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Kim Blenman, PhD, MS

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Assistant Professor of Medicine (Medical Oncology) and Assistant Professor of Computer Science

About

Titles

Assistant Professor of Medicine (Medical Oncology) and Assistant Professor of Computer Science

Biography

Kim RM Blenman, PhD, MS is an immunologist, clinical chemist, and computer scientist who uses and develops novel software tools to understand the mechanisms responsible for disparities in disease pathogenesis and therapeutic response. She earned a doctorate in immunology, a master's in clinical chemistry, and a bachelor's in chemistry from the University of Florida. Her research at that time focused on the autoimmune disease Systemic Lupus Erythematosus.

Dr Blenman also has a certificate in Drug Development and Regulatory Sciences from the University of California San Francisco. She had the privilege of learning and working on drug discovery and clinical development at Procter & Gamble's Pharmaceutical division as a senior scientist and as a global research director for autoimmune diseases Inflammatory Bowel Disease and Irritable Bowel Syndrome.

As a Scientist focused on clinical research, her interest in cancer, therapeutic development, and health disparities prompted her to re-enter academia and leverage her learnings from the pharmaceutical industry. She re-entered academia as a traditional Postdoctoral Fellow at the City of Hope Comprehensive Cancer Center in California. During her fellowship, she uncovered a potential use for B cells in predicting disease-free survival in breast cancer patients. In collaboration with Cambridge Research Institute/Perkin Elmer (now Akoya Bioscience), Dr Blenman also helped to develop the Vectra Quantitative Multispectral Imaging System for immunology applications.

Dr Blenman is currently an Assistant Professor in the Yale School of Medicine Department of Internal Medicine Section of Medical Oncology and the Yale Cancer Center. Dr Blenman is also an Assistant Professor in the Yale School of Engineering and Applied Science Department of Computer Science. She has publications in melanoma suggesting that along with other immune cells, B cell and neutrophils may have a role in tumor regression and immunotherapy response (anti-PD-1, anti-CTLA-4, and/or combination) in murine models and in patients. She also has publications in methods, software tool workflow, and data standards for flow cytometry and high complexity histology in collaboration with TissueGnostics (StrataFAX platform with StrataQuest Software). She is currently working on several breast cancer clinical studies interrogating the immune components of the tumor microenvironment of patients treated with chemotherapy and/or immunotherapy and patients of different ancestries. For these studies, Dr Blenman is interested in understanding and identifying specific immune mechanisms that are responsible for disparities in therapeutic efficacy and toxicity.

Additionally, Dr Blenman is also an active academic citizen. She mentors Postdocs and undergraduates internally and external to Yale. She helps to find ways to support equity and diversity for Yale Faculty as member of the Steering and Council for the Yale University Women Faculty Forum, as an Executive Board Member of the Yale School of Medicine Committee on the Status of Women in Medicine, and as a member of the Executive Committee of the Yale School of Medicine Minority Organization for Recruitment and Expansion.

Her academic citizenship also expands beyond Yale in the areas of Flow cytometry and Pathology. Flow cytometry is an exquisite approach to identifying the contents of any solid tissue or blood microenvironment as well as components of bacteria and plants. Dr Blenman has been an active member of the International Society for the Advancement of Cytometry (ISAC) Data Standards Task Force since 2009. The Task Force develops flow cytometry related data standards and file formats to facilitate software and hardware interoperability for research and clinical applications. Current standards and recommendations include FCS, Gating-ML, MIFlowCyt, NetCDF, and ACS.

The Flow Cytometry Standard (FCS) is the primary interchange format for flow cytometry data. All cytometer manufacturers support iterations up to the current version (FCS 3.1). The ISAC Data Standards Task Force recently released the new FCS 3.2 specifications and published a new nomenclature for probe tags (GitHub - ISAC-DSTF/ProbeTagDictionary: Standardized Nomenclature for Detection and Visualization Labels Used in Cytometry and Microscopy Imaging). We are currently working on FCS 4.0 which will focus on incorporating multispectral cytometry standards into the specification. Gating-ML is an XML-based mechanism used to describe gates including encoding, data transformations, and compensation. Minimum Information about a Flow Cytometry Experiment (MIFlowCyt) standard defines the minimum information required to report flow cytometry experiments. Network Common Data Form (NetCDF) data format is the next generation of the FCS standards for storing and retrieving Big Data in the form of n-dimensional arrays. Archival Cytometry Standard (ACS) supports bundling of data with different components describing cytometry experiments.

Histology is a pathologist’s and clinician’s first step to diagnosing and monitoring many diseases. In clinical practice, histological analysis of immune cells in solid tissue is now required for diagnosis, therapeutic selection, and therapeutic monitoring of many diseases including cancer. The morphological pattern, quantity, and quality of stromal tumor infiltrating lymphocytes (sTILs) are key to histological analysis. Dr Blenman is an active member of the International Immuno-Oncology Biomarker Working Group. The purpose of the working group is to propose scientific strategies regarding the standardization, validation, and clinical utility of immune-oncology biomarkers. We have recently published articles that describe (1) the pitfalls of assessing sTILs, (2) a risk management framework of integrating sTILs into clinical trials, and (3) opportunities to use computational methods on sTILs images to identify and extract morphologic features.

Appointments

Education & Training

Postdoctoral Fellow
City of Hope Comprehensive Cancer Center (2014)
Fellowship
University of California – College of Medicine, San Francisco (2009)
PhD
University of Florida College of Medicine (2005)
MS
University of Florida College of Medicine (2000)

Research

Overview

Computational Histology and spatial analysis tools. As the number of visible objects in an image increases, the ability of the human brain to discern patterns in the image decreases. We endeavor to use our software tools to help the human brain identify patterns in high complexity microenvironments and link those patterns to the biology of disease, clinical data, therapeutic response, and health disparity.

Software tools for in silico analysis of images: We currently define the approach that we use to capture the in situ profiles of the tissue microenvironment as Computational Histology. We use standard microscopy to capture multiplexed histology images of up to 20 biomarkers per tissue slide. Since the biomarkers are imaged at different time periods, they can be recombined in silico to study any combination and/or coexpressions of the biomarkers.

To capture the profile of tissue microenvironments, we created algorithms that align the images into a composite image, isolate each cell in the composite image, and identify the positive cells in the composite image. The information collected is used for our recently developed novel image analysis tools for spatial relationships. The tools incorporate methods and metrics used in flow cytometry to create histograms, dot scatterplots, backgates, and cluster/pattern plots for isolation, identification, quantitation, and measurement of spatial relationships of single cells, cell populations, and clusters/patterns of cells. Our method and workflow were recently published in Cytometry A journal and received the honor of being featured on the cover of the journal.

Using some or all aspects of our Computational Histology approach we have found that B cells and neutrophils may have a role in tumor regression in melanoma and breast cancer. In melanoma, we used a mouse tumor regression model that consisted of implanting immunocompetent B6 mice with YUMMER1.7 melanoma cells. We found that B cells including plasmablasts and plasma cells and neutrophils were numerous and increased with the introduction of immunotherapy. Neutrophils were in direct contact with dead or dying melanoma cells and immunotherapy caused neutrophil extracellular traps (NETs)-like formations as well as geographic necrosis. In the clinic, we found that patients that were treated with anti-PD-1 (pembrolizumab; nivolumab) who had high levels of B cells had better progression-free survival.

In breast cancer, we found that sentinel lymph node B cells in patients could predict disease-free survival. Breast cancer patients with higher density of B cells had longer disease-free survival. This benefit was also seen in patients with the triple-negative subtype which is the breast cancer with pathologic complete response rates of 20% to 60% with chemotherapy treatment. Patients that achieve pathologic complete response are less likely to have a distant metastasis. It is also the breast cancer subtype that is more common in premenopausal women of African descent. Overall, our data suggests that B cells may protect against cancer recurrence and potentially distant metastasis.

Earlier Research in Autoimmunity

Generation and phenotypic characterization of a murine model of systemic lupus erythematosus (SLE). SLE is an autoimmune disease characterized by production of autoantibodies against self-nuclear proteins. In the most severe form of SLE, the autoantibody:antigen complexes bind to the basement membrane of kidneys initiating a cascade of events that lead to renal failure. We created congenic mouse strains of SLE-susceptibility genes from the SLE-prone NZM2410 mouse strain on a B6 background. We used a speed-congenic approach, which cut the development time in half. Each of the 4 congenic and multiple sub-congenic strains have unique phenotypes that when recombined together in bi- and tri- congenics was successful in partially or fully reconstituting the original disease. We bred the congenic strains, genotyped, and phenotyped them. The speed congenic approach is used by essentially all labs that are using genetics and mice to address their research questions. Our congenic mice are available to the research community through the Jackson Labs.

Cytokine modulation as a potential key to treatment of SLE. We and others have shown that cytokines are required to keep autoimmune cells alive by inhibition of apoptosis and perpetuation of inflammation. We have shown that there are defects in the TNFα/TNFR1 apoptotic signaling pathway in lupus-prone mice post binding of TNFα to TNFR1. We have also shown that gene-therapy treatment with IL-10 reduces inflammation and delays renal damage in lupus-prone mice.

Medical Subject Headings (MeSH)

Algorithms; Breast Neoplasms; Clinical Trial; Computer Graphics; Data Visualization; Head and Neck Neoplasms; Image Processing, Computer-Assisted; Immunotherapy; Medical Informatics Computing; Melanoma; Multiomics; Multiple Myeloma

Research at a Glance

Yale Co-Authors

Frequent collaborators of Kim Blenman's published research.

Publications

2024

2023

Clinical Trials

Current Trials

Academic Achievements and Community Involvement

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