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研究生:郭育倫
研究生(外文):Yu-Lun Kuo
論文名稱:電腦虛擬篩選人類腫瘤治療藥物
論文名稱(外文):In silico Therapeutic Drug Screening for Human Tumor based on the Gene Expression Profiles
指導教授:高成炎高成炎引用關係黃奇英
指導教授(外文):Cheng-Yan KaoChi-Ying Huang
口試委員:莊曜宇蔡懷寬游偉絢魏凌鴻
口試委員(外文):Yao-Yu ChuangHuai-Kuang TsaiWei-Hsuan YuLin-Hung Wei
口試日期:2013-07-05
學位類別:博士
校院名稱:國立臺灣大學
系所名稱:資訊工程學研究所
學門:工程學門
學類:電資工程學類
論文種類:學術論文
論文出版年:2013
畢業學年度:101
語文別:英文
論文頁數:143
中文關鍵詞:老藥新用肺腺癌癌幹細胞trifluoperazine血寶合併用藥基因演算法
外文關鍵詞:Drug repurposinglung adenocarcinomacancer stem celltrifluoperazinePG2drug combinationgenetic algorithm
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藥物開發是一件花錢又費時的工作。過去二十年,由美國FDA認可的藥物平均不到30個,但是新藥開發所需經費卻與日俱增。為了縮短開發時程,我們以老藥新用的模式,搭配生物資訊技術,進行上市藥物新適應症的探索。
Connectivity Map (CMap) 是一個以基因圖譜為基礎的藥物篩選平台,利用疾病基因標記與藥物基因圖譜,探索疾病與藥物間的關係,並藉由統計方法推論潛力治療藥物。此研究中,我們藉由不同的基因標記選取方法進行肺腺癌潛力藥物預測,並以生物實驗驗證。從CMap的藥物基因圖譜中,比較有效藥物與肺腺癌病人間的基因標記,共找到89個逆轉基因。此外,由於眾多證據顯示癌幹細胞與腫瘤發生、復發及抗藥性有密不可分的關係,因此我們以胚胎幹細胞及癌幹細胞基因標記進行藥物探索,成功找到可扭轉幹細胞基因標記的潛力藥物trifluoperazine。經實驗證實,trifluoperazine可有效抑制腫瘤生長並克服癌幹細胞之抗藥性。
此外,我們設計一個以基因演算法為基礎的合併用藥篩選平台。此研究以藥物作用標的為基礎,計算藥物、疾病間基因表現的變化,提供一個系統化藥物組合評估策略。我們以人類三陰性乳癌為藥物篩選標的,藉由篩選找到一組最佳的藥物組合,並以文獻探討此藥物組合的可行性。未來,將進行生物實驗驗證,並以實驗結果調整參數,提升系統預測準確率。
最後,由於中草藥開發在華人地區已成為重要的研究方向。但目前中草藥缺乏系統化科學驗證與作用機轉評估,因此在品質驗證上存在相當大的挑戰。我們嘗試以基因圖譜探討中草藥品質的穩定性,並以中草藥基因標記進行生物反應途徑分析。分析黃耆萃取物(血寶)生物反應途徑,有近八成與免疫相關。另外,我們還發現血寶可提昇化療的敏感性,增進化療療效。

Drug development is an expensive and time-consuming process. Over the past two decades, the expense of drug development grows annually, but new drugs approved by FDA each year remain at less than 30. In order to reduce development time, we adopted the drug-repurposing strategy in combination with bioinformatics to discover new indications for old drugs.
Connectivity Map (CMap) is a gene expression based in silico drug screening platform. Using disease signatures and drug expression profiles, CMap determines connections between disease and drug and predicts potential drugs by statistical methods. In this study, we employed several gene signatures to discover potential drugs for lung adenocarcinoma patients. In addition, we have validated the anticancer effects in lung cancer cells. By comparing the signature of effective drugs with those of lung adenocarcinoma patients, 89 differentially expressed genes were identified that produced a reverse signature. Furthermore, several lines of evidence show that cancer stem cells (CSCs) are associated with tumor initiation, disease relapse, and drug resistance. Therefore, we explored anti-cancer stem cell drugs by using embryonic stem cells (ESCs) and CSCs signature. We have identified trifluoperazine as an anti-lung CSC agent to inhibit tumor growth and overcome chemotherapy resistance.
Moreover, we designed a drug combination prediction system using genetic algorithm. Based on the interaction of drug targets, we provided a systematic evaluation strategy for combinatorial drug therapy. We used the triple-negative breast cancer (TNBC) as our target disease for the prediction of possible drug combinations and discuss the effectiveness of the results by literature review. In the future, we will use experimental results to improve the prediction accuracy.
Finally, Chinese herbal medicine (CHM) has become an important research field in the Ethnic Chinese community. Due to the lack of systematic scientific evidence and evaluation mechanism, there is a considerable challenge for performing quality assurance on CHM. We investigated quality consistency of CHM by using gene expression profiles and pathway analysis. Pathway analysis of PG2 shows that approximately 82% of the affected pathways are immune-related pathways. In addition, we discovered that PG2 enhances doxorubicin sensitivity in leukemia cancer cells.


中文摘要 iii
Abstract iv
Contents vi
List of Figures x
List of Tables xi
Chapter 1 Introduction 1
1.1 Cancer 1
1.2 Drug Discovery and Drug Development 2
1.3 Drug Repurposing 4
1.4 Combinatorial Drug Therapy 5
1.5 Gene Expression Profiling 6
1.6 Connectivity Map (CMap) 7
1.6.1 Related works 10
1.7 Manuscript Plan 16
Chapter 2 Drug discovery for lung adenocarcinoma 18
2.1 Introduction 18
2.2 Materials and Methods 19
2.2.1 Collection of lung adenocarcinoma samples 19
2.2.2 Microarray analysis 21
2.2.3 Connectivity Map analysis 23
2.2.4 Gene expression profiling for 9 functional categories of drugs 24
2.2.5 MTT™ assay and clonogenic assay 25
2.3 Results 26
2.3.1 Identification of 363 potential drugs for NSCLC via the CMap 26
2.3.2 Validation of 62 potential drugs via PubMed and biochemical assays 28
2.3.3 Matrix visualization using Generalized Association Plot 37
2.3.4 Pathway analysis of reversed signatures 42
2.4 Discussion 49
Chapter 3 Drug Discovery of Anti-Cancer Stem Cell and Drug Resistance Inhibitor for Lung Cancer 57
3.1 Introduction 57
3.2 Materials and Methods 59
3.2.1 Collection of stem cell-based data 59
3.2.2 Connectivity Map analysis 60
3.2.3 MTT™, clonogenic assay, and side population analysis 61
3.3 Results 62
3.3.1 In silico drug screening reveals that phenothiazines might reverse ESC gene expression 62
3.4 Discussion 71
Chapter 4 Combinatorial drug discovery for triple-negative breast cancer with genetic algorithm 73
4.1 Introduction 73
4.2 Method 75
4.2.1 Triple-negative breast cancer microarray datasets 75
4.2.2 Microarray analysis 76
4.2.3 Collection of drug target information 80
4.2.4 Drug target expansion using human PPI for KEGG DRUG and DrugBank 81
4.2.5 Calculate the score for each drug 82
4.2.6 Score normalization for Drug Bank, and KEGG DRUG 83
4.2.7 Genetic algorithm for drug combination 86
4.2.8 Producing the next generation 87
4.3 Results 87
4.3.1 Identification of single drug score for KEGG and DrugBank 87
4.3.2 Four drug combinations analysis of TNBC 88
4.4 Discussion 90
Chapter 5 Gene expression profiling and pathway network analysis predicts novel function of PG2 92
5.1 Introduction 92
5.2 Materials and Methods 95
5.2.1 Microarray sample preparation 95
5.2.2 Trypan blue exclusion assay and evaluation of drug interactions 96
5.2.3 Statistics analysis 97
5.2.4 Cliques analysis in a Protein-Protein Interaction network 97
5.2.5 Pathway and chemical-protein interaction analysis 100
5.2.6 Connectivity Map analysis 100
5.3 Results 101
5.3.1 Scatter-plot matrix and correlation map with hierarchical clustering analysis for quality consistency 101
5.3.2 Identification of PG2 gene signature 103
5.3.3 Construction of the PG2 PPI network to reveal enriched signature 106
5.3.4 PG2-enriched signature is associated with immune-associated pathway 108
5.3.5 Combined treatment of Doxorubicin and PG2 113
5.3.6 Search for potential small molecules which mimic PG2 mechanism 117
5.4 Discussion 120
Chapter 6 Conclusion 123
6.1 Summary 123
6.2 Future work 125
Bibliography 127

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