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Cell Biology Special Report: Feeling out phenotypes

Using omics approaches, researchers digitize the analog world of cell biology
Written byRandall C Willis
| 17 min read

It was bad enough that Uncle Vernon decided that the best time to hold the family reunion in Alabama was mid-July, when the humidity blows past 215 percent and the thermometer never drops below 110°F, but now your camera doesn’t seem to work.

You’ve crowded all your sweaty relatives into the shadiest spot you could find, but even that relief isn’t enough to ease the spirits as you fiddle with the shutter button and electronic menu.

As you continue to fiddle, however, your irritating cousin connects your current difficulties to a recent incident involving an over-enthusiastic barbecue, and suddenly the camera snaps a photo.

As your mom tries to determine who has fainted in the heat, you scan your camera, unsure as to why it suddenly worked. Looking at the image, you see people smiling, presumably at your cousin’s little jab. And then it hits you.

The camera has a smile sensor.

It wouldn’t take a photo when everyone was miserable. But in the presence of humor, that misery changed its appearance from frown into a smile. However temporarily, the phenotype of your family changed.

And the same basic technology that took that photo is also available in the research setting where, in its ultimate expression, only experimental conditions that provide a desired change move forward.

Phenotype renaissance

The ultimate goal of any medical treatment is to change a clinical outcome for a patient, whether it is the shrinkage of a tumor, the amelioration of pain, the clearing of skin blemishes or a multitude of other goals. Historically, these gross morphological and pathological changes were the sole basis of intervention as doctors would give a patient medicine and see if they got better or worse.

As our understanding of disease pathology at the organ, cellular and subcellular level improved with the introduction of new technologies, however, our approach to health became much more targeted. The gross, blurry picture of health became much more focused and refined.

Whole new avenues of drug development opened up with the advent of the omics technologies, where previously qualitative analyses became much more quantitative, and disease states were described in much more specific terms of gene sequence, metabolite levels and protein expression and modification.

Unfortunately, despite some amazing medical successes arising from these reductionist approaches, success has not been a given, and despite many new therapies acting precisely as expected on their targets, unexpected surprises have arisen.

“I think everyone got really excited about reductionist approaches and particularly genomics and the idea that one gene would equal one target would equal one small molecule,” opines Merrilyn Datta, chief commercial officer at tissue informatics company Definiens. “The fact is that with complex, multifactorial disease, if there’s any heterogeneity in the target mechanism, you run into problems.”

Her solution is to reincorporate some of those early medical principles with the newer methodologies, noting, “At the end of the day, we may not know every mechanism of action, but we need to stop a phenotype [editor’s note: phenotype, in this context, meaning disease].”

“I think the scientific interest has always been there to understand the phenotype side,” adds Philip Lee, director of global marketing for cell culture at EMD Millipore. “But from a technology and market perspective, I do tend to agree that there is a realization that you can’t keep going ahead with the pure omics technologies without catching up with some of the less-well-developed fields around cellular phenotypes and how to translate the systems and the information into actual behavior.”

Both Datta and Jacob Tesdorpf, director of high-content instruments and applications at PerkinElmer, highlight the importance of cellular context by looking at immuno-oncology (see also our special report, Body, Heal Thyself, in the June 2015 issue of DDNews).

“Immuno-oncology is all about context in the tissue,” Datta says. “How many immune cells have made it to what part of the tumor? You can’t do that without looking at the phenotype.”

“Inflammatory cells can really work in conflicting ways,” Tesdorpf explains. “They can be either tumor-supporting or tumor-killing. And you really need to understand the balance of these different types of cells quite well to get a good prognosis, and maybe even for therapy.”

To analyze the immune cell makeup, the predominant tool has been flow cytometry, he continues.

“Everybody knows his CD4, his CD8, whatever surface markers that have been used for many years now to classify different types of immune cells,” he continues. “And that works very nicely if you try to look at these cells in blood. But once you come to a solid tumor, flow cytometry fails, and even if you try to mash up the tumor and isolate the cells from the tumor, you lose the context.”

This is where technologies such asPerkinElmer’s Opal platform and its multispectral imaging and analysis software step forward, he says, allowing researchers to multiplex immunology markers in a single assay on a single slide and really get at the picture of how the immune response is distributed in the tumor environment. (These platforms were recently described in detail in a review published by PerkinElmer’s Clifford Hoyt in Methods.)

“The cells can compensate in so many different ways that if you’re not really looking at the manifestation of cancer and the phenotype of that cancer, it is really tricky to know if you’re hitting right things,” Datta continues, suggesting Definiens has seen an “explosion” in the number of conversations about tumor microenvironment. “What numbers of these types of cells are in the microenvironment under different conditions? Or what’s the relative area covered by immune cells versus non-immune cells in a microenvironment?”

“Once you do it computationally, the way you can manipulate the data and find out what matters is much stronger,” she states. “The human eye could maybe count some of the cells, but we can’t do it in the same way that a computer can just massively quantify all different aspects.”

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