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Daniel Nichol

Publications and source records attributed to Daniel Nichol.

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Collateral sensitivity networks reveal evolutionary instability and novel treatment strategies in ALK mutated non-small cell lung cancer.

Drug resistance remains an elusive problem in cancer therapy, particularly with novel targeted therapy approaches. Much work is currently focused upon the development of an increasing arsenal of targeted therapies, towards oncogenic driver genes such as ALK-EML4, to overcome the inevitable resistance that develops as therapies are continued over time. The current clinical paradigm after failure of first line ALK TKI is to administer another drug in the same class. As to which drug however, the answer is uncertain, as clinical evidence is lacking. To address this shortcoming, we evolved resistance in an ALK rearranged non-small cell lung cancer line (H3122) to a panel of 4 ALK tyrosine kinase in-hibitors used in clinic, and performed a collateral sensitivity analysis to each of the other drugs. We found that all of the ALK inhibitor resistant cell lines displayed a significant cross-resistance to all other ALK inhibitors. To test for the stability of the resistance phenotypes, we evaluated the ALK-inhibitor sensitivities after drug holidays of varying length (1, 3, 7, 14, and 21 days). We found the resistance patterns to be stochastic and dynamic, with few conserved patterns. This unpredictability led us to an expanded search for treatment options for resistant cells. In this expansion, we tested a panel of 6 more anti-cancer agents for collateral sensitivity among the resistant cells, uncovering a multitude of possibilities for further treatment, including cross-sensitivity to several standard cytotoxic therapies as well as the HSP-90 inhibitors. Taken together, these results imply that resistance to targeted therapy in non-small cell lung cancer is truly a moving target; but also one where there are many opportunities to re-establish sensitivities where there was once resistance.

Cancer Biology

Stochasticity in the Genotype-Phenotype Map: Implications for the Robustness and Persistence of Bet-Hedging

For the last few decades modern biology has focused on quantifying, understanding and mapping the genetic characteristics of cells. This genotype-driven perspective has led to significant advances in our understanding and treatment of diseases such as cancer e.g. the discovery of driver mutations and the development of molecularly-targeted therapeutics. However, this perspective has largely ignored the functional outcome of genetic changes: the cellular phenotype. In part, this is simply because phenotypes are neither easy to define or measure as they critically depend on both genotype and context. Heterogeneity at the gene scale has been known for sometime, and there has been significant effort invested in trying to find patterns within it, but much less is understood about how this heterogeneity manifests itself in phenotypic change, i.e. the genotype-phenotype map (GP-map). This mapping is not one-to-one but many-to-many and is fundamentally the junction at which both genes and environment meet to produce phenotypes. Many genotypes produce similar phenotypes, and multiple phenotypes can emerge from a single genotype. To further complicate matters, genetically identical cells in uniform environments still exhibit phenotypic heterogeneity. Therefore a central open question in biology today is how can we connect the abundance of genomic data with cell phenotypic behaviour, this is especially pertinent to the issue of treatment resistance as many therapies act on cellular phenotypes.\n\nOur focus here is to tackle the GP-map question through the use of the simplest functional mapping we can define that also captures phenotypic heterogeneity: a molecular switch. Molecular switches are ubiquitous in biology, observed in many organisms and naturally map molecular components to decisions (i.e. phenotypes). Often stochastic in nature, such switches can be the difference between life or death in environments that fluctuate unpredictably, since they will ensure that at least some offspring are adapted to future environments. For convenience we use Chemical Reaction Networks (CRNs) to define the map of gene products to phenotypes, allowing us to investigate the impact of distinct mappings (CRNs) and perturbations to them. We observe that key biological properties naturally emerge, including both robustness and persistence. Robustness may explain why such bet hedging strategies are common in biology, and not readily destroyed through mutation. Whereas persistence may explain the apparent paradox of bet-hedging - why does phenotypic hedging exist in environments beneficial to only one of the phenotypes, when selection necessarily acts against it? The structure of the molecular switch, itself subject to selection, can slow the loss of hedging to ensure a survival mechanism even against environmental catastrophes which are very rare. Critically, these properties when taken together have profound and significant implications for the emergence of treatment resistance, since the timescale of extinction depends heavily on the underlying GP-map.

Evolutionary Biology

Exploiting evolutionary non-commutativity to prevent the emergence of bacterial antibiotic resistance

The increasing rate of antibiotic resistance and slowing discovery of novel antibiotic treatments presents a growing threat to public health. Here, we develop a Markov Chain model of evolution in asexually reproducing populations which is an encoding of the Strong Selection Weak Mutation model of evolution on fitness landscapes. This model associates the global properties of the fitness landscape with the algebraic properties of the Markov Chain transition matrix and allows us to derive general results on the non-commutativity and irreversibility of natural selection as well as antibiotic cycling strategies. Utilizing this formalism, we analyse 15 empirical fitness landscapes of E. coli under selection by di.erent beta-lactam antibiotics and demonstrate that the emergence of resistance to a given antibiotic can be both hindered and promoted by di.erent sequences of drug application. Further, we derive optimal drug application sequences with which we can probabilistically steer the population through genotype space to avoid the emergence of resistance. This suggests a new strategy in the war against antibiotic.therapy.resistant organisms: drug sequencing to shepherd evolution through genotype space to states from which resistance cannot emerge and by which to maximize the chance of successful therapy. BackgroundThe increasing rate of antibiotic resistance and slowing discovery of novel antibiotic treatments presents a growing threat to public health. Previous studies of bacterial evolutionary dynamics have shown that populations evolving on fitness landscapes follow predictable paths. In this article, we develop a general mathematical model of evolution and hypothesise that it can be used to understand, and avoid, the emergence of antibiotic resistance. Methods and FindingsWe develop a Markov Chain model of evolution in asexually reproducing populations which is an encoding of the Strong Selection Weak Mutation model of evolution on fitness landscapes. This model associates the global properties of the fitness landscape with the algebraic properties of the Markov Chain transition matrix and allows us to derive general results on the non-commutativity and irreversibility of natural selection as well as antibiotic cycling strategies. Utilizing this formalism, we analyse 15 empirical fitness landscapes of E. coli under selection by different {beta}-lactam antibiotics and demonstrate that the emergence of resistance to a given antibiotic can be both hindered and promoted by different sequences of drug application. We show that resistance to a given antibiotic is promoted in 61.4%, 68.6% and 70.3% of possible orderings of single, pair or triple prior drug administrations, respectively. Further, we derive optimal drug application sequences with which we can probabilistically steer the population through genotype space to avoid the emergence of resistance. ConclusionsOur model provides generalisable results of interest to theorists studying evolution as well as providing specific, testable predictions for experimentalists to validate our methods. Further, these results suggest a new strategy in the war against antibiotic-therapy-resistant organisms: drug sequencing to shepherd an evolving population through genotype space to states from which resistance cannot emerge and from which we can maximize the likelihood of successful therapy using existing drugs. While our results are derived using a specific class of antibiotics, the method is generalisable to other situations, including the emergence of resistance to targeted therapy in cancer and how species could change secondary to changing climate or geographical movement.

Evolutionary Biology