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Circulating tumour
cells and changes
in expression in
colorectal cancer
Luke Zappia
Supervisors: Dr Arthur Hsu, A/Prof Fred Hollande
Department of Pathology, The University of Melbourne
Cancer
is bad
Colorectal Cancer: Tumor Sizes
For the National Cancer Institute ©2005 Terese Winslow, U.S. Govt. has certain rights
Our
study
Lab work by Fanny Grillet, Julie Pannequin
CNRS Institute of Functional Genomics, Montpellier
GFP*
GFP* GFP* GFP*
*
Datasets
Experiment 1
- 2 Primary
- 2 CTC
- 2 Mouse Primary
- 3 Mouse Blood
- 3 Mouse Liver
Experiment 2
- 3 CTC41
- 3 CTC44
- 3 CTC45
- 3 CPP44
- 2 DLD1
Cell lines - from a study by Mouradov et al.
Analysis
ALIGNMENT
COUNTING
TESTING
GENE SETS
TopHat2
featureCounts
GAGE
edgeR DESeq
DESeq2
limma-
voom
github.com/lazappi/RNAtools
Human
samples
Different methods
Overlap between methods
Gene sets
10 significant pathways
3 down-regulated
(ECM interactions)
7 up-regulated
(3 drug resistance)
Stem cell lists
CTC lists
EMT list
Epithelial
29 differentially expressed
22 up-regulated
Mesenchymal
8 differentially expressed
8 down-regulated
Mouse
samples
Results
Blood vs primary
139 genes
Liver vs primary
48 genes
Liver vs blood
5 genes
Cell lines
RPKM data
Clustering
Comparison
Differential expression
5093 genes (459 all four)
70% down-regulated
Gene sets
13 pathways
3 down-regulated ECM pathways
What did
we learn?
Increased drug resistance
Reduced ECM interactions
Epithelial state
Consistency with CTC studies
Multiple methods improve testing
May be subgroups
Outcomes
Further work
Replicate with other cell lines, cancer types
Incorporate lab results
Combining results
Integrating datasets
Acknowledgements
Supervisors
Arthur Hsu
Fred Hollande
Cell lines
Fanny Grillet
Julie Pannequin
Sequencing
Kym Pham
Christina Molck
Department
Olga, Greg, Graham
Support
VLSCI
Graham Taylor
Images
Hepatocellular Carcinoma, FNA Pathological and
histological images courtesy of Ed Uthman at flickr,
via Wikimedia Commons
Micrograph showing tumour budding in colorectal
carcinoma, H&E stain By Nephron (Own work), via
Wikimedia Commons

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Masters Final presentation