist’s choice
              Prospective                   Eligible
                              biology
                 cohort                     patient
                               board

                                                                         Cross-over

                              Specific
                  NO           therapy       YES
                              available
One of the problems of personalized medicine:
 existence of complex feedbacks in a cancer cell
An example of «paradoxal» answer to treatment (Prahallad et al, Nature 2012)
HOW SYSTEMS BIOLOGY CAN HELP?

      (what is systems biology?)

    can it be a support for rational
decision-making in stratified medicine?
Two “systems biologies”

   2001
                                                                     2002




…studying biological systems by    …studying structure and dynamics
systematically disturbing them                of cellular and organismal
and monitoring the gene, protein                 function, rather than the
and informational pathway           characteristics of isolated parts of a
responses and integrating these        cell, with particular emphasis on
data in mathematical models                            emerging system
                                      properties such as robustness…

Danger: high-throughput stamp             Danger: creating fruitless
collection                                             abstractions
Computational Systems Biology of Cancer
  Specific flavor of systems biology

Object: cancer and cancer treatment

Tools:
1) High-throughput data with
particular emphasis on individual
genomic data,
2) Statistical analysis in large dimensions
3) Mathematical modeling (“what if”
questions)

Objective: prediction of cancer
treatment success in a concrete patient
(virtual tumour in virtual patient?)
Computational Systems Biology of Cancer
                  group at Institut Curie
Objective of our group: based on existing knowledge and
data, be able to explain why certain mutations of normal
genome can lead to tumorigenesis, and how to reverse
their effect?

Tools:
         Formal representation of biological knowledge
         (map of cancer)

         Mathematical modeling (“animation”) of biological
         diagrams

         Mechanistic models of epistasy (genetic interactions)
Cancer: hallmarks, networks and maps




                                     Task: assemble this network
                                           at its full complexity
                                     Problems:
                                     What language to use?
                                     How to navigate?
                                     How to maintain?
  Hanahan and Weinberg, 2011, Cell
                                     How to use?
Towards an
 Atlas of Cancer Signaling Networks
                                      Atlas of Cancer Signalling Networks
RB/E2F-Cell Cycle                           DNA repair-Cell Cycle
                                                                           •   CellDesigner tool (Diagram
                                                                               editor for signaling networks
                                                                               representation)




                                                                           •   Systems Biology Graphical
                                                                               Notation (SBGN) visual
                                                                               syntax

  Calzone et al,                             Kuperstein et al,
  Mol Syst Bio 2008                          unpublished


Cell Survival                               Cell death-energy metabolism




                                                                           •   Coming: maps of
                                                                               EMT, motility,
   Cohen et al,                               Fourquet et al,
   unpublished                                unpublished
                                                                               polarity, immune
                                                                               response
NaviCell: Navigation and curation of
    Atlas of Cancer Signaling Networks
                                         Atlas of Cancer Signalling Networks
                               NaviCell = Google map + Semantic zoom + Blog

Google map                                                                                     Blog




                                           Semantic zoom




NaviCell: a web tool for navigation, curation and maintenance of molecular interaction maps.    http://navicell.curie.fr
Kuperstein I, Pook S, Cohen DPA, Calzone L, Barillot E and Zinovyev A (submitted)                       navicell@curie.fr
Using the maps: put data on top of it
Pathway “staining” and Anna Karenina’s principle




    506, G1, T1, noninvasive   1533-1, G3, T4, invasive   2307, G2, T2, invasive




  870-1, normal                 3721-10, normal            915-1, normal
Using the maps:
                    finding alternative routes
All path of length <30 from       Through ROS formation by the
succinate to DNA damage
                                  respiratory chain

                                  Through transfer of the reductive
                                  equivalents of succinate to NADPH and
                                  thioredoxin, then ROS detoxification
                                  or RNR activity and DNA repair

                                  Through reduction of ubiquinone, the
                                  oxidative equivalents of which are
                                  necessary for pyrimidine biosynthesis
                                  and DNA repair
                                  (see Khutornenko AA et al., PNAS, 2010,107,12828)
Example: Cell fate decision mechanism fragilities
   utilized by cancers (Calzone et al, 2010)
                                          Ewing’s
     Lung cancers,
                                          sarcoma,
     cervical cancers,
                                          lung cancer,
     oesophageal
     squamous                             neuroblastomas
                         Lymphomas
     cell carcinomas
                                     Colorectal
   Lymphomas,                        tumors
   breast cancer
Compute phenotype probabilities using
       state transition graphs
                                       Asynchronous state transition graph


Influence graph           =




          The probability to reach
          a final state from
          an initial state
          = probability of observing
          a phenotype in
          experiment                    Apoptosis          Necrosis          Survival
Validate the model with mutants
                                                                     TNF=1


Example : Caspase 8 deletion

•   ≈ 85% survival (NFkB)
•   ≈ 15% necrosis
•   No apoptosis


Qualitatively consistent with the literature
“TNF-induced apoptosis is blocked though not necrosis”
[Kawahara, Ohsawa et al., J Cell Biol 1998]
(Jurkat cells, C8-/-)




                         Naïve               NFkB        apoptosis       necrosis
                         survival            survival
Synthetic lethality and cancer treatment:
         hot topic in new anticancer drug development

                                     If gene A is already
                                     mutated in cancer cells,
Gene A        Gene B                 targeting B will specifically
                                     kill cancer cells leaving normal
                                     cells intact

Gene A        Gene B                 Example: BRCA1+PARP
                                     synthetic lethal pair
                                     (PARP inhibitors,
                                     Helleday, Carcinogenesis, 2010)

Gene A        Gene B                 If gene A is amplified in cancer,
                                     then one should look for
                                     synthetic dosage lethality

   There is a big promise here for stratified medicine
Example: Metastases in mouse model
               of colon cancer
Experimental system: p53-null mouse

      Colon cancer is associated with:

            Mutations in APC gene (b-catenin/WNT pathway)
            Mutations in RAS gene
            Less frequent mutations in many other pathways
            (Notch, MLH, PTEN, SMAD, etc.)

Question: what combination of mutations in these pathways
lead to rapid metastatic tumorigenesis?
Epithelial-Mesenchymal Transition (EMT):
a necessary condition to appearance of metastases




From Friedl and Alexander,
        Cell, 2011
Molecular map of crosstalk between
  p53/Wnt/Notch/EMT pathways




                        Notch-Wnt-p53 map contains:
                        10 miRNAs
                        77 RNAs
                        86 genes
                        122 proteins
                        397 reactions
                        80 publications
Synthetic interaction between p53 and overexpression of NICD
  leads to EMT in a mouse model of metastasizing colon cancer


                                   p53 is down




NICD                             NICD




 NICD is up                      NICD is up and p53 is down
Take home message
Implementing Personalized (Stratified) medicine has a number
of obstacles, including complex response of cancer cells to
treatment

Understanding and predicting this response requires either
      “try and fail” approach
             or / and
      more intelligent guess (systems biology)

Use of synthetic interactions (synthetic lethality) is a new
paradigm of individualized cancer treatment
Acknowledgements

Curie - INSERM U900                                     Funding
                                                      MAE MOST-FI P2R
  / Mines ParisTech                                   ANR SITCON
                                                      Ligue contre le cancer
                                                      EC FP7 APO-SYS
Computational Systems                                 ANR CALAMAR
Biology of Cancer team                                INCA SYBEWING
Emmanuel Barillot                                     Curie-Servier Alliance
                                                      Institut des Systèmes Complexes
Valentina Boeva
                   Collaborators                      EC FP7 ASSET
Eric Bonnet                                           INCA IVOIRES
Laurence Calzone     Daniel Louvard (Institut Curie)  INCA Breast cancer predisposition
David Cohen          Sylvie Robine (Institut Curie)   Investissements d’avenir Bio-
                                                                                                      QuickTime™ et un
                                                                                                       décompresseur
                                                                                          sont requis pour visionner cette image.




Simon Fourquet       Boris Zhivotovsky (Karolinska)     informatique ABS4NGS
Inna Kuperstein      Wolf-Dietrich Heyer (UC Davis)   EC FP7 RAID
Loredana Martignetti Alexander Gorban (Leicester, UK) Cancéropole IDF
                                                        Data integration
Tatiana Popova
                                                      ITMO cancer Systems
Daniel Rovera                                           Biology INVADE
Meriem Sefta                                          PIC Computational Systems
Gautier Stoll                                           Biology of Cancer
Bruno Tesson
Paola Vera-Licona
Single Molecule Imaging 
       Technology




   Professor George Fraser
    University of Leicester
A Physical Analysis of Microarray Data

                            G.W. Fraser

    Space Research Centre, Department of Physics and Astronomy,
Michael Atiyah Building, University of Leicester, Leicester LEI 7RH, UK.
The Future of Biology is the Detection of Light


• Spin-off company since 2002 based on ESA/ESTEC optical STJ detector technology
• Disruptive hyperspectral imaging of unequalled sensitivity
• Operation at 0.3 K
• Hardware entry point to studies of basic fluorophore response and microarray analysis

                                                                                                               Self-quenching
                         1.5
                                 Texas Red                                                             5
                                 Comparison of measured and tabulated
                                 emission spectra
                                                                                                       4
    Counts/10nm/second




                                                                                                                                           Alexa 488
                          1

                                                                                                       3




                                                                                                S(n)
                                                                                                       2                             Fluorescein-EX
                         0.5


                                                                                                                        Alexa 546
                                                                                                       1

                          0
                                                                                                       0
                           450        500         550        600        650   700   750   800
                                                                                                           0        5           10       15            20
                                                         Wavelength (nm)
                                                                                                                   n , Fluorophores/molecule
The Microarray as a Two-Dimensional
                   Electronic Imaging Device
    Microarrays exhibit a number of “confounding factors” familiar to the
    detector physicist :
•   Spatial non-uniformity (imperfect flat-field and fixed-pattern noise)
•   Temporal variability (photobleaching)
•   Integral Non-linearity (output not linearly dependent on input)
•   Digital divide errors and preferred locations *
•   Differential Non-linearity (non-uniform sensitivity) *

    Data from:
    (a) two-colour Red/Green Cy3,Cy5 spotted arrays
    (SMD Blader3932 and Willert wnt3a)
    (b) Affymetrix Genepix (TDF458 SMD)
    (c) Quantile data (courtesy Dr J Luo, MRC Toxicology Unit / Tas Gohir)
Correcting for Non-Linearity
Fixed-Pattern Noise
100000



                     10000
Signal Intensity 2




                      1000



                       100



                        10



                         1
                              0   200   400   600   800     1000   1200   1400

                                              Spot Number
MA plot
            8

            6                                                                             Saturation
                                                                                                                Over-Expressed

            4
Log2(R/G)


                                                                                         Up
            2
                     Statistical Error
            0                                                                                                   No Expression


            -2                                                                                 Down


                                                                Mean Noise Level + 5 σ
            -4                           Mean Noise Level


            -6                                                                                Undershoot        Under-Expressed

            -8
                 0            4                             8                                    12        16
                                         Ln (G)
                                     Log22
                                         (G)
Quantile Data
            8

            6

            4

            2
Log2(R/G)




            0

        -2

        -4

        -6

        -8
                0     2     4       6      8      10   12   14   16

                                        Log2(G)
Is the sensitivity the same for both under- and over-expressed genes?


              8

              6
  Log2(R/G)
                                         35, 28

              4

              2

              0

              -2

              -4                36, 28
              -6

              -8
                   0   4       8          12         16

                           Log2(G)
8

        6                               20
Ratio




        4

        2

        0

        -2

        -4

        -6

        -8
             0   4        8        12        16
                     Average Log
Digital Divide Artefacts at Small Signal Levels
GenePix2 : Cumulative Distribution of Expression Ratios
GenePix2
Preferred Locations
0   10          20         30        40        50        60
 -0.99




             Blader 3942
-0.995




    -1




-1.005
                  ...Digital divide artefact mimicking biology?


 -1.01
Knowledge Engineering from 
   Biomedical Research




       Dr Jonathan Tedds
      University of Leicester
BRISSKit:
Biomedical Research Infrastructure Software Service Kit

A vision for cloud-based open source research applications
#BRISSKit


http://www.brisskit.le.ac.uk
BRISSKit context:                  The I4Health goal of applying knowledge engineering to close the
                                    ‘ICT gap’ between research and healthcare (Beck, T. et al 2012)


  Data as a public good & research efficiencies
  = strategic priority for government, NHS, funders (e.g. MRC, Wellcome,
  CRUK)
Overview of BRISSKit
• Developing “software as a service” data
  management infrastructure based on open-
  source applications
• More efficient & easier for researchers
• Offers significant savings in research database
  and IT support costs
• Development funded by HEFCE
• University of Leicester in partnership with the
  University Hospitals Leicester Trust and the
  Cardiovascular BRU
BRISSkit USPs
    Integrated support for core research processes
    Well-established mature open source applications as
     protoyped in Cardiovascular: fully UK customised
    A platform for seamless management and integration
     between applications
    An API allows integration with existing clinical systems
    Easy set up, use and administration through browser
     (including on mobile devices)
    Capability of being hosted in any compliant cloud
     provider including UHL (NHS information governance)
BRISSkit components = web services
 CiviCRM
Enables end-to-end
contact management
for volunteers and
research participants,
tracking approaches,
contact, responses,
recruitment,
exclusions.

CiviCRM was designed
for the 'civic sector'
and has an object
model that reflects
community building
and non-profit
relationships.
OBiBa Onyx
Records participant
consent, questionnaire
data and primary
specimen IDs.

Web-based, secure
data entry by research
staff. E.g. used for all
patient recruits in
LCBRU – mobile
computing on wards
and outpatient clinic in
TMF.

Await significant new
release…
caTissue
Holds data on
primary, derived
and aliquot
specimen,
including linear
and 2d barcodes.

Storage
inventory, order
tracking –
currently over
30,000 LCBRU
samples stored
and recorded.
i2b2
Data from
multiple
data sources
combined
into multiple
ontologies
for flexible
and
sophisticate
d searching,
cohort
discovery
and
research.
The semantic bridge
                         Bio-ontology!
OBiBa Onyx                               i2b2
Records participant
                                         Cohort selection and
consent, questionnaire
                                         data querying




                           ?
data and primary
specimen IDs
www.brisskit.le.ac.uk
                        Email: brisskit@le.ac.uk
Market: who is BRISSkit for?
Modular approaches and scalable tools with open
source licenses make good investments
• Individual researchers and associates
   • enterprise-level tools without the IT overheads
• Research themes and departments
   • stand-alone instances of required tools to
     accelerate research
• Research units and centres
   • integrated toolkit with clinical data loading
     services, or 'jigsaw pieces' to complement existing
     provision
Applications in an SME 
     Environment




      Dr Kevin Slater
      PetScreen Ltd
Dogs, Cancer and Mathematics
An SME Perspective on University Collaboration.

                      Kevin Slater
             Ilias Alexandrakis, Renu Tuli




          Alexander Gorban, Evgeny Mirkes
Why Dogs? Why Lymphoma?

                   USA dog population = 78 Million
                    Canine Lymphoma - Incidence

-   20% of all canine tumours are lymphoma cases
-   0.1% of older dogs will develop lymphoma
-   Very high incidence in some breeds, e.g. Golden Retrievers 25% in USA

                     Canine Lymphoma - Symptoms

•   Lymphadenopathy
•   Lethargy
•   Weakness
•   Fever
•   Anorexia
•   Pu/Pd
Canine Lymphoma – Treatment

• Predominantly treated with chemotherapy
• Diverse range of treatment protocols
• Initially responds well to treatment

             Canine Lymphoma – Prognosis

 B-cell lymphoma favorable to T-cell lymphoma
 Clinical stage (Stage V has poorer prognosis against Stage I)
 Dogs treated with chemotherapy experience a greater survival
  time
 Recurrence almost inevitable

  Presents a good model for Non-Hodgkin’s Lymphoma in humans
Canine Lymphoma Diagnosis




 Cytology
 Histology
 Immunophenotyping (T or B cell)




             • Generally invasive procedures
             • FNA prone to no diagnostic samples
             • Not suitable to treatment monitoring
Serum Biomarkers

 Serum easily accessible

 Potential for picking up circulating biomarkers

 Diverse array of cancers whereby potential biomarkers identified
    Prostate cancer
    Breast cancer
    Melanoma

 Developed a serum biomarker approach to assist with detection of
  canine lymphoma
LBT - Proteomic Analysis




                                                      7.5


           +                                                     M
    +             +                                   5
                                                                 W
         - - -
            -
+       - - - -       +                               2.5
          - -
          -   -   +                                   0

    +
         + +                                              2000   4000   6000   8000




Serum Fractionation          CM10 arrays             SELDI-TOF MS
Multi Vs Single Biomarker tests in Human Testing
Data Processing


 79 peaks identified on first pass.

 Greater than 30 peaks with P<0.05 (Mann Whitney U-
  test) between the two populations

 Manual triage resulted in19 candidate peaks for CART
  analysis

 Final algorithm focuses on two key biomarkers, 1 up
  regulated and 1 down regulated
Classification and Regression Tree




Breiman L, Friedman JH, Olshen RA, Stone CJ.
Classification and Regression Trees.
Chapman & Hall (Wadsworth, Inc.): New York, 1984.
Bioinformatic model generation - CART


Initial Training Sample Set (Biomarker Identification):
Samples used to develop model (n=21) randomly selected:
           10 non-lymphoma
           11 lymphoma

Initial Test Sample Set (Biomarker Verification):
Samples used as independent test set (n= 158):
           82 Non-lymphoma
           76 Lymphoma
           These samples were blind to the algorithm
First Collaboration:
Charles W. Gehrke Proteomics Centre University of Missouri
Summary of Biomarker Identification Studies

• Protein sequence analysis identified 3 different biomarkers
• Limited information in the literature about the function of 2
  biomarkers and their involvement in lymphoma
• Third biomarker identified as Haptoglobin, know to be
  unregulated in canine lymphoma.

• No antibodies available to the unique biomarkers, therefore
  had to work with human antibodies with poor cross
  reactivity to the canine proteins.
LBT – Protein Identification
Acute Phase Protein Response in Dogs
Infection                  Inflammation


             Monocyte - Macrophage




      IL-1        IL-6               TNF-α




                                             C-RP
                                             Haptoglobin
                                             SAA
                                             AGP
APP in Malignant Lymphoma
Sig Diff from
control                                            P <0.0001                                                                P <0.0001;<0.0001; <0.001; <0.02

                                                                                                                      >20                                  31.6
                               >100                                 224                     136
                                                                                                                       18
                                    90
                                                                     Outside values                                                                        Outside values
       C-reactive protein (mg/L)




                                                                                                  Haptoglobin (g/L)
                                                                     Far outside values                                16                                  Far outside values
                                    80

                                    70                                                                                 14

                                    60                                                                                 12

                                    50                                                                                 10

                                    40                                                                                  8

                                    30                                                                                  6

                                    20                                                                                  4

                                    10                                                                                  2

                                    0                                                                                   0




                                                                                                                                          Lymphoma




                                                                                                                                                                  CLL
                                                                                                                               Control




                                                                                                                                                     ALL




                                                                                                                                                                        Myeloma
                                                                          CLL



                                                                                  myeloma
                                         control



                                                   lymphoma



                                                              ALL




                                         C-reactive protein                                                                              Haptoglobin
                                              lymphoma (n=16), acute lymphoblastic leukaemia (ALL) (n=11),
                                   chronic lymphocytic leukaemia (CLL) (n=7) and multiple myeloma (n=9) Control (n=25)

                                                                          Mischke et al Vet J 2006 174:188-92
From MS to ELISA


                                                                   Development         Use of
More than 19    Further                                            of a multi          Biomarker
protein peaks   investigation                                      marker test         Pattern
identified as   in order to             Identification             using Acute         Software to
significantly   characterise            of Haptoglobin             Phase Proteins      create unique
different on    and identify                                       (Haptoglobin,       algorithms
MS              the proteins
                                                                   CRP)




                            A unique new method of quickly and accurately diagnosing
                            canine lymphoma .

                            The combination of two Acute Phase Protein Assays,
                            Haptoglobin and a specific canine CRP, combined with a
                            unique Diagnostic Algorithm provide a diagnostic system
Tri-Screen Assay Development

• Serum samples collected from dogs with lymphoma, healthy dogs and dogs
  with other diseases (many with similar presentation to lymphoma). Positive
  samples were confirmed by either FNA or excisional biopsy. Non lymphoma
  dogs were confirmed to be free of the disease at a minimum of six months after
  providing the serum sample

• Samples were tested in batches using HAPT & CRP assay kits
• Ciphergen Biomarker Pattern Software was used to generate a series of
  algorithms using the Classification and Regression Tree (CART) procedure.
  Through an iterative process, the software uses the training set of data to build
  trees to a point when optimal differentiation between the populations is
  achieved.

• Blinded sample test performed.
Classification and Regression Tree




Breiman L, Friedman JH, Olshen RA, Stone CJ.
Classification and Regression Trees.
Chapman & Hall (Wadsworth, Inc.): New York, 1984.
TriScreen Combined CRP/Haptoglobin Assay Kit




                           CRP
                           Solid phase sandwich ELISA

                           Haptoglobin
                           Functional Colourimetric Assay
Developments with The University of Leicester




                                                            Two cohorts
Database




    Lymphoma – 97, Other disease – 135   Healthy – 71
          Clinically suspected             Healthy
Problems




             Differential diagnosis       Screening

               Challenge: The Estimation of Lymphoma Risk
Methodologies                           Risk maps

K nearest neighbours
• Classic kNN with k from 1 to 30
• kNN with Fisher’s distance transformations
• kNN with adaptive distance
   transformations
Decision tree
• Information gain (C4.5)
• Gini gain (CART)
• DKM



Probability density function estimation
• Radial-basis function (statistics kernel)
• Three random values (Lymphoma, Other diseases, Healthy)

                                                            x-axis CRP, y-axis Hapt
Software tools

 Database maintenance
 • Add new data
 • Delete old data
                                                Microsoft Excel
                                  Selection of the best methods for
                                  each problem and input data set.
                                     Best solutions are exported
Canine lymphoma software                    to the applet

       Providing access for
       practitioner vets to
       the diagnosis applet
So what can we learn from this?
Summary

• MS and other proteomic work confirmed already known findings that APP
  levels are increased in canine lymphoma
• Application of CART algorithms is able to confer improved specificity over
  previously non-specific APP assays.
• Facilitated the development of a useful test kit to aid in the differential
  diagnosis of lymphoma in dogs.
• The delivery and performance of this test has been dramatically enhanced
  through working with the Dept of Mathematics at the University of
  Leicester.

• We have so far been unable to produce a reliable canine ELISAs for the
  two previously unknown biomarkers discovered in the MS work.
• However, we have very good ELISA’s for these markers in human blood.
• Now embarking on a study of these markers in human NHL
Comparative Research
From 2 Legs to 4 and Back Again
From Visualisation to Prediction
   using Data
   Professor Jeremy Levesley
   Department of Mathematics
   University of Leicester

   Stratified Medicine, January 2013


www.le.ac.uk
Data Mining: Confluence of Multiple
         Disciplines

                Database
                                          Statistics
               Technology



    Machine
    Learning
                            Data Mining                Visualization



         Information                           Other
           Science                           Disciplines
2
What do we have
    • Practical experience in Data Mining for Medical
      Datasets (~40 expert and diagnostic systems,
      main technique: Neural Networks, Cluster
      Analysis, Visualization)
    • New algorithms for Data Approximation and
      Visualization
    • Fast algorithms for Neural Networks


3
Growing principal tree:
                   branching data distribution




                            Iris data set




4                                  Together with A. Zinovyev
    Toy data set
                                   (Curie, Paris)
What is




    YOUR PROBLEM?!!
5
The process
• Data consolidation and preparation
• Data selection and preprocessing
• Data mining tasks and methods
• Automated exploration and discovery
• Prediction and classification
• Interpretation and evaluation
• Visualization tools can be very helpful
???




    What is
    our problem?




7
www.spaceideashub.com
     enquiries@spaceideashub.com
             0116 229 7700




        Contact us for a FREE 2‐day 
project, problem evaluation and consulting 
                 Space IDEAS Hub
                 @spaceideashub

Contenu connexe

Tendances

MIT User Center for Neutron Capture Therapy Resarch
MIT User Center for Neutron Capture Therapy ResarchMIT User Center for Neutron Capture Therapy Resarch
MIT User Center for Neutron Capture Therapy Resarchkent.riley
 
Nasa
NasaNasa
Nasalusik
 
MICCAI - Workshop on High Performance and Distributed Computing for Medical I...
MICCAI - Workshop on High Performance and Distributed Computing for Medical I...MICCAI - Workshop on High Performance and Distributed Computing for Medical I...
MICCAI - Workshop on High Performance and Distributed Computing for Medical I...Joel Saltz
 
Current and future techniques for cancer diagnosis
Current and future techniques for  cancer diagnosisCurrent and future techniques for  cancer diagnosis
Current and future techniques for cancer diagnosisNitin Talreja
 
Applications of nano technology in pharmacy
Applications of nano technology in pharmacyApplications of nano technology in pharmacy
Applications of nano technology in pharmacysaima rani
 
Report on bone age estimation
Report on bone age estimationReport on bone age estimation
Report on bone age estimationEshaan Verma
 
Nanotechnology to fight against infectious diseases
Nanotechnology to fight against infectious diseasesNanotechnology to fight against infectious diseases
Nanotechnology to fight against infectious diseasesShweta Jhakhar
 
Molecular Imaging
Molecular ImagingMolecular Imaging
Molecular Imaginggumccomm
 
Molecular Imaging
Molecular ImagingMolecular Imaging
Molecular ImagingChaz874
 
nanobiotecnology in medical side
nanobiotecnology in medical sidenanobiotecnology in medical side
nanobiotecnology in medical sidesarakhattak
 
Edith Pomarol-Clotet - Esquizofrenia, cerebro y neuroimagen
Edith Pomarol-Clotet - Esquizofrenia, cerebro y neuroimagenEdith Pomarol-Clotet - Esquizofrenia, cerebro y neuroimagen
Edith Pomarol-Clotet - Esquizofrenia, cerebro y neuroimagenFundación Ramón Areces
 
Reading the Secrets of Biological Fluctuations
Reading the Secrets of Biological FluctuationsReading the Secrets of Biological Fluctuations
Reading the Secrets of Biological FluctuationsCarl Boettiger
 

Tendances (20)

MIT User Center for Neutron Capture Therapy Resarch
MIT User Center for Neutron Capture Therapy ResarchMIT User Center for Neutron Capture Therapy Resarch
MIT User Center for Neutron Capture Therapy Resarch
 
Nasa
NasaNasa
Nasa
 
MICCAI - Workshop on High Performance and Distributed Computing for Medical I...
MICCAI - Workshop on High Performance and Distributed Computing for Medical I...MICCAI - Workshop on High Performance and Distributed Computing for Medical I...
MICCAI - Workshop on High Performance and Distributed Computing for Medical I...
 
Enano newsletter issue20-21
Enano newsletter issue20-21Enano newsletter issue20-21
Enano newsletter issue20-21
 
Current and future techniques for cancer diagnosis
Current and future techniques for  cancer diagnosisCurrent and future techniques for  cancer diagnosis
Current and future techniques for cancer diagnosis
 
Applications of nano technology in pharmacy
Applications of nano technology in pharmacyApplications of nano technology in pharmacy
Applications of nano technology in pharmacy
 
Schuez
SchuezSchuez
Schuez
 
Report on bone age estimation
Report on bone age estimationReport on bone age estimation
Report on bone age estimation
 
Poster nano spain2012
Poster nano spain2012Poster nano spain2012
Poster nano spain2012
 
BMES 2010 poster
BMES 2010 poster BMES 2010 poster
BMES 2010 poster
 
Nanotechnology to fight against infectious diseases
Nanotechnology to fight against infectious diseasesNanotechnology to fight against infectious diseases
Nanotechnology to fight against infectious diseases
 
Chapt 09
Chapt 09Chapt 09
Chapt 09
 
Molecular Imaging
Molecular ImagingMolecular Imaging
Molecular Imaging
 
Molecular Imaging
Molecular ImagingMolecular Imaging
Molecular Imaging
 
Chapt 10
Chapt 10Chapt 10
Chapt 10
 
nanobiotecnology in medical side
nanobiotecnology in medical sidenanobiotecnology in medical side
nanobiotecnology in medical side
 
Nano tech
Nano techNano tech
Nano tech
 
Edith Pomarol-Clotet - Esquizofrenia, cerebro y neuroimagen
Edith Pomarol-Clotet - Esquizofrenia, cerebro y neuroimagenEdith Pomarol-Clotet - Esquizofrenia, cerebro y neuroimagen
Edith Pomarol-Clotet - Esquizofrenia, cerebro y neuroimagen
 
nano bio
nano bionano bio
nano bio
 
Reading the Secrets of Biological Fluctuations
Reading the Secrets of Biological FluctuationsReading the Secrets of Biological Fluctuations
Reading the Secrets of Biological Fluctuations
 

En vedette

Stratified medicine - Company Pitches
Stratified medicine  - Company PitchesStratified medicine  - Company Pitches
Stratified medicine - Company PitchesSpace IDEAS Hub
 
Stratified Medicine - Setting the Scene
Stratified Medicine - Setting the SceneStratified Medicine - Setting the Scene
Stratified Medicine - Setting the SceneSpace IDEAS Hub
 
Stratified medicine - How Can We Help Each Other
Stratified medicine  - How Can We Help Each OtherStratified medicine  - How Can We Help Each Other
Stratified medicine - How Can We Help Each OtherSpace IDEAS Hub
 
Open 2013: Teaching Medical Technology Innovation: Lessons learned from a ne...
Open 2013:  Teaching Medical Technology Innovation: Lessons learned from a ne...Open 2013:  Teaching Medical Technology Innovation: Lessons learned from a ne...
Open 2013: Teaching Medical Technology Innovation: Lessons learned from a ne...the nciia
 
I International Symposium: Neurobiology and Biomarkers of Brain Aging - Micro...
I International Symposium: Neurobiology and Biomarkers of Brain Aging - Micro...I International Symposium: Neurobiology and Biomarkers of Brain Aging - Micro...
I International Symposium: Neurobiology and Biomarkers of Brain Aging - Micro...Ana Paula Mendes Silva
 
Pharmacokinetic and Pharmacodynamic Modeling
Pharmacokinetic and Pharmacodynamic ModelingPharmacokinetic and Pharmacodynamic Modeling
Pharmacokinetic and Pharmacodynamic ModelingJaspreet Guraya
 
2014 11-27 EATRIS biomarkers platform, Amsterdam, oncology case study
2014 11-27 EATRIS biomarkers platform, Amsterdam, oncology case study2014 11-27 EATRIS biomarkers platform, Amsterdam, oncology case study
2014 11-27 EATRIS biomarkers platform, Amsterdam, oncology case studyAlain van Gool
 
2015 12-09 Opening Radboud Translational Medicine, Nijmegen, Alain van Gool
2015 12-09 Opening Radboud Translational Medicine, Nijmegen, Alain van Gool2015 12-09 Opening Radboud Translational Medicine, Nijmegen, Alain van Gool
2015 12-09 Opening Radboud Translational Medicine, Nijmegen, Alain van GoolAlain van Gool
 
2015 11-26 ODDP2015 Course Oncology Drug Development, Amsterdam, Alain van Gool
2015 11-26 ODDP2015 Course Oncology Drug Development, Amsterdam, Alain van Gool2015 11-26 ODDP2015 Course Oncology Drug Development, Amsterdam, Alain van Gool
2015 11-26 ODDP2015 Course Oncology Drug Development, Amsterdam, Alain van GoolAlain van Gool
 
Stratification and Inequality
Stratification and InequalityStratification and Inequality
Stratification and InequalityJohn Bradford
 

En vedette (11)

Stratified medicine - Company Pitches
Stratified medicine  - Company PitchesStratified medicine  - Company Pitches
Stratified medicine - Company Pitches
 
Stratified Medicine - Setting the Scene
Stratified Medicine - Setting the SceneStratified Medicine - Setting the Scene
Stratified Medicine - Setting the Scene
 
Stratified medicine - How Can We Help Each Other
Stratified medicine  - How Can We Help Each OtherStratified medicine  - How Can We Help Each Other
Stratified medicine - How Can We Help Each Other
 
Open 2013: Teaching Medical Technology Innovation: Lessons learned from a ne...
Open 2013:  Teaching Medical Technology Innovation: Lessons learned from a ne...Open 2013:  Teaching Medical Technology Innovation: Lessons learned from a ne...
Open 2013: Teaching Medical Technology Innovation: Lessons learned from a ne...
 
Stratification anshul
Stratification anshulStratification anshul
Stratification anshul
 
I International Symposium: Neurobiology and Biomarkers of Brain Aging - Micro...
I International Symposium: Neurobiology and Biomarkers of Brain Aging - Micro...I International Symposium: Neurobiology and Biomarkers of Brain Aging - Micro...
I International Symposium: Neurobiology and Biomarkers of Brain Aging - Micro...
 
Pharmacokinetic and Pharmacodynamic Modeling
Pharmacokinetic and Pharmacodynamic ModelingPharmacokinetic and Pharmacodynamic Modeling
Pharmacokinetic and Pharmacodynamic Modeling
 
2014 11-27 EATRIS biomarkers platform, Amsterdam, oncology case study
2014 11-27 EATRIS biomarkers platform, Amsterdam, oncology case study2014 11-27 EATRIS biomarkers platform, Amsterdam, oncology case study
2014 11-27 EATRIS biomarkers platform, Amsterdam, oncology case study
 
2015 12-09 Opening Radboud Translational Medicine, Nijmegen, Alain van Gool
2015 12-09 Opening Radboud Translational Medicine, Nijmegen, Alain van Gool2015 12-09 Opening Radboud Translational Medicine, Nijmegen, Alain van Gool
2015 12-09 Opening Radboud Translational Medicine, Nijmegen, Alain van Gool
 
2015 11-26 ODDP2015 Course Oncology Drug Development, Amsterdam, Alain van Gool
2015 11-26 ODDP2015 Course Oncology Drug Development, Amsterdam, Alain van Gool2015 11-26 ODDP2015 Course Oncology Drug Development, Amsterdam, Alain van Gool
2015 11-26 ODDP2015 Course Oncology Drug Development, Amsterdam, Alain van Gool
 
Stratification and Inequality
Stratification and InequalityStratification and Inequality
Stratification and Inequality
 

Similaire à Stratified Medicine - Applications and Case Studies

Stephen Friend Genetic Alliance 25th Anniversary 2011-06-24
Stephen Friend Genetic Alliance 25th Anniversary 2011-06-24Stephen Friend Genetic Alliance 25th Anniversary 2011-06-24
Stephen Friend Genetic Alliance 25th Anniversary 2011-06-24Sage Base
 
Friend EORTC 2012-11-08
Friend EORTC 2012-11-08Friend EORTC 2012-11-08
Friend EORTC 2012-11-08Sage Base
 
Stephen Friend NIH PPP Coordinating Committee Meeting 2012-02-16
Stephen Friend NIH PPP Coordinating Committee Meeting 2012-02-16Stephen Friend NIH PPP Coordinating Committee Meeting 2012-02-16
Stephen Friend NIH PPP Coordinating Committee Meeting 2012-02-16Sage Base
 
Stephen Friend Food & Drug Administration 2011-07-18
Stephen Friend Food & Drug Administration 2011-07-18Stephen Friend Food & Drug Administration 2011-07-18
Stephen Friend Food & Drug Administration 2011-07-18Sage Base
 
Bionimbus: Towards One Million Genomes (XLDB 2012 Lecture)
Bionimbus: Towards One Million Genomes (XLDB 2012 Lecture)Bionimbus: Towards One Million Genomes (XLDB 2012 Lecture)
Bionimbus: Towards One Million Genomes (XLDB 2012 Lecture)Robert Grossman
 
Friend WIN Symposium 2012-06-28
Friend WIN Symposium 2012-06-28Friend WIN Symposium 2012-06-28
Friend WIN Symposium 2012-06-28Sage Base
 
Friend NIGM 2012-05-23
Friend NIGM 2012-05-23Friend NIGM 2012-05-23
Friend NIGM 2012-05-23Sage Base
 
Friend Oslo 2012-09-09
Friend Oslo 2012-09-09Friend Oslo 2012-09-09
Friend Oslo 2012-09-09Sage Base
 
Stephen Friend Complex Traits: Genomics and Computational Approaches 2012-02-23
Stephen Friend Complex Traits: Genomics and Computational Approaches 2012-02-23Stephen Friend Complex Traits: Genomics and Computational Approaches 2012-02-23
Stephen Friend Complex Traits: Genomics and Computational Approaches 2012-02-23Sage Base
 
Personalized medicine via molecular interrogation, data mining and systems bi...
Personalized medicine via molecular interrogation, data mining and systems bi...Personalized medicine via molecular interrogation, data mining and systems bi...
Personalized medicine via molecular interrogation, data mining and systems bi...Gerald Lushington
 
Stephen Friend AMIA Symposium 2012-03-21
Stephen Friend AMIA Symposium 2012-03-21Stephen Friend AMIA Symposium 2012-03-21
Stephen Friend AMIA Symposium 2012-03-21Sage Base
 
Friend NAS 2013-01-10
Friend NAS 2013-01-10Friend NAS 2013-01-10
Friend NAS 2013-01-10Sage Base
 
Stephen Friend WIN Symposium 2011 2011-07-06
Stephen Friend WIN Symposium 2011 2011-07-06Stephen Friend WIN Symposium 2011 2011-07-06
Stephen Friend WIN Symposium 2011 2011-07-06Sage Base
 
A Systems Approach to Personalized Medicine
A Systems Approachto Personalized MedicineA Systems Approachto Personalized Medicine
A Systems Approach to Personalized MedicineLarry Smarr
 
Stephen Friend MIT 2011-10-20
Stephen Friend MIT 2011-10-20Stephen Friend MIT 2011-10-20
Stephen Friend MIT 2011-10-20Sage Base
 
Stephen Friend ICR UK 2012-06-18
Stephen Friend ICR UK 2012-06-18Stephen Friend ICR UK 2012-06-18
Stephen Friend ICR UK 2012-06-18Sage Base
 
Friend NIEHS 2013-03-01
Friend NIEHS 2013-03-01Friend NIEHS 2013-03-01
Friend NIEHS 2013-03-01Sage Base
 
Novel network pharmacology methods for drug mechanism of action identificatio...
Novel network pharmacology methods for drug mechanism of action identificatio...Novel network pharmacology methods for drug mechanism of action identificatio...
Novel network pharmacology methods for drug mechanism of action identificatio...laserxiong
 

Similaire à Stratified Medicine - Applications and Case Studies (20)

Stephen Friend Genetic Alliance 25th Anniversary 2011-06-24
Stephen Friend Genetic Alliance 25th Anniversary 2011-06-24Stephen Friend Genetic Alliance 25th Anniversary 2011-06-24
Stephen Friend Genetic Alliance 25th Anniversary 2011-06-24
 
Friend EORTC 2012-11-08
Friend EORTC 2012-11-08Friend EORTC 2012-11-08
Friend EORTC 2012-11-08
 
Stephen Friend NIH PPP Coordinating Committee Meeting 2012-02-16
Stephen Friend NIH PPP Coordinating Committee Meeting 2012-02-16Stephen Friend NIH PPP Coordinating Committee Meeting 2012-02-16
Stephen Friend NIH PPP Coordinating Committee Meeting 2012-02-16
 
Stephen Friend Food & Drug Administration 2011-07-18
Stephen Friend Food & Drug Administration 2011-07-18Stephen Friend Food & Drug Administration 2011-07-18
Stephen Friend Food & Drug Administration 2011-07-18
 
Bionimbus: Towards One Million Genomes (XLDB 2012 Lecture)
Bionimbus: Towards One Million Genomes (XLDB 2012 Lecture)Bionimbus: Towards One Million Genomes (XLDB 2012 Lecture)
Bionimbus: Towards One Million Genomes (XLDB 2012 Lecture)
 
Friend WIN Symposium 2012-06-28
Friend WIN Symposium 2012-06-28Friend WIN Symposium 2012-06-28
Friend WIN Symposium 2012-06-28
 
Friend NIGM 2012-05-23
Friend NIGM 2012-05-23Friend NIGM 2012-05-23
Friend NIGM 2012-05-23
 
Friend Oslo 2012-09-09
Friend Oslo 2012-09-09Friend Oslo 2012-09-09
Friend Oslo 2012-09-09
 
Wp3
Wp3Wp3
Wp3
 
Stephen Friend Complex Traits: Genomics and Computational Approaches 2012-02-23
Stephen Friend Complex Traits: Genomics and Computational Approaches 2012-02-23Stephen Friend Complex Traits: Genomics and Computational Approaches 2012-02-23
Stephen Friend Complex Traits: Genomics and Computational Approaches 2012-02-23
 
Personalized medicine via molecular interrogation, data mining and systems bi...
Personalized medicine via molecular interrogation, data mining and systems bi...Personalized medicine via molecular interrogation, data mining and systems bi...
Personalized medicine via molecular interrogation, data mining and systems bi...
 
Stephen Friend AMIA Symposium 2012-03-21
Stephen Friend AMIA Symposium 2012-03-21Stephen Friend AMIA Symposium 2012-03-21
Stephen Friend AMIA Symposium 2012-03-21
 
Friend NAS 2013-01-10
Friend NAS 2013-01-10Friend NAS 2013-01-10
Friend NAS 2013-01-10
 
Stephen Friend WIN Symposium 2011 2011-07-06
Stephen Friend WIN Symposium 2011 2011-07-06Stephen Friend WIN Symposium 2011 2011-07-06
Stephen Friend WIN Symposium 2011 2011-07-06
 
A Systems Approach to Personalized Medicine
A Systems Approachto Personalized MedicineA Systems Approachto Personalized Medicine
A Systems Approach to Personalized Medicine
 
Stephen Friend MIT 2011-10-20
Stephen Friend MIT 2011-10-20Stephen Friend MIT 2011-10-20
Stephen Friend MIT 2011-10-20
 
Stephen Friend ICR UK 2012-06-18
Stephen Friend ICR UK 2012-06-18Stephen Friend ICR UK 2012-06-18
Stephen Friend ICR UK 2012-06-18
 
Friend NIEHS 2013-03-01
Friend NIEHS 2013-03-01Friend NIEHS 2013-03-01
Friend NIEHS 2013-03-01
 
Lehrach
LehrachLehrach
Lehrach
 
Novel network pharmacology methods for drug mechanism of action identificatio...
Novel network pharmacology methods for drug mechanism of action identificatio...Novel network pharmacology methods for drug mechanism of action identificatio...
Novel network pharmacology methods for drug mechanism of action identificatio...
 

Plus de Space IDEAS Hub

HUB:BLE-3 - Session 1 Business and Technology
HUB:BLE-3 - Session 1 Business and TechnologyHUB:BLE-3 - Session 1 Business and Technology
HUB:BLE-3 - Session 1 Business and TechnologySpace IDEAS Hub
 
HUB:BLE-2 01 Day 1 Plenary
HUB:BLE-2 01 Day 1 PlenaryHUB:BLE-2 01 Day 1 Plenary
HUB:BLE-2 01 Day 1 PlenarySpace IDEAS Hub
 
HUB:BLE-2 02 Growth and Entrepreneurship
HUB:BLE-2 02 Growth and EntrepreneurshipHUB:BLE-2 02 Growth and Entrepreneurship
HUB:BLE-2 02 Growth and EntrepreneurshipSpace IDEAS Hub
 
HUB:BLE-2 03 Developing Your Idea
HUB:BLE-2 03 Developing Your IdeaHUB:BLE-2 03 Developing Your Idea
HUB:BLE-2 03 Developing Your IdeaSpace IDEAS Hub
 
HUB:BLE-2 04 Help Along the Way
HUB:BLE-2 04 Help Along the WayHUB:BLE-2 04 Help Along the Way
HUB:BLE-2 04 Help Along the WaySpace IDEAS Hub
 
HUB:BLE -2 05 Business Needs from Education
HUB:BLE -2 05 Business Needs from EducationHUB:BLE -2 05 Business Needs from Education
HUB:BLE -2 05 Business Needs from EducationSpace IDEAS Hub
 
HUB:BLE-2 06 Day 2 Plenary
HUB:BLE-2 06  Day 2 PlenaryHUB:BLE-2 06  Day 2 Plenary
HUB:BLE-2 06 Day 2 PlenarySpace IDEAS Hub
 
HUB:BLE-2 07 Finding Your Market
HUB:BLE-2 07   Finding Your MarketHUB:BLE-2 07   Finding Your Market
HUB:BLE-2 07 Finding Your MarketSpace IDEAS Hub
 
HUB:BLE-2 08 reaching the world
HUB:BLE-2 08   reaching the worldHUB:BLE-2 08   reaching the world
HUB:BLE-2 08 reaching the worldSpace IDEAS Hub
 
HUB:BLE-2 09 short company pitches
HUB:BLE-2 09   short company pitchesHUB:BLE-2 09   short company pitches
HUB:BLE-2 09 short company pitchesSpace IDEAS Hub
 
HUB:BLE-1 Boosting Local Enterprise - Business Advice
HUB:BLE-1 Boosting Local Enterprise - Business AdviceHUB:BLE-1 Boosting Local Enterprise - Business Advice
HUB:BLE-1 Boosting Local Enterprise - Business AdviceSpace IDEAS Hub
 
HUB:BLE-1 Session 3 ESNC and Company Pitches
HUB:BLE-1 Session 3 ESNC and Company PitchesHUB:BLE-1 Session 3 ESNC and Company Pitches
HUB:BLE-1 Session 3 ESNC and Company PitchesSpace IDEAS Hub
 
Dark matter and teaspoons
Dark matter and teaspoonsDark matter and teaspoons
Dark matter and teaspoonsSpace IDEAS Hub
 
Curiosity clock presentation
Curiosity clock presentationCuriosity clock presentation
Curiosity clock presentationSpace IDEAS Hub
 
Hubble session 1 case studies
Hubble session 1 case studiesHubble session 1 case studies
Hubble session 1 case studiesSpace IDEAS Hub
 
Hubble session 2 business advice
Hubble session 2 business adviceHubble session 2 business advice
Hubble session 2 business adviceSpace IDEAS Hub
 
Medical Imaging Seminar Session 2
Medical Imaging Seminar Session 2Medical Imaging Seminar Session 2
Medical Imaging Seminar Session 2Space IDEAS Hub
 

Plus de Space IDEAS Hub (20)

HUB:BLE-3 - Session 1 Business and Technology
HUB:BLE-3 - Session 1 Business and TechnologyHUB:BLE-3 - Session 1 Business and Technology
HUB:BLE-3 - Session 1 Business and Technology
 
HUB:BLE-2 01 Day 1 Plenary
HUB:BLE-2 01 Day 1 PlenaryHUB:BLE-2 01 Day 1 Plenary
HUB:BLE-2 01 Day 1 Plenary
 
HUB:BLE-2 02 Growth and Entrepreneurship
HUB:BLE-2 02 Growth and EntrepreneurshipHUB:BLE-2 02 Growth and Entrepreneurship
HUB:BLE-2 02 Growth and Entrepreneurship
 
HUB:BLE-2 03 Developing Your Idea
HUB:BLE-2 03 Developing Your IdeaHUB:BLE-2 03 Developing Your Idea
HUB:BLE-2 03 Developing Your Idea
 
HUB:BLE-2 04 Help Along the Way
HUB:BLE-2 04 Help Along the WayHUB:BLE-2 04 Help Along the Way
HUB:BLE-2 04 Help Along the Way
 
HUB:BLE -2 05 Business Needs from Education
HUB:BLE -2 05 Business Needs from EducationHUB:BLE -2 05 Business Needs from Education
HUB:BLE -2 05 Business Needs from Education
 
HUB:BLE-2 06 Day 2 Plenary
HUB:BLE-2 06  Day 2 PlenaryHUB:BLE-2 06  Day 2 Plenary
HUB:BLE-2 06 Day 2 Plenary
 
HUB:BLE-2 07 Finding Your Market
HUB:BLE-2 07   Finding Your MarketHUB:BLE-2 07   Finding Your Market
HUB:BLE-2 07 Finding Your Market
 
HUB:BLE-2 08 reaching the world
HUB:BLE-2 08   reaching the worldHUB:BLE-2 08   reaching the world
HUB:BLE-2 08 reaching the world
 
HUB:BLE-2 09 short company pitches
HUB:BLE-2 09   short company pitchesHUB:BLE-2 09   short company pitches
HUB:BLE-2 09 short company pitches
 
HUB:BLE-1 Boosting Local Enterprise - Business Advice
HUB:BLE-1 Boosting Local Enterprise - Business AdviceHUB:BLE-1 Boosting Local Enterprise - Business Advice
HUB:BLE-1 Boosting Local Enterprise - Business Advice
 
HUB:BLE-1 Session 3 ESNC and Company Pitches
HUB:BLE-1 Session 3 ESNC and Company PitchesHUB:BLE-1 Session 3 ESNC and Company Pitches
HUB:BLE-1 Session 3 ESNC and Company Pitches
 
Dark matter and teaspoons
Dark matter and teaspoonsDark matter and teaspoons
Dark matter and teaspoons
 
Curiosity clock presentation
Curiosity clock presentationCuriosity clock presentation
Curiosity clock presentation
 
Engaging the public
Engaging the publicEngaging the public
Engaging the public
 
Hubble welcome address
Hubble welcome addressHubble welcome address
Hubble welcome address
 
Hubble session 1 case studies
Hubble session 1 case studiesHubble session 1 case studies
Hubble session 1 case studies
 
Hubble session 2 business advice
Hubble session 2 business adviceHubble session 2 business advice
Hubble session 2 business advice
 
Hubble company pitches
Hubble company pitchesHubble company pitches
Hubble company pitches
 
Medical Imaging Seminar Session 2
Medical Imaging Seminar Session 2Medical Imaging Seminar Session 2
Medical Imaging Seminar Session 2
 

Stratified Medicine - Applications and Case Studies

  • 2. Session 3 – Applications and  Case Studies 14:00 Systems Biology in Cancer – Dr Andrei Zinovyev, Institut Curie, Paris 14:20 Single Molecule Imaging Technology – Professor George Fraser, University of Leicester 14:35 Knowledge Engineering for Biomedical  Research – Dr Jonathan Tedds, University of Leicester 14:50 Applications in an SME Environment – Dr Kevin Slater, PetScreen Ltd
  • 3. Systems Biology in Cancer Dr Andrei Zinovyev Institut Curie, Paris
  • 4. Systems Biology of Cancer Andrei Zinovyev Institut Curie - INSERM U900 / Mines ParisTech Computational Systems Biology of Cancer Stratified Medicine - Opportunities for Business Leicester - 23 January 2013
  • 5. Institut Curie, Bioinformatics and Systems Biology of Cancer Department Institut Curie • Created in 1909 by Marie Curie • From fundamental research to innovative treatment • Comprehensive Cancer Center • 2 cancer hospitals, focus on breast cancer, pediatric tumors, uveal melanoma • 15 research departments • 3,000 staff Computational Systems Biology of Cancer group (http://sysbio.curie.fr) • 15 people (physicists, mathematicians, biologists) • Cancer data analysis • Mathematical modeling of cancer processes • Collaborations with pharmaceutical companies
  • 6. Example of Stratified/Personalized Medicine: SHIVA clinical trial at Institut Curie Informed Patients with refractory consent cancer (all tumor types) signed Tumor biopsy + Blood sample High Throughput Sequencing Therapy based on molecular profiling - Approved molecularly targeted agent Informed Molecular profiling consent signed R Conventional therapy based on Molecular oncologist’s choice Prospective Eligible biology cohort patient board Cross-over Specific NO therapy YES available
  • 7. One of the problems of personalized medicine: existence of complex feedbacks in a cancer cell An example of «paradoxal» answer to treatment (Prahallad et al, Nature 2012)
  • 8. HOW SYSTEMS BIOLOGY CAN HELP? (what is systems biology?) can it be a support for rational decision-making in stratified medicine?
  • 9. Two “systems biologies” 2001 2002 …studying biological systems by …studying structure and dynamics systematically disturbing them of cellular and organismal and monitoring the gene, protein function, rather than the and informational pathway characteristics of isolated parts of a responses and integrating these cell, with particular emphasis on data in mathematical models emerging system properties such as robustness… Danger: high-throughput stamp Danger: creating fruitless collection abstractions
  • 10. Computational Systems Biology of Cancer Specific flavor of systems biology Object: cancer and cancer treatment Tools: 1) High-throughput data with particular emphasis on individual genomic data, 2) Statistical analysis in large dimensions 3) Mathematical modeling (“what if” questions) Objective: prediction of cancer treatment success in a concrete patient (virtual tumour in virtual patient?)
  • 11. Computational Systems Biology of Cancer group at Institut Curie Objective of our group: based on existing knowledge and data, be able to explain why certain mutations of normal genome can lead to tumorigenesis, and how to reverse their effect? Tools: Formal representation of biological knowledge (map of cancer) Mathematical modeling (“animation”) of biological diagrams Mechanistic models of epistasy (genetic interactions)
  • 12. Cancer: hallmarks, networks and maps Task: assemble this network at its full complexity Problems: What language to use? How to navigate? How to maintain? Hanahan and Weinberg, 2011, Cell How to use?
  • 13. Towards an Atlas of Cancer Signaling Networks Atlas of Cancer Signalling Networks RB/E2F-Cell Cycle DNA repair-Cell Cycle • CellDesigner tool (Diagram editor for signaling networks representation) • Systems Biology Graphical Notation (SBGN) visual syntax Calzone et al, Kuperstein et al, Mol Syst Bio 2008 unpublished Cell Survival Cell death-energy metabolism • Coming: maps of EMT, motility, Cohen et al, Fourquet et al, unpublished unpublished polarity, immune response
  • 14. NaviCell: Navigation and curation of Atlas of Cancer Signaling Networks Atlas of Cancer Signalling Networks NaviCell = Google map + Semantic zoom + Blog Google map Blog Semantic zoom NaviCell: a web tool for navigation, curation and maintenance of molecular interaction maps. http://navicell.curie.fr Kuperstein I, Pook S, Cohen DPA, Calzone L, Barillot E and Zinovyev A (submitted) navicell@curie.fr
  • 15. Using the maps: put data on top of it
  • 16. Pathway “staining” and Anna Karenina’s principle 506, G1, T1, noninvasive 1533-1, G3, T4, invasive 2307, G2, T2, invasive 870-1, normal 3721-10, normal 915-1, normal
  • 17. Using the maps: finding alternative routes All path of length <30 from Through ROS formation by the succinate to DNA damage respiratory chain Through transfer of the reductive equivalents of succinate to NADPH and thioredoxin, then ROS detoxification or RNR activity and DNA repair Through reduction of ubiquinone, the oxidative equivalents of which are necessary for pyrimidine biosynthesis and DNA repair (see Khutornenko AA et al., PNAS, 2010,107,12828)
  • 18. Example: Cell fate decision mechanism fragilities utilized by cancers (Calzone et al, 2010) Ewing’s Lung cancers, sarcoma, cervical cancers, lung cancer, oesophageal squamous neuroblastomas Lymphomas cell carcinomas Colorectal Lymphomas, tumors breast cancer
  • 19. Compute phenotype probabilities using state transition graphs Asynchronous state transition graph Influence graph = The probability to reach a final state from an initial state = probability of observing a phenotype in experiment Apoptosis Necrosis Survival
  • 20. Validate the model with mutants TNF=1 Example : Caspase 8 deletion • ≈ 85% survival (NFkB) • ≈ 15% necrosis • No apoptosis Qualitatively consistent with the literature “TNF-induced apoptosis is blocked though not necrosis” [Kawahara, Ohsawa et al., J Cell Biol 1998] (Jurkat cells, C8-/-) Naïve NFkB apoptosis necrosis survival survival
  • 21. Synthetic lethality and cancer treatment: hot topic in new anticancer drug development If gene A is already mutated in cancer cells, Gene A Gene B targeting B will specifically kill cancer cells leaving normal cells intact Gene A Gene B Example: BRCA1+PARP synthetic lethal pair (PARP inhibitors, Helleday, Carcinogenesis, 2010) Gene A Gene B If gene A is amplified in cancer, then one should look for synthetic dosage lethality There is a big promise here for stratified medicine
  • 22. Example: Metastases in mouse model of colon cancer Experimental system: p53-null mouse Colon cancer is associated with: Mutations in APC gene (b-catenin/WNT pathway) Mutations in RAS gene Less frequent mutations in many other pathways (Notch, MLH, PTEN, SMAD, etc.) Question: what combination of mutations in these pathways lead to rapid metastatic tumorigenesis?
  • 23. Epithelial-Mesenchymal Transition (EMT): a necessary condition to appearance of metastases From Friedl and Alexander, Cell, 2011
  • 24. Molecular map of crosstalk between p53/Wnt/Notch/EMT pathways Notch-Wnt-p53 map contains: 10 miRNAs 77 RNAs 86 genes 122 proteins 397 reactions 80 publications
  • 25. Synthetic interaction between p53 and overexpression of NICD leads to EMT in a mouse model of metastasizing colon cancer p53 is down NICD NICD NICD is up NICD is up and p53 is down
  • 26. Take home message Implementing Personalized (Stratified) medicine has a number of obstacles, including complex response of cancer cells to treatment Understanding and predicting this response requires either “try and fail” approach or / and more intelligent guess (systems biology) Use of synthetic interactions (synthetic lethality) is a new paradigm of individualized cancer treatment
  • 27. Acknowledgements Curie - INSERM U900 Funding MAE MOST-FI P2R / Mines ParisTech ANR SITCON Ligue contre le cancer EC FP7 APO-SYS Computational Systems ANR CALAMAR Biology of Cancer team INCA SYBEWING Emmanuel Barillot Curie-Servier Alliance Institut des Systèmes Complexes Valentina Boeva Collaborators EC FP7 ASSET Eric Bonnet INCA IVOIRES Laurence Calzone Daniel Louvard (Institut Curie) INCA Breast cancer predisposition David Cohen Sylvie Robine (Institut Curie) Investissements d’avenir Bio- QuickTime™ et un décompresseur sont requis pour visionner cette image. Simon Fourquet Boris Zhivotovsky (Karolinska) informatique ABS4NGS Inna Kuperstein Wolf-Dietrich Heyer (UC Davis) EC FP7 RAID Loredana Martignetti Alexander Gorban (Leicester, UK) Cancéropole IDF Data integration Tatiana Popova ITMO cancer Systems Daniel Rovera Biology INVADE Meriem Sefta PIC Computational Systems Gautier Stoll Biology of Cancer Bruno Tesson Paola Vera-Licona
  • 28. Single Molecule Imaging  Technology Professor George Fraser University of Leicester
  • 29. A Physical Analysis of Microarray Data G.W. Fraser Space Research Centre, Department of Physics and Astronomy, Michael Atiyah Building, University of Leicester, Leicester LEI 7RH, UK.
  • 30. The Future of Biology is the Detection of Light • Spin-off company since 2002 based on ESA/ESTEC optical STJ detector technology • Disruptive hyperspectral imaging of unequalled sensitivity • Operation at 0.3 K • Hardware entry point to studies of basic fluorophore response and microarray analysis Self-quenching 1.5 Texas Red 5 Comparison of measured and tabulated emission spectra 4 Counts/10nm/second Alexa 488 1 3 S(n) 2 Fluorescein-EX 0.5 Alexa 546 1 0 0 450 500 550 600 650 700 750 800 0 5 10 15 20 Wavelength (nm) n , Fluorophores/molecule
  • 31. The Microarray as a Two-Dimensional Electronic Imaging Device Microarrays exhibit a number of “confounding factors” familiar to the detector physicist : • Spatial non-uniformity (imperfect flat-field and fixed-pattern noise) • Temporal variability (photobleaching) • Integral Non-linearity (output not linearly dependent on input) • Digital divide errors and preferred locations * • Differential Non-linearity (non-uniform sensitivity) * Data from: (a) two-colour Red/Green Cy3,Cy5 spotted arrays (SMD Blader3932 and Willert wnt3a) (b) Affymetrix Genepix (TDF458 SMD) (c) Quantile data (courtesy Dr J Luo, MRC Toxicology Unit / Tas Gohir)
  • 34. 100000 10000 Signal Intensity 2 1000 100 10 1 0 200 400 600 800 1000 1200 1400 Spot Number
  • 35. MA plot 8 6 Saturation Over-Expressed 4 Log2(R/G) Up 2 Statistical Error 0 No Expression -2 Down Mean Noise Level + 5 σ -4 Mean Noise Level -6 Undershoot Under-Expressed -8 0 4 8 12 16 Ln (G) Log22 (G)
  • 36. Quantile Data 8 6 4 2 Log2(R/G) 0 -2 -4 -6 -8 0 2 4 6 8 10 12 14 16 Log2(G)
  • 37. Is the sensitivity the same for both under- and over-expressed genes? 8 6 Log2(R/G) 35, 28 4 2 0 -2 -4 36, 28 -6 -8 0 4 8 12 16 Log2(G)
  • 38. 8 6 20 Ratio 4 2 0 -2 -4 -6 -8 0 4 8 12 16 Average Log
  • 39. Digital Divide Artefacts at Small Signal Levels
  • 40. GenePix2 : Cumulative Distribution of Expression Ratios
  • 42. 0 10 20 30 40 50 60 -0.99 Blader 3942 -0.995 -1 -1.005 ...Digital divide artefact mimicking biology? -1.01
  • 43.
  • 44. Knowledge Engineering from  Biomedical Research Dr Jonathan Tedds University of Leicester
  • 45. BRISSKit: Biomedical Research Infrastructure Software Service Kit A vision for cloud-based open source research applications #BRISSKit http://www.brisskit.le.ac.uk
  • 46. BRISSKit context: The I4Health goal of applying knowledge engineering to close the ‘ICT gap’ between research and healthcare (Beck, T. et al 2012) Data as a public good & research efficiencies = strategic priority for government, NHS, funders (e.g. MRC, Wellcome, CRUK)
  • 47. Overview of BRISSKit • Developing “software as a service” data management infrastructure based on open- source applications • More efficient & easier for researchers • Offers significant savings in research database and IT support costs • Development funded by HEFCE • University of Leicester in partnership with the University Hospitals Leicester Trust and the Cardiovascular BRU
  • 48.
  • 49. BRISSkit USPs  Integrated support for core research processes  Well-established mature open source applications as protoyped in Cardiovascular: fully UK customised  A platform for seamless management and integration between applications  An API allows integration with existing clinical systems  Easy set up, use and administration through browser (including on mobile devices)  Capability of being hosted in any compliant cloud provider including UHL (NHS information governance)
  • 50. BRISSkit components = web services CiviCRM Enables end-to-end contact management for volunteers and research participants, tracking approaches, contact, responses, recruitment, exclusions. CiviCRM was designed for the 'civic sector' and has an object model that reflects community building and non-profit relationships.
  • 51. OBiBa Onyx Records participant consent, questionnaire data and primary specimen IDs. Web-based, secure data entry by research staff. E.g. used for all patient recruits in LCBRU – mobile computing on wards and outpatient clinic in TMF. Await significant new release…
  • 52. caTissue Holds data on primary, derived and aliquot specimen, including linear and 2d barcodes. Storage inventory, order tracking – currently over 30,000 LCBRU samples stored and recorded.
  • 53. i2b2 Data from multiple data sources combined into multiple ontologies for flexible and sophisticate d searching, cohort discovery and research.
  • 54. The semantic bridge Bio-ontology! OBiBa Onyx i2b2 Records participant Cohort selection and consent, questionnaire data querying ? data and primary specimen IDs
  • 55. www.brisskit.le.ac.uk Email: brisskit@le.ac.uk
  • 56. Market: who is BRISSkit for? Modular approaches and scalable tools with open source licenses make good investments • Individual researchers and associates • enterprise-level tools without the IT overheads • Research themes and departments • stand-alone instances of required tools to accelerate research • Research units and centres • integrated toolkit with clinical data loading services, or 'jigsaw pieces' to complement existing provision
  • 57.
  • 58. Applications in an SME  Environment Dr Kevin Slater PetScreen Ltd
  • 59. Dogs, Cancer and Mathematics An SME Perspective on University Collaboration. Kevin Slater Ilias Alexandrakis, Renu Tuli Alexander Gorban, Evgeny Mirkes
  • 60.
  • 61. Why Dogs? Why Lymphoma? USA dog population = 78 Million Canine Lymphoma - Incidence - 20% of all canine tumours are lymphoma cases - 0.1% of older dogs will develop lymphoma - Very high incidence in some breeds, e.g. Golden Retrievers 25% in USA Canine Lymphoma - Symptoms • Lymphadenopathy • Lethargy • Weakness • Fever • Anorexia • Pu/Pd
  • 62. Canine Lymphoma – Treatment • Predominantly treated with chemotherapy • Diverse range of treatment protocols • Initially responds well to treatment Canine Lymphoma – Prognosis  B-cell lymphoma favorable to T-cell lymphoma  Clinical stage (Stage V has poorer prognosis against Stage I)  Dogs treated with chemotherapy experience a greater survival time  Recurrence almost inevitable Presents a good model for Non-Hodgkin’s Lymphoma in humans
  • 63. Canine Lymphoma Diagnosis  Cytology  Histology  Immunophenotyping (T or B cell) • Generally invasive procedures • FNA prone to no diagnostic samples • Not suitable to treatment monitoring
  • 64. Serum Biomarkers  Serum easily accessible  Potential for picking up circulating biomarkers  Diverse array of cancers whereby potential biomarkers identified  Prostate cancer  Breast cancer  Melanoma  Developed a serum biomarker approach to assist with detection of canine lymphoma
  • 65.
  • 66. LBT - Proteomic Analysis 7.5 + M + + 5 W - - - - + - - - - + 2.5 - - - - + 0 + + + 2000 4000 6000 8000 Serum Fractionation CM10 arrays SELDI-TOF MS
  • 67. Multi Vs Single Biomarker tests in Human Testing
  • 68. Data Processing  79 peaks identified on first pass.  Greater than 30 peaks with P<0.05 (Mann Whitney U- test) between the two populations  Manual triage resulted in19 candidate peaks for CART analysis  Final algorithm focuses on two key biomarkers, 1 up regulated and 1 down regulated
  • 69. Classification and Regression Tree Breiman L, Friedman JH, Olshen RA, Stone CJ. Classification and Regression Trees. Chapman & Hall (Wadsworth, Inc.): New York, 1984.
  • 70. Bioinformatic model generation - CART Initial Training Sample Set (Biomarker Identification): Samples used to develop model (n=21) randomly selected:  10 non-lymphoma  11 lymphoma Initial Test Sample Set (Biomarker Verification): Samples used as independent test set (n= 158):  82 Non-lymphoma  76 Lymphoma  These samples were blind to the algorithm
  • 71. First Collaboration: Charles W. Gehrke Proteomics Centre University of Missouri
  • 72. Summary of Biomarker Identification Studies • Protein sequence analysis identified 3 different biomarkers • Limited information in the literature about the function of 2 biomarkers and their involvement in lymphoma • Third biomarker identified as Haptoglobin, know to be unregulated in canine lymphoma. • No antibodies available to the unique biomarkers, therefore had to work with human antibodies with poor cross reactivity to the canine proteins.
  • 73. LBT – Protein Identification
  • 74.
  • 75. Acute Phase Protein Response in Dogs Infection Inflammation Monocyte - Macrophage IL-1 IL-6 TNF-α C-RP Haptoglobin SAA AGP
  • 76. APP in Malignant Lymphoma Sig Diff from control P <0.0001 P <0.0001;<0.0001; <0.001; <0.02 >20 31.6 >100 224 136 18 90 Outside values Outside values C-reactive protein (mg/L) Haptoglobin (g/L) Far outside values 16 Far outside values 80 70 14 60 12 50 10 40 8 30 6 20 4 10 2 0 0 Lymphoma CLL Control ALL Myeloma CLL myeloma control lymphoma ALL C-reactive protein Haptoglobin lymphoma (n=16), acute lymphoblastic leukaemia (ALL) (n=11), chronic lymphocytic leukaemia (CLL) (n=7) and multiple myeloma (n=9) Control (n=25) Mischke et al Vet J 2006 174:188-92
  • 77. From MS to ELISA Development Use of More than 19 Further of a multi Biomarker protein peaks investigation marker test Pattern identified as in order to Identification using Acute Software to significantly characterise of Haptoglobin Phase Proteins create unique different on and identify (Haptoglobin, algorithms MS the proteins CRP) A unique new method of quickly and accurately diagnosing canine lymphoma . The combination of two Acute Phase Protein Assays, Haptoglobin and a specific canine CRP, combined with a unique Diagnostic Algorithm provide a diagnostic system
  • 78. Tri-Screen Assay Development • Serum samples collected from dogs with lymphoma, healthy dogs and dogs with other diseases (many with similar presentation to lymphoma). Positive samples were confirmed by either FNA or excisional biopsy. Non lymphoma dogs were confirmed to be free of the disease at a minimum of six months after providing the serum sample • Samples were tested in batches using HAPT & CRP assay kits • Ciphergen Biomarker Pattern Software was used to generate a series of algorithms using the Classification and Regression Tree (CART) procedure. Through an iterative process, the software uses the training set of data to build trees to a point when optimal differentiation between the populations is achieved. • Blinded sample test performed.
  • 79. Classification and Regression Tree Breiman L, Friedman JH, Olshen RA, Stone CJ. Classification and Regression Trees. Chapman & Hall (Wadsworth, Inc.): New York, 1984.
  • 80. TriScreen Combined CRP/Haptoglobin Assay Kit CRP Solid phase sandwich ELISA Haptoglobin Functional Colourimetric Assay
  • 81.
  • 82. Developments with The University of Leicester Two cohorts Database Lymphoma – 97, Other disease – 135 Healthy – 71 Clinically suspected Healthy Problems Differential diagnosis Screening Challenge: The Estimation of Lymphoma Risk
  • 83. Methodologies Risk maps K nearest neighbours • Classic kNN with k from 1 to 30 • kNN with Fisher’s distance transformations • kNN with adaptive distance transformations Decision tree • Information gain (C4.5) • Gini gain (CART) • DKM Probability density function estimation • Radial-basis function (statistics kernel) • Three random values (Lymphoma, Other diseases, Healthy) x-axis CRP, y-axis Hapt
  • 84. Software tools Database maintenance • Add new data • Delete old data Microsoft Excel Selection of the best methods for each problem and input data set. Best solutions are exported Canine lymphoma software to the applet Providing access for practitioner vets to the diagnosis applet
  • 85. So what can we learn from this?
  • 86. Summary • MS and other proteomic work confirmed already known findings that APP levels are increased in canine lymphoma • Application of CART algorithms is able to confer improved specificity over previously non-specific APP assays. • Facilitated the development of a useful test kit to aid in the differential diagnosis of lymphoma in dogs. • The delivery and performance of this test has been dramatically enhanced through working with the Dept of Mathematics at the University of Leicester. • We have so far been unable to produce a reliable canine ELISAs for the two previously unknown biomarkers discovered in the MS work. • However, we have very good ELISA’s for these markers in human blood. • Now embarking on a study of these markers in human NHL
  • 87. Comparative Research From 2 Legs to 4 and Back Again
  • 88. From Visualisation to Prediction using Data Professor Jeremy Levesley Department of Mathematics University of Leicester Stratified Medicine, January 2013 www.le.ac.uk
  • 89. Data Mining: Confluence of Multiple Disciplines Database Statistics Technology Machine Learning Data Mining Visualization Information Other Science Disciplines 2
  • 90. What do we have • Practical experience in Data Mining for Medical Datasets (~40 expert and diagnostic systems, main technique: Neural Networks, Cluster Analysis, Visualization) • New algorithms for Data Approximation and Visualization • Fast algorithms for Neural Networks 3
  • 91. Growing principal tree: branching data distribution Iris data set 4 Together with A. Zinovyev Toy data set (Curie, Paris)
  • 92. What is YOUR PROBLEM?!! 5
  • 93. The process • Data consolidation and preparation • Data selection and preprocessing • Data mining tasks and methods • Automated exploration and discovery • Prediction and classification • Interpretation and evaluation • Visualization tools can be very helpful
  • 94. ??? What is our problem? 7
  • 95. www.spaceideashub.com enquiries@spaceideashub.com 0116 229 7700 Contact us for a FREE 2‐day  project, problem evaluation and consulting  Space IDEAS Hub @spaceideashub