Somatic Mutations Reveal Personal History of Development and Aging
March 30, 2023ID9776
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- 00:00Doctor Alexei Abizov is
- 00:02a physicist by training.
- 00:04In 2002 he graduated from the Moscow
- 00:07Institute of Physics and Technology.
- 00:09And by the way, I think that we heard
- 00:12that before where he obtained same place
- 00:17where he obtained his BS&MS degrees.
- 00:20He then conducted graduate studies
- 00:22in biology and in 2008 received
- 00:24his PhD in computational biology
- 00:27from Northeastern University.
- 00:29In Boston, after working as a scientist
- 00:31at Yale University for almost six years,
- 00:33he opened his laboratory at
- 00:35the Mayo Clinic in Rochester,
- 00:37and his laboratory is purely
- 00:39analytical and studies variations
- 00:41in mutation in human cells and how
- 00:44they can affect health and disease.
- 00:46He was a member of the 1000 Genomes
- 00:48Project and then Code Consortium
- 00:50and was one of the leaders of the
- 00:53brain Somatic Mosaicism Network,
- 00:55and he's currently a member of the 2nd.
- 00:59All right, I'm actually a second scientist
- 01:01talking here who is not like organic person,
- 01:04so I'm more like studying genomics,
- 01:07but I hope I could do some and you
- 01:10will see how we can contribute to
- 01:11general knowledge from different areas
- 01:13and from different angles of studies.
- 01:15So as was discussed today,
- 01:17Organo is a quite powerful system.
- 01:19So you can do them for many organs and
- 01:22they actually give a promise to not only to
- 01:25recreate the organs but also use it as a.
- 01:28As a model where you can study development
- 01:31and different phenomenons in human.
- 01:34So one of the thing in organoids which
- 01:40didn't was not highlighted that much
- 01:42today is that organoids allow you to
- 01:45actually do genetic manipulation in
- 01:47the in the system and then see which
- 01:49effect is going to give a downstream
- 01:52on development or organ growth.
- 01:54And typically how it's done if you
- 01:56have like some kind of cell car,
- 01:58so typically it's IPS line so you can
- 02:00CRISPR edit it and introduce edit.
- 02:02But since the CRISPR is not 100% efficient,
- 02:06not all of the cells will have the edit,
- 02:07so some of them will, some of them won't.
- 02:09So typically what people do is
- 02:11a clonal selection,
- 02:11select a pure edited colony and what
- 02:16what can happen during this process
- 02:17which is not very obvious all the time.
- 02:20Is that actually our cells have mutation.
- 02:23So you can have in the initial culture
- 02:24you can have cells with a mutation
- 02:26and then on top of what you have cells
- 02:28which can be edited to unedited.
- 02:29And when you do clonal selection
- 02:31you can get a colony which may have
- 02:33no edit but with mutation.
- 02:35Or it can have edit and mutation or
- 02:37it may have edit and no mutation.
- 02:39So it's actually creates heterogeneity
- 02:41during this process of clonal selection.
- 02:45Of course if it's only one single mutation,
- 02:46maybe you don't care,
- 02:47but then the question is like how
- 02:49much everything is different.
- 02:50And we collaborated with a few labs and
- 02:54there were a few labs at Mayo Clinic,
- 02:56at Flores Lab at Yale and in Oklahoma.
- 03:01So we collected data for those experiments.
- 03:05We conducted whole genome sequence
- 03:06and of the clones and we just simply
- 03:08compared them and ask a simple questions
- 03:10how much is the clones which are being
- 03:12conducted analysis how much is a similar,
- 03:14it turn out that pretty much
- 03:16they're all different.
- 03:17So there is nothing which is similar.
- 03:19And for example as it is shown here,
- 03:22so there are three clones which are derived
- 03:24after CRISPR experiments and they're
- 03:25different here in the copy number variation.
- 03:27So this is the coverage across whole genome,
- 03:30across genome.
- 03:30And then you can see that here the coverage
- 03:33drops which is means heterozygous deletion,
- 03:35one of it was deleted,
- 03:36so in this line it was deleted and
- 03:38this line is completely normal.
- 03:40So, and this is quite large,
- 03:41this is kilobases,
- 03:43multiple kilobases that's that
- 03:44has been deleted
- 03:45in other experiments it's
- 03:46pretty much just say.
- 03:48So here is extremely large deletion which
- 03:50is manifested only in one of the lines.
- 03:52Here there is a small deletion and then
- 03:55also manifested and and the same here.
- 03:58All of this variations which are shown here,
- 04:00they actually were present in the
- 04:02initial culture in the initial
- 04:04self population that you use.
- 04:07So and if you can do exactly.
- 04:09If you can do similar analysis for
- 04:11the point mutation and you discover
- 04:13them so you can see hundreds of them
- 04:15uniquely in each clone and IPS line.
- 04:17So this effect is manifested. Why?
- 04:19Because we actually do a single cell clone,
- 04:22so we now there is this bottleneck
- 04:24during analysis when you analyze
- 04:26single cell or isolate single cell.
- 04:28So a simple conclusion from this
- 04:31kind of various experiments that
- 04:34clone and conculturing actually.
- 04:36Results to in non isogenic lines that
- 04:38the promise of doing CRISPR that
- 04:40you can actually can get perfectly
- 04:42isogenic and only one mutation that
- 04:44you introduced will be affecting
- 04:46differences in your analysis.
- 04:48However the step of cloning results
- 04:50in differences and people have
- 04:52to take this into account.
- 04:56But I think more, maybe excitingly
- 04:59importantly for us to understand that
- 05:02actually all cells are different.
- 05:03So no two cells even
- 05:05from the same individual,
- 05:06from the same culture as the same.
- 05:08So this example I gave you in culture,
- 05:10but pretty much the same is true for
- 05:13cells in our body, in every person.
- 05:15So all cells are different.
- 05:17And this is called somatic mosaicism.
- 05:20Somatic mosaicism gained a lot
- 05:22of attention recent years.
- 05:24Because we had a boost in technology,
- 05:27everyone knows of you development
- 05:29of sequencing technologies and also
- 05:31there were approaches to study
- 05:33mutation to the single cell level.
- 05:35However, the ideas of the somatic
- 05:36mosaic and they actually quite old.
- 05:38The first mentioning was in 2004.
- 05:40The conceptual idea was expressed
- 05:43in 2040 that first time it was
- 05:46published phrase somatic mosaic
- 05:48in scientific literature.
- 05:49In in 1945 that was the first
- 05:52time we expressed ideas that this
- 05:54can happen in a human.
- 05:56So I want to share with you
- 05:59today talk about two projects,
- 06:01one of them related to development
- 06:04and the other one related to agent.
- 06:08So what does the semantic Moses
- 06:12mean development.
- 06:13We as a mammal,
- 06:14so we developed from a single cell and
- 06:17we follow very defined developmental path.
- 06:19So fertilize deck first produce a
- 06:22blastosis and blastosis differentiate
- 06:23inter in and outer cell mass.
- 06:25Then inner cell mass differentiate
- 06:27into 3 drum layers and outer cell
- 06:29mass mostly produces placenta.
- 06:31And then there is a cell migration
- 06:34intermixing and making organs.
- 06:36If we look at this process in a little
- 06:38bit more details this is how it looks like.
- 06:40So this is a fertilize deck and
- 06:43this is differentiation pass which
- 06:45happens to different tissues so.
- 06:47For example,
- 06:47there is a blood tissue eventually developed,
- 06:50so brain tissue and any other
- 06:53tissues and and and cell commitments.
- 06:56So this process is this picture
- 07:00reflects your development,
- 07:02how this happened and differentiation.
- 07:04However,
- 07:05together and in parallel with the
- 07:08differentiation another thing happens,
- 07:10cells acquire mutation,
- 07:11so they divide,
- 07:12they acquire mutation and they also
- 07:15differentiate.
- 07:15So these two processes are coupled.
- 07:18And in fact mutations can happen
- 07:21at a different stage of development.
- 07:23If they happened really late,
- 07:24they may may be present only in brain and
- 07:26not present in the blood or vice versa.
- 07:28So a lot of analysis that currently being
- 07:31conducted in in medicine and genetics,
- 07:34we simply take blood,
- 07:35analyze it and and asking a question
- 07:37can we see something there.
- 07:39But doesn't necessarily guarantee you
- 07:40that mutation whatever you see in
- 07:42the blood can be found in the brain.
- 07:43So this is 1 aspect why it's
- 07:45important to study mosaicism.
- 07:47And 2nd aspect is,
- 07:48since these two processes are
- 07:50actually coupled development
- 07:52and acquisition of mutations,
- 07:54you can ask a question can we use one
- 07:57process like let's say mutations to
- 08:00infer something about the development.
- 08:02So specifically you can think
- 08:04of the following idea.
- 08:05So in mice when we do lineage
- 08:07tracing and try
- 08:08to define cell ancestry,
- 08:09so people typically use
- 08:11genetically modified mice, so.
- 08:13What is it shown here?
- 08:14So this is the first cell that I got
- 08:17is start dividing and at some point
- 08:20you can activate expression of let's
- 08:22say green fluorescent protein and like
- 08:24cartoonishly you will get such a result.
- 08:26Like you can usually see that
- 08:28there is some area in the mouse
- 08:30which is have some abnormal color.
- 08:32So obviously we cannot do that in human.
- 08:35In human is basically not permissible
- 08:37to make a genetic modification.
- 08:40However, you can use this idea of mutation
- 08:42because once the mutation happen in a cell,
- 08:44all progenies of a cell
- 08:45will inherit that mutation.
- 08:46And we know that majority,
- 08:48absolute majority of the mutation
- 08:49not going to do anything.
- 08:50So they're just purely marks of development.
- 08:53So like as it's shown here,
- 08:54so let's say you have a First Division,
- 08:56you will have mutation A1A2,
- 08:58then you have next division,
- 08:59let's say you have beta mutation,
- 09:01you have gamma.
- 09:01And then let's say we will take this cell,
- 09:04it will have three mutations.
- 09:05So all of the Progenies will inherit
- 09:07this unique combination is going
- 09:08to be like a bar code for a cell,
- 09:09like 3 unique mutations.
- 09:11And then in the adult person given that
- 09:15if you can analyze multiple cells,
- 09:17you can actually infer and see it and
- 09:20reconstruct ancestor of the cells.
- 09:21So we try to capitalize on this idea
- 09:25and study what can we and try to see
- 09:28what we can say about development.
- 09:30So specifically we did the following.
- 09:31So we took a person.
- 09:34So we did multiple skin biopsies
- 09:37from a person from different areas we
- 09:40extracted fibroblast cells and from
- 09:43fibroblast cells we derived IPS lines.
- 09:45So here we leverage the property
- 09:48of IPS lines that they are clonal.
- 09:51So every IPS line that you derive it
- 09:53will be a perfect clone of one single cell.
- 09:56So you can think of IPS line
- 09:58as basically a single cell.
- 10:00Which we analyze and then we discovered
- 10:03mutation in this single cells and
- 10:06by sharing of the mutation we can
- 10:09reconstruct ancest is 3 of the cells.
- 10:11So if they if they share mutation
- 10:12means they had a common ancestor,
- 10:14if they don't they don't.
- 10:15And then like you do simple phylogeny,
- 10:18I mean in fact it's not was the
- 10:20simple but I'm not going to go
- 10:22into technical details.
- 10:23So what did we find at the end?
- 10:25So this is a patient with
- 10:27a Tourette syndrome.
- 10:28So here so each branch basically
- 10:30represents your single cell and these
- 10:32three represents you their ancestry
- 10:34that we reconstructed from the mutation.
- 10:37So this is in our model.
- 10:39This is as I got which divided
- 10:41into 2 branches and mutations are
- 10:43shown by letters so ABCD.
- 10:45And we used Latin letters for this
- 10:48branch and brick letters for this branch.
- 10:50So OK so we reconstructed this.
- 10:52Is there anything interesting?
- 10:54So this bars over here show
- 10:56you the frequency of this mutations.
- 10:58In cells from different tissues.
- 11:00So red is blood,
- 11:01blue is saliva and yellow is urine.
- 11:04So what we see right away is that this for
- 11:07mutations which marks this entire branch,
- 11:09they're present in 9180 and 69% of cells
- 11:13and cells from this accordingly they will
- 11:17be at much smaller fraction, 2 to 10%.
- 11:20So right away we notice that
- 11:22there is a huge asymmetry.
- 11:24SO2 blastomers, they already not
- 11:26contributing equally to the adult body.
- 11:29So that was really surprising to us.
- 11:32And this asymmetry to some extent
- 11:34projected to the following divisions,
- 11:36so divisions.
- 11:37So we thought maybe it's just something.
- 11:40So we call this dominant lineage and
- 11:42then we call this recessive lineage.
- 11:44So we thought maybe this is
- 11:46something related to a patient,
- 11:47maybe it's maybe overall not a big deal.
- 11:50So we actually recruited another just
- 11:52healthy individual and did pretty much the
- 11:55same analysis and found identical result.
- 11:57So we reconstructed this lineages
- 12:00and one branch was dominating and
- 12:02the other one was really recessive.
- 12:06There was some some slight differences
- 12:08that there was a lot of mutation here.
- 12:11But however,
- 12:11the overall effect was the same.
- 12:13So we published that study earlier in 2021.
- 12:18Yeah,
- 12:18it was early 2021 and this result was
- 12:21partially replicated by three follow
- 12:23up studies just few months later.
- 12:25Why I say partially is that as a
- 12:28studies using slightly different
- 12:30approach obtains the same result but
- 12:31not in all of the individuals so.
- 12:35Roughly half of the individuals
- 12:37where such linear construction was
- 12:39conducted have this strong asymmetry,
- 12:41and another half doesn't have
- 12:42the strong asymmetry,
- 12:43and we don't know exactly what it means.
- 12:45It could be that this is a
- 12:46finistic variation between people,
- 12:48or it could be that we simply
- 12:50in those individuals.
- 12:50We haven't found it yet.
- 12:51This is a symmetry.
- 12:52You just need to sample more cells.
- 12:54Obviously,
- 12:54the more cells you sample from a person,
- 12:56the more power you have to
- 12:58find such a symmetries.
- 12:59So.
- 13:00But what is the interpretation
- 13:02of this asymmetry?
- 13:04Technically speaking,
- 13:04you can think about two effect effect #1.
- 13:08So if the blastomer divides and creates 2
- 13:12lineages initially is I got this divide.
- 13:15So it could be that one lineage
- 13:19somehow has an advantage.
- 13:20Maybe it proliferates faster or maybe
- 13:22the other lineage proliferates slower.
- 13:24So this is what happens in reality.
- 13:26But when we construct.
- 13:28When we make a retrospective reconstruction,
- 13:30because we actually don't
- 13:32have information about time,
- 13:33we only have information about ancestry,
- 13:35it looks to us that there was
- 13:37only two divisions and we assume
- 13:38there was scenario like this.
- 13:39However,
- 13:40in fact may have been this case
- 13:42where for three divisions in this
- 13:43lineage there was only two of this.
- 13:45This is just cartoonish,
- 13:46but showing you that there is some asymmetry,
- 13:48like internal properties,
- 13:50that's possible explanation number one.
- 13:53Another one maybe that.
- 13:57This lineage which we call recessive
- 14:00cells of this lineage have some
- 14:02intrinsic property where which
- 14:03for example leads them to higher apoptosis.
- 14:06So so this cells.
- 14:08So in reality they this cell divided
- 14:10into 2 but that cell didn't survive
- 14:12and maybe this cell didn't survive.
- 14:15So then every time we divide
- 14:17it acquires mutation and start
- 14:19with some mutation and one
- 14:21retrospectively we reconstruct.
- 14:22Then it looks to us that it
- 14:24was one single mutation,
- 14:25was one single division with many mutation.
- 14:27But in fact it was not
- 14:32here that the cells which
- 14:34we put with a question mark,
- 14:36they don't necessarily may up up
- 14:38toes or maybe happen something else.
- 14:41Particularly they may go to placenta
- 14:42and since we are not something
- 14:44placenta from the living individuals,
- 14:46we are not able to observe it.
- 14:49And this possibility is quite
- 14:50exciting because it may suggest
- 14:52the following scenario.
- 14:53At this point we cannot prove it.
- 14:55But this is on the level of hypothesis
- 14:57that two cells from the very beginning
- 15:00could be already unequal in their fate,
- 15:02and one of them, one of the cell,
- 15:04one of the blastomer from the beginning,
- 15:06already knows that it will
- 15:07mostly make a placenta,
- 15:08and the other blastomer will know
- 15:10that it mostly will make a dull body.
- 15:11And then during this development,
- 15:13so this will organize,
- 15:15the development will go this way.
- 15:18And that's why when we are
- 15:21analyzing leaving individual,
- 15:25one of the lineage will be
- 15:27underrepresented and the other
- 15:28lineage will be overrepresented. So
- 15:33that's that's about development.
- 15:35And then let me slightly shift gears
- 15:37and go about somatic mutation.
- 15:39What can we infer about aging?
- 15:44This project was conducted in frame
- 15:46of brain somatic Moses network.
- 15:48This network was established by
- 15:51NIMH National Institute of Mental
- 15:53Health with the aim of understanding
- 15:56how much somatic mutations can
- 15:58contribute to neurological diseases.
- 16:01So there were six diseases targeted
- 16:03and the idea will discover all of the
- 16:06type of somatic mutations in the brain.
- 16:08But today I will mostly focus
- 16:10on the three diseases.
- 16:12Simply because for this for brains
- 16:13with these diseases we had whole genome
- 16:15sequencing data and for others we don't.
- 16:17And we actually like really whole
- 16:19genome data because we can analyze
- 16:21entire genome and it gives us a lot
- 16:24of information and also I will be
- 16:26focusing mostly on point mutations.
- 16:29So when we started this project in 2015,
- 16:33I believe at that time the question
- 16:36number one was can we discover
- 16:38some ASIC mutations or not.
- 16:40The approach in this project was
- 16:42different from that lineage tracing
- 16:44I just talked about because here we
- 16:46did not analyze individual cells.
- 16:48So here we took a brain and
- 16:50analyzed bulk of the brain.
- 16:51And last question,
- 16:52can we see some mutations there?
- 16:54So obviously we cannot see
- 16:56mutations which are extremely rare.
- 16:58We can only see relatively frequent
- 17:00mutations and the question was
- 17:02how do we actually discover them.
- 17:03So just briefly what we did,
- 17:06we simulated somatic mutations by mixing.
- 17:10Different samples with different genomes.
- 17:12So this way variations which I inherited
- 17:17will be present as a frequency
- 17:19which is not in 100% of cells,
- 17:21just a fraction of cells,
- 17:22and this thereby will simulate
- 17:24somatic mutations.
- 17:25The Long story short,
- 17:27basically nonexistent methods allow
- 17:28us to do comprehensive and accurate
- 17:31discovery of somatic mutations at that time,
- 17:34so we actually had to develop
- 17:36some new approaches.
- 17:37So we set up a big experiments,
- 17:39so we did that in the in the
- 17:42consortium and we generated tons
- 17:44of call predictions from many labs
- 17:46and we made elaborate efforts to
- 17:48validate as many sites as possible.
- 17:50So here basically showing you
- 17:51a validation for 400 sites.
- 17:53So every column corresponds to A1
- 17:55mutation and every row corresponds
- 17:57to a different type of data we
- 17:59collected for this mutation.
- 18:00So we for this call,
- 18:02so we did the multiple sequencing
- 18:04of the brain regions,
- 18:05we did multiple replicas,
- 18:07we did multiple validation and so on.
- 18:09So as you can see from this experiment,
- 18:12majority of the things we find we
- 18:14eventually deemed false positive
- 18:15and only small fractions were
- 18:17true real thematic mutations.
- 18:19And based on this experiment
- 18:21I'm not going to overload you
- 18:23with the technical details,
- 18:24but at the end we came up with a
- 18:27way how we can discover mutations.
- 18:29From just sequencing brain
- 18:31bulk at high coverage,
- 18:33so few of the kind of snippets of what does
- 18:37the what was the key in this discovery.
- 18:40So we had to adjust existing methods
- 18:43to become more sensitive to find
- 18:45mutations at the lower frequency.
- 18:48So we had to use accessibility marks.
- 18:50What does it mean? Our genome has a
- 18:52lot of repeats so we actually had
- 18:54to throw about 25% of the genome.
- 18:57Where reads we are using short reads I'm not
- 19:00able to reliably call somatic mutations.
- 19:03And then what was important we have
- 19:07to use panel of normal mask which
- 19:10is we see for reproducible errors
- 19:12across multiple samples.
- 19:14So this was a quick three key steps
- 19:16and eventually one of the lab in the
- 19:18brain somatic mosaicism developed.
- 19:23Artificial intelligence approach,
- 19:24a machine learning approach to
- 19:26make a final filtering step.
- 19:28So at the end, so this is performance
- 19:31assessment of our performance,
- 19:33how we see it for our developed approach.
- 19:37So now mutations between frequency of
- 19:40about 20% of frequency and about 2%
- 19:42of frequency can be discovered with
- 19:45relatively high sensitivity of about 70%.
- 19:48So we are missing a lot.
- 19:49And we're missing a lot because we
- 19:51have to throw out this repetitive
- 19:52region of the genome.
- 19:53But we can guarantee that what
- 19:55we find in in that 75% of the
- 19:59genome is actually quite accurate.
- 20:01Accuracy is about so false.
- 20:04Positive rate is around 5%.
- 20:07So what do we find?
- 20:09So we analyzed 131 brains.
- 20:12There were normal brains,
- 20:14brains with stress syndrome,
- 20:15ASD and schizophrenia.
- 20:16So those are shown here.
- 20:18And since we find only relatively
- 20:21high frequency mutations,
- 20:22so we don't see all like
- 20:24hundreds and thousands of them,
- 20:26we see relatively small number
- 20:28between 20 to 40 per brain.
- 20:30And this number is quite consistent
- 20:32across all of the cohorts across
- 20:34normal and the disease cohort.
- 20:36So that was kind of in some sense expected.
- 20:40So however what was unexpected
- 20:42that there are few brains.
- 20:44Where mutation burden is much much high.
- 20:46So please pay attention that
- 20:48this is log scale.
- 20:49So like here the count of mutation is roughly
- 20:522000 that we detected in A1 single brain.
- 20:55So we call this brain hypermutables.
- 20:57Initially we saw that maybe something
- 20:59wrong with the data and we did all
- 21:02the possible checks so here it just.
- 21:04Showing you that they are not outlined
- 21:06in terms of phasing it to the haplotypes.
- 21:08They are not outlined in
- 21:09terms of mutation spectrum.
- 21:10They are not outlined in terms of like
- 21:12as a more refined mutation spectrum,
- 21:14everything.
- 21:14What we could actually point out
- 21:16that these are real mutation.
- 21:18So these brains in fact have much
- 21:21higher count of detective mutation.
- 21:24So interestingly enough that
- 21:25if we now put age together with
- 21:28the count of this mutation,
- 21:30we see a positive correlation.
- 21:32So here what we saw,
- 21:33we show the age of the brain and
- 21:36here is a mutation count that we
- 21:38detected and we see the positive
- 21:41increase that aging brains have.
- 21:43All the brains have higher fraction of
- 21:47brains with increased mutation count,
- 21:50so obvious association.
- 21:52And then the question we was
- 21:54of course how do we explain it?
- 21:55What does it mean?
- 21:58So two brains here which are circled.
- 22:02They actually had a one missions
- 22:04mutation in the NRAS gene and then Ras
- 22:06is a quite well known cancer driver gene.
- 22:08So it it was damage and mutation over there.
- 22:12So this brain had a mutation in the anthorgy.
- 22:15So this actually also quite famous
- 22:18cancer driver gene and this one the
- 22:20brain with the highest mutation count
- 22:22actually if you look at the copy
- 22:24number profile across the genome.
- 22:26So this is cortex,
- 22:27this is hippocampus and this is chromosome.
- 22:30So what you can see that cortex
- 22:32is absolutely normal
- 22:33and then hippocampus.
- 22:35So there is a gain of chromosome 7.
- 22:37It's mosaic, so it's not
- 22:39present in all of the sand,
- 22:41all of the cells and loss of chromosome 10.
- 22:43So it's also mosaic.
- 22:46This is actually gain seven loss 10.
- 22:48It's a classical example of glioblastoma.
- 22:50So this is how it's often
- 22:53time being diagnosed.
- 22:54When we talked to clinicians in the Mayo
- 22:55Clinic, they said well if we see this,
- 22:58it's not enough to say it's,
- 23:00it's we diagnose it as a cancer.
- 23:02However, if you go to the third
- 23:04promoter and find mutations there,
- 23:05then we'll we'll just call it a cancer case.
- 23:08We actually went to the third promoter.
- 23:10So it was masked out as a repetitive regions.
- 23:13So that's why initially we
- 23:14didn't see this mutation.
- 23:16However, if we actually go to that
- 23:17position where this mutation happens
- 23:19to actually see it, so it's there.
- 23:21So this person has all the
- 23:23hallmarks of cancer.
- 23:24Gain of seven,
- 23:24loss of 10 and 3rd promote the mutation.
- 23:27So we think that it's probably
- 23:29undiagnosed case in the person or
- 23:31maybe misdiagnosed because that the
- 23:33official diagnosis is schizophrenia.
- 23:36So that's already we have multiple
- 23:39evidence pointing to the cancer driver
- 23:42genes and actually if you could be
- 23:44late all of the mutations we have.
- 23:47So these are all mutations
- 23:48in the cancer driver genes.
- 23:50Typically we see them in the
- 23:51brains which are hyper mutable.
- 23:53So there are few brains which
- 23:54are non hyper mutable.
- 23:55Sometimes we see mutations in
- 23:57the cancer driver genes but
- 23:58typically there and this is a
- 24:01statistically significant enrichment.
- 24:02So now we have association with age
- 24:04and then we have association with the
- 24:06mutations in the cancer driver genes.
- 24:08So we think that likely what we
- 24:10observe is the following scenario.
- 24:12In a normal brain we have
- 24:14a diversity of clones.
- 24:15And then if we randomly pick up one clone,
- 24:17this is just a two dish example.
- 24:18Mutation in that clone will be
- 24:20at relatively low frequency and
- 24:22we are not going to be able to
- 24:24see them by sequence and bulk.
- 24:26However,
- 24:26if you gain some proliferative advantage
- 24:29this clone start to expand and
- 24:32clonal diversity significantly drops.
- 24:34Then mutations present in one
- 24:36clone in this green line they
- 24:39will rise to the high frequency
- 24:41and then by sequence and bulk.
- 24:44We are able to detect it.
- 24:45So the question is what actually
- 24:47cell type expands because in brand
- 24:50we have multitude of cell types and
- 24:52the question is what happens there?
- 24:54So that's one case which I already
- 24:57went over it once with this game
- 25:00seven and delete loss of 10 so this.
- 25:06In hippocampus we see this unemployed is
- 25:08and all of these mutations that we detect,
- 25:11we also find it in hippocampus.
- 25:12So this plot is showing you.
- 25:14So every column corresponds to a mutation.
- 25:17There are two regions and color
- 25:20represents your frequency.
- 25:21So these mutations are shared
- 25:23between cortex and hippocampus and
- 25:25that probably developmental origin.
- 25:26So these are early one and these
- 25:28are specific to hippocampus,
- 25:30most likely reflecting this clonal expansion.
- 25:34So we think that in this case
- 25:36it's probably glial cells again.
- 25:38So this is our strong hypothesis
- 25:40which need to be proven.
- 25:42So hypothesis #1,
- 25:43if you expect inspect mutations which
- 25:47happened in cancer driver genes,
- 25:49then you will notice genes like DN,
- 25:51MT3A, tattoo ID H2 and these genes
- 25:55have been before implicated into
- 25:58their hematobological malignancy,
- 26:01basically blood cancers.
- 26:03So another possibility from this
- 26:05analysis we think that it could be
- 26:08hematopaetic cells so which are
- 26:10expanding in the blood but somehow
- 26:12they penetrate into the brain and we
- 26:15we are able to detect it by by this
- 26:18analysis particularly we know that
- 26:20aging brains actually they are more
- 26:23prone to blood brain leakage and as
- 26:25the last hypothesis that we have is.
- 26:30Comes from the brain NC7,
- 26:31where we already had mutation in the
- 26:34NRAS gene and so the plot is the same here.
- 26:37So columns represent mutation.
- 26:38But now we have different brain
- 26:40regions and different cell fractions.
- 26:42And what we saw that mutations present
- 26:45everywhere in the cortex bulk,
- 26:47they're present everywhere in stratum bulk,
- 26:49but also they were present in the
- 26:51stratum interneural fractions that we
- 26:53isolated from this region and actually
- 26:55the quite high frequency just to prove that.
- 26:58What we did, we isolated cells
- 27:00from this stratum interneurons,
- 27:02single cells, so isolated 16 of them.
- 27:05And we genotype mutations in the
- 27:07single cells, so coverage was not high.
- 27:10So our genotype inefficiency was roughly 50%.
- 27:13So half of the mutation,
- 27:14we can see half of them, we're not.
- 27:15But you quite clearly can see
- 27:17that in the 8 cells,
- 27:19they clearly have almost all of the
- 27:21mutations in this stratum in the neurons
- 27:24from from this that we discovered in bulk.
- 27:27And half of the cells you
- 27:28don't have anything.
- 27:29So it's it's an ultimate proof that first
- 27:32of all that this is quantal expansion
- 27:34in a single some all mutations present
- 27:36in a single cell in a single lineage.
- 27:39And then it strongly suggests that stratum
- 27:41interneurons may have expanded and and
- 27:43then lead to this quantal expansion.
- 27:45So to summarize, so,
- 27:47so this next hypothesis,
- 27:49this is interneurons just to summarize
- 27:51that what we think may have happened,
- 27:53this is 3 hypothesis.
- 27:54One possible origin of this quantum
- 27:57expansion is during neurogenesis,
- 27:59so where interneural generated
- 28:01in one specific area of the brain
- 28:03and then migrate and populate the
- 28:06brain during development.
- 28:07That's hypothesis #1 and then when we
- 28:09do sequencing so we are able to see it.
- 28:11Next hypothesis is that this is gluogenic
- 28:14origin probably happened late in life,
- 28:15so at some time during lifetime
- 28:18cell acquire proliferative advantage
- 28:21and then repopulate brain area.
- 28:23Is going to be localized in particular
- 28:25region and the other one that
- 28:27there is a hematopaetic origin that
- 28:29actually clonal expansion happens
- 28:31in the brain and then they penetrate
- 28:34sorry happens in the blood and then
- 28:37the cells somehow
- 28:38penetrate brain and that will
- 28:40be excited to see what they
- 28:42may do if this is the case.
- 28:44So the last thing what we did is
- 28:48there some functional relevance
- 28:50of the discovered mutations.
- 28:53Sorry, this is my own timer,
- 28:56I have one minute. So is the question was
- 29:02do they do do they have any
- 29:04relevance to diseases that we study?
- 29:05This neuro, psych,
- 29:07psychiatric when we did the standard
- 29:09analysis using overlap with exams and
- 29:12predicting possible functional variants.
- 29:13So we didn't really see anything specific.
- 29:15The only signal we can find is
- 29:17when we try to predict mutations,
- 29:19affected enhancers.
- 29:20So what we saw the over representation
- 29:23of mutations which create binding
- 29:25sites particularly for the
- 29:27transcription factor like Mace 1,
- 29:29Mace 2, Mace 3 and we saw that in the
- 29:33ASD this transcription factors they
- 29:35actually very important in development.
- 29:37So our hypothesis that semantic
- 29:39mutations can contribute to the
- 29:42ASD phenotype during development by
- 29:44affecting regulation or dysregulation
- 29:47of development and.
- 29:50By affecting transcription factor binding.
- 29:52All right. So my conclusions,
- 29:55conclusion slide about all this.
- 29:57So mutations actually very frequent.
- 30:00So no,
- 30:01no two cells in our basically in our
- 30:04body will ever have the same genome,
- 30:06probably from the very beginning.
- 30:10And we can use this to track cell lineages.
- 30:12So we already see the effects
- 30:14from the very beginning,
- 30:16this created lineages are not.
- 30:20Symmetrical and maybe I
- 30:21didn't highlight it enough,
- 30:23I kind of bolted it here.
- 30:24So this approach for lineage
- 30:26tracing that we have, it's,
- 30:28it was done for the living individual.
- 30:31So basically it's a way like every
- 30:33everyone sitting in the room we
- 30:35can conduct the same study and
- 30:37reconstruct your personalized history.
- 30:38What happened to you when you are really,
- 30:40really little like literally very small and.
- 30:47In brain we see between 20 to 60 mutations
- 30:50and this effect of hyper vitability
- 30:52is there are three hypothesis which
- 30:53we are in the process of trying to
- 30:55figure out which one of them is true.
- 30:57And actually maybe all three of
- 30:58them are true in different brains.
- 31:00And let me conclude by acknowledging
- 31:03my colleagues.
- 31:04Of course a lot of work is done with
- 31:06as I said with a Flora Walk arena and
- 31:09my lab is purely analytical and we
- 31:12rely on collaboration with other labs
- 31:15to generate data and analyze it and.
- 31:17Of course, big signs goes to BSMN
- 31:19because it was a big project with
- 31:21enrollment of more than a dozen lab.
- 31:23And thank you very much for your attention.