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Integrating pathway and gene expression data to identify novel
pathway-specific cancer drugs
Charles Pei, Marina Sirota PhD, Bin Chen PhD and Atul Butte MD/PhD
Division of Systems Medicine, Department of Pediatrics, Stanford University School of Medicine,
Stanford, CA 94305
Abstract Results
Conclusions and Future Work
The average cost to bring a single drug to
market has surpassed $5 billion, a statistic
driven by the fact that over 95% of
experimental medicines fail due to toxicity or
lack of efficacy1. However, drugs invented per
dollar spent have actually decreased by half
every nine years for the past 50 years1. As a
result, an unconventional method known as
drug repositioning, in which established drug
compounds are applied to new therapeutic
indications, has gained prominence due to its
lower development costs and shorter paths to
approval when compared to traditional drug
development.
Connectivity Map (CMap), an extensive
database of drug-treatment gene expression
data comprised of over 6000 experiments
across 1300 compounds, has proven to be a
valuable asset in drug repositioning2,3. It has
been used to recognize drugs with common
mechanisms of action (MOAs), discover new
MOAs and identify new treatments.
The goal of this project is to integrate
publicly available pathway information with
gene expression data from CMap in order to
discover novel pathway-specific cancer drugs.
We identified several major cancer related
pathways, the Sonic Hedgehog signaling, PI3K/
AKT signaling, PTEN signaling and Wnt/β-
catenin signaling pathways. We applied a
modified CMap algorithm to carry out pathway
specific queries across the two databases and
identified drugs that specifically perturb
pathways of interest.
Acknowledgements
The authors would like to thank the other members
of the Butte lab and the Stanford Institutes of
Medicine Summer Program (SIMR) and Tianyi
Wang for facilitating this research.
1.  Retrieve pathway information from
Ingenuity Pathway Analysis (IPA)
2.  Retrieve, process and re-rank CMap data
with MySQL
3.  Enrichment analysis of non-directional
pathways using a rank-based pattern-
matching strategy based on the
Kolmogorov-Smirnov statistic for
nonparametric data in R
4.  Permutation method for statistical
significance followed by False Discovery
Rate (FDR) calculation for multiple
hypotheses correction in R to yield drug
indications for each pathway
References
1.  Herper, Matthew. (2013). “The cost of creating a
new drug now $5 billion, pushing big pharma to
change.” Forbes Magazine.
2.  Lamb, J et al. (2006). “The Connectivity Map:
Using Gene-Expression Signatures to Connect
Small Molecules, Genes and Disease.” Science.
313(5795):1929-1935.
3.  Qu, X. and Rajpal, D. (2012). “Applications of
Connectivity Map in drug discovery and
development.” Drug Discovery Today. 00, 1-10.
Methods & Materials Results
•  We successfully developed a novel method for
identifying pathway specific drugs
•  We identified many novel drug indications for
the PI3K, PTEN and Sonic Hedgehog
pathways, which could lead to cancer
treatments
•  We noted that analysis of the WNT pathway
did not yield any significant drug indications
•  Future work would be to integrate the method
with the databases KEGG and Reactome,
which contain thousands of biological
pathways, and LINCS, CMap’s successor
Figure 4. Overlap of drug predictions across pathways.
Pathway Information Gene Expression
Data
Enrichment Analysis
Pathways + Drug Indications
Figure 3. Heat map of top up- and down-regulated
experiments of Hedgehog Pathway. Yellow= up-
regulation. Red= down-regulation
Introduction
Our lab has successfully applied CMap to
repurpose drugs in various disease areas.
However, the current CMap method assesses the
effects on whole systems rather than individual
pathways. Since some drugs may have off-
pathway effects, we are interested in finding
pathway-specific drugs. We hypothesized that
analyzing diseases on a pathway, rather than
genome-wide, level could yield novel drug
indications. We focus on four cancer related
pathways, the Sonic Hedgehog signaling, PI3K/
AKT signaling, PTEN signaling and Wnt/β-
catenin signaling pathways and identify drugs
affecting each one.
1. 2.
3.
4.
calycanthine
cyclopenthiazide
altretamine
acebutolol
metformin
thiamphenicol
vincamine
brinzolamide
prazosin
conessine
chlortetracycline
hexestrol
alpha−ergocryptine
methylprednisolone
luteolin
flupentixol
dioxybenzone
guanethidine
N−acetylmuramicacid
fluocinonide
PIAS1
MED1
PRKDC
TP53
ATM
PLAGL1
CDKN2A
CDKN1A
CDK4
MAPK8
GSK3B
CDK2
RB1
ATR
CCNK
LRDD
CCND2
THBS1
ST13
TP63
HDAC9
PMAIP1
C12orf5
unknown symbol
DRAM
MDM4
BAI1
PCAF
CSNK1D
GNL3
BCL2L1
CASP6
SERPINB5
TP53INP1
CHEK2
EP300
CCND1
PTEN
SFN
CHEK1
SNAI2
JUN
PCNA
CABC1
RPRM
MDM2
HDAC1
RRM2B
CCNG1
BBC3
BRCA1
TRIM29
BAX
MAPK14
CTNNB1
APAF1
BCL2
TP53I3
JMY
TOPBP1
SIRT1
E2F1
PERP
SERPINE2
WT1
FAS
HIF1A
TP73
PML
GML
STAG1
5000
10000
15000
20000
PI3K	
  Ac(vators	
  
rank	
   FDR	
   score	
   name	
   dose	
  (M)	
   cell	
  line	
  
1	
   0.109	
   0.379	
   chlorprothixene	
   1.14E-­‐05	
   MCF7	
  
2	
   0.109	
   0.377	
   mephenytoin	
   1.84E-­‐05	
   HL60	
  
3	
   0.109	
   0.368	
   me(xene	
   1.16E-­‐05	
   PC3	
  
4	
   0.109	
   0.367	
   noscapine	
   9.60E-­‐06	
   MCF7	
  
5	
   0.109	
   0.367	
   acenocoumarol	
   1.14E-­‐05	
   MCF7	
  
6	
   0.109	
   0.365	
   clemas(ne	
   8.60E-­‐06	
   MCF7	
  
7	
   0.109	
   0.364	
   chlorpromazine	
   1.12E-­‐05	
   HL60	
  
8	
   0.109	
   0.362	
   R-­‐atenolol	
   1.50E-­‐05	
   MCF7	
  
9	
   0.109	
   0.358	
   conessine	
   1.12E-­‐05	
   MCF7	
  
10	
   0.109	
   0.357	
   dihydroergocris(ne	
   5.60E-­‐06	
   MCF7	
  
Hedgehog	
  Ac(vators	
  
rank	
   FDR	
   score	
   name	
   dose	
  (M)	
   cell	
  line	
  
1	
   0.0321	
   0.287	
   acebutolol	
   1.08E-­‐05	
   MCF7	
  
2	
   0.0321	
   0.283	
   conessine	
   1.12E-­‐05	
   MCF7	
  
3	
   0.0321	
   0.282	
   thiamphenicol	
   1.12E-­‐05	
   PC3	
  
4	
   0.0321	
   0.281	
   calycanthine	
   1.16E-­‐05	
   PC3	
  
5	
   0.0321	
   0.272	
   meOormin	
   2.42E-­‐05	
   HL60	
  
6	
   0.0321	
   0.266	
   altretamine	
   1.90E-­‐05	
   HL60	
  
7	
   0.0321	
   0.265	
   cyclopenthiazide	
   1.06E-­‐05	
   HL60	
  
8	
   0.0321	
   0.260	
   prazosin	
   9.60E-­‐06	
   PC3	
  
9	
   0.0321	
   0.258	
   brinzolamide	
   1.04E-­‐05	
   MCF7	
  
10	
   0.0321	
   0.256	
   vincamine	
   1.12E-­‐05	
   MCF7	
  
PTEN	
  Ac(vators	
  
rank	
   FDR	
   score	
   name	
   dose	
  (M)	
   cell	
  line	
  
1	
   0.106	
   0.407	
   trimethobenzamide	
   9.40E-­‐06	
   MCF7	
  
2	
   0.106	
   0.395	
   LY-­‐294002	
   1.00E-­‐05	
   HL60	
  
3	
   0.106	
   0.384	
   baclofen	
   1.88E-­‐05	
   MCF7	
  
4	
   0.106	
   0.381	
   cephaeline	
   6.00E-­‐06	
   HL60	
  
5	
   0.106	
   0.380	
   podophyllotoxin	
   9.60E-­‐06	
   HL60	
  
6	
   0.106	
   0.380	
   pheniramine	
   1.12E-­‐05	
   MCF7	
  
7	
   0.106	
   0.380	
   gentamicin	
   2.60E-­‐06	
   MCF7	
  
8	
   0.106	
   0.378	
   loperamide	
   7.80E-­‐06	
   PC3	
  
9	
   0.106	
   0.376	
   quinpirole	
   1.56E-­‐05	
   HL60	
  
10	
   0.106	
   0.374	
   dihydroergotamine	
   3.00E-­‐06	
   HL60	
  
PI3K	
  Inhibitors	
  
rank	
   FDR	
   score	
   name	
   dose	
  (M)	
   cell	
  line	
  
1	
   0.122	
   -­‐0.385	
   sirolimus	
   1.00E-­‐07	
   ssMCF7	
  
2	
   0.122	
   -­‐0.358	
   sirolimus	
   1.00E-­‐07	
   MCF7	
  
3	
   0.122	
   -­‐0.353	
   cy(sine	
   2.10E-­‐05	
   MCF7	
  
4	
   0.122	
   -­‐0.350	
   natamycin	
   6.00E-­‐06	
   MCF7	
  
5	
   0.122	
   -­‐0.349	
   sulfamethoxypyridazine	
   1.42E-­‐05	
   MCF7	
  
6	
   0.124	
   -­‐0.347	
   trioxysalen	
   1.76E-­‐05	
   MCF7	
  
7	
   0.124	
   -­‐0.344	
   hexamethonium	
  bromide	
   1.00E-­‐05	
   MCF7	
  
8	
   0.124	
   -­‐0.334	
   ciprofloxacin	
   1.08E-­‐05	
   MCF7	
  
9	
   0.124	
   -­‐0.332	
   metamizole	
  sodium	
   1.20E-­‐05	
   MCF7	
  
10	
   0.124	
   -­‐0.329	
   monorden	
   1.00E-­‐07	
   MCF7	
  
Hedgehog	
  Inhibitors	
  
rank	
   FDR	
   score	
   name	
   dose	
  (M)	
   cell	
  line	
  
1	
   0.0203	
   -­‐0.288	
   luteolin	
   1.40E-­‐05	
   PC3	
  
2	
   0.0203	
   -­‐0.284	
   N-­‐acetylmuramic	
  acid	
   1.36E-­‐05	
   MCF7	
  
3	
   0.0203	
   -­‐0.277	
   flupen(xol	
   7.80E-­‐06	
   HL60	
  
4	
   0.0203	
   -­‐0.277	
   hexestrol	
   1.48E-­‐05	
   MCF7	
  
5	
   0.0203	
   -­‐0.276	
   fluocinonide	
   8.00E-­‐06	
   MCF7	
  
6	
   0.0203	
   -­‐0.276	
   alpha-­‐ergocryp(ne	
   7.00E-­‐06	
   PC3	
  
7	
   0.0203	
   -­‐0.271	
   guanethidine	
   1.34E-­‐05	
   MCF7	
  
8	
   0.0203	
   -­‐0.269	
   methylprednisolone	
   1.06E-­‐05	
   MCF7	
  
9	
   0.0203	
   -­‐0.268	
   dioxybenzone	
   1.64E-­‐05	
   HL60	
  
10	
   0.0203	
   -­‐0.268	
   chlortetracycline	
   7.80E-­‐06	
   PC3	
  
PTEN	
  Inhibitors	
  
rank	
   FDR	
   score	
   name	
   dose	
  (M)	
   cell	
  line	
  
1	
   0.0762	
   -­‐0.424	
   ketanserin	
   7.00E-­‐06	
   MCF7	
  
2	
   0.0762	
   -­‐0.422	
   indometacin	
   1.12E-­‐05	
   MCF7	
  
3	
   0.0762	
   -­‐0.414	
   corynanthine	
   1.02E-­‐05	
   MCF7	
  
4	
   0.0762	
   -­‐0.405	
   allantoin	
   2.52E-­‐05	
   HL60	
  
5	
   0.0762	
   -­‐0.395	
   ciclacillin	
   1.18E-­‐05	
   MCF7	
  
6	
   0.0762	
   -­‐0.386	
   flavoxate	
   9.40E-­‐06	
   HL60	
  
7	
   0.0762	
   -­‐0.383	
   alprenolol	
   1.40E-­‐05	
   MCF7	
  
8	
   0.0762	
   -­‐0.380	
   calcium	
  pantothenate	
   8.00E-­‐06	
   MCF7	
  
9	
   0.0762	
   -­‐0.379	
   dihydrostreptomycin	
   2.80E-­‐06	
   MCF7	
  
10	
   0.0762	
   -­‐0.377	
   fenbufen	
   1.58E-­‐05	
   MCF7	
  
Figure 2. A. Gene overlap between cancer pathways.
B. Overlap of known drugs affecting cancer pathways.
Results
Predicted
Known
1003
0
0
Hedgehog
Predicted
Known
234
150
72
PI3K
Predicted
Known
273
42
24
PTEN
Predicted
Known
0
32
0
Wnt
Figure 4. Predicted vs. known drug indications. 24
PTEN drugs and 72 PI3K predicted drugs were
verified by our analysis. Hedgehog pathway did not
have known drugs also found in CMap; Wnt pathway
had no statistically significant drugs.
Results
Figure 1. Workflow.
Table 1. Top 10 inhibitors and activators for PI3K,
PTEN and Hedgehog pathways
A.
B.
Figure 3. Pathway Enrichment Score distributions.
Inhibitors and activators are defined as (FDR < 0.2).
All random (n=10000), Hedgehog inhibitors (n=1272),
Hedgehog activators (n=663), no Wnt activators or
inhibitors, PI3K inhibitors (n=241), PI3K activators
(n=95), PTEN activators (n= 238), PTEN inhibitors
(n=101)
●
●●
●●●●●●
●
●●●
●
●
●
●●
●
●
●●
●
●
●●
●
●●
●
●●
−0.3−0.2−0.10.00.10.20.3
random inhibitors activators
Hedgehog
EnrichmentScore
−0.4−0.20.00.20.4
random inhibitors activators
Wnt
EnrichmentScore
●●●●
●
−0.4−0.20.00.20.4
random inhibitors activators
PTEN
EnrichmentScore
●
●●●●●●
−0.4−0.20.00.20.4
random inhibitors activators
PI3K
EnrichmentScore

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SIMR Poster

  • 1. Integrating pathway and gene expression data to identify novel pathway-specific cancer drugs Charles Pei, Marina Sirota PhD, Bin Chen PhD and Atul Butte MD/PhD Division of Systems Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA 94305 Abstract Results Conclusions and Future Work The average cost to bring a single drug to market has surpassed $5 billion, a statistic driven by the fact that over 95% of experimental medicines fail due to toxicity or lack of efficacy1. However, drugs invented per dollar spent have actually decreased by half every nine years for the past 50 years1. As a result, an unconventional method known as drug repositioning, in which established drug compounds are applied to new therapeutic indications, has gained prominence due to its lower development costs and shorter paths to approval when compared to traditional drug development. Connectivity Map (CMap), an extensive database of drug-treatment gene expression data comprised of over 6000 experiments across 1300 compounds, has proven to be a valuable asset in drug repositioning2,3. It has been used to recognize drugs with common mechanisms of action (MOAs), discover new MOAs and identify new treatments. The goal of this project is to integrate publicly available pathway information with gene expression data from CMap in order to discover novel pathway-specific cancer drugs. We identified several major cancer related pathways, the Sonic Hedgehog signaling, PI3K/ AKT signaling, PTEN signaling and Wnt/β- catenin signaling pathways. We applied a modified CMap algorithm to carry out pathway specific queries across the two databases and identified drugs that specifically perturb pathways of interest. Acknowledgements The authors would like to thank the other members of the Butte lab and the Stanford Institutes of Medicine Summer Program (SIMR) and Tianyi Wang for facilitating this research. 1.  Retrieve pathway information from Ingenuity Pathway Analysis (IPA) 2.  Retrieve, process and re-rank CMap data with MySQL 3.  Enrichment analysis of non-directional pathways using a rank-based pattern- matching strategy based on the Kolmogorov-Smirnov statistic for nonparametric data in R 4.  Permutation method for statistical significance followed by False Discovery Rate (FDR) calculation for multiple hypotheses correction in R to yield drug indications for each pathway References 1.  Herper, Matthew. (2013). “The cost of creating a new drug now $5 billion, pushing big pharma to change.” Forbes Magazine. 2.  Lamb, J et al. (2006). “The Connectivity Map: Using Gene-Expression Signatures to Connect Small Molecules, Genes and Disease.” Science. 313(5795):1929-1935. 3.  Qu, X. and Rajpal, D. (2012). “Applications of Connectivity Map in drug discovery and development.” Drug Discovery Today. 00, 1-10. Methods & Materials Results •  We successfully developed a novel method for identifying pathway specific drugs •  We identified many novel drug indications for the PI3K, PTEN and Sonic Hedgehog pathways, which could lead to cancer treatments •  We noted that analysis of the WNT pathway did not yield any significant drug indications •  Future work would be to integrate the method with the databases KEGG and Reactome, which contain thousands of biological pathways, and LINCS, CMap’s successor Figure 4. Overlap of drug predictions across pathways. Pathway Information Gene Expression Data Enrichment Analysis Pathways + Drug Indications Figure 3. Heat map of top up- and down-regulated experiments of Hedgehog Pathway. Yellow= up- regulation. Red= down-regulation Introduction Our lab has successfully applied CMap to repurpose drugs in various disease areas. However, the current CMap method assesses the effects on whole systems rather than individual pathways. Since some drugs may have off- pathway effects, we are interested in finding pathway-specific drugs. We hypothesized that analyzing diseases on a pathway, rather than genome-wide, level could yield novel drug indications. We focus on four cancer related pathways, the Sonic Hedgehog signaling, PI3K/ AKT signaling, PTEN signaling and Wnt/β- catenin signaling pathways and identify drugs affecting each one. 1. 2. 3. 4. calycanthine cyclopenthiazide altretamine acebutolol metformin thiamphenicol vincamine brinzolamide prazosin conessine chlortetracycline hexestrol alpha−ergocryptine methylprednisolone luteolin flupentixol dioxybenzone guanethidine N−acetylmuramicacid fluocinonide PIAS1 MED1 PRKDC TP53 ATM PLAGL1 CDKN2A CDKN1A CDK4 MAPK8 GSK3B CDK2 RB1 ATR CCNK LRDD CCND2 THBS1 ST13 TP63 HDAC9 PMAIP1 C12orf5 unknown symbol DRAM MDM4 BAI1 PCAF CSNK1D GNL3 BCL2L1 CASP6 SERPINB5 TP53INP1 CHEK2 EP300 CCND1 PTEN SFN CHEK1 SNAI2 JUN PCNA CABC1 RPRM MDM2 HDAC1 RRM2B CCNG1 BBC3 BRCA1 TRIM29 BAX MAPK14 CTNNB1 APAF1 BCL2 TP53I3 JMY TOPBP1 SIRT1 E2F1 PERP SERPINE2 WT1 FAS HIF1A TP73 PML GML STAG1 5000 10000 15000 20000 PI3K  Ac(vators   rank   FDR   score   name   dose  (M)   cell  line   1   0.109   0.379   chlorprothixene   1.14E-­‐05   MCF7   2   0.109   0.377   mephenytoin   1.84E-­‐05   HL60   3   0.109   0.368   me(xene   1.16E-­‐05   PC3   4   0.109   0.367   noscapine   9.60E-­‐06   MCF7   5   0.109   0.367   acenocoumarol   1.14E-­‐05   MCF7   6   0.109   0.365   clemas(ne   8.60E-­‐06   MCF7   7   0.109   0.364   chlorpromazine   1.12E-­‐05   HL60   8   0.109   0.362   R-­‐atenolol   1.50E-­‐05   MCF7   9   0.109   0.358   conessine   1.12E-­‐05   MCF7   10   0.109   0.357   dihydroergocris(ne   5.60E-­‐06   MCF7   Hedgehog  Ac(vators   rank   FDR   score   name   dose  (M)   cell  line   1   0.0321   0.287   acebutolol   1.08E-­‐05   MCF7   2   0.0321   0.283   conessine   1.12E-­‐05   MCF7   3   0.0321   0.282   thiamphenicol   1.12E-­‐05   PC3   4   0.0321   0.281   calycanthine   1.16E-­‐05   PC3   5   0.0321   0.272   meOormin   2.42E-­‐05   HL60   6   0.0321   0.266   altretamine   1.90E-­‐05   HL60   7   0.0321   0.265   cyclopenthiazide   1.06E-­‐05   HL60   8   0.0321   0.260   prazosin   9.60E-­‐06   PC3   9   0.0321   0.258   brinzolamide   1.04E-­‐05   MCF7   10   0.0321   0.256   vincamine   1.12E-­‐05   MCF7   PTEN  Ac(vators   rank   FDR   score   name   dose  (M)   cell  line   1   0.106   0.407   trimethobenzamide   9.40E-­‐06   MCF7   2   0.106   0.395   LY-­‐294002   1.00E-­‐05   HL60   3   0.106   0.384   baclofen   1.88E-­‐05   MCF7   4   0.106   0.381   cephaeline   6.00E-­‐06   HL60   5   0.106   0.380   podophyllotoxin   9.60E-­‐06   HL60   6   0.106   0.380   pheniramine   1.12E-­‐05   MCF7   7   0.106   0.380   gentamicin   2.60E-­‐06   MCF7   8   0.106   0.378   loperamide   7.80E-­‐06   PC3   9   0.106   0.376   quinpirole   1.56E-­‐05   HL60   10   0.106   0.374   dihydroergotamine   3.00E-­‐06   HL60   PI3K  Inhibitors   rank   FDR   score   name   dose  (M)   cell  line   1   0.122   -­‐0.385   sirolimus   1.00E-­‐07   ssMCF7   2   0.122   -­‐0.358   sirolimus   1.00E-­‐07   MCF7   3   0.122   -­‐0.353   cy(sine   2.10E-­‐05   MCF7   4   0.122   -­‐0.350   natamycin   6.00E-­‐06   MCF7   5   0.122   -­‐0.349   sulfamethoxypyridazine   1.42E-­‐05   MCF7   6   0.124   -­‐0.347   trioxysalen   1.76E-­‐05   MCF7   7   0.124   -­‐0.344   hexamethonium  bromide   1.00E-­‐05   MCF7   8   0.124   -­‐0.334   ciprofloxacin   1.08E-­‐05   MCF7   9   0.124   -­‐0.332   metamizole  sodium   1.20E-­‐05   MCF7   10   0.124   -­‐0.329   monorden   1.00E-­‐07   MCF7   Hedgehog  Inhibitors   rank   FDR   score   name   dose  (M)   cell  line   1   0.0203   -­‐0.288   luteolin   1.40E-­‐05   PC3   2   0.0203   -­‐0.284   N-­‐acetylmuramic  acid   1.36E-­‐05   MCF7   3   0.0203   -­‐0.277   flupen(xol   7.80E-­‐06   HL60   4   0.0203   -­‐0.277   hexestrol   1.48E-­‐05   MCF7   5   0.0203   -­‐0.276   fluocinonide   8.00E-­‐06   MCF7   6   0.0203   -­‐0.276   alpha-­‐ergocryp(ne   7.00E-­‐06   PC3   7   0.0203   -­‐0.271   guanethidine   1.34E-­‐05   MCF7   8   0.0203   -­‐0.269   methylprednisolone   1.06E-­‐05   MCF7   9   0.0203   -­‐0.268   dioxybenzone   1.64E-­‐05   HL60   10   0.0203   -­‐0.268   chlortetracycline   7.80E-­‐06   PC3   PTEN  Inhibitors   rank   FDR   score   name   dose  (M)   cell  line   1   0.0762   -­‐0.424   ketanserin   7.00E-­‐06   MCF7   2   0.0762   -­‐0.422   indometacin   1.12E-­‐05   MCF7   3   0.0762   -­‐0.414   corynanthine   1.02E-­‐05   MCF7   4   0.0762   -­‐0.405   allantoin   2.52E-­‐05   HL60   5   0.0762   -­‐0.395   ciclacillin   1.18E-­‐05   MCF7   6   0.0762   -­‐0.386   flavoxate   9.40E-­‐06   HL60   7   0.0762   -­‐0.383   alprenolol   1.40E-­‐05   MCF7   8   0.0762   -­‐0.380   calcium  pantothenate   8.00E-­‐06   MCF7   9   0.0762   -­‐0.379   dihydrostreptomycin   2.80E-­‐06   MCF7   10   0.0762   -­‐0.377   fenbufen   1.58E-­‐05   MCF7   Figure 2. A. Gene overlap between cancer pathways. B. Overlap of known drugs affecting cancer pathways. Results Predicted Known 1003 0 0 Hedgehog Predicted Known 234 150 72 PI3K Predicted Known 273 42 24 PTEN Predicted Known 0 32 0 Wnt Figure 4. Predicted vs. known drug indications. 24 PTEN drugs and 72 PI3K predicted drugs were verified by our analysis. Hedgehog pathway did not have known drugs also found in CMap; Wnt pathway had no statistically significant drugs. Results Figure 1. Workflow. Table 1. Top 10 inhibitors and activators for PI3K, PTEN and Hedgehog pathways A. B. Figure 3. Pathway Enrichment Score distributions. Inhibitors and activators are defined as (FDR < 0.2). All random (n=10000), Hedgehog inhibitors (n=1272), Hedgehog activators (n=663), no Wnt activators or inhibitors, PI3K inhibitors (n=241), PI3K activators (n=95), PTEN activators (n= 238), PTEN inhibitors (n=101) ● ●● ●●●●●● ● ●●● ● ● ● ●● ● ● ●● ● ● ●● ● ●● ● ●● −0.3−0.2−0.10.00.10.20.3 random inhibitors activators Hedgehog EnrichmentScore −0.4−0.20.00.20.4 random inhibitors activators Wnt EnrichmentScore ●●●● ● −0.4−0.20.00.20.4 random inhibitors activators PTEN EnrichmentScore ● ●●●●●● −0.4−0.20.00.20.4 random inhibitors activators PI3K EnrichmentScore