No abstract

Predicting clinical response to anticancer drugs remains a major challenge in cancer treatment. Emerging reports indicate that the tumour microenvironment and heterogeneity can limit the predictive power of current biomarker-guided strategies for chemotherapy. Here we report the engineering of personalized tumour ecosystems that contextually conserve the tumour heterogeneity, and phenocopy the tumour microenvironment using tumour explants maintained in defined tumour grade-matched matrix support and autologous patient serum. The functional response of tumour ecosystems, engineered from 109 patients, to anticancer drugs, together with the corresponding clinical outcomes, is used to train a machine learning algorithm; the learned model is then applied to predict the clinical response in an independent validation group of 55 patients, where we achieve 100% sensitivity in predictions while keeping specificity in a desired high range. The tumour ecosystem and algorithm, together termed the CANScript technology, can emerge as a powerful platform for enabling personalized medicine.

With chemical libraries increasingly containing millions of compounds or more, there is a fast-growing need for computational methods that can rank or prioritize compounds for screening. Machine learning methods have shown considerable promise for this task; indeed, classification methods such as support vector machines (SVMs), together with their variants, have been used in virtual screening to distinguish active compounds from inactive ones, while regression methods such as partial least-squares (PLS) and support vector regression (SVR) have been used in quantitative structure-activity relationship (QSAR) analysis for predicting biological activities of compounds. Recently, a new class of machine learning methods - namely, ranking methods, which are designed to directly optimize ranking performance - have been developed for ranking tasks such as web search that arise in information retrieval (IR) and other applications. Here we report the application of these new ranking methods in machine learning to the task of ranking chemical structures. Our experiments show that the new ranking methods give better ranking performance than both classification based methods in virtual screening and regression methods in QSAR analysis. We also make some interesting connections between ranking performance measures used in cheminformatics and those used in IR studies.