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Chapter 2 - University of British Columbia

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was identified in a small set <strong>of</strong> samples, we wanted to see if this prevalence <strong>of</strong> disruption was<br />

maintained in an additional, larger set <strong>of</strong> tumors. Hence, we evaluated expression <strong>of</strong> SHP-1<br />

and SIRPA in a panel <strong>of</strong> approximately 60 lung adenocarcinoma tumors and found (i) a high<br />

prevalence <strong>of</strong> underexpression <strong>of</strong> SIRPA and (ii) a strong correlation between SIRPA and SHP-<br />

1 expression levels. It is interesting to observe this strong relationship between SIRPA and<br />

SHP-1 as most cancer studies have focused on SIRPA’s relationship with SHP-2 instead <strong>of</strong><br />

SHP-1.<br />

6.2 Conclusions<br />

I have demonstrated the power <strong>of</strong> an integrative genetic and epigenetic approach to decipher<br />

resultant gene expression changes in lung adenocarcinoma. The development <strong>of</strong> an<br />

application such as SIGMA2 was integral as it represented one <strong>of</strong> the first academic/research<br />

applications with the ability to integrate multiple dimensions <strong>of</strong> data. To date, there have been a<br />

few other applications that have been developed that can perform similar functionalities but<br />

most <strong>of</strong> these have been developed by commercial entities. Moreover, the s<strong>of</strong>tware still is not<br />

out-dated and based on the way it was built, can be extended to handle newer high throughput<br />

platforms including sequence-based platforms.<br />

In terms <strong>of</strong> what we learn from both the demonstration dataset (<strong>Chapter</strong> 3) as well as clinical<br />

tumor dataset (<strong>Chapter</strong> 5), we know that by using an integrative, multi-dimensional approach,<br />

we are detecting genes being disrupted at a much higher frequency when multiple dimensions<br />

are examined as compared to single dimensions alone. Moreover, at a given detection<br />

frequency, a gene may be disrupted by a single dimension at a low frequency but when multiple<br />

dimensions are accounted for, the frequency is in fact high. In Figure 5.5, I illustrate how well<br />

known lung cancer genes such as RRM2 are altered at both the genetic and epigenetic level<br />

and illustrate how more pathways are deemed significant when multiple dimensions are<br />

analyzed. The latter finding is likely a result <strong>of</strong> the fact that within a given pathway, not only can<br />

different genes be affected in different samples by one mechanism (e.g. DNA copy number<br />

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