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CBA - Clinical Bioinformatics ...
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                        HoliRD REPORT:

                     Familial Melanoma

                            Marina Esteban Medina

                               María Peña-Chilet

                                Carlos Loucera

                                Joaquín Dopazo

                       Clinical Bioinformatics Area - FPS

                            Sevilla, January 27, 2020

Collaborators:

Dra.Susana Puig’s group - U726 CIBERER

Research team “Melanoma: imaging, genetics and immunology" at the IDIBAPS -
Hospital Clínic, Barcelona
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Objectives and methodology:

The Holistic Rare Disease project (HoliRD) aims to build Diseases Maps for as many
Rare Diseases as possible and to model them to systematize research in drug
repurposing. In order to achieve this purpose several databases such as ORPHANET,
OMIM, HPO, PubMed, KEGG, STRING, as well as the literature is used to collect all
the up-to-date knowledge of the diseases under study and defining a Disease Map
that contains the functional relationships among the known disease genes, as well as
the functional consequences of their activity. Then, a mechanistic model that
accounts for the activity of such map is used. The HiPathia algorithm, which has
successfully proven to predict cell activities related to cancer hallmarks (Hidalgo et
al., Oncotarget 2017; 8:5160-5178; Hidalgo et al., Biol Direct. 2018;13:16) as well as
the effect of protein inhibitions on cell survival (Cubuk et al., Cancer Res. 2018;
78:6059-6072) is used to simulate the activity of the disease map.

Finally, machine learning algorithms are used to find other proteins, already target of
drugs with another indication, which display a potential causal effect on the activity
of the previously defined disease map. The drugs that target these proteins are
potential candidates for repurposing.

                       Schematic representation of the method used.

Examples of the use of this approach can be found in Esteban-Medina et al., BMC
Bioinformatics. 2019, 20(1):370.
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Report

This report describes the results of the different steps of the HoliRD approach
applied to Familial Melanoma.

   Identification of genes highly related to the rare disease (RD) under study in
   Orphanet

A total of 12 genes annotated as Familial melanoma (FM) were found in the
Orphanet database.

                            FM highly related genes

                      Disease ID   Entrez ID   Gene Symbol
                      ORPHA:618     65057         ACD
                      ORPHA:618     54386        TERF2IP
                      ORPHA:618      1029        CDKN2A
                      ORPHA:618      1030        CDKN2B
                      ORPHA:618      7015         TERT
                      ORPHA:618      1032        CDKN2D
                      ORPHA:618     25913         POT1
                      ORPHA:618      8314         BAP1
                      ORPHA:618      1019         CDK4
                      ORPHA:618      4157         MC1R
                      ORPHA:618      4286         MITF
                      ORPHA:618      4255        MGMT
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   Identification of highly related HPO to the RD under study:

A total of 4 HPO codes associated to Familial melanoma were found.

                               FM highly related HPOs

              HPO term ID           HPO term name            CATEGORY
              HP:0002894        Neoplasm of the pancreas     Neoplasm
              HP:0100013         Neoplasm of the breast      Neoplasm
              HP:0006753        Neoplasm of the stomach      Neoplasm
              HP:0002861               Melanoma              Neoplasm

   Identification of genes that shared at least RD-HPO codes

                            Genes with >= 1 FM-HPO code

                Gene Symbol      Entrez    Gene Symbol      Entrez
                    AKT1          207          RAF1           5894
                    BRAF          673          RELA           5970
                   BRCA2          675          SDHB           6390
                  CDKN2A         1029          SDHC           6391
                  CLCNKB         1188          SDHD           6392
                    DDB2         1643        SLC12A3          6559
                    DKC1         1736          STK11          6794
                   ERCC2         2068          TERC           7012
                   ERCC3         2071           TERT          7015
                   ERCC4         2072           TP53          7157
                   ERCC5         2073           WT1           7490
                   ERCC6         2074           XPA           7507
                   EWSR1         2130         SEC23B         10483
                    GNAS         2778          TINF2         26277
                    KRAS         3845          RTEL1         51750
                  SMAD4          4089         RNF43          54894
                   MC1R          4157        WRAP53          55135
                    OCA2         4948         NOP10          55505
                    PARN         5073          NHP2          55651
                  PIK3CA         5290        C11orf95        65998
                    POLH         5429          USB1          79650
                    PTEN         5728          CTC1          80169
                  PTPN11         5781          KLLN        100144748
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                                Genes with >= 2 FM-HPO codes

                                     Gene Symbol        entrez

                                          PTEN           5728

In order to maintain the specificity and not over expand the Disease Map of action
only genes with >=2 FM-HPO codes were selected.

    Location of the selected disease related genes in KEGG pathways to define the
    Disease Map of action.

After locating the RD associated genes within KEGG pathways, a total of 116 circuits
belonging to 10 KEGG pathways were found as part of the disease map.

                             KEGG pathway                  KEGG-pathway code
                        FoxO signaling pathway                    hsa04068
                     Sphingolipid signaling pathway               hsa04071
                                Cell cycle                        hsa04110
                         p53 signaling pathway                    hsa04115
                        mTOR signaling pathway                    hsa04150
                       PI3K-Akt signaling pathway                 hsa04151
                      TGF-beta signaling pathway:                 hsa04350
                             Focal adhesion:                      hsa04510
                              Tight junction                      hsa04530
                             Melanogenesis                        hsa04916

HiPathia is a signal propagation algorithm that considers pathways as collections of circuits defined
as sub-pathways or sequences of proteins connecting signal receptor proteins to effector proteins.
HiPathia uses expression values genes as proxies of the level of activation of the corresponding
protein in the circuit. Taking into account the inferred protein activity and the interactions between
the proteins (activation or inhibition) defined in the pathway, the level of activity of a circuit is
estimated using a signal propagation algorithm. Ultimately, effector proteins are annotated with a
cellular function.
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In order to enable a better visualization of the RD Map the HiPathia viewer has been
used. The circuits that define the RD Map are marked in RED (please ignore the color
legend). The pathways that contain these circuits are highlighted in the right window
with a red arrow. The only purpose of this report is to represent the components
(genes and interaction) and functions of the circuits that compose the RD Map.

                                 Click to access the RD Map Report

HiPathia uses KEGG pathway for the graphical representation of the circuits. The
original pathways can also be visualized in the KEGG repository

                        https://www.genome.jp/kegg/pathway.html

Select prefix: hsa (Organism)                  Enter keywords: e.g. FoxOsignalingpathway
                                                                  (any HiPathia pathway)

    Prediction of relevance of gene targets from approved drugs extracted from
    DRUGBANK database (release 5.1.4)

The HoliRD approach takes the mechanistic model of the disease map as the proxy for the molecular
basis of the disease outcome. Then, a Multi-Output Random Forest (MORF) regressor, a machine
learning algorithm that predicts the circuit activities across the whole disease map, is trained on GTEx
gene expression data to find proteins (which are targets for drugs with indications for other diseases)
that correctly predict the behavior of the disease map. The drugs targeting the best predictor proteins
are candidate for drug repurposing. The relevance score accounts for the accuracy of the prediction
contributed by each individual protein. Relevance are absolute values and do not account for the
direction of the prediction, that is, if the interaction is an activation or an inhibition.
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From a total of 683 targets for approved drugs (AT) in the DRUGBANK database
(release 5.1.4) the machine learning algorithm selected the 44 most relevant ones
(top AT).

                              Relevance                               Relevance
   Entrez ID   Gene Symbol                 Entrez ID   Gene Symbol
                                score                                    score
   10381        TUBB3        0,17939599    3566          IL4R        0,005357486

    706          TSPO        0,099480519   3561          IL2RG       0,004669664

   7132        TNFRSF1A      0,074298119   11255         HRH3        0,00461867

   7040         TGFB1        0,050957856   3043          HBB         0,004487982

   7035          TFPI        0,044539596   3039          HBA1        0,004433632

   6510         SLC1A5       0,04226144    2335          FN1         0,004299058

   57468        SLC12A5      0,038896597   2280         FKBP1A       0,004166661

   6261          RYR1        0,023152031   2212         FCGR2A       0,004046426

   9475         ROCK2        0,020820834   2207         FCER1G       0,004043206

   5914          RARA        0,020263022   1956          EGFR        0,004022999

   2185         PTK2B        0,017201092   1441         CSF3R        0,003668921

   5696         PSMB8        0,013509705   1137        CHRNA4        0,003402125

   5156         PDGFRA       0,012475012   1019          CDK4        0,003345413

   4790         NFKB1        0,009126229    595         CCND1        0,003254775

   5595         MAPK3        0,008776378    775        CACNA1C       0,003219639

   3791          KDR         0,008633871    774        CACNA1B       0,003172455

   3785         KCNQ2        0,008427748    716          C1S         0,003139547

   3764         KCNJ8        0,008412134    657        BMPR1A        0,002958771

   3746         KCNC1        0,008032614    558          AXL         0,002695054

   3688          ITGB1       0,007646944   8639          AOC3        0,00262768

   3685         ITGAV        0,007352583    302         ANXA2        0,002541003

   3683          ITGAL       0,005611779     87         ACTN1        0,00248294
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Relevance plot depicting the 44 most relevant gene targets (top AT).

    Drugs from DRUGBANK db (release 5.1.4) that target top AT.

And the list of drugs that target the 44 most relevant genes follows:

You can click on the hyperlink of the Drug ID to see more detailed information about the drug in
DrugBank DB.

                                                                                       Relevance
  Drug ID       Drug Name         Drug Effect      Target     Associated condition
                                                                                         score

                                 incorporation
 DB06773     Human calcitonin       into and       ACTN1                                 0,1794
                                 destabilization

                                                                 Benign Prostatic
 DB01162         Terazosin          inducer        TGFB1                                0,09948
                                                                Hyperplasia (BPH)

                  Foreskin
 DB10772        keratinocyte        agonist        TGFB1                                0,09948
                 (neonatal)

                                                             Chemotherapy Induced
 DB00019       Pegfilgrastim        agonist        CSF3R                                 0,0743
                                                                 Neutropenia

                                                                 Hematopoietic
 DB00099         Filgrastim        stimulator      CSF3R      Subsyndrome of Acute       0,0743
                                                               Radiation Syndrome
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 DB13144     Lenograstim        agonist      CSF3R                                0,0743

 DB13200    Lipegfilgrastim     agonist      CSF3R      Neutropenia, Febrile      0,0743

 DB00996      Gabapentin       inhibitor    CACNA1B    Partial-Onset Seizures     0,05096

 DB01202     Levetiracetam     inhibitor    CACNA1B          Epilepsies           0,05096

                                                            High Risk
 DB00041      Aldesleukin       agonist      IL2RG                                0,04454
                                                          Neuroblastoma

 DB00586      Diclofenac         other       KCNQ2     Actinic Keratosis (AK)     0,04226

                                                        Soft Tissue Sarcoma
 DB11626      Tasonermin        agonist     TNFRSF1A                              0,0389
                                                                (STS)

 DB11639    Dibotermin alfa      ligand     BMPR1A                                0,02315

             Fluocinolone
 DB00591                        inducer      ANXA2     Atopic Dermatitis (AD)     0,02082
               acetonide

 DB08814        Triflusal      antagonist    NFKB1                                0,02026

             Antithymocyte
 DB00098    immunoglobulin                   ITGAV     Acute cellular rejection   0,0172
                (rabbit)

 DB00451     Levothyroxine                   ITGAV        Hypothyroidism          0,0172

 DB01275      Hydralazine      inhibitor     AOC3           Heart Failure         0,01351

             Antithymocyte
 DB00098    immunoglobulin                   ITGB1     Acute cellular rejection   0,01248
                (rabbit)

 DB00893     Iron Dextran      activator      HBB                                 0,00913

            Pentaerythritol
 DB06154                        agonist       HBB                                 0,00913
             tetranitrate

 DB09112      Nitrous acid      oxidizer      HBB                                 0,00913

              Sodium ferric
 DB09517                        binding       HBB             Anemias             0,00913
           gluconate complex

                Ferric
 DB13995    pyrophosphate       binder        HBB                                 0,00913
                citrate

 DB00184       Nicotine         agonist     CHRNA4          Dental Cavity         0,00878
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 DB01273      Varenicline      partial agonist   CHRNA4                             0,00878

 DB00358      Mefloquine         antagonist       HBA1    Plasmodium Infections     0,00863

 DB00893      Iron Dextran        activator       HBA1                              0,00863

            Pentaerythritol
 DB06154                          agonist         HBA1                              0,00863
             tetranitrate

 DB09112      Nitrous acid        oxidizer        HBA1                              0,00863

 DB09146    Iron saccharate    component of       HBA1     Hyperphosphataemia       0,00863

                Ferric
 DB13995    pyrophosphate          binder         HBA1                              0,00863
                citrate

 DB00962       Zaleplon            other          TSPO                              0,00843

 DB01544     Flunitrazepam        agonist         TSPO                              0,00843

 DB01587      Ketazolam           agonist         TSPO                              0,00843

           Human C1-esterase
 DB06404                          inhibitor       C1S                               0,00841
               inhibitor

 DB09228     Conestat alfa        inhibitor       C1S                               0,00841

                                                            Moderate, active
 DB11817       Baricitinib        inhibitor      PTK2B                              0,00803
                                                           Rheumatoid arthritis

                                                            Advanced Renal Cell
 DB00398       Sorafenib         antagonist       KDR                               0,00765
                                                                Carcinoma

                                                            Advanced Renal Cell
 DB01268       Sunitinib          inhibitor       KDR                               0,00765
                                                                Carcinoma

 DB05578     Ramucirumab         antagonist       KDR     Advanced Gastric Cancer   0,00765

                                                            Advanced Renal Cell
 DB06589       Pazopanib          inhibitor       KDR                               0,00765
                                                                Carcinoma

                               antagonist,inhi            Leukemia Acute Myeloid
 DB06595      Midostaurin                         KDR                               0,00765
                                   bitor                      Leukemia (AML)

                                                          Severe Aplastic Anemia
 DB06626        Axitinib          inhibitor       KDR                               0,00765
                                                                  (SAA)

                                                            Advanced Renal Cell
 DB08875     Cabozantinib        antagonist       KDR                               0,00765
                                                                Carcinoma
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                                                        Metastatic
 DB08896   Regorafenib     inhibitor     KDR      Gastrointestinal Stromal    0,00765
                                                          Tumor

                                                    Advanced Renal Cell
 DB09078    Lenvatinib     inhibitor     KDR                                  0,00765
                                                        Carcinoma

                                                   Decreased Pulmonary
 DB09079    Nintedanib     inhibitor     KDR                                  0,00765
                                                         Function

 DB06637   Dalfampridine   antagonist    KCNC1                                0,00735

 DB00270     Isradipine    inhibitor    CACNA1C                               0,00561

 DB00308     Ibutilide     activator    CACNA1C    Atrial Fibrillation (AF)   0,00561

 DB00343     Diltiazem      blocker     CACNA1C        Anal Fissures          0,00561

 DB00381    Amlodipine     inhibitor    CACNA1C         Anginal Pain          0,00561

 DB00393    Nimodipine     inhibitor    CACNA1C                               0,00561

 DB00401    Nisoldipine    inhibitor    CACNA1C                               0,00561

 DB00568    Cinnarizine    inhibitor    CACNA1C                               0,00561

                                                   Chronic Stable Angina
 DB00622    Nicardipine    inhibitor    CACNA1C                               0,00561
                                                         Pectoris

 DB00661    Verapamil      inhibitor    CACNA1C    Atrial Fibrillation (AF)   0,00561

 DB00825   Levomenthol     antagonist   CACNA1C          Coughing             0,00561

 DB01023    Felodipine     inhibitor    CACNA1C                               0,00561

 DB01054   Nitrendipine    inhibitor    CACNA1C                               0,00561

                                                   Chronic Stable Angina
 DB01115    Nifedipine     inhibitor    CACNA1C                               0,00561
                                                         Pectoris

 DB01373     Calcium         ligand     CACNA1C                               0,00561

 DB06712    Nilvadipine    inhibitor    CACNA1C                               0,00561

                                                      Irritable Bowel
 DB09089   Trimebutine     inhibitor    CACNA1C                               0,00561
                                                      Syndrome (IBS)

 DB09236    Lacidipine     antagonist   CACNA1C                               0,00561

 DB09238    Manidipine      blocker     CACNA1C                               0,00561

 DB12278    Propiverine    antagonist   CACNA1C     Micturition urgency       0,00561
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 DB00922   Levosimendan      inducer        KCNJ8                              0,00536

 DB01154     Thiamylal       inhibitor      KCNJ8                              0,00536

 DB01251    Gliquidone       inhibitor      KCNJ8                              0,00536

                                                        Graft Versus Host
 DB00864    Tacrolimus       inhibitor      FKBP1A                             0,00467
                                                         Disease (GVHD)

 DB00877     Sirolimus        other         FKBP1A         Chordomas           0,00467

                                                      Metastatic Colorectal
 DB00002    Cetuximab       antagonist      EGFR                               0,00462
                                                            Cancers

 DB00317     Gefitinib      antagonist      EGFR                               0,00462

                                                        Locally Advanced
 DB00530     Erlotinib      antagonist      EGFR       Non-Small Cell Lung     0,00462
                                                             Cancer

                                                        Metastatic Breast
 DB01259     Lapatinib      antagonist      EGFR                               0,00462
                                                         Cancer (MBC)

 DB01269   Panitumumab     suppressor       EGFR                               0,00462

                                                      Metastatic Non-Small
 DB08916     Afatinib        inhibitor      EGFR                               0,00462
                                                       Cell Lung Cancer

 DB09330    Osimertinib      inhibitor      EGFR                               0,00462

 DB09559   Necitumumab      antagonist      EGFR                               0,00462

             Foreskin
 DB10772   keratinocyte      agonist        EGFR                               0,00462
            (neonatal)

 DB11828     Neratinib       inhibitor      EGFR                               0,00462

 DB11963   Dacomitinib       inhibitor      EGFR                               0,00462

 DB12267     Brigatinib      inhibitor      EGFR                               0,00462

 DB08888    Ocriplasmin      cleavage        FN1                               0,00449

                                                     Locally Advanced Breast
 DB04845    Ixabepilone      inhibitor      TUBB3                              0,00443
                                                          Cancer (LABC)

 DB09073    Palbociclib      inhibitor      CDK4     Advanced Breast Cancer    0,0043

                          antagonist,inhi
 DB11730     Ribociclib                     CDK4     Advanced Breast Cancer    0,0043
                              bitor
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 DB12001     Abemaciclib           inhibitor       CDK4     Advanced Breast Cancer     0,0043

 DB13146   Fluciclovine (18F)       binder        SLC1A5                               0,00417

 DB00459       Acitretin           agonist         RARA     Keratinization disorders   0,00405

                                                             Chronic Eczema of the
 DB00523      Alitretinoin         agonist         RARA                                0,00405
                                                                     hand

                                                               Psoriasis Vulgaris
 DB00799      Tazarotene           agonist         RARA                                0,00405
                                                               (Plaque Psoriasis)

 DB12141      Gilteritinib         inhibitor       AXL                                 0,00404

 DB05381      Histamine            agonist         HRH3                                0,00402

 DB06698      Betahistine         antagonist       HRH3                                0,00402

                                antagonist,inve               Excessive Daytime
 DB11642       Pitolisant                          HRH3                                0,00402
                                  rse agonist                     Sleepiness

 DB13931      Netarsudil           inhibitor      ROCK2                                0,00367

                                                              Refractory Multiple
 DB08889      Carfilzomib          inhibitor      PSMB8                                0,0034
                                                                   Myeloma

                                                              Moderate to Severe
 DB12159      Dupilumab           antagonist       IL4R                                0,00335
                                                                  Asthma

 DB00887     Bumetanide            inhibitor      SLC12A5                              0,00325

           Benzylpenicilloyl
 DB00895                           agonist        FCER1G       Penicillin Allergy      0,00322
              Polylysine

 DB00095      Efalizumab           antibody        ITGAL                               0,00317

            Antithymocyte
 DB00098   immunoglobulin                          ITGAL    Acute cellular rejection   0,00317
               (rabbit)

 DB11611      Lifitegrast         antagonist       ITGAL                               0,00317

 DB01219      Dantrolene          antagonist       RYR1     Malignant Hyperthermia     0,00314

 DB09085      Tetracaine          modulator        RYR1                                0,00314

                                                             Advanced Renal Cell
 DB01268       Sunitinib           inhibitor      PDGFRA                               0,00296
                                                                 Carcinoma

 DB06043     Olaratumab           antagonist      PDGFRA                               0,00296
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                                                            Advanced Renal Cell
 DB06589      Pazopanib           inhibitor      PDGFRA                              0,00296
                                                                Carcinoma

                               antagonist,inhi            Leukemia Acute Myeloid
 DB06595     Midostaurin                         PDGFRA                              0,00296
                                   bitor                      Leukemia (AML)

                                                                Metastatic
 DB08896     Regorafenib          inhibitor      PDGFRA   Gastrointestinal Stromal   0,00296
                                                                  Tumor

               Foreskin
 DB10772     keratinocyte         agonist        PDGFRA                              0,00296
              (neonatal)

 DB01169   Arsenic trioxide       inducer        MAPK3                               0,0027

 DB01169   Arsenic trioxide      antagonist      CCND1                               0,00263

 DB11718     Encorafenib          inhibitor      CCND1     Metastatic Melanoma       0,00263

 DB06779     Dalteparin           inhibitor       TFPI     Cardiovascular Events     0,00254

 DB14562   Andexanet alfa         inhibitor       TFPI                               0,00254

           Immune Globulin                                   B-Cell Chronic
 DB00028                         antagonist      FCGR2A                              0,00248
              Human                                       Lymphocytic Leukemia

   Location of top AT in HiPathia circuits and selection of those circuits shared
   with the Disease Map. A total of 11 /116 circuits from RD Map containing top
   AT are shown.

                            Disease Map circuits with top AT

                            HiPathia pathway: Effector gene
                            FoxO signaling pathway: CDKN2B
                           FoxO signaling pathway: CDKN2D
                                 Cell cycle: TFDP1 E2F4
                 Cell cycle: CDC6 ORC3 ORC5 ORC4 ORC2 ORC1 ORC6
                          p53 signaling pathway: CDK4 CCND1
                       PI3K-Akt signaling pathway: CCND1 CDK2
                         TGF-beta signaling pathway: CDKN2B
                             Tight junction: TJP1 YBX3 CDK4
                                  Melanogenesis: TYR*
                                 Melanogenesis: TYRP1
                                   Melanogenesis: DCT
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    Matrix correlation of the expression of top AT with the activity of the circuits
    that compose the RD Map.

In order to understand the nature of the interaction (activation or inhibition)
between the most relevant targets and the circuits of the disease map a correlation
plot was derived. The plot represents the correlation between the expression level
of the most relevant targets and the activity levels of the circuits in the disease map
inferred by HiPathia across the GTEx data set. Additionally, the KO of the disease
genes has been simulated and these circuits in the disease map affected have been
marked in blue on the left side of the plot. Also, the top of the figure represents the
effect (pharmacological action) of the drugs.

Hint: a drug with an inhibitory effect in a given target will potentially produce an inhibitory effect in
circuits positively correlated (and, it is likely that activation in circuits negatively correlated with the
target.)

                      Click to access and download the Correlation Matrix
You can also read