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Doerr, C.

Publications and source records attributed to Doerr, C..

3 recordsLinked to original sources

Single-Cell Transcriptomic Signatures Enable Stratified Combination Therapy for Platinum-Resistant Ovarian Cancer

In high-grade serous carcinoma (HGSC), extensive intra-tumoral heterogeneity hinders complete eradication and remains a major obstacle to developing combination therapies capable of eliminating subpopulations resistant to standard-of-care treatment. Using single-cell RNA sequencing of 72 samples from 54 HGSC patients spanning treatment-naive, post-neoadjuvant chemotherapy and relapse stages, we established a carboplatin-anchored framework that identifies transcriptional signatures of intrinsic (pre-existing) and adaptive (therapy-induced) resistance in individual tumors and prioritizes mechanistically matched drugs to potentiate carboplatin efficacy. Candidate compounds were ranked by integrating orthogonal resources--viability (GDSC, PRISM) and perturbational transcriptomics (L1000, Perturb-seq)--to reduce context bias. Among 64 candidates, three carboplatin adjuvants enhanced long-term efficacy in patient-derived organoids (PDOs), and pevonedistat further significantly reduced tumor burden in orthotopic xenografts. This tiered validation pipeline--from short-term and long-term PDOs and in vivo orthoptic xenografts--establishes a translational framework linking single cell resistance programs to actionable, tumor-specific, carboplatin-anchored combinations for HGSC.

cancer biology↗

Identification of Monotonically Classifying Pairs of Genes for Ordinal Disease Outcomes

In this study, we extend an existing classification method for identifying pairs of genes whose joint expression is associated with binary outcomes to ordinal multi-class outcomes, such as overall survival or disease progression. Our approach is motivated by the need for interpretable classifiers that can provide insights into the underlying biological mechanisms. It can be easily adapted to different research questions, such as identifying gene pair signatures or functional enrichment. We demonstrate that our method is comparable to state-of-the-art classification approaches in terms of performance, while offering the benefit of higher interpretability and adaptability to solve different research questions. Our evaluation on two real-world use cases in glioblastoma and high-grade serous ovarian carcinoma shows that our approach can effectively predict ordinal outcomes and provide novel biological insights. The code is available at https://github.com/oceanefrqt/MBMC.

systems biology↗

Fast Identification of Optimal Monotonic Classifiers

MotivationBivariate monotonic classifiers (BMCs) are based on pairs of input features. Like many other models used for machine learning, they can capture non-linear patterns in high-dimensional data. At the same time, they are simple and easy to interpret. Until now, the use of BMCs on a genome scale was hampered by the high computational complexity of the search for pairs of features with a high leave-one-out performance estimate. ResultsWe introduce the fastBMC algorithm, which drastically speeds up the identification of BMCs. The algorithm is based on a mathematical bound for the BMC performance estimate while maintaining optimality. We show empirically that fastBMC speeds up the computation by a factor of at least 15 already for a small number of features, compared to the traditional approach. For two of the three clinical datasets that we consider here, the resulting possibility of considering much larger sets of features translates into significantly improved classification performance. As an example for the high degree of interpretability of BMCs, we discuss a straightforward interpretation of a BMC glioblastoma survival predictor, an immediate novel biomedical hypothesis, options for biomedical validation, and treatment implications. ConclusionsfastBMC enables the rapid construction of robust and interpretable ensemble models using BMC, facilitating the discovery of interesting gene pairs and their contributions to the underlying biology. AvailabilityWe provide the first open-source implementation for learning BMCs, and an implementation of fastBMC in particular, all in Python, at https://github.com/oceanefrqt/fastBMC.

bioinformatics↗