院長致詞: 十一月份還會有一個retreat
Emerging Trends and Opportunities for Microbiota Research
高承源副研究員 (免疫醫學中心)

- Microbiota is not just about bacteria, viruses, fungi are also included.
- Analytic tools of microbiota (e.g.assembling the human gut Microbiota in metabolic diseases.
- 16S/26S RNA sequencing)
- Metaproteomics workflow
- Models for human microbiota research
- Organ-on-a-chip RootChip (different levels of oxygen at different layers of matrix)
- Ex vivo models for microbiota research
- Experimental approaches for defining functional roles of mirobes in the human gut (PMID: 24024637)
* lost of function
* gain-of function approaches
- Determining causality in animal models
- From human fecal to mice
* germ-free mouse facility in NLAC: isolator
* Isolator at cage level
- Metaproteomics workflow
- Models for human microbiota research
- Organ-on-a-chip RootChip (different levels of oxygen at different layers of matrix)
- Ex vivo models for microbiota research
- Experimental approaches for defining functional roles of mirobes in the human gut (PMID: 24024637)
* lost of function
* gain-of function approaches
- Determining causality in animal models
- From human fecal to mice
* germ-free mouse facility in NLAC: isolator
* Isolator at cage level
* Isocage 正壓型等級小鼠飼養機
- Natural product...
- The progression of microbiota research
Observation --> Correlative --> Causative (germ-free mice) --> Mechanistic (still very rare studies)
- Natural product...
- The progression of microbiota research
Observation --> Correlative --> Causative (germ-free mice) --> Mechanistic (still very rare studies)
Microbiome projects
* US NIH HMP type1, type2 diabetes
* The earth microbiome project is. A systematic attempt to
* France
* China
* Crowdfunding microbiome project
* (UCSD) American gut
* Taiwan gut citizen science project
- Microabiota is the new key to finger many diseases
- Gordon lab.: the father of microbiome
$ Yin-yang of obesity ion the gut microbiota
$ an obesity-associated gut microbiome with increased capacity for energy harvest (Nature)
$ Causality: gut bug transmitted obsity 2013/Science
- A microbial protein that alleviates metabolic syndrome (Scientists at Belgium) A.muciniohilia (Akk bacteria)
- Dusp6 knockout mice
- CTLA4 blockade relies on gut microbiota
- How the Microbiota modulate chemotherapy and
- Gut Microbes can shape response to cancer immunotherapy
- Three papers in Science (end of 2017)
- FMT ——>
* US NIH HMP type1, type2 diabetes
* The earth microbiome project is. A systematic attempt to
* France
* China
* Crowdfunding microbiome project
* (UCSD) American gut
* Taiwan gut citizen science project
- Microabiota is the new key to finger many diseases
- Gordon lab.: the father of microbiome
$ Yin-yang of obesity ion the gut microbiota
$ an obesity-associated gut microbiome with increased capacity for energy harvest (Nature)
$ Causality: gut bug transmitted obsity 2013/Science
- A microbial protein that alleviates metabolic syndrome (Scientists at Belgium) A.muciniohilia (Akk bacteria)
- Dusp6 knockout mice
- CTLA4 blockade relies on gut microbiota
- How the Microbiota modulate chemotherapy and
- Gut Microbes can shape response to cancer immunotherapy
- Three papers in Science (end of 2017)
- FMT ——>
### Non-antibiotic drugs have effects on gut Microbiota
Nature article: extensive impact of non-antibiotic drugs on human gut bacteria
ClinicalTrials.gov
## Bugs as drugs ## Drug the bugs
## bacterial metabolites ## new biomarkers
- Personalized therapies & precision medicine
# guys bacteria can stop cancer drugs from working
- The microbiome understood by AI
- Microbiota research is multidisplinarity
- Key players in the microbiome (Gordon Lab, Belgium, China, Germany, Sweden)
- Synthetic and metablome
- Computational
- Metabolism and inflammation
2016/May US White House —> The microbiome Project
The most needed Taiwanese microbiome projects
— baseline studies
— healthy subjects
A potentially unique yet important baseline study project tin Taiwan
Fecal Microbiota Transplantation (FMT) for Clostridium Difficile Infection and Other Diseases 邱政洵教授 (林口長庚醫院兒童感染科)
2007年起 各國已陸續投入經費支持大型微生物菌相研究計畫
人體微生物菌相 Microbiota 人體第二基因體Microbiome
Microbiome refers to the collective genomes of these microorgamnisms
Munich of understanding of these bodily inhabitants has been derived fro 16S rRNA and metagenomiucs sequecning
Gut contains 1100 prevalent sleepiest and at least 160 species per individual
Human microbiota estimates 109-01009 trillion microbial cells, and the intestine accounts fo the largest and most diverse populations
FMT
— administration o resolution of fecal matter from a do not into the intestinal retract of a recipient to directly changes the recipient’s microbial composition and confers a health benefit
— the first FMT was developed in 1940
— rCDI (C.difficile infection) recurrent C.difficile infection
Research in CDI” Cell 2017 169, p375
• a toxin mediated infectious disease
• Immunotherapy
• Bezlotoxumab for prevention f recurrent C.diff infection (NEJM 2017)
• FMT for rCDI
— most clinical experience with FMT derived form treating recurrent or refractory Clostridioim difficile infection (rCDI)
Quality of evuduenceL high
Strength of recommendation L strong
Tow I open-label RCTs 94% and 90% vs vancomycin 31% and 26%m respoectiuvelky (NEJM, AP&T)
A larger double-blind RCT..
NEJM 2013 Jan 31 (compare FMT and antibiotics therapy)
• improvement in the microbial diversity,m which persisted over time
• Increase in bacteriophages species and Clostridium clostridium IV and XIVa (Firmicutes), and decrease in Proteobacteria
Sterile Fecal Filtrate for rCDI
• stool collected from 5 donors selected by the patients, and fully characterized according to FMT standards
• In all 5 patient, FFT restored normal stroll habits and eliminated symptoms of CDI for a minimum period of 6 months.
——-
Effect of oral capsule- vs colonoscopy-delivered FMT on rCDI (JAMA 2017)
Stool donor and FMT manufacturing pools of 7 healthy donors
• secondary outcome changes in quality of life
• minor adverse events 5-10% (nausea,
• cost capsules (308 USD) versus colono (708? USD)
IBD and IBS (still in investigation stage)
inflammatory bowel disease and inflammatory bowl syndrome
IBD may need multiple transfusions, and has donor effect
IBS placebo effect is required
FMT in the management of IBD, a systematic review and meta-analysis
FMT induces remission one patients with active UC, a RCT
• 75 adult active UC on stable does poses of IUM randomized org weekly FMTs or water enemas x 6 and evaluated for remission (...
Microbial analysis
• an increase in bactericides and proteobacteria
• insole delivery of high-diversity FMP by colonoscopy for active UC
Metabolic syndrome
• FMT in metabolic syndrome should only be performed in a research setting
Microbiome and fish for metabolic syndrome
• not all the published evidence is consistent with the hypothesis
• Much of the literatures are
Multi drug resistant disteas
3 high priority bacterial
Usding FMT to “decolonization” of MDR
Impact of DMT on complete and partial antibiotic resistant bacteria (ARB) decolonization of
Adverse events after decal microbiota transplantation (minor)
ICI (pre-clinical) immune checkpoint inhibitor
Gut microbiome influences efficacy of PD-1` based immunotherapy atainst eputhelial tumors
Enforcement policies
Therapeutic
15-30% refractory fby conventional antibiotics therapy
Vs
FMT: ~100% efficacy in the first 6-month, after 2-years still have > 80% efficacy
Taiwan FMT Expert Consensus
吳俊穎主任 (臺北榮民總醫院 轉譯研究科) 微菌叢植入治療

1st Characteristics
First Asian FMT consensus
Local is important (在地化)
2nd characteristics
Multiple stakeholders’ consensus (scholars.)
3rd characteristics
Quality assurance by government regulations (special regulations for FMT)
Clinical Trial FMT (fecal microbiota transplantation)
台灣微菌聯盟
Steering committee 2017,/7/18
Major references
Clin gastroenterol hapatol (US FMT workgroup 2011)
J law and biosciences (ioenbiome 2015)
..
.
.
.
會議內容
2017/09/30 steering committee
基本資料及問卷
Super-donor criteria
2018/2/24 FMT consensus meeting
醫療法第62條
(5) 植入方式
A
B 經大腸鏡 將微菌叢由結腸植入
C
D
E
More AE in the colonoscopy FMT cohort
Abdominal pain, blood in stool, FMT material leakage
Industrila developed FMT capsiule
Seres Therapeutics: SEWR 109
• cohort 1: SER-109 for 2 days (1.7 x 10^9 spores)
• Cohort 2:
Conclusions
• FMT via capsule is effective as FMT biz endoscopy delivery
• Both frozen and
• must be handled in BSL2
• Fees
==
• Registration
A
B
C
• other diseases suitable for FMT: IBD, resistant bacteria’s, obesity, neuropsychiatric disorders, metabolic syndrome
Gut-brain Axis: a Fundamental Mechanism Modulating Alzheimer’s Progression
莊志立研究員 (分子與基因醫學研究所)
2012 Cell host and Microbes
Infection-induced intestinal oxidative stress...
Neurologiocal diseases may be affected by intestinal microbiota
Immune hemocyte (invertebrate) = plasmatocytes (verterrate)
Enteric infection facilitates immune cells mobility
FAK activity is increased in recruited or circulating immune cells upon enteric infection
Bioinformatics in Microbiome Analysis
廖玉潔副研究員 (群體健康科學研究所)

Metagenomics: the term metagenomics has been defined as
The study of DNA from
The study of DNA from uncultured organisms” (Jo Handelsman). A genome is the entire genetic information of one organism, whereas a metagenome is the entire genetic information of an ensemble of organisms. It is a culture-independent tool for studying bacterial, viral, fungal or eukaryotic communities and can be divided in two main categories.
Targeted amplicon: 16S
> 97% identity : same species
RDP classifier:
Silva nags
Database (GREENGENES)
TestPrime (primer design) —> a good site for primer design
An evaluation of the accuracy and speed of metagenomics analysis tools (Scientific Reports 2016 Jan 18)
Centrifuge: (Genome Medicine)
We have built an anlystical pipeline for metagenomics analysis
KEGG profiles. (Brite KEGG). Metabolites
Metagenomics assembly
Thosands of microbial genomes shed light on interconnected biogenchemical processes in an
• 40G /sample (current cancer metagenom ~ 5G/sample)
DrVM: detect and reconstruct viral genomes from metagenomes
Simulation datasets
10X to 50X HCV: 485-2425 100-0bp paired-end HCV reads + 3.5
Human Papilloma virus
Day 2
Opportunities and Challenges of Current Immuno-oncology Landscape林文傑助研究員 (免疫醫學中心)
Slide全換成和高承源一樣的、overview型態
Immunotherapy with SurVaxM fo ra patient with glioblastoma
IO global market
IGCG international cancer genomics consortium (25.
Oncolytic Virotherapy for Making Cold Tumors "HOT"
徐祖安研究員 (生技與藥物研究所)
改題目了! —> Oncolytic Viruses: updates on current and promising landscapes
Several key factors contributing to ICI (CPI, checkpoint inhibitor) therapy failures
• low mutational loads and poor tumor immunogenicity
• immune suppressive micro environment
ICP34.5 deleted HSC with enhanced oncolytic, immune stimulating and anti-tumor properties RS Coffin Gene Therapy 2003, 10, p292
Use of new HSV strain JS1
deletion of ICP47
Deletion of ICP34.5
Earlier insertion of US11
Insertion f human GM-CSF
BioVex. company Feb 1999
Founders: Davis Latchman and Robert Coffin
CEO: Garett’s Beynon
Employees: 35
Financing to date: $20 millions
2011 BoVex was sold to Amgen
2015 JCO
Talimogene laherparepvec (T-VEC)
Anti-tumor response of T-VEC
2015 Oct T-VEC, Imlygic
local effect: tumor cell lysis
systemic effect: tumor-specific immune response
Oncologist cvirotherapy promoes intratumoral T cell infiltration and improves anti-PD1 immunotherapy (Cell 2107)
ORR=62%
ClinicalTrials.gov. 37 studies found for T-VEC
Study design and clinical responses
Combination f T-VEC and permsrolizuyman is effective i
n patients with low tumor CD8+ density
Future perspectives
• there is a limitation with regard to the degree of efficacy seems in the more advanced patients with extensive visceral disease
• The fact that T-VEC is injected into
Replimune, headquartered in Oxford UK and with a significant
RP1 anti-CTLA-4 and anti-PD1 were inserted into oncovirus
Experimental therapy of human gloom a by means of a genetically engineered virus mutant (Donald M Coen)
What else?
RNA viruses
PVSRIPO —> poliovirus
• Internal ribosomal entry site substitution eliminates neurovirulence in inter generic poliovirus recombinants 1996 PNAS Vol 93 pp2370-2375
• The poliovirus IRES was replaced with an IRES from human rhinovirus. THe elimination f the neuro cytopathic phenotype was achieved.
• Intergeneric poliovirus recombinants for the treatment of ...
Measles virus
• development of new therapy for canine mammary cancer with recombinant measles virus Molecular Theray-Oncolytic virus
Merck Viralytics. (Coxsackievirus)
Zika virus has oncolytic activity against glioblastoma J Exp Medicine. 2017 Sep (Chheda MG)
Development and Opportunities of Antibody-based Immunotherapeutics in Mainstream Oncology 官建村副所長 (生技中心生物製藥研究所) (Duke University)
CAR-T therapy is imilar to an autologous BM transplantation
CAR therapy is at the same time cell therapy, gene therapy, and immunotherapy. It represents a radical departure from all forms of medicine in existence
Tumor antigen specific gene therapy nu gene-modified T lymphocytes
• HLA-independent
• amplification of
• 41BB —> CD137-CD3 eta??
Engineered T cells for cancer therapy. History
• expression of immunoglobulin T cell receptor chimeric molecules as functional receptors with antibody-type Rosenberg
A cure for cancer
How CAR-T therapy Is reviltiozing oncology
There ar Enoch alost 300 CAR-T clinical trials running and the first CAR-T
CRS; cytokines release
Severe side effects in selected
CS19 is an ideal tumor target
• CD19 expression is restricted to B cells and possibly follicular dendritic cells
• CD19 is not expressed on pluripotent bone marrow stem cells
• CD19 is expressed
Issues in CD19 CAR-T cell therapy
Over immune reactions (cytokines release syndromes, CRS)
Active surveillance
Anti-IL-6R
Steroid
Alternative: treats patients with lower tumor burden
CND neurotoxicity
Solution
Tissue-specific CAR-T cell activation
Lesson learned: CD19 CAR-T cell therapy
Tumor tamed by transfer of one T cell
Dusruotiuon of TET2 promotes the therapeutic efficacy of CD19-targeted T cells(CD19 escape)
1st Gen CAR
T cells died in 1 week
2nd Gen CAR
Largest challenges
CRS: to decrease toxicity (not meets to treat CRS bout to prevent it
Solid tumors (
Effector cells and target cells
EGFRvIII
Clinical development of RIT (MR1-1)
Directed to EGFRvIII
Dual-specific recombinant immunottoxin D2C7
D2C7-IT is an immunotixunb targeting both types of EGF receptor
EGFRvIII-CD3 bispecific antibody
EGFRvII murineCAR retroivurakl gebe delivery to marine T cells confers antigen-specific activityadpotive T-cell therapy with EGFRvIII mCAR T cells persistence
Rational development and characterization of humanized anti-EGFRVIII variant II chimeric antigens receptor T cells for
(NCT02209376)
• phase 1 : no CAR was observed
But T-reg was enriched
• 7x19 CAR-T
L7/CCl19-producing CAR-T cells. Improved T cell expansion land survival during in vitro
Complete regression of pre-established solid tumor
Novel strategies to enhance the efficacy of CAR-T cell therapy for aiolid tumor
— combination therapies
Bi-specific antibodies
Dynamic Interplay Between Tumor Cells and Macrophages
楊慕華副校長 (陽明大學)

Polarization of macrophages
EMT transition Lin cancer metastasis
Science 2013 342: 708 Neto et al
Hybrid EMT. Mesenchymal cell proliferates slower than epithelial cells
2014 Cancer Cell Hsu et al 26:p534
The EMT transcription factor Snail: acetates snack poteuintiae macrophage recruited to
Snail-expressing cancer cells ar also shale to polarize macrophages toward M2. (CCL2, CCl5)
MiR-21 promotes M2 polarization of macrophages
——- Epithelial plasticity in cancer metastasis
Hybrid EMT/MET
Characteristics of
Primary TAMs express both M1;M2 markers and metastatic TAMs express M2 markers
MetastatjcTAM
Metastatic TAMs promotes mesenchumal-0epithelial transition f cancer cells
JAK-STAT6 mediated M2 mTAM induct nmetastatic colonoizatino and MET
*Ruzolitinib inhibitor. (GATA3 is an important transcription factor for epithelial cell differentiation
IK35 is an IL12 family’s cytokines produced buy regulatory nit mot effector, T-cells and Paul’s a role in immune suppression
It us a diuretic protein composed of IUL12a and IL27b chains which ar e encoded by two separate genes called IL12A and EBI2
MTAMs secrete IL23
Neutralization of IL35 represses metastatic colonization
Nature Comm 2018 Lee et al
STING and cancer
Interplay between CSC nad TME
Opportunities for Small Molecules in Immuno-oncology
顏婉菁研究員 (生技與藥物研究所)
Factors to consider for success
Antibodies vs small molecule immune checkpoint inhibitors
• effective population specific to target of interest
• PK ling t1/2 (> 15-20 days)
• co-targeting PDL1 and VISTA (v-domain Is suppressor of T-cell activation)
• PDL1 and VISTA pathways ar independent immune checkpoints that negatively regulate T-cell functions\\
• CA170- the first in class dual PPDL1/VISTA inhibitor
•
Antagonism of PDL1 and VISTA by CA170 ex-Vito activation of Hyman PMBMC
In Vito efficacy evaluation and effect on immune profiles
Oral bioacvailability in multiple species
B16/F1 tumors
Phase 1a trial: predicable dose exposure and T cell activatiton
RORr agnoists (retinoids acid receptor related orphan receptor gamma is a nuclear receptor of NR1 family
Modulate game expression in pathways that enhance immunity and decrease immune suppression
Acts as master
LYC-55716 is a selective RORg small molecule agonist
Ex Vivo T-cell assay
MC38 colon cancer: xenografts model
4T1 breast cancer xenografts model (very immunosuppressive cancer cell made)
Immuneprofile
Actvates IL17A and suppresses
Factors considered in tumor selection
* RORg expressing
* IO proof of concepts (TILs, mutation burden
* Tumor targets
Many molecular targeted agents easer immunomodulator functions
Imatinib also inhibits IDO
All inhibitors co-targeting Timor and tumor immune microenvirom,ent
Over-expression of Axl in tumors is associated with poor prognosis,, tumor progression , metastasis,m EMT transition and drug resistance
All serves as a negative regulator of inflammation and the anti-tumor I’mue response
BGB324 bemcentinib : first in class selective Axl inhibitor
MDA-MB-231 invasion inhibition
B6 mice
T-cell dependent inhibition of immune profiles
NSCLC. Axl1 high and PDL1 low
Divers immune regulatory effects of small molecules on tumor immune micro environment
Many small molecules have direct and indirect effects on immune cell
functions
Combination strategies wiht current checkpoint inhibitors
Translating preclinical models to clinic murine and human immune system is not comparable
Potential reasons for trial failure
• unknown MOA of IDO inhibitor I ncombination with checkpoint inhibitors
• Complex ummunoregulatory effects of small milecules
• Lack of biomakkers to monitor ummubne status for patient selection
T cel infiltration is I’portant to understand responders vs non-responders especially when targeting immune suppressive tumor microenvironment
•
Differences in trial setting small phase 2 single arm trial vs large randomized phase 3 rial
Potential reasons for trial failure
Anti cancer flavonoids are mouse selective STING agonists
(One amino acid makes a gib difference!)
New approaches for small molecules-based immunotherapy
## identifications pathways and MOA of immunosuppressive and non-immunogenicity tumor types that can only be targeted/optimized by small molecules
## Phenotypic drug discovery method
• drug screening aims to quantity a phenotype or pathway where lknpwledge of the molecular target is nor trueired
## development of new milecular clases
Synthetic antibody mimetics
Small milecules with targeting and effector funtuonof the antibody
Small meals (3-20 kDa), better solubility, tiusue penetration , stability
SyAm-Ps:bind to prostate-specific membrane antigen and to Fc-gamma I to promote proinflammatory respinses against tumor cells
Potential for development of nex generation customized immunotherappies
Mitochondrial DNA Leakage and Inflammatory Cytokines Activate Innate Immune Signaling and M2-macrophage in Tumor Microenvironment
李岳倫副研究員 (癌症研究所)
*The stress phenotypes in tumor microenvironment
• hypoxia • ROS • Genome instability • Acidosis
* Tumor microenvironment targeted therapies
Mitochondrion
• mitochondria can perform multiple cellular functions including bienergy production metabolism, Ca2+ signaling, apoptosis, and autophjagy
• Mitochondria are a major source or ROS in cells
• mitochondrial respiratory complex proteins are a major source of cellular ROS
• Miochondrial resporatory
* Mitochondrial Lon-induced oxidative stress in tumorigenesis
* High ROS level as a stress phenotype in tumor
* ROS are crucial signaling molecules of signal transduction pathways that promote proliferation , inflammatory,
* Lon overexpression induces. NF-KB and IFN pathways
* Lon overexpression induces the expression of IL6 IL1B IL4 and IL13 (NF-KB directed)
* Tumor associated inflammatory cytokines regulate macrophage function
* Increased Lon expression is involved in the differentiation and activation
* The effect of Lon-overexpressing cancer cells on macrophage
* OECM1
With Lon-overexpression or shRNA of Lon
* Lon overexpression —> mitochondrial DNA —> STING, IFN, NF-KB
* Innate immunity is involved STING-TBK1-IRF3 in HSC3
* Cancer Research (2016) STING promotes the growth of tumors characterized
* KO STING (in HSC3??? )decreases TBK1, IRF3/7, IDO1/PDL1
Taiwan Cancer Moonshot: Pathway to Next Generation Cancer Precision Medicine
陳玉如所長 (中央研院化學研究所)
–Protein network critical regulation in cellular function and diseases
• Abnormal protein network is often the cause of disease initiation and progression
• Substrat, site-specific PTM regulation?
• Pathways crosstalk?
• Heterogeneity at individual patient level
–Mass spectrometry-based strategies: membrane proteome and modification
–New proteomics strategies or membrane proteome and post-translational modification
Membrane proteomics, phosphorylation, nitrosylation + others, glycosylation
–Application of proteomics strategies for delineation of disease/biology mechanism
–Nanoprobe-based affinity mass
Revised chemistry for phosphoproteomics by immobialized metal affinity chromatogranphy (IMAC)
–Ph / acid controlled IMAC 90% purification specificity and recovery
–Sequencing fractionation by IMAC-stage tip (Ti 4+, Fe 3+ Ga3+)
–Mass sepctrometry revealed dynamic interplay of phosphorylation and O-Glunacylation to switch B cell activation apoptosis. (Kudos-I Lin, Na Comm 2016)
– Lsp1 dynastic phosphorylation and O-GlcNacylation of Lsp1 switches B-cell activation and apoptosis
– Quantitative depiction of precise in biology Stoichoimetry
Phosphorylation stoichiometry is it significant
Two-fold regulation of suite stoichiometry could result from either fractional occupancy changes of 10 to 20% c=or 50 to 100% which likely represent
Are we able to differentiate changes in eithe rprotien or phosphorylation stoichiometry??
Example for phosphorylation stoichiometry measurement
The measurement of phosphorylation of
Identifying drug-resultant target through phosphoproteomic network of EGFRVIII and CK2 substrates
On the comparison between the TKI-sensitive and resistant lung cancer cell
More dramatic chang at phosphorylation level : in the resultant lung cance cell, the phosphorylation HMGA1 KD could reverse drug resistance in NSCLC PTM is important for drug resistance
Dynamic stoichiometry of EGFRVIII signaling pathway
———————-
Precious biology
An informatics-assisted mass spectrometry approach for personalized timmues membrane protein is
STOML2 as a noninvasive serological biomarker candidate fo prognosis and early CRC diagnosis
1452 origin were identified
3-protein candidates for early detection f gastric cancer. (197 protein membrane proteins)
Cancer Moonshot
US NCI 2006. Tissue Proteogenomics
CRC Nature 2014.
Proteomics identified new subtypes in colorectal cancer stage III,.. new molecular subtype
MOU signed in 2015 July
Cancer Moonshot announced by Obama 2016 Jan
VP Biden announced international al cancer Moonshot 2016, Sept)
Cancer Moonshot was included in national policy program (2016, nov) (生醫產業推動方案
2016 Taipei HUPO
International cancer proteogenome consortium
Genetic background and environmental factors contribute to unique feature of cancers in Taiwan/Asia
NSCLS
Early stage patients (n=200)
Late stage patients (n=200)
First high multi-om is atlas of personalized Taiwanese cancer cohort
Lung cancer n=400 breast cancer n=400
CRC n=400
Acre
Which platform can provide biological content to address. The unment clinical needs]]proteomics > 10,000
Phosphpoproteimics > 26000 phosphorylation sites
Most proteins in NSCLC pathways (94%) were identified
569 kinases were quantified in NSCLC tissues
Identify low abundant protein tyrosine phosphatases
Does gene subtype accurately describe a patient at the (phosphatases)
Allied specific expression profiling in lung cancer
Personalized profile in NSCLC pathway
39 SNV of somatic mutation identified in 44 patients
Night mutation rate in Asioam female (58%)
Sensitive to TKI with Del 19 and L858R mutation develop resistance within 12 moths
Personalized proteogenomic atlas revealed differential activation of signaling pathway
Gene X
Germinline mutation
Up-regulated protein level in 90% patient
X signaling and EGFRVIII-pathway (243 proteins0
Differential activation in NSCLC subtype
Degradation of extra cellular matrix
B cell receptor signaling by interleulinw
M
Taiwan protein project (2016-2019)
Applying state of the art proteogenomics to rapidly identify unique targets and pathways of cancer for detection and intervention
Targeting MCT-1/IL-6/IL-6R Signaling Inhibits EMT Progression, Cancer Stemness and M2 Macrophage Polarization in Aggressive Breast Cancer 徐欣伶副研究員 (分子與基因醫學研究所)
MCT1DENR-MCT1 heterodimer promotes ...
PUA domain a highly conserved motif in ...
Translational control of cancer (cancer translatome)
MCT1 abundance in intra-ducal and invasive breast carcinoma (IHC staining)
MCT1 overexpression associates with worse clinical outcomes indifferent type of breast cancer
MCT1 induces normal breast cell proliferation and causes malignant Alina morph Jolene’s is
CD163 as M2 macrophage marker
In vitro THP1 polarization M2 marker Arginase 1 , IL10?
qRT-PCR confirmed by using CD163, CD206 primers
MCT1 stimulates MCP1 GMCSF and IL6 secretion cytokine array. <— highly likely to involve M2 differentiation
Tocilizuman (Actemra) a humanized recombinant IL6R mAb

Discussion Session
Time | Topics | Speakers | |
13:30~13:40 | Opening Remarks 梁賡義院長 | ||
Microbiome | Moderator | 蔡世峯處長 | |
13:40~14:25 | Emerging Trends and Opportunities for Microbiota Research | 高承源副研究員 (免疫醫學中心) | |
14:25~15:10 | Fecal Microbiota Transplantation (FMT) for Clostridium Difficile Infection and Other Diseases | 邱政洵教授 (林口長庚醫院兒童感染科) | |
15:10~15:55 | Taiwan FMT Expert Consensus | 吳俊穎主任 (臺北榮民總醫院 轉譯研究科) | |
15:55~16:20 | Break | ||
16:20~16:50 | Gut-brain Axis: a Fundamental Mechanism Modulating Alzheimer’s Progression | 莊志立研究員 (分子與基因醫學研究所) | |
16:50~17:20 | Bioinformatics in Microbiome Analysis | 廖玉潔副研究員 (群體健康科學研究所) | |
17:20~18:00 | Discussion Session | ||
18:00~ | Dinner | ||
107年6月22日 (週五)
Time | Topics | Speakers | |
Cancer Immunology I | Moderator | 司徒惠康副院長 | |
09:00~09:45 | Opportunities and Challenges of Current Immuno-oncology Landscape | 林文傑助研究員 (免疫醫學中心) | |
09:45~10:20 | Oncolytic Virotherapy for Making Cold Tumors "HOT" | 徐祖安研究員 (生技與藥物研究所) | |
10:20~10:30 | Break | ||
10:30~11:15 | Development and Opportunities of Antibody-based Immunotherap eutics in Mainstream Oncology | 官建村副所長 (生技中心生物製藥研究所) | |
11:15~12:00 | Dynamic Interplay Between Tumor Cells and Macrophages | 楊慕華副校長 (陽明大學) | |
12:00~13:30 | Discussion Session & Lunch | ||
Cancer Immunology II | Moderator | 施修明所長 | |
13:30~14:00 | Opportunities for Small Molecules in Immuno-oncology | 顏婉菁研究員 (生技與藥物研究所) | |
14:00~14:30 | Mitochondrial DNA Leakage and Inflammatory Cytokines Activate Innate Immune Signaling and M2-macrophage in Tumor Microenvironment | 李岳倫副研究員 (癌症研究所) | |
14:30~15:15 | Taiwan Cancer Moonshot: Pathway to Next Generation Cancer Precision Medicine | 陳玉如所長 (中央研院化學研究所) | |
15:15~15:45 | Targeting MCT-1/IL-6/IL-6R Signaling Inhibits EMT Progression, Cancer Stemness and M2 Macrophage Polarization in Aggressive Breast Cancer | 徐欣伶副研究員 (分子與基因醫學研究所) | |
15:45~ | Discussion Session | ||

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