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MultiOmyxTM: A novel platform for in situ, multiomic, hyper-plexed analyses of systems biology 
Background: We describe a novel multiomic, hyper-plexed tissue analyses platform, MultiOmyxTM, which enables the imaging of protein and nucleic acid biomarkers at subcellular level in the same tissue slice. Unlike grind-and-find methods, imaging preserves the spatial architecture of tissue allowing interrogation of both intra and inter-cellular interactions/communications. Image analysis algorithms enable subcellular quantification of biomarkers in individual cells and enable novel systems-level insights into biological mechanisms. 
Method: From a single tissue section, cells are molecularly profiled and visualized using MultiOmyxTM. They are clustered into families having similar phenotypes using associated and proprietary analysis software. Individual clusters are color-coded and transposed back to original images to provide a novel in situ visualization of patterns of heterogeneity and cellular interactions. Tissue visualization is combined with existing pathway visualization and analysis tools e.g. Cytoscape. 
Results: The method was applied to a cohort of 747 colon cancer tissue microarray with particular focus on immune infiltration and mTOR and MAPK signal transduction. Cluster analysis of immune cell features showed robust adaptive and innate immune responses in many subjects and conversely, other patients showed a general lack of immune cell infiltration. Cluster analysis and visualization of mTOR and MAPK signal transduction pathway activation at the single cell level revealed unexpected patterns of coexpresssion and mutual exclusivity of common downstream phosphorylation events. 
Conclusion: Quantitative tumor immunoprofiling and signal transduction analysis revealed extensive immune cell heterogeneity between subjects and unexpected signal transduction exclusivity and coexpression patterns highlighting the unique capability of this platform. 
Background autofluorescent image 
Stain slide with dye-labeled antibodies 
. 
Remove slide, inactivate signal 
Dye Inactivation 
>60 Proteins then DNA FISH 
Multiplexing: Stain, Image, Erase and Repeat 
Image & Data Analysis Workflow 
Image Corrections 
•Illumination correction 
•Image registration 
•Autofluorescence subtraction 
QC 
•Registration failures 
•Poor focus 
•Damaged tissue 
•Illumination issues 
Image Analysis 
•Epithelium segmentation 
•Stromal segmentation 
•Single cell measurements 
Data Transforms 
•Data transformation (log etc.) 
•Normalization 
•Data integration with clinical data/other data types 
Data Exclusion Rules 
•Invalid cells 
•Image periphery 
•Image annotation 
Statistical Feature Extraction 
•Cell clustering 
•Moments 
•Proximity 
•Thresholds 
Outcome and Pathway Analysis 
•Population level 
•Cell level 
•Survival/recurrence 
•Classification 
Images acquired on scanner 
DNAseq mutations 
Select 
•Study 
•Patient 
•Tissue 
•Sample 
•Multiomic data 
Pathway Maps 
•KEGG 
•Wikipathways 
•NCI PID 
•Reactome 
•BioCarta 
pathway scores 
Cell Maps 
High 
Low 
impact 
MultiOmyx measures 
Future: Visualize MultiOmyx Data in a Pathway Context using Cytoscape 
ERK 1/2 
Akt 1/2/3 
EPCAM 
phospho-ERK1/2 T202/Y204 
PI3K p110α 
CD31 
Wnt5a 
Indian Hedgehog 
Fibronectin 
β-Catenin 
xCT 
Vimentin 
S6 ribosomal protein 
GLUT1 
β-Actin 
phospho-S6 S235/S236 
CA9 
pan-cytokeratin (1,5,6,8) 
HER2 
ALDH1 
α-Smooth Muscle Actin 
4EBP1 
TKLP1 
NA+K+ATPase 
phospho-4EBP1 T37/T46 
COX2 
Collagen IV 
NDRG1 
MLH1 
Albumin 
phospho-NDRG1 T346 
MSH2 
Cytokeratin 19 
phospho-GSK3α S21 
Lamin A/C 
Cytokeratin 15 
phospho-GSK3β S9 
EZH2 
Claudin1 
EGFR 
p21 
E-Cadherin 
phsopho-EGFR Y1068 
FOXO3a 
CD44v6 
PTEN 
FOXO1 
CD20 
phospho-MAPKAPK2 T334 
Cleaved Caspase 3 
CD68 
Met 
Cyclin B1 
CD79 
phospho-Met Y1349 
p53 
CD8 
phospho-p38 MAPK T180/Y182 
PCNA 
CD3 
Christine D. Kuslich, Christopher J. Sevinsky, Michael J. Gerdes, Fiona Ginty, John F. Graf, Vidya Kamath, Qing Li, Lee A. Newberg, Brian Ring, Alberto Santamaria-Pang, Anup Sood, Yunxia Sui, Maria I. Zavodszky, Brion D. Sarachan, GE Global Research and GE Healthcare 
Analysis of a large cohort of colon cancer subjects 
DAPI: 
nucleus 
E-cadherin: 
epithelial cells 
Na+K+ATPase: membrane 
RPS6: 
cytoplasm 
Segmented cells 
Nucleus 
Membrane 
Cytoplasm 
stage I (n=192) 
stage II (n=278) 
stage III (n=252) 
age 
66 (27,89) 
69 (35,94) 
66 (32,91) 
gender 
F (96,50%) 
F (136,49%) 
F (118,47%) 
grade=1 
50 (26%) 
39 (14%) 
23 (9%) 
grade=2 
125(65%) 
216(78%) 
175(69%) 
grade=3 
12(6%) 
19(7%) 
51(20%) 
recurrence 
n=15 
n=51 
n=94 
avg (range) 
3.2 (0.7,6.8) 
2 (0,9.5) 
1.6(0.1,8.9) 
Follow-up 
n=177 
n=227 
n=157 
avg (range) 
5.3 (0.1,12.1) 
5 (0,13) 
4.5(0,11.8) 
death from disease 
n=11 
n=44 
n=82 
avg (range) 
3.6 (0.7,6) 
2.2 (0,9.7) 
2.1(0.2,7.5) 
Follow-up 
n=181 
n=234 
n=170 
avg (range 
5.2 (0.1,12.1) 
5.3 (0,13) 
4.7(0,11.8) 
Subjects: 747 colorectal cancer patients – AJCC stage I-III – for summary statistics see Table. 
Multiplexed immunofluorescence: directly conjugated Cy2, Cy3 and cy5 labeled primary antibodies to hallmarks of colorectal cancer and tissue microenvironment. 
Sequential fluorescence microscopy: 38 rounds of imaging; 60 protein targets + baseline autofluorescence imaging 
Automated image analysis: registration; single cell and subcellular nuclear, cytoplasmic and membrane segmentation; target quantification. 
Abstract 
Single cell segmentation and signal quantitation 
Single cell cluster analysis: 
mutually exclusive signal transduction 
Heterogeneity: 
cell level signal transduction 
Cluster analysis of patient level signaling 
Psuedo-colored 
Clusters IDs mapped to cells 
Immune cell profiling 
Poor Prognosis 
Favorable Prognosis 
Single cell map 
Single cell metrics 
p4E-BP1 pS6 Nuclei 
Low Immune cell infiltrate 
High Immune cell infiltrate 
Monitoring immune cell types 
in the tumor microenvironment 
Quantification of immune cell types in the tumor microenvironment 
Quantification of immune cell types is prognostic

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A novel platform for in situ, multiomic, hyper-plexed analyses of systems biology

  • 1. MultiOmyxTM: A novel platform for in situ, multiomic, hyper-plexed analyses of systems biology Background: We describe a novel multiomic, hyper-plexed tissue analyses platform, MultiOmyxTM, which enables the imaging of protein and nucleic acid biomarkers at subcellular level in the same tissue slice. Unlike grind-and-find methods, imaging preserves the spatial architecture of tissue allowing interrogation of both intra and inter-cellular interactions/communications. Image analysis algorithms enable subcellular quantification of biomarkers in individual cells and enable novel systems-level insights into biological mechanisms. Method: From a single tissue section, cells are molecularly profiled and visualized using MultiOmyxTM. They are clustered into families having similar phenotypes using associated and proprietary analysis software. Individual clusters are color-coded and transposed back to original images to provide a novel in situ visualization of patterns of heterogeneity and cellular interactions. Tissue visualization is combined with existing pathway visualization and analysis tools e.g. Cytoscape. Results: The method was applied to a cohort of 747 colon cancer tissue microarray with particular focus on immune infiltration and mTOR and MAPK signal transduction. Cluster analysis of immune cell features showed robust adaptive and innate immune responses in many subjects and conversely, other patients showed a general lack of immune cell infiltration. Cluster analysis and visualization of mTOR and MAPK signal transduction pathway activation at the single cell level revealed unexpected patterns of coexpresssion and mutual exclusivity of common downstream phosphorylation events. Conclusion: Quantitative tumor immunoprofiling and signal transduction analysis revealed extensive immune cell heterogeneity between subjects and unexpected signal transduction exclusivity and coexpression patterns highlighting the unique capability of this platform. Background autofluorescent image Stain slide with dye-labeled antibodies . Remove slide, inactivate signal Dye Inactivation >60 Proteins then DNA FISH Multiplexing: Stain, Image, Erase and Repeat Image & Data Analysis Workflow Image Corrections •Illumination correction •Image registration •Autofluorescence subtraction QC •Registration failures •Poor focus •Damaged tissue •Illumination issues Image Analysis •Epithelium segmentation •Stromal segmentation •Single cell measurements Data Transforms •Data transformation (log etc.) •Normalization •Data integration with clinical data/other data types Data Exclusion Rules •Invalid cells •Image periphery •Image annotation Statistical Feature Extraction •Cell clustering •Moments •Proximity •Thresholds Outcome and Pathway Analysis •Population level •Cell level •Survival/recurrence •Classification Images acquired on scanner DNAseq mutations Select •Study •Patient •Tissue •Sample •Multiomic data Pathway Maps •KEGG •Wikipathways •NCI PID •Reactome •BioCarta pathway scores Cell Maps High Low impact MultiOmyx measures Future: Visualize MultiOmyx Data in a Pathway Context using Cytoscape ERK 1/2 Akt 1/2/3 EPCAM phospho-ERK1/2 T202/Y204 PI3K p110α CD31 Wnt5a Indian Hedgehog Fibronectin β-Catenin xCT Vimentin S6 ribosomal protein GLUT1 β-Actin phospho-S6 S235/S236 CA9 pan-cytokeratin (1,5,6,8) HER2 ALDH1 α-Smooth Muscle Actin 4EBP1 TKLP1 NA+K+ATPase phospho-4EBP1 T37/T46 COX2 Collagen IV NDRG1 MLH1 Albumin phospho-NDRG1 T346 MSH2 Cytokeratin 19 phospho-GSK3α S21 Lamin A/C Cytokeratin 15 phospho-GSK3β S9 EZH2 Claudin1 EGFR p21 E-Cadherin phsopho-EGFR Y1068 FOXO3a CD44v6 PTEN FOXO1 CD20 phospho-MAPKAPK2 T334 Cleaved Caspase 3 CD68 Met Cyclin B1 CD79 phospho-Met Y1349 p53 CD8 phospho-p38 MAPK T180/Y182 PCNA CD3 Christine D. Kuslich, Christopher J. Sevinsky, Michael J. Gerdes, Fiona Ginty, John F. Graf, Vidya Kamath, Qing Li, Lee A. Newberg, Brian Ring, Alberto Santamaria-Pang, Anup Sood, Yunxia Sui, Maria I. Zavodszky, Brion D. Sarachan, GE Global Research and GE Healthcare Analysis of a large cohort of colon cancer subjects DAPI: nucleus E-cadherin: epithelial cells Na+K+ATPase: membrane RPS6: cytoplasm Segmented cells Nucleus Membrane Cytoplasm stage I (n=192) stage II (n=278) stage III (n=252) age 66 (27,89) 69 (35,94) 66 (32,91) gender F (96,50%) F (136,49%) F (118,47%) grade=1 50 (26%) 39 (14%) 23 (9%) grade=2 125(65%) 216(78%) 175(69%) grade=3 12(6%) 19(7%) 51(20%) recurrence n=15 n=51 n=94 avg (range) 3.2 (0.7,6.8) 2 (0,9.5) 1.6(0.1,8.9) Follow-up n=177 n=227 n=157 avg (range) 5.3 (0.1,12.1) 5 (0,13) 4.5(0,11.8) death from disease n=11 n=44 n=82 avg (range) 3.6 (0.7,6) 2.2 (0,9.7) 2.1(0.2,7.5) Follow-up n=181 n=234 n=170 avg (range 5.2 (0.1,12.1) 5.3 (0,13) 4.7(0,11.8) Subjects: 747 colorectal cancer patients – AJCC stage I-III – for summary statistics see Table. Multiplexed immunofluorescence: directly conjugated Cy2, Cy3 and cy5 labeled primary antibodies to hallmarks of colorectal cancer and tissue microenvironment. Sequential fluorescence microscopy: 38 rounds of imaging; 60 protein targets + baseline autofluorescence imaging Automated image analysis: registration; single cell and subcellular nuclear, cytoplasmic and membrane segmentation; target quantification. Abstract Single cell segmentation and signal quantitation Single cell cluster analysis: mutually exclusive signal transduction Heterogeneity: cell level signal transduction Cluster analysis of patient level signaling Psuedo-colored Clusters IDs mapped to cells Immune cell profiling Poor Prognosis Favorable Prognosis Single cell map Single cell metrics p4E-BP1 pS6 Nuclei Low Immune cell infiltrate High Immune cell infiltrate Monitoring immune cell types in the tumor microenvironment Quantification of immune cell types in the tumor microenvironment Quantification of immune cell types is prognostic