Model to improve specificity for identification of clinically-relevant expanded T cells in peripheral blood

PLoS One. 2019 Mar 14;14(3):e0213684. doi: 10.1371/journal.pone.0213684. eCollection 2019.

Abstract

Current methods to quantify T-cell clonal expansion only account for variance due to random sampling from a highly diverse repertoire space. We propose a beta-binomial model to incorporate time-dependent variance into the assessment of differentially abundant T-cell clones, identified by unique T Cell Receptor (TCR) β-chain rearrangements, and show that this model improves specificity for detecting clinically relevant clonal expansion. Using blood samples from ten healthy donors, we modeled the variance of T-cell clones within each subject over time and calibrated the dispersion parameters of the beta distribution to fit this variance. As a validation, we compared pre- versus post-treatment blood samples from urothelial cancer patients treated with atezolizumab, where clonal expansion (quantified by the earlier binomial model) was previously reported to correlate with benefit. The beta-binomial model significantly reduced the false-positive rate for detecting differentially abundant clones over time compared to the earlier binomial method. In the urothelial cancer cohort, the beta-binomial model enriched for tumor infiltrating lymphocytes among the clones detected as expanding in the peripheral blood in response to therapy compared to the binomial model and improved the overall correlation with clinical benefit. Incorporating time-dependent variance into the statistical framework for measuring differentially abundant T-cell clones improves the model's specificity for T-cells that correlate more strongly with the disease and treatment setting of-interest. Reducing background-level clonal expansion, therefore, improves the quality of clonal expansion as a biomarker for assessing the T cell immune response and correlations with clinical measures.

MeSH terms

  • Adult
  • Antibodies, Monoclonal, Humanized / therapeutic use*
  • Biomarkers, Tumor
  • False Positive Reactions
  • Female
  • Humans
  • Lymphocytes, Tumor-Infiltrating / cytology
  • Male
  • Middle Aged
  • Receptors, Antigen, T-Cell, alpha-beta / genetics
  • Reproducibility of Results
  • T-Lymphocytes / cytology*
  • Treatment Outcome
  • Urinary Bladder Neoplasms / drug therapy*
  • Urinary Bladder Neoplasms / immunology*
  • Urothelium / pathology*

Substances

  • Antibodies, Monoclonal, Humanized
  • Biomarkers, Tumor
  • Receptors, Antigen, T-Cell, alpha-beta
  • atezolizumab

Grants and funding

Adaptive Biotechnologies provided support in the form of salaries for authors JR, EY, and HR, but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. Pfizer Inc provided support in the form of salaries for JB, SD, TX, and CD, but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.