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Why not use data intensive science to build
   better models of diseases together?
        – beyond current rewards	
  




             Stephen	
  H	
  Friend	
  MD	
  PhD	
  
           Sage	
  Bionetworks	
  (non-­‐profit)	
  

                      July	
  27,	
  2012	
  
                           UCSF	
  
So	
  what	
  is	
  the	
  problem?	
  

	
  	
  	
  Most	
  approved	
  therapies	
  were	
  assumed	
  to	
  be	
  
            monotherapies	
  for	
  diseases	
  represen4ng	
  homogenous	
  
            popula4ons	
  



 	
  Our	
  exis4ng	
  disease	
  models	
  o9en	
  assume	
  pathway	
  
     knowledge	
  sufficient	
  to	
  infer	
  correct	
  therapies	
  
Familiar but Incomplete
Reality: Overlapping Pathways
The value of appropriate representations/ maps
“Data Intensive” Science- Fourth Scientific Paradigm


       Equipment capable of generating
       massive amounts of data

        IT Interoperability

        Open Information System

       Host evolving computational models
       in a “Compute Space”
WHY	
  NOT	
  USE	
  	
  
      “DATA	
  INTENSIVE”	
  SCIENCE	
  
TO	
  BUILD	
  BETTER	
  DISEASE	
  MAPS?	
  
what will it take to understand disease?




	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  DNA	
  	
  RNA	
  PROTEIN	
  (dark	
  maVer)	
  	
  

MOVING	
  BEYOND	
  ALTERED	
  COMPONENT	
  LISTS	
  
2002 Can one build a “causal” model?
Preliminary Probabalistic Models- Rosetta /Schadt

                                                                              Networks facilitate direct
                                                                           identification of genes that are
                                                                                   causal for disease
                                                                          Evolutionarily tolerated weak spots


                                 Gene symbol   Gene name                   Variance of OFPM    Mouse   Source
                                                                           explained by gene   model
                                                                           expression*
                                 Zfp90         Zinc finger protein 90      68%                 tg      Constructed using BAC transgenics
                                 Gas7          Growth arrest specific 7    68%                 tg      Constructed using BAC transgenics
                                 Gpx3          Glutathione peroxidase 3    61%                 tg      Provided by Prof. Oleg
                                                                                                       Mirochnitchenko (University of
                                                                                                       Medicine and Dentistry at New
                                                                                                       Jersey, NJ) [12]

                                 Lactb         Lactamase beta              52%                 tg      Constructed using BAC transgenics
                                 Me1           Malic enzyme 1              52%                 ko      Naturally occurring KO
                                 Gyk           Glycerol kinase             46%                 ko      Provided by Dr. Katrina Dipple
                                                                                                       (UCLA) [13]
                                 Lpl           Lipoprotein lipase          46%                 ko      Provided by Dr. Ira Goldberg
                                                                                                       (Columbia University, NY) [11]
                                 C3ar1         Complement component        46%                 ko      Purchased from Deltagen, CA
                                               3a receptor 1
                                 Tgfbr2        Transforming growth         39%                 ko      Purchased from Deltagen, CA
Nat Genet (2005) 205:370                       factor beta receptor 2
DIVERSE	
  POWERFUL	
  USE	
  OF	
  MODELS	
  AND	
  NETWORKS	
  
List of Influential Papers in Network Modeling




                                        50 network papers
                                        http://sagebase.org/research/resources.php
(Eric Schadt)
“Data Intensive” Science- Fourth Scientific Paradigm
       Score Card for Medical Sciences

    Equipment capable of generating
    massive amounts of data                A-

    IT Interoperability                    D

    Open Information System                D-

    Host evolving computational models
    in a “Compute Space                    F
We still consider much clinical research as if we were
 hunter gathers - not sharing
                          .
 TENURE   	
     	
  	
  FEUDAL	
  STATES	
  	
     	
  
Clinical/genomic data
 are accessible but minimally usable




Little incentive to annotate and curate
       data for other scientists to use
Mathematical
models of disease
 are not built to be
   reproduced or
versioned by others
Lack of standard forms for future rights and consents
Lack of data standards..
Background:	
  Informaon	
  Commons	
  for	
  Biological	
  Funcons	
  
Sage Mission
      Sage Bionetworks is a non-profit organization with a vision to
   create a commons where integrative bionetworks are evolved by
       contributor scientists with a shared vision to accelerate the
                       elimination of human disease

Building Disease Maps                              Data Repository




Commons Pilots                                    Discovery Platform
 Sagebase.org
Sage Bionetworks Collaborators

  Pharma Partners
     Merck, Pfizer, Takeda, Astra Zeneca,
      Amgen, Johnson &Johnson
  Foundations
     Kauffman CHDI, Gates Foundation

  Government
     NIH, LSDF, NCI

  Academic
     Levy (Framingham)
     Rosengren (Lund)
     Krauss (CHORI)

  Federation
     Ideker, Califano, Nolan, Schadt        27
Biomedical Information Commons



          Better Models of
              Disease:
          INFORMATION
            COMMONS
Products/Approaches
                       Technology Platform




                                             Governance
  Impactful Models   Better Models of
                         Disease:
                     INFORMATION
                       COMMONS

                       Challenges
IT	
  
                        Cons4tuencies	
  
                                                                                               Individual	
  
                                                                                                Pa4ents	
  
                                                  Technology	
  PlaHorm	
  	
  
         Biotech	
  




                                                                             Governance	
  
                       ImpacHul	
  Models	
     BeVer	
  Models	
                                Pa4ent	
  
                                                  of	
  Disease:	
                             Founda4ons	
  
                                                INFORMATION	
  
                                                  COMMONS	
  

Pharma	
                                            Challenges	
  	
  	
  

                                                                                              Joint	
  Pa4ent/
                                                                                                 Scien4st	
  
                                                   Academic	
                                 Communi4es	
  
                                                   Consor4a	
  
Ongoing	
  Sage	
  Bionetworks	
  Ini4a4ves	
  	
  
                                                                                                IT	
                                                   Individual	
  
        Pharma	
                                                                                                EU	
                                    Pa4ents	
  
                                       Roche                                                                    PARTICIPATION	
  
                                                                                                                                     	
  	
  	
  	
  	
  RNDP/FA/MEL	
  
                   Takeda	
                                                      Technology	
  PlaHorm	
  	
                         Communi2es	
  engaging	
  
                                                                                                                                     	
  COMMONS	
  PLATFORM	
  




                                                                                                                    Governance	
  
                   WPP	
                             ImpacHul	
  Models	
  
                                                                                                                                                         Pa4ent	
  
                                                                              BeVer	
  Models	
  of	
  
                                                                                                                                                       Founda4ons	
  
    Biotech	
                                                                     Disease:	
  
                                                                               INFORMATION	
  
                                                                                 COMMONS	
  
Common	
  Mind/	
                                                                                                       BrCA/Challenges	
  
Mt.	
  Sinai	
  Neuro	
       Cell	
  Line	
  	
                                    Challenges	
  	
  	
  
                             Challenge	
  
                                                                                           TCGA/Challenge	
                                     Joint	
  Pa4ent/
     SB/Gates
                                       Academic	
                                                                                                  Scien4st	
  
                                                                                     Discovery	
  	
  
                                       Consor4a	
                                                            ClearScience	
                     Communi4es	
  
       Sage CCSB                                                                     Network	
  
IT	
  
                        Cons4tuencies	
  
                                                                                               Individual	
  
                                                                                                Pa4ents	
  
                                                  Technology	
  PlaHorm	
  	
  
         Biotech	
  




                                                                             Governance	
  
                       ImpacHul	
  Models	
     BeVer	
  Models	
                                Pa4ent	
  
                                                  of	
  Disease:	
                             Founda4ons	
  
                                                INFORMATION	
  
                                                  COMMONS	
  

Pharma	
                                            Challenges	
  	
  	
  

                                                                                              Joint	
  Pa4ent/
                                                                                                 Scien4st	
  
                                                   Academic	
                                 Communi4es	
  
                                                   Consor4a	
  
Impactful Models
Breast Cancer: Co-expression Networks
                                                   A) Miller 159 samples                             B) Christos 189 samples
NKI: N Engl J Med. 2002 Dec 19;347(25):1999.

Wang: Lancet. 2005 Feb 19-25;365(9460):671.

Miller: Breast Cancer Res. 2005;7(6):R953.

Christos: J Natl Cancer Inst. 2006 15;98(4):262.



                    C) NKI 295 samples

                                                                                                                E) Super modules

                                                           Cell
                                                           cycle



                                                                            Pre-mRNA

                                                                                    ECM
                   D) Wang 286 samples                                                   Blood vessel


                                                                              Immune
                                                                              response




                                                                                                                                     33
                                                                   Zhang B et al., Towards a global picture of breast cancer (manuscript).
CHRIS	
  GAITERI-­‐ALZHEIMER’S	
  
           What	
  is	
  this?	
  
Bayesian	
  networks	
  enriched	
  
in	
  inflammaon	
  genes	
  	
  
correlated	
  with	
  disease	
  
severity	
  in	
  pre-­‐frontal	
  
cortex	
  of	
  250	
  Alzheimer’s	
  
paents.	
  

     What	
  does	
  it	
  mean?	
  
Inflammaon	
  	
  in	
  AD	
  is	
  an	
  
interacve	
  mul-­‐pathway	
  
system.	
  	
  More	
  broadly,	
  
network	
  structure	
  organizes	
  
complex	
  disease	
  effects	
  into	
  
coherent	
  sub-­‐systems	
  and	
  
can	
  priorize	
  key	
  genes.	
  

         Are	
  you	
  joking?	
  
Gene	
  validaon	
  shows	
  
novel	
  key	
  drivers	
  increase	
  
Abeta	
  uptake	
  and	
  decrease	
  
neurite	
  length	
  through	
  an	
  
ROS	
  burst.	
  (highly	
  relevant	
  
to	
  AD	
  pathology)	
  
IMPACTFUL	
  MODELS	
  

             A	
  mul-­‐ssue	
  immune-­‐driven	
  theory	
  of	
  weight	
  loss	
  
                                        Hypothalamus	
  
                                                               Lep4n	
  
                                                             signaling	
  

               FaNy	
  acids	
  

                                        Macrophage/	
  
                                        inflamma4on	
  



                    Liver	
                                                  Adipose	
  
                                      M1	
  macrophage	
  



             Phagocytosis-­‐	
                                         Phagocytosis-­‐	
  
           induced	
  lipolysis	
                                    induced	
  lipolysis	
  
IT	
  
                        Cons4tuencies	
  
                                                                                               Individual	
  
                                                                                                Pa4ents	
  
                                                  Technology	
  PlaHorm	
  	
  
         Biotech	
  




                                                                             Governance	
  
                       ImpacHul	
  Models	
     BeVer	
  Models	
                                Pa4ent	
  
                                                  of	
  Disease:	
                             Founda4ons	
  
                                                INFORMATION	
  
                                                  COMMONS	
  

Pharma	
                                            Challenges	
  	
  	
  

                                                                                              Joint	
  Pa4ent/
                                                                                                 Scien4st	
  
                                                   Academic	
                                 Communi4es	
  
                                                   Consor4a	
  
Two approaches to building common
             scientific and technical knowledge




                                        Every code change versioned
                                        Every issue tracked
Text summary of the completed project   Every project the starting point for new work
Assembled after the fact                All evolving and accessible in real time
                                        Social Coding
Synapse is GitHub for Biomedical Data




                                                   Every code change versioned
                                                   Every issue tracked
Data and code versioned                            Every project the starting point for new work
Analysis history captured in real time             All evolving and accessible in real time
Work anywhere, and share the results with anyone   Social Coding
Social Science
Leveraging Existing Technologies



Addama




                                  Taverna
               tranSMART
sage bionetworks synapse project
                  Watch What I Do, Not What I Say
sage bionetworks synapse project
           Most of the People You Need to Work with Don’t Work with You
sage bionetworks synapse project
                   My Other Computer is “The Cloud”
Data Analysis with Synapse

Run Any Tool



On Any Platform


Record in Synapse


Share with Anyone
•  Automated	
  workflows	
  for	
  curaon,	
  QC,	
  and	
  sharing	
  of	
  
               1%/2*       53,'6%(*      !7"(%,2/"*       large-­‐scale	
  datasets.	
  
-./#"++0%(*   (3&4"#*
                                                            •  All	
  of	
  TCGA,	
  GEO,	
  and	
  user-­‐submiVed	
  data	
  
                                                                 processed	
  with	
  standard	
  normalizaon	
  methods.	
  
               1%/2*       53,'6%(*      !7"(%,2/"*    •  Searchable	
  TCGA	
  data:	
  
-./#"++0%(*   (3&4"#*                                       •  23	
  cancers	
  
                                                            •  11	
  data	
  plahorms	
  
                                                            •  Standardized	
  meta-­‐data	
  ontologies	
  
-./#"++0%(*                -./#"++0%(*
              !7"(%,2/"*                  !7"(%,2/"*
     1%/2*                      1%/2*
    (3&4"#*                    (3&4"#*
      53,'6%(*                  53,'6%(*




   !#"80)69"*&%8":*
      ;"("#'6%(*

                               !"#$%#&'()"*
                                '++"++&"(,*
1%/2*       53,'6%(*    !7"(%,2/"*  •  Comparison	
  of	
  many	
  modeling	
  approaches	
  applied	
  
-./#"++0%(*   (3&4"#*
                                                      to	
  the	
  same	
  data.	
  
                                                   •  Models	
  transparently	
  shared	
  and	
  reusable	
  through	
  
-./#"++0%(*
               1%/2*       53,'6%(* !7"(%,2/"*        Synapse.	
  
              (3&4"#*
                                                   •  Displayed	
  is	
  comparison	
  of	
  6	
  modeling	
  approaches	
  
                                                      to	
  predict	
  sensivity	
  to	
  130	
  drugs.	
  
                                                        •  Extending	
  pipeline	
  to	
  evaluate	
  predicon	
  of	
  
-./#"++0%(*                -./#"++0%(*
              !7"(%,2/"*                !7"(%,2/"*            TCGA	
  phenotypes.	
  
     1%/2*                      1%/2*
    (3&4"#*                    (3&4"#*             •  Hosng	
  of	
  collaborave	
  compeons	
  to	
  compare	
  
      53,'6%(*                   53,'6%(*             models	
  from	
  many	
  groups.	
  
                                                    1--'&2-3$4567$

   !#"80)69"*&%8":*
                                                    *&+%,-./0$


      ;"("#'6%(*

                               !"#$%#&'()"*
                                '++"++&"(,*



                                                                                  !"#$%&'()$
INTEROPERABILITY
SYNAPSE	
  
                            Genome Pattern
                            CYTOSCAPE
                            tranSMART
                            I2B2
     INTEROPERABILITY	
  
IT	
  
                        Cons4tuencies	
  
                                                                                               Individual	
  
                                                                                                Pa4ents	
  
                                                  Technology	
  PlaHorm	
  	
  
         Biotech	
  




                                                                             Governance	
  
                       ImpacHul	
  Models	
     BeVer	
  Models	
                                Pa4ent	
  
                                                  of	
  Disease:	
                             Founda4ons	
  
                                                INFORMATION	
  
                                                  COMMONS	
  

Pharma	
                                            Challenges	
  	
  	
  

                                                                                              Joint	
  Pa4ent/
                                                                                                 Scien4st	
  
                                                   Academic	
                                 Communi4es	
  
                                                   Consor4a	
  
Clinical Trial Comparator Arm
        Partnership (CTCAP)
  Description: Collate, Annotate, Curate and Host Clinical Trial Data
   with Genomic Information from the Comparator Arms of Industry and
   Foundation Sponsored Clinical Trials: Building a Site for Sharing
   Data and Models to evolve better Disease Maps.
  Public-Private Partnership of leading pharmaceutical companies,
   clinical trial groups and researchers.
  Neutral Conveners: Sage Bionetworks and Genetic Alliance
   [nonprofits].
  Initiative to share existing trial data (molecular and clinical) from
   non-proprietary comparator and placebo arms to create powerful
   new tool for drug development.

                       Started Sept 2010
Shared clinical/genomic data sharing and analysis will
   maximize clinical impact and enable discovery

•  Graphic	
  of	
  curated	
  to	
  qced	
  to	
  models	
  
Arch2POCM	
  

Restructuring	
  the	
  Precompeve	
  
    Space	
  for	
  Drug	
  Discovery	
  

   How	
  to	
  potenally	
  De-­‐Risk	
  	
  	
  
   High-­‐Risk	
  Therapeuc	
  Areas	
  
The	
  Federaon	
  
How can we accelerate the pace of scientific discovery?
           2008	
         2009	
     2010	
     2011	
  




 Ways to move beyond
 “traditional” collaborations?

 Intra-lab vs Inter-lab
 Communication

 Pfizer CTI/ Industrial PPPs
 Academic Unions
(Nolan	
  and	
  Haussler)	
  
sage federation:
model of biological age




                                                        Faster Aging
        Predicted	
  Age	
  (liver	
  expression)	
  




                                                                                            Slower Aging

                                                                                     Clinical Association
                                                                                     -  Gender
                                                                                     -  BMI
                                                                                     -  Disease
                                                         Age Differential            Genotype Association
                                                                                     Gene Pathway Expression




                                                            Chronological	
  Age	
  (years)	
  
Reproducible	
  science==shareable	
  science	
  
          Sweave: combines programmatic analysis with narrative

Dynamic generation of statistical reports
     using literate data analysis




        Sweave.Friedrich Leisch. Sweave: Dynamic generation of statistical reports
using literate data analysis. In Wolfgang Härdle and Bernd Rönz,editors, Compstat 2002 –
                  Proceedings in Computational Statistics,pages 575-580.
                   Physica Verlag, Heidelberg, 2002. ISBN 3-7908-1517-9
Portable	
  Legal	
  Consent	
  

    (Acvang	
  Paents)	
  

       John	
  Wilbanks	
  
weconsent.us	
  
IT	
  
                        Cons4tuencies	
  
                                                                                               Individual	
  
                                                                                                Pa4ents	
  
                                                  Technology	
  PlaHorm	
  	
  
         Biotech	
  




                                                                             Governance	
  
                       ImpacHul	
  Models	
     BeVer	
  Models	
                                Pa4ent	
  
                                                  of	
  Disease:	
                             Founda4ons	
  
                                                INFORMATION	
  
                                                  COMMONS	
  

Pharma	
                                            Challenges	
  	
  	
  

                                                                                              Joint	
  Pa4ent/
                                                                                                 Scien4st	
  
                                                   Academic	
                                 Communi4es	
  
                                                   Consor4a	
  
What	
  is the problem?
Our current models of disease biology are primitive and
 limit doctor’s understanding and ability to treat patients




Current incentives reward those who
silo information and work in closed
systems
The Solution: Competitions to crowd-source
            research in biology and other fields

  Why competitions?
   •    Objective assessments
   •    Acceleration of progress
   •    Transparency
   •    Reproducibility
   •    Extensible, reusable models

  Competitions in biomedical research
   •    CASP (protein structure)
   •    Fold it / EteRNA (protein / RNA structure)
   •    CAGI (genome annotation)
   •    Assemblethon / alignathon (genome assembly / alignment)
   •    SBV Improver (industrial methodology benchmarking)
   •    DREAM (co-organizer of Sage/DREAM competition)

  Generic competition platforms
   •  Kaggle, Innocentive, MLComp
The Sage/DREAM breast cancer prognosis
               challenge
Goal: Challenge to assess the accuracy of computational models designed to
predict breast cancer survival using patient clinical and genomic data

Why this is unique:
  This Sage/DREAM Challenge is a pre-collated cohort: 2000 breast cancer samples
   from the Metabric cohort
  Accessible to all: A cloud-based common compute architecture is being made
   available by Google to support the computational models needed to develop and test
   challenge models
  New Rigor:
    •    Contestants will evaluate their models on a validation data set composed of newly generated
         data (provided by Dr. Anne-Lise Borreson Dale)
    •    Contestants must demonstrate their models can be reproduced by others
  New incentives: leaderboard to energize participants, Science Translational Medicine
   publication for winning team
  Breast cancer patients, funders and researchers can track this Challenge on BRIDGE,
   an open source online community being built by Sage and Ashoka Changemakers and
   affiliated with this Challenge
Sage/DREAM Challenge: Details and Timing
Phase	
  1: July thru end-Sep 2012          Phase	
  2:	
  Oct 1 thru Nov 12, 2012
  Training data: 2,000 breast cancer
   samples from METABRIC cohort                 Evaluation of models in novel
                                                 dataset.
     •  Gene expression
     •  Copy number                             Validation data: ~500 fresh frozen
     •  Clinical covariates                      tumors from Norway group with:
     •  10 year survival                          •    Clinical covariates
  Supporting data: Other Sage-curated            •    10 year survival
   breast cancer datasets
     •  >1,000 samples from GEO                 Gene expression and copy number
                                                 data to be generated for model
     •  ~800 samples from TCGA                   evaluation
     •  ~500 additional samples from              •    Sent to Cancer Research UK to
        Norway group                                   generate data at same facility as
     •  Curated and available on                       METABRIC
        Synapse, Sage’s compute                   •    Models built on training data
        platform                                       evaluated on newly generated
                                                       data
  Data released in phases on Synapse
   from now through end-September
                                                Winners announced at November
                                                 12 DREAM conference
  Will evaluate accuracy of models built
   on METABRIC data to predict survival
   in:
     •  Held out samples from
         METABRIC
     •  Other datasets
METABRIC	
  cohort:	
  
               1%/2*       53,'6%(*      !7"(%,2/"*    997	
  breast	
  cancer	
  samples	
  
-./#"++0%(*   (3&4"#*
                                                                                          Clinical	
  covariates	
  
               1%/2*       53,'6%(*      !7"(%,2/"*
-./#"++0%(*   (3&4"#*                                                                     Gene	
  expression	
  
                                                                                          (Illumina	
  HT12v3)	
  

                                                                                          Copy	
  number	
  
                                                                                          (Affy	
  SNP	
  6.0)	
  
-./#"++0%(*                -./#"++0%(*
              !7"(%,2/"*                  !7"(%,2/"*
     1%/2*                      1%/2*
    (3&4"#*                    (3&4"#*
      53,'6%(*                  53,'6%(*



                                                                                          10	
  year	
  survival	
  
   !#"80)69"*&%8":*
      ;"("#'6%(*

                               !"#$%#&'()"*
                                '++"++&"(,*

                                                       Loaded	
  through	
  Synapse	
  R	
  client	
  as	
  
                                                       Bioconductor	
  objects.	
  
1%/2*       53,'6%(*      !7"(%,2/"*
-./#"++0%(*   (3&4"#*


               1%/2*       53,'6%(*      !7"(%,2/"*
-./#"++0%(*   (3&4"#*



-./#"++0%(*                -./#"++0%(*
              !7"(%,2/"*                  !7"(%,2/"*
     1%/2*                      1%/2*                  Custom	
  models	
  implement	
  train()	
  and	
  
    (3&4"#*                    (3&4"#*                 predict()	
  API.	
  
      53,'6%(*                  53,'6%(*




   !#"80)69"*&%8":*
      ;"("#'6%(*

                               !"#$%#&'()"*
                                '++"++&"(,*
                                                       Implementa)on	
  of	
  simple	
  clinical-­‐only	
  survival	
  
                                                       model	
  used	
  as	
  baseline	
  predictor.	
  
Models	
  submiNed	
  and	
  
             Federa4on	
  modeling	
                                                           evaluated	
  in	
  real-­‐4me	
  
                 compe44on	
                                                                        leaderboard	
  
                                                                                         >200	
  models	
  tested	
  within	
  3	
  months	
  
                                              9-.1+:2%
                                              712<2:4=($)
                                                        5"8+,%
      &,%726(%*+,F) >#,%7+-#"34,#)                         >4<+<)
71#G8#,%H"4#,')                                                     D+"6%I4'+<)

                          ?'+C%D+"F2<4,)

                                           ?,'"#+%
                                                                               9+-"+:%
    *-.14,%9-4,,#$) >#,%J2F.'2,)           @+<4A+,2)
                                                                5"46%768+'1)   ;+,'#$)
                                                       B4.8+4%
   9+""$%E2<+,)                                        784C2,4)




     !"#$%&'#(#")
                                               D-(#.8%
                  *+,-./%0-1(23.(4)            >+,.+<) D+"4+,2%
                                                       ?<:+"#/)
Summary
hVps://synapse.sagebase.org/	
  -­‐	
  BCCOverview:0	
  

Transparency,	
                                                                 Valida4on	
  in	
  novel	
  
reproducibility	
        -./#"++0%(*
                                        1%/2*
                                       (3&4"#*      53,'6%(*      !7"(%,2/"*
                                                                                dataset	
  
                                        1%/2*       53,'6%(*      !7"(%,2/"*
                         -./#"++0%(*   (3&4"#*



                         -./#"++0%(*                -./#"++0%(*
                                       !7"(%,2/"*                  !7"(%,2/"*
                              1%/2*                      1%/2*
                             (3&4"#*                    (3&4"#*
                               53,'6%(*                  53,'6%(*




                            !#"80)69"*&%8":*
                               ;"("#'6%(*

                                                        !"#$%#&'()"*
                                                         '++"++&"(,*




Publica4on	
  in	
  Science	
                                                   Dona4on	
  of	
  Google-­‐
Transla4onal	
  Medicine	
                                                      scale	
  compute	
  space.	
  




                For	
  the	
  goal	
  of	
  promo4ng	
  democra4za4on	
  of	
  medicine…	
  
                Registra4on	
  star4ng	
  NOW…	
  
                sign	
  up	
  at:	
  	
  synapse.sagebase.org	
  
SUMMARY	
  

               These	
  new	
  data	
  intensive	
  models	
  of	
  disease	
  	
  
                             will	
  be	
  strikingly	
  powerful	
  
They	
  will	
  not	
  arise	
  within	
  the	
  current	
  academic/industrial	
  loop	
  
 They	
  will	
  be	
  harder	
  and	
  more	
  expensive	
  than	
  we	
  can	
  accept	
  
 Cizenss	
  as	
  donors	
  of	
  data	
  insights	
  and	
  funds	
  will	
  be	
  crical	
  

  For	
  these	
  benefits	
  to	
  be	
  realized	
  -­‐	
  must	
  become	
  affordable	
  
                        therefore	
  we	
  willl	
  need:	
  

                                Compute	
  spaces	
  
                                  A	
  Commons	
  
                    New	
  ways	
  of	
  being	
  rewarded	
  
            More	
  eyeballs	
  working	
  without	
  being	
  paid	
  
  More	
  willingness	
  to	
  share	
  ll	
  aoer	
  Clinical	
  Proof	
  of	
  Concept	
  
Alignments between the UCSF Strategic Plan
   and the matchstick pilots for the Information
  Commons being pursued by Sage Bionetworks	

•  Invest in infrastructure that enables UCSF to excel in basic,
  clinical and population science- SYNAPSE as a compute space
  -links with Michael Wiener/ OneMind	

•  Build a Bioinformatics initiative across all school by
                                                     June
  2014- Impactful Models / Challenges with Laura Esserman/
  LauraVant’Veer 	

•  Enhance existing data repositories and mining tools by June
  2012 - Sage collaborations with Alex Pico, Geoff Manley	

•  Develop infrastructure to support new team-based,
  interdisciplinary learning models- PLC (The Federation?)	

•  Accelerate translation of groundbreaking science into
  therapies Arch2POCM

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Friend UCSF 2012-07-27

  • 1. Why not use data intensive science to build better models of diseases together? – beyond current rewards   Stephen  H  Friend  MD  PhD   Sage  Bionetworks  (non-­‐profit)   July  27,  2012   UCSF  
  • 2.
  • 3. So  what  is  the  problem?        Most  approved  therapies  were  assumed  to  be   monotherapies  for  diseases  represen4ng  homogenous   popula4ons    Our  exis4ng  disease  models  o9en  assume  pathway   knowledge  sufficient  to  infer  correct  therapies  
  • 6. The value of appropriate representations/ maps
  • 7.
  • 8. “Data Intensive” Science- Fourth Scientific Paradigm Equipment capable of generating massive amounts of data IT Interoperability Open Information System Host evolving computational models in a “Compute Space”
  • 9.
  • 10. WHY  NOT  USE     “DATA  INTENSIVE”  SCIENCE   TO  BUILD  BETTER  DISEASE  MAPS?  
  • 11. what will it take to understand disease?                    DNA    RNA  PROTEIN  (dark  maVer)     MOVING  BEYOND  ALTERED  COMPONENT  LISTS  
  • 12. 2002 Can one build a “causal” model?
  • 13. Preliminary Probabalistic Models- Rosetta /Schadt Networks facilitate direct identification of genes that are causal for disease Evolutionarily tolerated weak spots Gene symbol Gene name Variance of OFPM Mouse Source explained by gene model expression* Zfp90 Zinc finger protein 90 68% tg Constructed using BAC transgenics Gas7 Growth arrest specific 7 68% tg Constructed using BAC transgenics Gpx3 Glutathione peroxidase 3 61% tg Provided by Prof. Oleg Mirochnitchenko (University of Medicine and Dentistry at New Jersey, NJ) [12] Lactb Lactamase beta 52% tg Constructed using BAC transgenics Me1 Malic enzyme 1 52% ko Naturally occurring KO Gyk Glycerol kinase 46% ko Provided by Dr. Katrina Dipple (UCLA) [13] Lpl Lipoprotein lipase 46% ko Provided by Dr. Ira Goldberg (Columbia University, NY) [11] C3ar1 Complement component 46% ko Purchased from Deltagen, CA 3a receptor 1 Tgfbr2 Transforming growth 39% ko Purchased from Deltagen, CA Nat Genet (2005) 205:370 factor beta receptor 2
  • 14. DIVERSE  POWERFUL  USE  OF  MODELS  AND  NETWORKS  
  • 15. List of Influential Papers in Network Modeling   50 network papers   http://sagebase.org/research/resources.php
  • 17. “Data Intensive” Science- Fourth Scientific Paradigm Score Card for Medical Sciences Equipment capable of generating massive amounts of data A- IT Interoperability D Open Information System D- Host evolving computational models in a “Compute Space F
  • 18. We still consider much clinical research as if we were hunter gathers - not sharing .
  • 19.  TENURE      FEUDAL  STATES      
  • 20. Clinical/genomic data are accessible but minimally usable Little incentive to annotate and curate data for other scientists to use
  • 21. Mathematical models of disease are not built to be reproduced or versioned by others
  • 22. Lack of standard forms for future rights and consents
  • 23. Lack of data standards..
  • 24.
  • 25. Background:  Informaon  Commons  for  Biological  Funcons  
  • 26. Sage Mission Sage Bionetworks is a non-profit organization with a vision to create a commons where integrative bionetworks are evolved by contributor scientists with a shared vision to accelerate the elimination of human disease Building Disease Maps Data Repository Commons Pilots Discovery Platform Sagebase.org
  • 27. Sage Bionetworks Collaborators   Pharma Partners   Merck, Pfizer, Takeda, Astra Zeneca, Amgen, Johnson &Johnson   Foundations   Kauffman CHDI, Gates Foundation   Government   NIH, LSDF, NCI   Academic   Levy (Framingham)   Rosengren (Lund)   Krauss (CHORI)   Federation   Ideker, Califano, Nolan, Schadt 27
  • 28. Biomedical Information Commons Better Models of Disease: INFORMATION COMMONS
  • 29. Products/Approaches Technology Platform Governance Impactful Models Better Models of Disease: INFORMATION COMMONS Challenges
  • 30. IT   Cons4tuencies   Individual   Pa4ents   Technology  PlaHorm     Biotech   Governance   ImpacHul  Models   BeVer  Models   Pa4ent   of  Disease:   Founda4ons   INFORMATION   COMMONS   Pharma   Challenges       Joint  Pa4ent/ Scien4st   Academic   Communi4es   Consor4a  
  • 31. Ongoing  Sage  Bionetworks  Ini4a4ves     IT   Individual   Pharma   EU   Pa4ents   Roche PARTICIPATION            RNDP/FA/MEL   Takeda   Technology  PlaHorm     Communi2es  engaging    COMMONS  PLATFORM   Governance   WPP   ImpacHul  Models   Pa4ent   BeVer  Models  of   Founda4ons   Biotech   Disease:   INFORMATION   COMMONS   Common  Mind/   BrCA/Challenges   Mt.  Sinai  Neuro   Cell  Line     Challenges       Challenge   TCGA/Challenge   Joint  Pa4ent/ SB/Gates Academic   Scien4st   Discovery     Consor4a   ClearScience   Communi4es   Sage CCSB Network  
  • 32. IT   Cons4tuencies   Individual   Pa4ents   Technology  PlaHorm     Biotech   Governance   ImpacHul  Models   BeVer  Models   Pa4ent   of  Disease:   Founda4ons   INFORMATION   COMMONS   Pharma   Challenges       Joint  Pa4ent/ Scien4st   Academic   Communi4es   Consor4a  
  • 33. Impactful Models Breast Cancer: Co-expression Networks A) Miller 159 samples B) Christos 189 samples NKI: N Engl J Med. 2002 Dec 19;347(25):1999. Wang: Lancet. 2005 Feb 19-25;365(9460):671. Miller: Breast Cancer Res. 2005;7(6):R953. Christos: J Natl Cancer Inst. 2006 15;98(4):262. C) NKI 295 samples E) Super modules Cell cycle Pre-mRNA ECM D) Wang 286 samples Blood vessel Immune response 33 Zhang B et al., Towards a global picture of breast cancer (manuscript).
  • 34. CHRIS  GAITERI-­‐ALZHEIMER’S   What  is  this?   Bayesian  networks  enriched   in  inflammaon  genes     correlated  with  disease   severity  in  pre-­‐frontal   cortex  of  250  Alzheimer’s   paents.   What  does  it  mean?   Inflammaon    in  AD  is  an   interacve  mul-­‐pathway   system.    More  broadly,   network  structure  organizes   complex  disease  effects  into   coherent  sub-­‐systems  and   can  priorize  key  genes.   Are  you  joking?   Gene  validaon  shows   novel  key  drivers  increase   Abeta  uptake  and  decrease   neurite  length  through  an   ROS  burst.  (highly  relevant   to  AD  pathology)  
  • 35. IMPACTFUL  MODELS   A  mul-­‐ssue  immune-­‐driven  theory  of  weight  loss   Hypothalamus   Lep4n   signaling   FaNy  acids   Macrophage/   inflamma4on   Liver   Adipose   M1  macrophage   Phagocytosis-­‐   Phagocytosis-­‐   induced  lipolysis   induced  lipolysis  
  • 36. IT   Cons4tuencies   Individual   Pa4ents   Technology  PlaHorm     Biotech   Governance   ImpacHul  Models   BeVer  Models   Pa4ent   of  Disease:   Founda4ons   INFORMATION   COMMONS   Pharma   Challenges       Joint  Pa4ent/ Scien4st   Academic   Communi4es   Consor4a  
  • 37. Two approaches to building common scientific and technical knowledge Every code change versioned Every issue tracked Text summary of the completed project Every project the starting point for new work Assembled after the fact All evolving and accessible in real time Social Coding
  • 38. Synapse is GitHub for Biomedical Data Every code change versioned Every issue tracked Data and code versioned Every project the starting point for new work Analysis history captured in real time All evolving and accessible in real time Work anywhere, and share the results with anyone Social Coding Social Science
  • 40. sage bionetworks synapse project Watch What I Do, Not What I Say
  • 41. sage bionetworks synapse project Most of the People You Need to Work with Don’t Work with You
  • 42. sage bionetworks synapse project My Other Computer is “The Cloud”
  • 43. Data Analysis with Synapse Run Any Tool On Any Platform Record in Synapse Share with Anyone
  • 44. •  Automated  workflows  for  curaon,  QC,  and  sharing  of   1%/2* 53,'6%(* !7"(%,2/"* large-­‐scale  datasets.   -./#"++0%(* (3&4"#* •  All  of  TCGA,  GEO,  and  user-­‐submiVed  data   processed  with  standard  normalizaon  methods.   1%/2* 53,'6%(* !7"(%,2/"* •  Searchable  TCGA  data:   -./#"++0%(* (3&4"#* •  23  cancers   •  11  data  plahorms   •  Standardized  meta-­‐data  ontologies   -./#"++0%(* -./#"++0%(* !7"(%,2/"* !7"(%,2/"* 1%/2* 1%/2* (3&4"#* (3&4"#* 53,'6%(* 53,'6%(* !#"80)69"*&%8":* ;"("#'6%(* !"#$%#&'()"* '++"++&"(,*
  • 45. 1%/2* 53,'6%(* !7"(%,2/"* •  Comparison  of  many  modeling  approaches  applied   -./#"++0%(* (3&4"#* to  the  same  data.   •  Models  transparently  shared  and  reusable  through   -./#"++0%(* 1%/2* 53,'6%(* !7"(%,2/"* Synapse.   (3&4"#* •  Displayed  is  comparison  of  6  modeling  approaches   to  predict  sensivity  to  130  drugs.   •  Extending  pipeline  to  evaluate  predicon  of   -./#"++0%(* -./#"++0%(* !7"(%,2/"* !7"(%,2/"* TCGA  phenotypes.   1%/2* 1%/2* (3&4"#* (3&4"#* •  Hosng  of  collaborave  compeons  to  compare   53,'6%(* 53,'6%(* models  from  many  groups.   1--'&2-3$4567$ !#"80)69"*&%8":* *&+%,-./0$ ;"("#'6%(* !"#$%#&'()"* '++"++&"(,* !"#$%&'()$
  • 46. INTEROPERABILITY SYNAPSE   Genome Pattern CYTOSCAPE tranSMART I2B2 INTEROPERABILITY  
  • 47. IT   Cons4tuencies   Individual   Pa4ents   Technology  PlaHorm     Biotech   Governance   ImpacHul  Models   BeVer  Models   Pa4ent   of  Disease:   Founda4ons   INFORMATION   COMMONS   Pharma   Challenges       Joint  Pa4ent/ Scien4st   Academic   Communi4es   Consor4a  
  • 48. Clinical Trial Comparator Arm Partnership (CTCAP)   Description: Collate, Annotate, Curate and Host Clinical Trial Data with Genomic Information from the Comparator Arms of Industry and Foundation Sponsored Clinical Trials: Building a Site for Sharing Data and Models to evolve better Disease Maps.   Public-Private Partnership of leading pharmaceutical companies, clinical trial groups and researchers.   Neutral Conveners: Sage Bionetworks and Genetic Alliance [nonprofits].   Initiative to share existing trial data (molecular and clinical) from non-proprietary comparator and placebo arms to create powerful new tool for drug development. Started Sept 2010
  • 49. Shared clinical/genomic data sharing and analysis will maximize clinical impact and enable discovery •  Graphic  of  curated  to  qced  to  models  
  • 50. Arch2POCM   Restructuring  the  Precompeve   Space  for  Drug  Discovery   How  to  potenally  De-­‐Risk       High-­‐Risk  Therapeuc  Areas  
  • 51.
  • 53. How can we accelerate the pace of scientific discovery? 2008   2009   2010   2011   Ways to move beyond “traditional” collaborations? Intra-lab vs Inter-lab Communication Pfizer CTI/ Industrial PPPs Academic Unions
  • 55. sage federation: model of biological age Faster Aging Predicted  Age  (liver  expression)   Slower Aging Clinical Association -  Gender -  BMI -  Disease Age Differential Genotype Association Gene Pathway Expression Chronological  Age  (years)  
  • 56. Reproducible  science==shareable  science   Sweave: combines programmatic analysis with narrative Dynamic generation of statistical reports using literate data analysis Sweave.Friedrich Leisch. Sweave: Dynamic generation of statistical reports using literate data analysis. In Wolfgang Härdle and Bernd Rönz,editors, Compstat 2002 – Proceedings in Computational Statistics,pages 575-580. Physica Verlag, Heidelberg, 2002. ISBN 3-7908-1517-9
  • 57. Portable  Legal  Consent   (Acvang  Paents)   John  Wilbanks  
  • 58.
  • 59.
  • 60.
  • 62. IT   Cons4tuencies   Individual   Pa4ents   Technology  PlaHorm     Biotech   Governance   ImpacHul  Models   BeVer  Models   Pa4ent   of  Disease:   Founda4ons   INFORMATION   COMMONS   Pharma   Challenges       Joint  Pa4ent/ Scien4st   Academic   Communi4es   Consor4a  
  • 63. What  is the problem? Our current models of disease biology are primitive and limit doctor’s understanding and ability to treat patients Current incentives reward those who silo information and work in closed systems
  • 64. The Solution: Competitions to crowd-source research in biology and other fields   Why competitions? •  Objective assessments •  Acceleration of progress •  Transparency •  Reproducibility •  Extensible, reusable models   Competitions in biomedical research •  CASP (protein structure) •  Fold it / EteRNA (protein / RNA structure) •  CAGI (genome annotation) •  Assemblethon / alignathon (genome assembly / alignment) •  SBV Improver (industrial methodology benchmarking) •  DREAM (co-organizer of Sage/DREAM competition)   Generic competition platforms •  Kaggle, Innocentive, MLComp
  • 65. The Sage/DREAM breast cancer prognosis challenge Goal: Challenge to assess the accuracy of computational models designed to predict breast cancer survival using patient clinical and genomic data Why this is unique:   This Sage/DREAM Challenge is a pre-collated cohort: 2000 breast cancer samples from the Metabric cohort   Accessible to all: A cloud-based common compute architecture is being made available by Google to support the computational models needed to develop and test challenge models   New Rigor: •  Contestants will evaluate their models on a validation data set composed of newly generated data (provided by Dr. Anne-Lise Borreson Dale) •  Contestants must demonstrate their models can be reproduced by others   New incentives: leaderboard to energize participants, Science Translational Medicine publication for winning team   Breast cancer patients, funders and researchers can track this Challenge on BRIDGE, an open source online community being built by Sage and Ashoka Changemakers and affiliated with this Challenge
  • 66. Sage/DREAM Challenge: Details and Timing Phase  1: July thru end-Sep 2012 Phase  2:  Oct 1 thru Nov 12, 2012   Training data: 2,000 breast cancer samples from METABRIC cohort   Evaluation of models in novel dataset. •  Gene expression •  Copy number   Validation data: ~500 fresh frozen •  Clinical covariates tumors from Norway group with: •  10 year survival •  Clinical covariates   Supporting data: Other Sage-curated •  10 year survival breast cancer datasets •  >1,000 samples from GEO   Gene expression and copy number data to be generated for model •  ~800 samples from TCGA evaluation •  ~500 additional samples from •  Sent to Cancer Research UK to Norway group generate data at same facility as •  Curated and available on METABRIC Synapse, Sage’s compute •  Models built on training data platform evaluated on newly generated data   Data released in phases on Synapse from now through end-September   Winners announced at November 12 DREAM conference   Will evaluate accuracy of models built on METABRIC data to predict survival in: •  Held out samples from METABRIC •  Other datasets
  • 67. METABRIC  cohort:   1%/2* 53,'6%(* !7"(%,2/"* 997  breast  cancer  samples   -./#"++0%(* (3&4"#* Clinical  covariates   1%/2* 53,'6%(* !7"(%,2/"* -./#"++0%(* (3&4"#* Gene  expression   (Illumina  HT12v3)   Copy  number   (Affy  SNP  6.0)   -./#"++0%(* -./#"++0%(* !7"(%,2/"* !7"(%,2/"* 1%/2* 1%/2* (3&4"#* (3&4"#* 53,'6%(* 53,'6%(* 10  year  survival   !#"80)69"*&%8":* ;"("#'6%(* !"#$%#&'()"* '++"++&"(,* Loaded  through  Synapse  R  client  as   Bioconductor  objects.  
  • 68. 1%/2* 53,'6%(* !7"(%,2/"* -./#"++0%(* (3&4"#* 1%/2* 53,'6%(* !7"(%,2/"* -./#"++0%(* (3&4"#* -./#"++0%(* -./#"++0%(* !7"(%,2/"* !7"(%,2/"* 1%/2* 1%/2* Custom  models  implement  train()  and   (3&4"#* (3&4"#* predict()  API.   53,'6%(* 53,'6%(* !#"80)69"*&%8":* ;"("#'6%(* !"#$%#&'()"* '++"++&"(,* Implementa)on  of  simple  clinical-­‐only  survival   model  used  as  baseline  predictor.  
  • 69. Models  submiNed  and   Federa4on  modeling   evaluated  in  real-­‐4me   compe44on   leaderboard   >200  models  tested  within  3  months   9-.1+:2% 712<2:4=($) 5"8+,% &,%726(%*+,F) >#,%7+-#"34,#) >4<+<) 71#G8#,%H"4#,') D+"6%I4'+<) ?'+C%D+"F2<4,) ?,'"#+% 9+-"+:% *-.14,%9-4,,#$) >#,%J2F.'2,) @+<4A+,2) 5"46%768+'1) ;+,'#$) B4.8+4% 9+""$%E2<+,) 784C2,4) !"#$%&'#(#") D-(#.8% *+,-./%0-1(23.(4) >+,.+<) D+"4+,2% ?<:+"#/)
  • 70. Summary hVps://synapse.sagebase.org/  -­‐  BCCOverview:0   Transparency,   Valida4on  in  novel   reproducibility   -./#"++0%(* 1%/2* (3&4"#* 53,'6%(* !7"(%,2/"* dataset   1%/2* 53,'6%(* !7"(%,2/"* -./#"++0%(* (3&4"#* -./#"++0%(* -./#"++0%(* !7"(%,2/"* !7"(%,2/"* 1%/2* 1%/2* (3&4"#* (3&4"#* 53,'6%(* 53,'6%(* !#"80)69"*&%8":* ;"("#'6%(* !"#$%#&'()"* '++"++&"(,* Publica4on  in  Science   Dona4on  of  Google-­‐ Transla4onal  Medicine   scale  compute  space.   For  the  goal  of  promo4ng  democra4za4on  of  medicine…   Registra4on  star4ng  NOW…   sign  up  at:    synapse.sagebase.org  
  • 71.
  • 72.
  • 73. SUMMARY   These  new  data  intensive  models  of  disease     will  be  strikingly  powerful   They  will  not  arise  within  the  current  academic/industrial  loop   They  will  be  harder  and  more  expensive  than  we  can  accept   Cizenss  as  donors  of  data  insights  and  funds  will  be  crical   For  these  benefits  to  be  realized  -­‐  must  become  affordable   therefore  we  willl  need:   Compute  spaces   A  Commons   New  ways  of  being  rewarded   More  eyeballs  working  without  being  paid   More  willingness  to  share  ll  aoer  Clinical  Proof  of  Concept  
  • 74. Alignments between the UCSF Strategic Plan and the matchstick pilots for the Information Commons being pursued by Sage Bionetworks •  Invest in infrastructure that enables UCSF to excel in basic, clinical and population science- SYNAPSE as a compute space -links with Michael Wiener/ OneMind •  Build a Bioinformatics initiative across all school by June 2014- Impactful Models / Challenges with Laura Esserman/ LauraVant’Veer •  Enhance existing data repositories and mining tools by June 2012 - Sage collaborations with Alex Pico, Geoff Manley •  Develop infrastructure to support new team-based, interdisciplinary learning models- PLC (The Federation?) •  Accelerate translation of groundbreaking science into therapies Arch2POCM