FACILE SAMPLE PREPARATION FOR QUANTITATIVE SINGLE-CELL PROTEOMICS

Abstract
Disclosed are compositions and methods for performing a proteomic analysis. Particularly disclosed are compositions and methods for preparing a sample for quantitative single-cell proteomics.
Description
BACKGROUND AND SUMMARY

The field of the invention relates to compositions and methods for performing a mass spectrometry-based proteomic analysis of proteome and target proteins with genetic alterations and post-translational modifications. In particular, the field of the invention relates to compositions and methods for preparing a sample for one-pot quantitative proteomics near and at single-cell and subcellular levels with minimal protein loss and maximal protein recovery during processing, and for global proteome profiling and targeted analyses of peptide variants and mutations in normal and abnormal cells (such as cancer) via mass spectrometry.


In one aspect of the current disclosure, methods for performing proteomic analysis on a sample are provided. In some embodiments, the methods comprise treating the sample with a non-ionic surfactant, performing mass spectrometry on the treated sample, and detecting proteins in the treated sample. In some embodiments, the non-ionic surfactant is an alkyl glucoside. In some embodiments, the non-ionic surfactant is an alkyl diglucoside. In some embodiments, the non-ionic surfactant is an alkyl maltoside. In some embodiments, the non-ionic surfactant is octyl-maltoside, decyl-maltoside, dodecyl-maltoside, or tetradecyl-maltoside. In some embodiments, the non-ionic surfactant is n-dodecyl-β-D-maltoside (In some embodiments, the concentration is 0.01% to 0.02%. In some embodiments, the concentration is 0.015%. In some embodiments, the method results in at least about a 20-fold enhancement in the mass spectrometry signal from the sample when compared to a sample not treated with the non-ionic surfactant. In some embodiments, the detected protein comprises an amino acid sequence of a peptide of Tables 2-7.


In another aspect of the current disclosure, methods for performing proteomic analysis on a single cell are provided. In some embodiments, the methods comprise isolating a single cell to prepare a sample, treating the sample with a non-ionic surfactant, performing mass spectrometry on the treated sample and detecting proteins in the treated sample. In some embodiments, the non-ionic surfactant is an alkyl glucoside. In some embodiments, the non-ionic surfactant is an alkyl diglucoside. In some embodiments, the non-ionic surfactant is an alkyl maltoside. In some embodiments, the non-ionic surfactant is octyl-maltoside, decyl-maltoside, dodecyl-maltoside, or tetradecyl-maltoside. In some embodiments, the non-ionic surfactant is n-dodecyl-β-D-maltoside (DDM). In some embodiments, the concentration of the non-ionic surfactant is 0.005% to 0.1%. In some embodiments, the concentration is 0.01% to 0.02%. In some embodiments, the concentration is 0.015%. In some embodiments, the method results in at least about a 20-fold enhancement in the mass spectrometry signal from the sample when compared to a sample not treated with the non-ionic surfactant. In some embodiments, the detected protein comprises an amino acid sequence of a peptide of Tables 2-7.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1. Schematic diagram of the SOP-MS workflow. a, Single cells or small numbers of cells are sorted either by fluorescence activated cell sorting (FACS) or laser capture microdissection (LCM) and collected into single PCR tube or a 96-well PCR plate. After FACS isolation, the sorted cells are subjected to centrifugation at 1000 g for 10 min to ensure them at the bottom of the PCR tube or 96-well PCR plate. For LCM, the dissected tissue voxels are catapulted into a 5 μL water droplet on the PCR tube cap, followed by centrifugation at 1000 g for 10 mins. b, For cell lysis, a cell lysis buffer containing 0.2% (w/v) n-Dodecyl β-D-maltoside (DDM) is added to the PCR tube or 96-well PCR plate followed by incubation at 75° C. for 1 h. Sample are then subjected to reduction and alkylation (these two steps are optional). Small amounts of trypsin are used for overnight digestion: 2 ng for single cells and 5 ng for 50-100 cells. c, Prior to LC-MS analysis, the cap of the PCR tube is removed and then the tube is inserted into a sample vial to avoid transfer loss. The 96-well cap matt is used to cover the 96-well plate for automatic injection without sample transfer. Samples are analyzed by standard LC-MS platforms for quantitative proteomic analysis. The freely available open-source MaxQuant software is used for label-free quantification. d, Number of unique peptides and protein groups identified by MS/MS only for 0.2 ng of AML cell lysate digests equivalent to 2 cells (three biological replicates per condition) without and with 0.015% DDM. e, The total extracted ion chromatogram (XIC) peak area for 0.2 ng of AML cell lysate digests equivalent to 2 cells (three biological replicates per condition) without and with 0.015% DDM.



FIG. 2. SOP-MS analysis of LCM-dissected mouse uterine tissue. a, Number of unique peptides and protein groups identified by the MS/MS spectra only (without MBR) from three biological replicates per cell type (luminal epithelial and stroma) and three blanks. The LCM tissue size: 100 μm (length)×100 μm (width)×10 μm (thickness). Each LCM-dissected tissue sample is close to ˜20 cells. b, Pairwise correlation of log10-transformed protein LFQ intensities between any two replicates. Pearson correlation coefficients were color coded as shown on the scale at the bottom. c, Unsupervised PCA analysis based on label-free quantification of proteins expressed in luminal epithelial and stroma cells. d, Volcano plot of proteins differentially expressed between the two cell types from three biological replicates per cell type.



FIG. 3. SOP-MS analysis of single MCF10A cells sorted by FACS. a, Number of unique peptides and protein groups identified by MS/MS only and the combined MS/MS and MBR from single MCF10A cells without and with the addition of 0.015% DDM (three biological replicates per condition; P<0.05 between without and with DDM). b, Total number of unique peptides and protein groups identified by MS/MS only and the combined MS/MS and MBR across all three biological replicates without and with the addition of 0.015% DDM. c, Venn diagram showing the number of protein groups identified from each of 3 single MCF10A cells with the addition of 0.015% DDM by the combined MS/MS and MBR. d, The summed total XIC peak area for all quantifiable peptides from single MCF10A cells (three biological replicates per condition; P<0.05 between without and with DDM). e, Total number of unique peptides and protein groups identified by the MS/MS spectra alone from all three biological replicates using three common search tools (MaxQuant, MSGF+, and MSFragger). f, Pairwise correlation of protein LFQ intensities between any two replicates with the Pearson correlation coefficient. g, Distribution of protein abundance for all proteins identified from single MCF10A cells and 10 ng MCF10A cell lysate digests. Library was built with 10 ng MCF10A cell lysate digests.



FIG. 4. Validation of SOP-MS for quantitative single-cell proteomics analysis. a, Number of unique peptides and protein groups identified by the MS/MS spectra alone from 3 single MCF7 cells and 4 single MCF10A cells (from newly cultured MCF10A cells) sorted by FACS. b, Venn diagram showing the number of protein groups identified from each of single MCF7 or MCF10A cells. c, Pairwise correlation of log10-transformed protein LFQ intensities between any two replicates from the 3 singe MCF7 cells and the 4 single MCF10A cells. Pearson correlation coefficients were color coded as shown on the scale at the bottom. Half of sample injection was used for analysis of single MCF7 cells (i.e., 0.5 single MCF7 cells for MS analysis).



FIG. 5. SOP-MS analysis of single cells derived from a PCDX model. a, Schematic workflow of SOP-MS analysis of single cells derived from a PCDX model. CTCs from a breast cancer patient (NU-205) were isolated and implanted into NSG mouse mammary fat pads to generate the PCDX-205 mouse. The PCDX was verified (FIG. 10) and transduced to express Luc2-tdTomato (L2T). Labeled primary PCDX and lungs were harvested for tissue dissociation and single cell sorting. L2T+ single cells from the primary tumor and lung metastases were collected individually into single well of a 96-well PRC plate for SOP-MS analysis. b, Total number of unique peptides and protein groups identified by the combined MS/MS and MBR across all 10 single lung metastatic cells or 10 single primary tumor cells, and the number of protein groups identified by the combined MS/MS and MBR for each single lung metastatic cells or single primary tumor cells. c, Heatmap showing the total XIC peak area for each protein group identified by the MaxQuant MBR from either the 10 single primary tumor cells or the 10 single lung metastatic cells. d, PCA analysis based on label-free quantification of proteins expressed in single cells from primary tumor and lung metastasis (10 single cells for each cell type). e, Heatmap showing 18 differentially expressed proteins between single cells from primary tumor and lung metastasis. f, Bar chart for pathway annotation. The bars represent the annotated pathways within proteins significantly expressed between two types of single cells. g, Box plots showing the normalized expression levels of VIM (left) and S100A9 (right) between single lung metastatic cells and single primary tumor cells by using SOP-MS (10 single cells per cell type). h, Immunohistochemistry (IHC) images of primary tumors and lung metastases, stained for VIM (top) and S100A9 (bottom). Arrows indicate representative, positive staining tumor cells. Scale bar=50 μm.



FIG. 6. Evaluation of sample recovery and processing reproducibility in single PCR tube with and without DDM. SRM-based targeted quantification of a mixture of heavy isotope-labeled phosphopeptide standards without DDM (Control) and with DDM (DDM). XIC (Counts) corresponds to the SRM signal for peptide standards. The P values were shown for each peptide between without and with DDM additive.



FIG. 7. Number of unique peptides and protein groups identified by MS/MS only for 0.1, 0.5, 1, 5 ng of tryptic peptides from lung cancer PC9 cell lysate digests (equivalent to 1, 5, 10, and 50 cells) between without and with 0.015% DDM. Clearly, DDM can significantly improve the number of identified peptides and proteins (three biological replicates per condition). The data have been newly generated by two different groups using two different MS instruments (low-end Q Exactive MS and the most advanced Lumos MS).



FIG. 8. Evaluation of SOP-MS performance for analysis of low mass inputs of MCF7 cell lysates (0-2.5 ng) from serial dilution. a. Number of unique peptides (left panel) and protein groups (right panel) identified from 0, 0.05, 0.25, 0.5 and 2.5 ng of MCF7 lysates with duplicates for each mass input. b. The number of unique peptides, protein groups, and Log 2 extracted ion chromatogram (XIC) area as a function of low mass inputs from MCF7 cell lysates (0, 0.05 ng≈0.5 cells, 0.25 ng≈2.5 cells, 0.5 ng≈5 cells). c. Correlations of Log 2LFQ between duplicates for each mass input. d. Correlations of Log2LFQ between any two replicates out of 5 replicates for 5 ng of MCF7 cell lysates.



FIG. 9. LCM dissected small sections from mouse uterine tissues. a. Image of three biological replicates for each tissue region (luminal epithelia and stroma) with a size of 100 μm in diameter and 10 μm in thickness (equivalent to ˜20 cells). b. PCA analysis for identification of cell type-specific proteins. Blue dots indicate the proteins relevant to extracellular matrix receptor interactions and cell adhesion, which are specific to stroma region. c. Enriched proteins in the luminal epithelial region are relevant to EGF-like domain, immunoglobulin domain, and transmembrane domain.



FIG. 10. CTC-205 PDX model workflow a. CTCs isolated from blood of a breast cancer patient (NU-205) were confirmed to express cytokeratin (CK) and HER2 and to be negative for CD45 using the CellSearch platform analysis. b. CTCs from a breast cancer patient (NU-205) were enriched by depletion of CD45+ PBMCs and implanted into NSG mouse mammary fat pads to generate the breast tumor xenograft PCDX-205. Flow cytometry profiles of the PCDX-205 show a negative expression of mouse stroma marker H2Kd and proportional positive expression for human epithelial tumor markers EpCAM, HER2, CD44 and EGFR. c. PCDX-205 cells were transduced with lentivirus to express fluorescent L2T, and re-implanted in NSG mice. d. Tumors and lungs of PCDX-205-bearing mice were dissociated, and L2T+ single cells from the tumor and lungs were sorted into a 96-well PCR plate. Cells were sorted based on tdTomato+ expression. e. Single cells were analyzed by SOP-MS.



FIG. 11. Performance comparison of SOP-MS with nanoPOTS-MS for analysis of single MCF10A cells. a, Number of unique peptides and protein groups identified by the MS/MS spectra alone from 4 single MCF10A cells sorted by FACS for each method. b, Venn diagram showing the number of total protein groups identified from each method.



FIG. 12. Initial evaluation of multiplexed proteomic analysis of 9 single MCF10A cells sorted by FACS by using the combined TMT-based BASIL and SOP-MS. a. TMT-11 channel assignment (TMT-labeled sample channels for single MCF10A cells and a boosting channel with 10 ng of MCF10A cell lysate digests). b. Signal distribution of all TMT-11 channels. c. Number of quantifiable peptides and protein groups identified from single MCF10A cells. d. Pearson correlation for all 9 single MCF10A cells analyzed by SOP-MS with a median correlation of ˜0.95. Half of sample injection was used for MS analysis (i.e., 0.5 single MCF10A cells for each channel).



FIG. 13. Mass spectrometry profiles of single amino acid variant (SAAV) sites for mutation peptides derived from proteins KRAS and SLC37A4 in the PANC-1 cancer cell line using highly specific selected reaction monitoring (SRM) assays. (a) Variant peptide LVVVGADGVGK (SEQ ID NO: 1) (variant peptide G12D) from KRAS and canonical peptide LVVVGAGGVGK (SEQ ID NO: 2) (wildtype) from KRAS. (b) Variant peptide FVSGVLSDQMSAR (SEQ ID NO: 3) from SLC37A4. The endogenous peptides were confirmed by matching their corresponding heavy internal standards in the retention time and the SRM peak patterns. The top panel shows the SRM signal for endogenous peptides; the bottom panel shows the SRM signal for heavy internal standards (13C6, 15N2 on the C-terminal K or R). IS, internal standard.



FIG. 14. Mass spectrometry profiles of single amino acid variant (SAAV) sites for mutation peptides derived from SPOP in the prostate cancer cell line using highly specific SRM assays. (A) Canonical peptide VNPKGLDEESKDYLSLYLLLVSCPKSEVR (SEQ ID NO: 4) and variant peptide VNPKGLDEESKDYLSLNLLLVSCPKSEVR (SEQ ID NO: 5) (variant peptide Y87N) from SPOP. (b) Canonical peptide AKFKFSILNAKGEETKAMESQR (SEQ ID NO: 6) and variant peptide AKCKFSILNAKGEETKAMESQR (SEQ ID NO: 7) (variant peptide F102C) from SPOP. The endogenous peptides were confirmed by matching their corresponding heavy internal standards in the retention time and the SRM peak patterns. The top panel shows the SRM signal for endogenous peptides; the bottom panel shows the SRM signal for heavy internal standards (13C6, 15N2 on the C-terminal R). IS, internal standard.





DETAILED DESCRIPTION
General Definitions

As used herein, “about”, “approximately,” “substantially,” and “significantly” will be understood by persons of ordinary skill in the art and will vary to some extent on the context in which they are used. If there are uses of the term which are not clear to persons of ordinary skill in the art given the context in which it is used, “about” and “approximately” will mean up to plus or minus 10% of the particular term and “substantially” and “significantly” will mean more than plus or minus 10% of the particular term.


As used herein, the terms “include” and “including” have the same meaning as the terms “comprise” and “comprising.” The terms “comprise” and “comprising” should be interpreted as being “open” transitional terms that permit the inclusion of additional components further to those components recited in the claims. The terms “consist” and “consisting of” should be interpreted as being “closed” transitional terms that do not permit the inclusion of additional components other than the components recited in the claims. The term “consisting essentially of” should be interpreted to be partially closed and allowing the inclusion only of additional components that do not fundamentally alter the nature of the claimed subject matter.


The phrase “such as” should be interpreted as “for example, including.” Moreover, the use of any and all exemplary language, including but not limited to “such as”, is intended merely to better illuminate the invention and does not pose a limitation on the scope of the invention unless otherwise claimed.


Furthermore, in those instances where a convention analogous to “at least one of A, B and C, etc.” is used, in general such a construction is intended in the sense of one having ordinary skill in the art would understand the convention (e.g., “a system having at least one of A, B and C” would include but not be limited to systems that have A alone, B alone, C alone, A and B together, A and C together, B and C together, and/or A, B, and C together.). It will be further understood by those within the art that virtually any disjunctive word and/or phrase presenting two or more alternative terms, whether in the description or figures, should be understood to contemplate the possibilities of including one of the terms, either of the terms, or both terms. For example, the phrase “A or B” will be understood to include the possibilities of “A” or ‘B or “A and B.”


All language such as “up to,” “at least,” “greater than,” “less than,” and the like, include the number recited and refer to ranges which can subsequently be broken down into ranges and subranges. A range includes each individual member. Thus, for example, a group having 1-3 members refers to groups having 1, 2, or 3 members. Similarly, a group having 6 members refers to groups having 1, 2, 3, 4, or 6 members, and so forth.


The modal verb “may” refers to the preferred use or selection of one or more options or choices among the several described embodiments or features contained within the same. Where no options or choices are disclosed regarding a particular embodiment or feature contained in the same, the modal verb “may” refers to an affirmative act regarding how to make or use and aspect of a described embodiment or feature contained in the same, or a definitive decision to use a specific skill regarding a described embodiment or feature contained in the same. In this latter context, the modal verb “may” has the same meaning and connotation as the auxiliary verb “can.”


The phrases “% sequence identity,” “percent identity,” or “% identity” refer to the percentage of amino acid residue matches between at least two amino acid sequences aligned using a standardized algorithm. Methods of amino acid sequence alignment are well-known. Some alignment methods take into account conservative amino acid substitutions. Such conservative substitutions, explained in more detail below, generally preserve the charge and hydrophobicity at the site of substitution, thus preserving the structure (and therefore function) of the polypeptide. Percent identity for amino acid sequences may be determined as understood in the art. (See, e.g., U.S. Pat. No. 7,396,664, which is incorporated herein by reference in its entirety). A suite of commonly used and freely available sequence comparison algorithms is provided by the National Center for Biotechnology Information (NCBI) Basic Local Alignment Search Tool (BLAST), which is available from several sources, including the NCBI, Bethesda, Md., at its website. The BLAST software suite includes various sequence analysis programs including “blastp,” that is used to align a known amino acid sequence with other amino acids sequences from a variety of databases.


The terms “protein,” “peptide,” and “polypeptide” are used interchangeably herein and refer to a polymer of amino acid residues linked together by peptide (amide) bonds. The terms refer to a protein, peptide, or polypeptide of any size, structure, or function. Typically, a protein, peptide, or polypeptide will be at least three amino acids long. A protein, peptide, or polypeptide may refer to an individual protein or a collection of proteins. One or more of the amino acids in a protein, peptide, or polypeptide may be modified, for example, by the addition of a chemical entity such as a carbohydrate group, a hydroxyl group, a phosphate group, a farnesyl group, an isofarnesyl group, a fatty acid group, a linker for conjugation, functionalization, or other modification, etc. A protein, peptide, or polypeptide may also be a single molecule or may be a multi-molecular complex. A protein, peptide, or polypeptide may be just a fragment of a naturally occurring protein or peptide. A protein, peptide, or polypeptide may be naturally occurring, recombinant, or synthetic, or any combination thereof. A protein may comprise different domains, for example, a nucleic acid binding domain and a nucleic acid cleavage domain. In some embodiments, a protein comprises a proteinaceous part, e.g., an amino acid sequence constituting a nucleic acid binding domain.


Nucleic acids, proteins, and/or other compositions described herein may be purified. As used herein, “purified” means separate from the majority of other compounds or entities, and encompasses partially purified or substantially purified. Purity may be denoted by a weight by weight measure and may be determined using a variety of analytical techniques such as but not limited to mass spectrometry, HPLC, etc.


Polypeptide sequence identity may be measured over the length of an entire defined polypeptide sequence, for example, as defined by a particular SEQ ID number, or may be measured over a shorter length, for example, over the length of a fragment taken from a larger, defined polypeptide sequence, for instance, a fragment of at least 15, at least 20, at least 30, at least 40, at least 50, at least 70 or at least 150 contiguous residues. Such lengths are exemplary only, and it is understood that any fragment length supported by the sequences shown herein, in the tables, figures or Sequence Listing, may be used to describe a length over which percentage identity may be measured.


The terms “nucleic acid” and “nucleic acid molecule,” as used herein, refer to a compound comprising a nucleobase and an acidic moiety, e.g., a nucleoside, a nucleotide, or a polymer of nucleotides. Nucleic acids generally refer to polymers comprising nucleotides or nucleotide analogs joined together through backbone linkages such as but not limited to phosphodiester bonds. Nucleic acids include deoxyribonucleic acids (DNA) and ribonucleic acids (RNA) such as messenger RNA (mRNA), transfer RNA (tRNA), etc. Typically, polymeric nucleic acids, e.g., nucleic acid molecules comprising three or more nucleotides are linear molecules, in which adjacent nucleotides are linked to each other via a phosphodiester linkage. In some embodiments, “nucleic acid” refers to individual nucleic acid residues (e.g. nucleotides and/or nucleosides). In some embodiments, “nucleic acid” refers to an oligonucleotide chain comprising three or more individual nucleotide residues. As used herein, the terms “oligonucleotide” and “polynucleotide” can be used interchangeably to refer to a polymer of nucleotides (e.g., a string of at least three nucleotides). In some embodiments, “nucleic acid” encompasses RNA as well as single and/or double-stranded DNA. Nucleic acids may be naturally occurring, for example, in the context of a genome, a transcript, an mRNA, tRNA, rRNA, siRNA, snRNA, a plasmid, cosmid, chromosome, chromatid, or other naturally occurring nucleic acid molecule. On the other hand, a nucleic acid molecule may be a non-naturally occurring molecule, e.g., a recombinant DNA or RNA, an artificial chromosome, an engineered genome, or fragment thereof, or a synthetic DNA, RNA, DNA/RNA hybrid, or include non-naturally occurring nucleotides or nucleosides. Furthermore, the terms “nucleic acid,” “DNA,” “RNA,” and/or similar terms include nucleic acid analogs, i.e. analogs having other than a phosphodiester backbone. Nucleic acids can be purified from natural sources, produced using recombinant expression systems and optionally purified, chemically synthesized, etc. Where appropriate, e.g., in the case of chemically synthesized molecules, nucleic acids can comprise nucleoside analogs such as analogs having chemically modified bases or sugars, and backbone modifications. A nucleic acid sequence is presented in the 5′ to 3′ direction unless otherwise indicated. In some embodiments, a nucleic acid is or comprises natural nucleosides (e.g. adenosine, thymidine, guanosine, cytidine, uridine, deoxyadenosine, deoxythymidine, deoxyguanosine, and deoxycytidine); nucleoside analogs (e.g., 2-aminoadenosine, 2-thiothymidine, inosine, pyrrolo-pyrimidine, 3-methyl adenosine, 5-methylcytidine, 2-aminoadenosine, C5-bromouridine, C5-fluorouridine, C5-iodouridine, C5-propynyl-uridine, C5-propynyl-cytidine, C5-methylcytidine, 2-aminoadeno sine, 7-deazaadenosine, 7-deazaguanosine, 8-oxoadenosine, 8-oxoguanosine, O(6)-methylguanine, and 2-thiocytidine); chemically modified bases; biologically modified bases (e.g., methylated bases); intercalated bases; modified sugars (e.g., 2′-fluororibose, ribose, 2′-deoxyribose, arabinose, and hexose); and/or modified phosphate groups (e.g., phosphorothioates and 5′-N-phosphoramidite linkages).


The term “hybridization”, as used herein, refers to the formation of a duplex structure by two single-stranded nucleic acids due to complementary base pairing. Hybridization can occur between fully complementary nucleic acid strands or between “substantially complementary” nucleic acid strands that contain minor regions of mismatch. Conditions under which hybridization of fully complementary nucleic acid strands is strongly preferred are referred to as “stringent hybridization conditions” or “sequence-specific hybridization conditions”. Stable duplexes of substantially complementary sequences can be achieved under less stringent hybridization conditions; the degree of mismatch tolerated can be controlled by suitable adjustment of the hybridization conditions. Those skilled in the art of nucleic acid technology can determine duplex stability empirically considering a number of variables including, for example, the length and base pair composition of the oligonucleotides, ionic strength, and incidence of mismatched base pairs, following the guidance provided by the art (see, e.g., Sambrook et al., 1989, Molecular Cloning—A Laboratory Manual, Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y.; Wetmur, 1991, Critical Review in Biochem. and Mol. Biol. 26(3/4):227-259; and Owczarzy et al., 2008, Biochemistry, 47: 5336-5353, which are incorporated herein by reference).


The present disclosure is not limited to the specific details of construction, arrangement of components, or method steps set forth herein. The compositions and methods disclosed herein are capable of being made, practiced, used, carried out and/or formed in various ways that will be apparent to one of skill in the art in light of the disclosure that follows. The phraseology and terminology used herein is for the purpose of description only and should not be regarded as limiting to the scope of the claims. Ordinal indicators, such as first, second, and third, as used in the description and the claims to refer to various structures or method steps, are not meant to be construed to indicate any specific structures or steps, or any particular order or configuration to such structures or steps. All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any and all examples, or exemplary language (e.g., “such as”) provided herein, is intended merely to facilitate the disclosure and does not imply any limitation on the scope of the disclosure unless otherwise claimed. No language in the specification, and no structures shown in the drawings, should be construed as indicating that any non-claimed element is essential to the practice of the disclosed subject matter. The use herein of the terms “including,” “comprising,” or “having,” and variations thereof, is meant to encompass the elements listed thereafter and equivalents thereof, as well as additional elements. Embodiments recited as “including,” “comprising,” or “having” certain elements are also contemplated as “consisting essentially of” and “consisting of” those certain elements.


Recitation of ranges of values herein are merely intended to serve as a shorthand method of referring individually to each separate value falling within the range, unless otherwise indicated herein, and each separate value is incorporated into the specification as if it were individually recited herein. For example, if a concentration range is stated as 1% to 50%, it is intended that values such as 2% to 40%, 10% to 30%, or 1% to 3%, etc., are expressly enumerated in this specification. These are only examples of what is specifically intended, and all possible combinations of numerical values between and including the lowest value and the highest value enumerated are to be considered to be expressly stated in this disclosure. Use of the word “about” to describe a particular recited amount or range of amounts is meant to indicate that values very near to the recited amount are included in that amount, such as values that could or naturally would be accounted for due to manufacturing tolerances, instrument and human error in forming measurements, and the like. All percentages referring to amounts are by weight unless indicated otherwise.


No admission is made that any reference, including any non-patent or patent document cited in this specification, constitutes prior art. In particular, it will be understood that, unless otherwise stated, reference to any document herein does not constitute an admission that any of these documents forms part of the common general knowledge in the art in the United States or in any other country. Any discussion of the references states what their authors assert, and the applicant reserves the right to challenge the accuracy and pertinence of any of the documents cited herein. All references cited herein are fully incorporated by reference, unless explicitly indicated otherwise. The present disclosure shall control in the event there are any disparities between any definitions and/or description found in the cited references.


Methods for Performing Proteomic Analysis on a Sample

The field of single-cell proteomic analysis of regular-size mammalian cells remains highly challenging, primarily due to technical difficulties in effective sampling and processing. In particular, protein loss due to adsorption remains a major pitfall of any small sample size proteomics methodology, e.g., single-cell proteomics. To alleviate the shortcomings of existing proteomic approaches, the inventors developed a broadly adoptable MS method for quantitative single-cell proteomics for both label-free and tandem mass tag (TMT) labeling analysis. This method capitalizes on surfactant-assisted one-pot (single tube or multi-well plate) processing coupled with MS (termed SOP-MS) for greatly reducing the surface adsorption losses, thus, improving detection sensitivity for MS analysis of single cells and mass-limited clinical specimens. Critically, the inventors discovered that the use of alkly glucosides, e.g., n-Dodecyl β-D-maltoside (DDM), maximizes recovery for quantitative small sample proteomics by greatly reducing surface adsorption losses.


As used herein, “n-Dodecyl β-D-maltoside (DDM)” refers to a compound with a formula:




embedded image


Accordingly, in one aspect of the current disclosure, methods for performing proteomic analysis on a sample are provided. In some embodiments, the methods comprise treating the sample with a non-ionic surfactant, performing mass spectrometry on the treated sample, and detecting proteins in the treated sample.


As used herein, “detecting” refers to determining the presence of a protein, or a portion thereof in a sample. In some embodiments, detecting comprises determining the presence of a peptide, wherein a protein comprises said peptide; Thus, detection of the peptide may confirm the presence of a protein in the sample. For example, detection of the peptide with sequence consisting of SEQ ID NO:1, which is an oncogenic variant derived from KRAS, indicates the presence of KRAS, i.e., oncogenic mutant KRAS, in a sample. Similarly, detection of a variety of proteins can be accomplished by detecting a peptide with an amino acid sequence of a peptide found in Tables 2-7. In some embodiments, the peptide found in a table is described by a variant, or “non-canonical” amino acid, inserted amino acid, or deleted amino acid. It will be apparent to one of skill in the art that such information can be used to describe peptides that are detected by the disclosed methods by referring to the canonical sequence of the given protein and making the change to the amino acid sequence that is indicated in the table. In some embodiments, detection is automated and does not require the use of the human mind.


In some embodiments, the non-ionic surfactant is an alkyl glucoside. In some embodiments, the non-ionic surfactant is an alkyl diglucoside. In some embodiments, the non-ionic surfactant is an alkyl maltoside. In some embodiments, the non-ionic surfactant is octyl-maltoside, decyl-maltoside, dodecyl-maltoside, or tetradecyl-maltoside. In some embodiments, the non-ionic surfactant is n-dodecyl-β-D-maltoside (DDM). In some embodiments, the concentration of the non-ionic surfactant is 0.005% to 0.1%. In some embodiments, the concentration is 0.01% to 0.02%. In some embodiments, the concentration is 0.015%. In some embodiments, the method results in at least about a 20-fold enhancement in the mass spectrometry signal from the sample when compared to a sample not treated with the non-ionic surfactant. In some embodiments, the detected protein comprises an amino acid sequence of a peptide of Tables 2-7.


As used herein, “proteomic analysis” refers to any technique whereby the proteome, or a portion thereof, of a sample from a subject is sequenced. In some embodiments, sequencing comprises determining the amino acid sequence of proteins in a sample. In some embodiments, sequencing comprises determining a substantial portion of the amino acid sequences of proteins in a sample, e.g., sequencing 50% of the proteins, 60% of the proteins, 70% of the proteins, 80% of the proteins, 90% of the proteins, 95% of the proteins, or more than 95% of the proteins in a sample. In some embodiments, proteomic analysis comprises mass spectrometry. In some embodiments, proteomic analysis comprises liquid chromatography coupled to tandem mass spectrometry (LC-MS/MS or LC-MS2), which may, in some embodiments, includes high-performance liquid chromatography coupled to tandem mass spectrometry (HPLC-MS/MS).


Mass spectrometry is an analytical technique used to measure the mass-to-charge ratio (m/z or m/q) of ions. It is most generally used to analyze the composition of a physical sample by generating a mass spectrum representing the masses of sample components. The technique has several applications including identifying unknown compounds by the mass of the compound and/or fragments thereof determining the isotopic composition of one or more elements in a compound, determining the structure of compounds by observing the fragmentation of the compound, quantitating the amount of a compound in a sample using carefully designed methods (mass spectrometry is not inherently quantitative), studying the fundamentals of gas phase ion chemistry (the chemistry of ions and neutrals in vacuum), and determining other physical, chemical or even biological properties of compounds with a variety of other approaches.


A mass spectrometer is a device used for mass spectrometry, and it produces a mass spectrum of a sample to analyze its composition. This is normally achieved by ionizing the sample and separating ions of differing masses and recording their relative abundance by measuring intensities of ion flux. A typical mass spectrometer comprises three parts: an ion source, a mass analyzer, and a detector.


The kind of ion source is a contributing factor that strongly influences-what types of samples can be analyzed by mass spectrometry. Electron ionization and chemical ionization are used for gases and vapors. In chemical ionization sources, the analyte is ionized by chemical ion-molecule reactions during collisions in the source. Two techniques often used with liquid and solid biological samples include electrospray ionization (ESI) and matrix-assisted laser desorption/ionization (MALDI). Other techniques include fast atom bombardment (FAB), thermospray, atmospheric pressure chemical ionization (APCI), secondary ion mass spectrometry (SIMS), and thermal ionisation.


Liquid-chromatography-tandem-mass spectrometry (LC-MS/MS) has been introduced in clinical chemistry (Vogeser M., Clin. Chem. Lab. Med. 41 (2003) 117-126). Advantages of this technology are high analytical specificity and accuracy and the flexibility in the development of reliable analytical methods. In contrast to gas chromatography mass spectrometry (GC-MS) as the traditional mass spectrometric technology in clinical chemistry. LC-MS/MS has been shown to be a robust technology, allowing its application also in a large-scale routine laboratory setting.


The inventors demonstrated that treating of samples for proteomic analysis, e.g., LC-MS/MS, with DDM decreases the loss of proteins due to adsorption to surfaces used in handling and preparing the samples, e.g., tubes, plates, etc. Therefore, inclusion of DDM in the preparation of samples for proteomic analysis, e.g., LC-MS/MS increases the mass spectrometry signal at least about 20-fold than without treatment with DDM (FIGS. 1d-e). As used herein, “mass spectrometry signal” refers to, in some embodiments, the number of detectable peptides or proteins. In the example above in FIGS. 1d-e, the method increased detection from 63 peptides in untreated samples to 891 peptides in DDM treated samples.


A key factor for development of single-cell proteomic assays is the ability to preserve the small amount of starting material derived from a sample consisting of one or a small number of cells. As used herein, a “small number of cells” is less than 50 cells, less than 40 cells, less than 30 cells, less than 20 cells, preferably less than 10 cells. Thus, the inventors demonstrated that treatment of small numbers of cell samples with DDM allows detection of protein variants, e.g., oncogenic variants (FIGS. 13 and 14).


Therefore, in some embodiments, methods for performing proteomic analysis on a single cell are provided. In some embodiments, the methods comprise isolating a single cell to prepare a sample, treating the sample with a non-ionic surfactant, and performing mass spectrometry on the treated sample. In some embodiments, the methods comprise isolating a single cell to prepare a sample, treating the sample with a non-ionic surfactant, performing mass spectrometry on the treated sample and detecting proteins in the treated sample. In some embodiments, the non-ionic surfactant is an alkyl glucoside. In some embodiments, the non-ionic surfactant is an alkyl diglucoside. In some embodiments, the non-ionic surfactant is an alkyl maltoside. In some embodiments, the non-ionic surfactant is octyl-maltoside, decyl-maltoside, dodecyl-maltoside, or tetradecyl-maltoside. In some embodiments, the non-ionic surfactant is n-dodecyl-β-D-maltoside (DDM). In some embodiments, the concentration of the non-ionic surfactant is 0.005% to 0.1%. In some embodiments, the concentration is 0.01% to 0.02%. In some embodiments, the concentration is 0.015%. In some embodiments, the method results in at least about a 20-fold enhancement in the mass spectrometry signal from the sample when compared to a sample not treated with the non-ionic surfactant. In some embodiments, the detected protein comprises an amino acid sequence of a peptide of Tables 2-7.


EXAMPLES

The following Examples are illustrative and should not be interpreted to limit the scope of the claimed subject matter.


Example 1
Technical Field

The disclosed subject matter relates to a methodology breakthrough with a 20-fold improvement of sample recovery for mass spectrometry-based single-cell proteomic analyses.


Abstract

Large numbers of cells are generally required for quantitative global proteome profiling due to the significant surface adsorption losses associated with sample processing. Such bulk measurement obscures important cell-to-cell variability (cell heterogeneity) and makes proteomic profiling impossible for rare cell populations, such as circulating tumor cells (CTCs) and early metastatic cells. Herein the inventors report a facile mass spectrometry (MS)-based single-cell proteomics method that capitalizes on a MS-compatible nonionic surfactant, n-Dodecyl-β-D-maltoside (DDM), for greatly reducing the surface adsorption losses by ˜20-fold for effective single-tube processing of single cells, thus significantly improving detection sensitivity for single-cell proteomic analysis. With standard MS platforms, the method allows for the first time precise, label-free, reliable quantification of hundreds of proteins from single human cells in a simple, convenient manner. When applied to a patient CTC-derived xenograft (PCDX) model, the method can reveal distinct protein signatures between primary tumor cells and early metastases to the lungs at the single-cell resolution. The approach paves the way for routine, precise quantitative single-cell proteomic analysis.


Applications


The disclosed subject matter has applications which may include, but are not limited to: (i) both global and targeted single-cell proteomics in all biomedical fields; (ii) elucidation of cellular heterogeneity across and within populations, especially rare populations of stem cells, circulating tumor cells, and early metastatic cells; (iii) potential applications to subcellular organelle proteomics, like nucleus, mitochondria, etc.; and (iv) 3D or 4D proteomic mapping of normal and pathological tissues at single cell resolution.


Advantages


The disclosed subject matter has advantages which may include, but are not limited to the following. There is no exisiting commercial services for single-cell proteomics due to technical barriers from surface adsorption losses duing sample processing. Previous two single-cell proteomic methods based on nanoPOTS-Lumos MS1 and iPAD1-Lumos MS2 require specific device and are extremely difficult for broad dissemination.


The disclosed breakthrough methodology based on the nonionic surfactant DDM additive increases 20-fold in sample recovery and compatible with standard mass-spectrometry for convenient commercialization. Moreover, the sample recovery and peptide analyses are similar to that with two previous methods on special devices. The broad applications of incoming single-cell proteomic analyses will bring unprecedented impact to the biological and medical field, including basic science, translational research, and clinical medicine.


DESCRIPTION

To alleviate the shortcomings of existing proteomic approaches, the inventors have recently developed a facile, broadly adoptable MS method for precise quantitative single-cell proteomic analysis. This method capitalizes on surfactant-assisted one-pot processing coupled with MS (termed SOP-MS) for greatly reducing the surface adsorption losses, thus significantly improving detection sensitivity for MS analysis of single cells. SOP-MS was demonstrated to enable reliable quantification of hundreds of proteins from single cells with standard MS platforms. When it was applied to analyze two types of single cells isolated from patient CTC-derived xenografts (PCDXs): CTCs propagated in the mouse mammary fat pads with CSC properties (primary tumor cells) and their early micrometastases seeded to the lungs (lung micromets), SOP-MS not only allows for identification of protein signatures that can be leveraged for CTC characterization, but also facilitates elucidating heterogeneous alterations of metastatic tumor cells upon colonization of the lungs. Interestingly, the protein alterations in these cells are related to the selection pressure of anti-tumor immunity (e.g., neutrophils and innate immunity) for the transition from primary tumor CTCs to the early metastatic cells. These results demonstrate great potential of SOP-MS for broad applications in quantitative single-cell proteomics.


REFERENCES



  • 1. Zhu, Y. et al. Proteomic Analysis of Single Mammalian Cells Enabled by Microfluidic Nanodroplet Sample Preparation and Ultrasensitive NanoLC-MS. Angewandte Chemie-International Edition 57, 12370-12374, doi:10.1002/anie.201802843 (2018).

  • 2. Shao, X. et al. Integrated Proteome Analysis Device for Fast Single-Cell Protein Profiling. Anal Chem 90, 14003-14010, doi:10.1021/acs.analchem.8b03692 (2018).

  • 3. Zhu, Y. et al. Nanodroplet processing platform for deep and quantitative proteome profiling of 10-100 mammalian cells. Nat Commun 9, 882, doi:10.1038/s41467-018-03367-w (2018).

  • 4. Shi, T. et al. Facile carrier-assisted targeted mass spectrometric approach for proteomic analysis of low numbers of mammalian cells. Commun Biol 1, 103, doi:10.1038/s42003-018-0107-6 (2018).

  • 5. Zhang, P. et al. Carrier-Assisted Single-Tube Processing Approach for Targeted Proteomics Analysis of Low Numbers of Mammalian Cells. Anal Chem 91, 1441-1451, doi:10.1021/acs.analchem.8b04258 (2019).

  • 6. Budnik, B., Levy, E., Harmange, G. & Slavov, N. SCoPE-MS: mass spectrometry of single mammalian cells quantifies proteome heterogeneity during cell differentiation. Genome Biol 19, 161, doi:10.1186/s13059-018-1547-5 (2018).



Example 2—Surfactant-Assisted One-Pot Sample Preparation for Label-Free Single-Cell Proteomics
Introduction

Recent advances in nucleic acid amplification-based sequencing technologies allow for comprehensive characterization of genome and transcriptome in single mammalian or tumor cells1-3. Since no protein amplification methods exist for single cell proteome profiling, current single-cell proteomics technologies primarily rely on antibody-based immunoassays (e.g., mass cytometry) for targeted measurements4, but they share the limitations of antibody-based approaches5. Mass spectrometry (MS)-based proteomics is a promising alternative for quantitative single-cell proteomics because it is antibody-free and has high specificity and ultrahigh multiplexing capability6. Sophisticated sample preparation methods are generally used to process standard proteomics samples with large amounts of starting materials (e.g., ≥1000 ug or ≥10 million human cells) for comprehensive proteomic analysis7-10. However, they cannot be used to process smaller samples (e.g., low μg or sub-μg levels of starting materials). With this recognition, in the past decade great efforts have been made for effective processing of smaller samples using single-pot sample preparation (e.g., in-StageTip11, 12 and SP313, 14) and immobilized enzyme processing systems (e.g., IMER15, 16 and SNaPP17). Using the in-StageTip device combined with Tip-based sample fractionation, >7000 proteins across 12 immune cell types were reported when ˜15,000 immune cells (˜2 μg) were analyzed12. The SP3 protocol can allow reproducible quantification of 500-1000 proteins from 100-1000 HeLa cells14. With improved sample processing as well as recent advances in detection sensitivity, MS-based single-cell proteomics has recently been used for deep proteome profiling of large-size single cells (e.g., oocytes and blastomeres at ˜0.1-100 μg of protein amount per cell)13, 18-20. However, single-cell proteomic analysis of regular-size mammalian cells (typically ˜100 μg per cell) remains highly challenging, primarily due to technical difficulties in effective sampling and processing21-23. In recent three years great progress has been made to improve processing recovery from low numbers of cells by either reducing sample processing volume (e.g., nanoPOTS, OAD, and iPAD-1 devices downscaling the processing volume to ˜2-200 nL for label-free global proteomics21, 24, 25) or using excessive amounts of carrier proteins or proteome (e.g., the addition of exogenous BSA as a carrier protein for targeted proteomics22, 23 or tandem mass tag (TMT)-labeled 100s of cells as a carrier channel for TMT labeling-based global proteomics26). However, all these approaches have technical drawbacks: nanoPOTS, OAD, and iPAD-1 are not easily adoptable for broad benchtop applications21, 24, 25; exogenous protein carrier is more suitable for targeted proteomics. have; a TMT carrier is added after sample processing, and thus it cannot effectively prevent the surface adsorption losses during initial sample processing26, resulting in low reproducibility with a correlation coefficient of only ˜0.2-0.4 between replicates for ineffectively processed single cells27. Furthermore, due to the inability to fractionate ultrasmall TMT carrier samples, TMT labeling-based global proteomics suffers from ratio compression or distortion caused by coeluting interferences28. Therefore, only three MS-based single-cell proteomics methods are available for reliable label-free analysis of regular-size single mammalian cells, but they need specific devices and/or a skilled person to operate which limit their potential for wide adoptions by research community.


Single-cell proteomics can empower characterization of cell functional heterogeneity and reveal important protein signatures at the single-cell level for rare cell populations, such as cancer stem cells, circulating tumor cells (CTCs), and early metastatic cells. When compared to peripheral blood mononuclear cells (PBMCs), CTCs are rare (normally less than 0.1%). Their seeding efficiency is extremely low but CTCs with stem cell properties can cluster and colonize at relatively high efficiency29-33. CTCs can remain in the blood stream for up to several hours as single cells or tumor clusters, and sometimes they associate with various other cell types (e.g., neutrophils) until they extravasate at a potential site of metastasis29, 34-36. However, there are no available tools for proteomic characterization of CTCs that can elucidate their heterogeneity as well as dynamic alterations upon formation of early micrometastases. Therefore, it still remains uncertain whether metastatic tumor cells undergo an epithelial to mesenchymal transition (EMT) and/or a mesenchymal-to-epithelial transition (MET) at metastatic seeding37-40.


To alleviate the shortcomings of existing proteomic approaches, the inventors have recently developed a broadly adoptable MS method for quantitative label-free single-cell proteomic analysis. This method capitalizes on surfactant-assisted one-pot (single tube or multi-well plate) processing coupled with MS (termed SOP-MS) for greatly reducing the surface adsorption losses, thus improving detection sensitivity for MS analysis of single cells and mass-limited clinical specimens (FIG. 1). SOP-MS was demonstrated to enable reliable label-free quantification of hundreds of proteins from single cells with standard MS platforms. The inventors applied it to analyze two types of single cells isolated from patient CTC-derived xenografts (PCDX): CTCs propagated in the mouse mammary fat pads with CSC properties (primary tumor cells) and their early micrometastases seeded to the lungs (lung micromets). SOP-MS allows not only for identification of protein signatures from the two different cell types, but also for elucidation of dynamic alterations of metastatic tumor cells upon colonization of the lungs. Interestingly, many of the altered proteins in the lung metastasis are related to the selection pressure of anti-tumor immunity (e.g., neutrophils and innate immunity) for the transition from primary tumor CTCs to the early metastatic cells. These results demonstrate great potential of SOP-MS for broad applications in the biomedical research.


Results


‘All-In-One’ SOP-MS for Maximizing Single-Cell Recovery


The major issue for current MS-based bottom-up single-cell proteomics is substantial surface adsorption losses. Proteins are ‘stickier’ than other biomolecules (e.g., nucleic acids) and need to be digested into peptides for efficient MS analysis which involves multistep sample processing. Both BSA and surfactants are commonly used as additives to minimize surface adsorption for low amounts of proteins and peptides. Unfortunately, the addition of BSA is not suitable for label-free single-cell global proteomics analysis22, 23. Most ionic surfactants (e.g., sodium dodecyl sulfate) are not MS-compatible and require multiple cleanup steps that cause substantial sample loss, especially for small numbers of cells, though they are highly efficient for cell lysis and protein denaturation41. Nonionic surfactants are known to substantially reduce protein adsorption for hydrophobic surface-based vessels (e.g., single tube or single well) while they have less effects on hydrophilic surfaces (e.g., glass vials), because they have much stronger binding strength than proteins for the hydrophobic surface. They are broadly used to modulate protein aggregation, adsorption loss, stability, and activity in pharmaceutical and biotechnology industries. However, most nonionic surfactants (e.g., octylglucoside) are coeluted with tryptic peptides, which severely affects peptide detection due to ionization suppression42.


n-Dodecyl β-D-maltoside (DDM), a classic nonionic surfactant, is an exception. It has been demonstrated to robustly solubilize membrane proteins for effective cell lysis43, 44, and to be highly compatible with MS without requiring surfactant removal and is eluted at a high percentage of organic solvent where it does not impact peptide detection43, 44. Furthermore, DDM is sufficiently thermostable to tolerate the high temperature used for cell lysis and protein denaturation, and can also enhance trypsin and Lys-C enzyme activity42. Therefore, the inventors have recently developed a nonionic surfactant DDM-assisted one-pot sample preparation coupled with MS termed SOP-MS that combines all steps into one pot (e.g., single PCR tube or single well from a multi-well PCR plate routinely used for single-cell genomics and transcriptomics) including single-cell collection, multistep single-cell processing, and elimination of all transfer steps with direct sample loading for LC-MS analysis (FIGS. 1a-1c). This ‘all-in-one’ SOP-MS method presumably maximizes single-cell recovery for quantitative single-cell proteomics by greatly reducing possible surface adsorption losses.


To reliably evaluate the performance of SOP-MS, label-free MS was used for proteomic analysis of one cell at a time and protein identification is solely based on the actual MS/MS spectra from the analyzed cell, which is the cornerstone of MS-based proteomics. Furthermore, once it works for label-free MS analysis, SOP-MS can be widely used for other types of MS analysis of single cells. A commonly accessible Q Exactive Plus MS platform was used for the development of SOP-MS and its application demonstration.


Evaluation of SOP-MS Performance Using Peptides and Low-Input Human Cell Lysates


To achieve precise proteome quantification of single cells the inventors systematically evaluated sample recovery and processing reproducibility using more uniform low-input (small) samples (i.e., cell lysates or protein digests) with and without DDM in single PCR tubes. Selected reaction monitoring (SRM)-based targeted proteomics was used to optimize DDM concentrations from 0.005% to 0.1% due to its demonstrated higher reproducibility and quantitation accuracy when compared to global proteomics. Heavy isotope-labeled EGFR pathway peptide standards at a fixed concentration were measured at different DDM concentrations. The best SRM signals for most EGFR pathway peptides was achieved with 0.01-0.02% DDM, where higher DDM concentration can saturate the LC column and thus greatly degrade chromatographic performance. For simple peptide standard mixtures, 0.015% DDM was demonstrated for enabling to increase SRM signals by 3-35-fold with an average of ˜20-fold improvement (FIG. 6). The inventors further evaluated DDM-assisted performance for single-cell level mass input of tryptic peptide mixture (i.e., 0.2 ng of acute myeloid leukemia (AML) cell lysate digests). With the addition of 0.015% DDM, the number of identified peptides (proteins) greatly increased from 63 (53) to 891(342) with ˜20-fold enhancement in MS signal and significant difference was observed between without and with DDM (FIGS. 1d-1e). Additional experiments from different groups have recently been conducted to further confirm the efficiency of DDM for low mass input of tryptic peptide mixture from lung cancer PC9 cell lysate digests (FIG. 7). All these results clearly demonstrated that the feasibility of SOP-MS for analysis of sub-ng quantities of cell lysate digests (<10 mammalian cells).


The inventors next evaluated the performance of SOP-MS by serial dilution of uniform human breast cancer MCF7 cell lysates at 0.05-2.5 ng (close to 0.5-25 cells in protein mass) in the low-bind 96-well PCR plate (Methods). For 0, 0.05, 0.25, 0.5 and 2.5 ng of proteins, after trypsin digestion the average number of identified peptides (protein groups) was 38(7), 47 (31), 214 (116), 639 (293) and 3971 (1241), respectively. With the use of a MaxQuant MBR (match-between-run) function, the number of identified peptides (protein groups) consequently increased to 110 (33), 217 (156), 928 (437), 1897 (717) and 5792 (1539), respectively (FIG. 8a). To evaluate the quantitation accuracy of SOP-MS, the inventors have built three types of response curves, the number of unique peptides, the number of protein groups, and the log 2 extracted ion chromatogram (XIC) area as a function of low sample inputs (FIG. 8b). All the response curves have good linearity with a correlation coefficient (R2) of ˜0.99 from 0 to 0.5 ng, reflecting accurate quantification with a linear dynamic range for analysis of small number of cell equivalents by SOP-MS. Furthermore, SOP displayed high reproducibility with an average of Pearson correlation coefficient of ˜0.90 for 0.05-0.5 ng (close to 0.5 and 5 human cells) (FIG. 8c) and ≥0.99 between any two out of 5 replicates for 5 ng (FIG. 8d). All the results have demonstrated that the ‘all-in-one’ SOP-MS enables for reproducible quantitative analysis of low mass inputs of cell lysates (close to one cell or low numbers of cells in protein mass).


SOP-MS for Label-Free Proteomic Analysis of Small Tissue Sections


With its demonstrated improvement in analyzing low-input samples, the inventors next evaluated whether SOP-MS can be used for label-free, global proteomics analysis of small numbers of cells derived from mouse uterine tissues (FIG. 1). Two distinct regions of luminal epithelium and stroma were dissected by laser capture microdissection (LCM) in three replicates, each with a tissue spot size of 100 μm in diameter and 10 μm in thickness (close to ˜20 cells based on recent study of small tissue sections45) (FIG. 9a). These tissues were analyzed by SOP-MS for label-free proteome profiling (FIG. 1). A total of ˜7,600 unique peptides (˜1,340 protein groups) were identified from luminal epithelium, and ˜5,200 unique peptides (˜1,100 protein groups) from stroma (FIG. 2a). Pairwise analysis of any two tissue samples showed Pearson correlation coefficients ranging from 0.75 to 0.94 (FIG. 2b). As expected, the correlation from the same sub-region replicates is higher than that from different sub-region replicates (FIG. 2b). This further confirmed high reproducibility of SOP-MS for processing small numbers of cells.


To evaluate whether the identified proteins can be used to specify tissue regions, the inventors performed principal component analysis (PCA). The luminal epithelium and stroma regions were clearly segregated based on the protein expression alone with the three biological replicates from the same regions being clustered together (FIG. 2c). To identify protein features distinguishing the two regions, analysis of variance (ANOVA) was performed with a volcano plot of differentially expressed proteins (FIG. 2d), revealing ˜15% of quantified proteins (˜160 proteins) to be significantly different with p<0.05. Among the differential proteins, some of them are expected to be cell-type specific: cell junctional proteins (e.g., catenins and filamin B) and hydrolases (e.g., calpain 1 and neprilysin) for luminal epithelial cells, and extracellular matrix proteins (e.g., decorin, collagen, laminin and fibronectin) for stromal cells (FIGS. 9b-9c). Thus, SOP-MS was demonstrated to enable precise deep proteome profiling of small numbers of cells from LCM-dissected tissues.


SOP-MS for Label-Free Quantitative Single-Cell Proteomics


With the demonstrated performance for small numbers of cells, the inventors evaluated whether SOP-MS can be used for proteomic analysis of single mammalian cells. Single cells were sorted directly into single low-bind PCR tubes (one cell per tube) by fluorescence-activated cell sorting (FACS). Single MCF10A cells were processed without and with 0.015% DDM (three biological replicates per condition) in parallel by SOP followed by LC-MS analysis (FIG. 1). With the DDM additive the average number of unique peptides identified from biological triplicates was 313, resulting in identification of 131 protein groups with the MS/MS spectra alone (i.e., without MBR) (FIG. 3a). By contrast, without DDM the average number of unique peptides was only 6, corresponding to 5 protein groups. Furthermore, significant difference was observed between without and with DDM (FIG. 3a). This result strongly suggests that without the DDM additive the ‘all-in-one’ one-pot method cannot effectively process single cells for proteomic analysis, consistent with our observation for cell lysate digests and peptide standards.


To increase the number of identified unique peptides (protein groups), other commonly used proteomic algorithms were used to reanalyze the single-cell data. With the use of MBR function in MaxQuant, the average protein identifications were increased to 229, and a total of 384 protein groups were identified across three biological replicates for single MCF10A cells (FIG. 3b). 151 protein groups were commonly identified for all 3 single MCF10A cells, and an average of ˜53% protein groups overlapped between any two single MCF10A cells, suggesting cell-to-cell variability (FIG. 3c). An average of ˜39-fold enhancement in MS signal was observed with significant difference between samples without and with DDM (FIG. 3d), which further confirmed the importance of using DDM additive for single-cell processing. When compared to MaxQuant search with identification of a total 215 protein groups by the MS/MS spectra alone across three MCF10A biological replicates, other two common software tools MSGF+ and MSFragger were evaluated with enabling identification of 359 protein groups for MSGF+ and 391 protein groups for MSFragger (FIG. 3e). These results have further confirmed that SOP-MS enables confident detection of hundreds of proteins from single human cells. Among the three software tools, MaxQaunt is the most commonly used tool for label-free quantification. Unless otherwise mentioned, MaxQuant was used for quantitative analysis of all the single-cell proteomics data. The inventors next evaluated the reproducibility of SOP-MS for quantitative single-cell proteomic analysis. High reproducibility was demonstrated with Pearson correlation between any two single cells of 0.80-0.89 for single MCF10A cells (FIG. 3f). To evaluate the measurement reliability by SOP-MS, the inventors compared the abundance distribution of proteins identified in single cells with that from 10 ng MCF10A cell lysate digests. As expected, most proteins identified in single cells were highly abundant and above the median abundance of the 10 ng MCF10A cell lysate digests (FIG. 3g). Therefore, SOP-MS enables precise, quantitative, label-free single-cell proteomics.


To validate SOP-MS for single-cell proteomics analysis the inventors performed an independent experiment for 4 single cells sorted by FACS from newly cultured MCF10A cells. An average of 146 protein groups were identified with the MS/MS spectra (FIG. 4a) and 103 protein groups were commonly identified for all the 4 single MCF10A cells (FIG. 4b). An average of ˜64% protein groups overlapped between any two singe cells, suggesting lower cell-to-cell variability when compared to the above 3 single MCF10A cells (FIG. 3c). This was further confirmed by the higher median correlation coefficient (˜0.94) (FIG. 4c) than that from the above 3 single MCF10A cells (FIG. 3f). In addition, SOP-MS was used for analysis of different types of cells, 3 single MCF7 cancer cells with half of sample injection (i.e., ˜0.5 single cells for MS analysis) to mimic other small-size single mammalian cells. An average of 98 protein groups were identified from half of single MCF7 cells with a correlation coefficient of 0.9 (FIG. 4). All these results further confirmed high reproducibility of SOP-MS for reliable label-free quantification of 100s of proteins from single mammalian cells.


Application of SOP-MS to Single Cells Derived from a PCDX Model


To demonstrate the potential applications of SOP-MS to cancer research as well as to evaluate whether identification of hundreds of relatively abundant proteins can provide meaningful biological insights into cellular heterogeneity, the inventors applied SOP-MS for single-cell proteomic analysis of primary tumors and early lung metastases in a PCDX mouse model generated from patient CTCs (FIG. 10). After dissociation of luciferase 2-tdTomato (L2T)-labeled PCDX tissues, single L2T+ tumor cells were sorted by FACS into 96-well PCR plates (one cell per well) with ten from propagated CTCs (primary) and ten from metastases (lung) (FIG. 5a). With the MaxQuant MBR function, a total of 265 proteins were identified across all 10 single lung metastatic cells with the range of 69-163 protein groups for each single cells, and a total of 379 proteins identified across all 10 single primary tumor cells with the range of 81-223 protein groups for each single cells (FIG. 5b). The total XIC peak area for each protein group across the 20 single cells was presented as a heatmap for an overview of protein group detection (FIG. 5c). The higher number of protein identification from single primary tumor cells is consistent with their relatively larger size when compared to lung cells (breast tumor cells: ˜12 μm in diameter46 and lung cells: ˜8 μm in diameter47), reflecting the reliability of SOP-MS for single-cell proteomic analysis.


Unsupervised PCA analysis has shown distinct clustering of proteins from the primary CTCs versus the lung metastases (FIG. 5d), with significant abundance changes for 18 proteins between the two cell types (FIG. 5e). Cellular heterogeneity within the same cell type and between the two different cell types was clearly observed based on protein abundance achieved by label-free quantification (FIG. 5d). Based on pathway analysis, many of these proteins differentially expressed in the early metastases are annotated as immune related proteins (e.g., S100 calcium-binding family proteins A8 and A9, IGHG1, PIGR and BPIFB1) (FIG. 5f). This may infer tumor cell alterations enabling immune evasion in response to dynamic selection pressure of anti-tumor immunity from the transition of primary tumor cells to early metastasis. With literature mining, many proteins showing reduced abundance in the lung metastases are associated with epithelial cell differentiation (e.g., CDSN) or epithelial cancers (e.g., S100A family proteins48 and MUCL1 small breast epithelial mucin49), consistent with the cell-type plasticity between primary tumor and early metastasis. Notably, in the lung metastases the EMT markers, vimentin (VIM), MU5AC50 and PIGR51, displayed significant upregulation (FIG. 5e), suggesting the occurrence of EMT in early micrometastatic cells. Meanwhile, downregulated two chaperone proteins (HSPB152, 53 and FABP554) reported to promote EMT, may infer altered adaptation states in the lung metastatic cells (FIG. 5e).


To further validate label-free MS quantification, two representative proteins, VIM and S100A9, were selected with median expression upregulated and downregulated by 4.7 and 8.6 in the lung metastatic cells, respectively (FIG. 5g). The two proteins were measured with immunohistochemistry (IHC) staining of the primary tumor and lung tissue sections from the original PCDX model used for sorting single L2T+ tumor cells. Results from IHC staining are in agreement with the data from label-free MS quantification (FIG. 5h), which confirmed reliable single-cell proteomic quantification with SOP-MS.


Discussion


SOP-MS is a convenient robust method for label-free single-cell proteomics, where single cells are processed in either low-bind single tubes or multi-well plates which are routinely used for single-cell genomics and transcriptomics. The performance of SOP-MS (e.g., sensitivity, reproducibility, and quantitation accuracy) was demonstrated by label-free MS analysis of low mass inputs from serial dilution of uniform MCF7 cell lysates, LCM-dissected small tissue sections, and FACS-sorted single cells. Based on the actual MS/MS spectra for reliable protein identification (without using the MBR function) which is the cornerstone of MS-based proteomics, SOP-MS can identify ˜146 protein groups from single human cells, higher than ˜128 for iPAD1-M524 and 51 for OAD-M525 and ˜1.4-2.5-fold lower than ˜211-362 for nanoPOTS-M555-57 (Table 1), and ˜1200 proteins from small tissue sections (close to ˜20 cells). Comparative analysis of single MCF10A cells using both SOP-MS and nanoPOTS-MS has shown that the number of protein groups from SOP-MS is ˜1.6-fold lower than that from nanoPOTS-MS and ˜60% of protein groups from SOP-MS overlapped with the protein groups from nanoPOTS-MS (FIG. 11 and Table 1). Most importantly, unlike all currently available label-free single-cell proteomics methods that need specific devices and are difficult to access by research community, SOP-MS has advantages in terms of high compatibility with cell sorting or tissue collection systems and LC-MS analysis using single tubes or multi-well plates (FIGS. 1a-1c), and high flexible scalability shifting from single tube to multi-well plate for one-pot sample preparation. Thus, SOP-MS is easy to be widely adopted by research community for broad applications. Furthermore, automation of the whole ‘all-in-one’ sample preparation workflow can be readily achieved for high sample throughput by using commercially available liquid handlers for precisely dispensing μL or sub-μL reagent solution. Therefore, SOP-MS represents a breakthrough in technology for label-free MS-based single-cell proteomics.


With its demonstration for label-free MS analysis, SOP-MS can be equally used for other types of single-cell proteomic analysis (e.g., targeted proteomics and TMT-based MS analysis). It can also be used for analysis of other ultrasmall precious clinical specimens (e.g., rare CTCs and tissues from fine needle aspiration biopsy). The inventors have initially evaluated integration of our recently developed TMT-based BASIL strategy58 into SOP-MS for multiplexed analysis of 9 single MCF10A cells. A median correlation coefficient of ˜0.95 was achieved (FIG. 12d) primarily due to high recovery and reproducibility of SOP-MS.


Future developments will focus on improvements in detection sensitivity and sample throughput for rapid deep proteome profiling of single mammalian cells. Enhancing detection sensitivity could be achieved by effective integration of ultralow-flow LC or capillary electrophoresis (CE) and a high-efficiency ion source/ion transmission interface with the most advanced MS platform. Further improvement can be gained by further reducing sample loss (e.g., systematic evaluation of different types of MS-friendly surfactants) and increasing reaction kinetics through reducing processing volume from 10-15 μL down to 1-2 μL with automated small-volume liquid handling (e.g., automated MANTIS liquid handler). All these improvements in detection sensitivity will lead to greatly increase the measurement reliability (e.g., more high-quality MS/MS spectra) as well as the number of identified peptides/protein groups. Sample throughput could be increased by using ultrafast high-resolution ion mobility-based gas-phase separation (e.g., SLIM59) to replace current slow liquid-phase (LC or CE) separation, and effective integration of liquid- and gas-phase separations (e.g., SLIM59 or FAIMS60) for greatly reducing separation time but without trading off separation resolution. Alternatively, sample multiplexing with isobaric barcoding and implementation of a multiple LC column system can also be considered to increase sample throughput. All these improvements could lead to a more powerful SOP-MS platform and will certainly close the gap between single-cell proteomics and single-cell transcriptomics or genomics.


When compared to proteomic analysis of bulk cells that only provides the averaged expression signal, single-cell proteomics can provide a clean signal for single cells of interest without signal contribution from other types of cells, allowing to uncover new biological discoveries. When applied for analysis of single cells derived from a clinically relevant PCDX model, SOP-MS can reveal distinct protein signatures between primary and metastatic tumors as well as cellular heterogeneity within the same cell type. Proteins with altered expression levels are involved in tumor immunity (e.g., S100A family members61), epithelial cell differentiation (e.g., CDSN), and EMT (vimentin38, 62), suggesting possible selective pressure for immune evasion and cell state plasticity. The data provide a clear path for future mechanistic studies of cancer metastasis with the potential to guide targeted cancer therapy. SOP-MS analysis of single cells is under way to reveal robust protein signatures related to physiological and pathological states at the single-cell resolution. Furthermore, with its demonstration for analysis of CTC-derived single cells, SOP-MS can be equally applied to clinically important patient CTCs that link disseminated and primary tumors. Thus, it has great potential for liquid biopsy-guided diagnostic and prognostic applications as well as for rational therapeutic intervention.


In summary, the inventors report an easily implementable SOP-MS method that capitalizes on using surfactant-assisted one-pot sample preparation to reduce the surface adsorption losses for label-free single-cell proteomics. Label-free quantitative proteome profiling of single cells can be achieved with easily accessible sample preparation devices (single tubes or multi-well plates) and standard LC-MS platforms. With its convenient features, SOP-MS can be readily implemented in any MS laboratory for single-cell proteomic analysis. The application of SOP-MS to single cells derived from a PCDX model demonstrated its power for precise characterization of cellular heterogeneity and discovery of distinct protein signatures related to breast cancer metastasis. With improvements in detection sensitivity and sample throughput as well as automation for high sample throughput, the inventors believe that SOP-MS has great potential to close the gap between single-cell proteomics and single-cell transcriptomics, and could open an avenue for single-cell proteomics with broad applicability in the biological and biomedical research.









TABLE 1







Overview of current MS-based single-cell proteomics for label-


free proteome profiling of regular-size single human cells.











Single-cell






processing method
nanoPOTS
iPAD-1
OAD
SOP
















LC-MS setup
LC flow rate:
LC flow rate:
LC flow rate:
LC flow rate:
LC flow rate:
LC flow rate:



60 nL/min
20 nL/min
60 nL/min
40 nL/min
200 nL/min
100 nL/min



MS: Orbitrap
MS: Orbitrap
MS: Orbitrap
MS: Orbitrap
MS: Orbitrap
MS: Q



Fusion Lumos
Fusion Lumos
Fusion Lumos
Fusion Lumos
MS
Exactive plus




and Eclipse


Single cells
HeLa
HeLa
MCF10A
HeLa
HeLa
MCF10A


MS/MS only
211
362
236
128
51
146


(The number of


identified


protein groups)











Device
Chip-based microfluidic nanodroplet
In small i.d.
Nanoliter-
PCR tube




(22 μm)
scale oil-air-
or multi-




capillary
droplet chip
well plate













Reference

Angew Chem,


Anal Chem,


Recent


Anal Chem,


Anal Chem,


Current




130 (2018),
92 (2020),

experiments

90 (2018),
90 (2018),

work (4




12550-12554
2665-2671
(4 replicates)
14003-14010
5430-5438
replicates)









Methods


Human Sample Collection and Animal Studies


The human blood analyses for breast cancer patients were approved by the Institutional Review Boards at Northwestern University and complied with NIH guidelines for human subject studies. Animal procedures and experimental procedures have been performed under approval by Northwestern University Animal Care and Use Committee (ACUC) and complied with the NIH Guidelines for the Care and Use of Laboratory Animals. 8-10 weeks old female NSG mice were used for implantation of human breast cancer PCDX models and kept in specific pathogen-free facilities in the Animal Resources Center at Northwestern University. Breast tumors were harvested after 2-3 months and confirmed as a human PCDX with positive expression of human epithelial markers EpCAM, HER2, and CD44 as well as negative expression of mouse H-2Kd.


Reagents


n-Dodecyl β-D-maltoside (DDM), dithiothreitol (DTT), iodoacetamide (IAA), ammonium bicarbonate, acetonitrile, and formic acid were obtained from Sigma-Aldrich (St. Louis, Mo.). Promega trypsin gold was purchased from Promega Corporation (Madison, Wis.). Synthetic heavy peptides labeled with 13C/15N on the C-terminal arginine or lysine were purchased from New England Peptide (Gardner, Mass.).


Cell Culture


The MCF10A (MCF7) breast cancer cell line was obtained from the American Type Culture Collection (Manassas, Va.) and was grown in culture media63. Briefly, MCF10A (MCF7) cells were cultured and maintained in 15 cm dishes in ATCC-formulated Eagle's minimum essential medium (Thermo Fisher Scientific) supplemented with 0.01 mg/mL human recombinant insulin and a final concentration of 10% fetal bovine serum (Thermo Fisher Scientific, Waltham, Mass.) with 1% penicillin/streptomycin (Thermo Fisher Scientific). Cells were grown at 37° C. in 95% O2 and 5% CO2. Cells were seeded and grown until near confluence.


MCF7 Cell Lysates


MCF7 cells were rinsed twice with ice-cold phosphate-buffered saline (PBS) and harvested in 1 mL of ice-cold PBS containing 1% phosphatase inhibitor cocktail (Pierce, Rockford, Ill.) and 10 mM NaF (Sigma-Aldrich). Cells were centrifuged at 1500 rpm for 10 min at 4° C., and excess PBS was carefully aspirated from the cell pellet. Cell pellets were resuspended in ice-cold cell lysis buffer (250 mM HEPES, 8 M urea, 150 mM NaCl, 1% Triton X-100, pH 6.0) at a ratio of ˜3:1 lysis buffer to cell pellet. Cell lysates were centrifuged at 14,000 rpm at 4° C. for 10 min, and the soluble protein fraction was retained. Protein concentrations were determined by the BCA assay (Pierce).


Fluorescence-Assisted Cell Sorting (FACS) of Single Cells


Prior to cell collection, PCR tubes or 96-well PCR plates were pretreated with 0.1% DDM for coating the surface and later the DDM solution was removed. The pretreated PCR tubes or 96-well PCR plates were air-dried in the fume hood. To avoid cell clumping, after detaching they were dispersed into a single-cell suspension by passing three times through a 25-gauge needle. The cells were suspended in PBS, and pelleted by centrifuging 5 min at 500 g. This process was repeated five times to remove the remaining PBS and trypsin. After that the cells were resuspended in PBS and passed through a 35 μm mesh cap (BD Biosciences, Canaan, CT) to remove large aggregates. A BD Influx flow cytometer (BD Biosciences, San Jose, Calif.) was used to deposit cells into the precoated PCR tubes. Alignment into a Hard-Shell 96-well PCR plate (Bio-Rad, Hercules, Calif.) was done using fluorescent beads (Spherotech, Lake Forest, Ill.), after which the coated PCR tubes were placed into the plates for cell collection. For unstained MCF10A cells, forward and side scatter detectors were used for cell identification. Once sorting gates were established, cells were sorted into the PCR tubes using the 1-drop single sort mode. After isolation of the desired number of cells into the PCR tube, the isolated cells were immediately centrifuged at 1000 g for 10 min at 4° C. to keep the cells at the bottom of the tube to avoid potential cell loss. The PCR tubes with the isolated cells were stored in a −80° C. freezer until further analysis.


Laser Capture Microdissection (LCM) of Tissue Sections


Prior to LCM experiments, a cap of PCR tube was prepopulated with a 5 μL water droplet. Laser capture microdissection (LCM) was performed on a PALM MicroBeam system (Carl Zeiss MicroImaging, Munich, Germany). Voxelation of the tissue section was achieved by selecting the area on the tissue using PalmRobo software, followed by tissue cutting and catapulting. Mouse uterine tissues containing two distinct cell types (luminal epithelium and stroma) were cut at an energy level of 42 and with an iteration cycle of 2 to completely separate 100 μm×100 μm tissue voxels at a thickness of 10 μm. The “CenterRoboLPC” function with an energy level of delta 10 and a focus level of delta 5 was used to catapult tissue voxels into the cap. The “CapCheck” function was activated to confirm successful sample collection from tissue sections to water droplets. After tissue collection into the droplet of the cap, the PCR tube was immediately centrifuged at 1000 g for 10 min at 4° C. to keep collected tissues at the bottom of the tube to avoid potential sample loss. The collected samples were processed directly or stored at −80° C. until use.


PCDX Model Generation and Dissociation of PCDX Tumors and Lungs


The PCDX-205 model was created by implanting prospective CTCs upon lysis of red blood cells (lysis buffer Sigma cat #R7757) and depletion of CD45+ PBMCs (Miltenyi Biotec Depletion column cat #130-042-901) from the blood cells of a breast cancer patient (NU-205) into the mammary fat pads of NSG mice. Breast tumors were harvested after 2-3 months and confirmed as a human PCDX with positive expression of human epithelial markers EpCAM, HER2, and CD44 as well as negative expression of mouse H2Kd. Tumor cells were lentiviral labeled by L2T64 which was generated by using the Luc2 and td Tomato sequences with connection by the short linker, 5′-GGAGATCTAGGAGGTGGAGGTA-GCGGTGGAGGTGGAAGCCAGGATCC-3′ (SEQ ID NO: 8). The L2T gene sequence was removed from a pCDNA3.1+ vector and placed within the pFUG lentiviral vector using traditional blunt end cloning. The spontaneous lung metastases were detected by IVIS of the lungs when dissected from the mice.


L2T+ PCDX-205 primary tumors and the lungs were harvested and briefly washed in PBS. Tissue was transferred to a Petri dish containing 10 mL dissociation media (RPMI 1640 media with 20 mM HEPES buffer), then minced into fine pieces. 400 μL of Liberase TH enzyme (Roche cat #5401135001) and 100 Units of DNase enzyme (Sigma cat #D4263) were added to the dissociation media, and the Petri dishes containing the tissues were transferred to an incubator at 37° C. and 5% CO2 for 2 h to complete dissociation. Tissue suspension was mixed every 15 min using a 10 mL serological pipette to aid dissociation. After tissue was completely digested into single cells, the solution was transferred to a 50 mL conical tube. The original petri dish was washed with 15 mL RPMI media containing 2% fetal bovine serum (FBS) (Sigma) and 1% penicillin/streptomycin (Gibco) and the contents transferred to a 50 mL conical tube containing the tissue solution to stop the dissociation reaction. Samples were centrifuged at 300 g for 5 min at 4° C., and the supernatant was removed. Samples were resuspended in 4 mL Red Blood Cell Lysing Buffer (Sigma) and kept on ice for 10 min, after which 20 mL of HBSS (Corning) was added to samples and centrifuged at 300 g for 5 min at 4° C. and the supernatant was removed. Samples were resuspended in 20 mL HBSS and filtered with a 40 μm filter. Cell numbers were counted, and samples were stored on ice until ready for use.


Single Cell Sorting of Patient CTCs from PCDXs and Early Metastases to the Lungs


Cells from dissociated tumor and lung tissues were washed in PBS and then centrifuged at 300 g for 5 min at 4° C. Samples were resuspended in 2% FBS in PBS. MDA-MB-231 cells were collected and suspended in 2% FBS in PBS to serve as a tdTomato (L2T)-negative control for flow analysis. Cancer cells from the tumor and lung samples were sorted based on L2T expression. L2T+ tumor cells of the lung metastases were initially sorted into 10% FBS in PBS prior to single cell sorting, and each of the L2T+ single cells from the primary tumor and lung metastases was sorted into 5 μL H2O in a single tube of a 96-tube PCR plate. Plates were sealed, briefly spun on a microplate centrifuge, and stored at −80° C. until later SOP-MS analysis.


Immunohistochemistry Staining


Formalin-fixed and paraffin-embedded tissues were processed and sectioned according to routine protocols. Heat mediated antigen retrieval was used prior to all staining procedures. Tissues were incubated with vimentin antibody (1:200 dilution, clone D21H3, Cell Signaling Technology) or S100A9 antibody (1:100 dilution, provided by Dr. Philippe Tessier at Laval University) overnight at 4° C. Antigen was detected using the EnVision+ Dual Link System (Dako) and counterstained with hematoxylin. Images were taken using a Leica DM4000B microscope and a Leica MC120 HD camera with a 40× objective.


Cell Lysis, Reduction, Alkylation, and Trypsin Digestion


For FACS-isolated cells, 2 μL of 0.1% DDM in 25 mM ammonium bicarbonate (ABC) was added to the PCR tube or each well of the 96-well plate. Intact cells were sonicated at 1-min intervals for 5 times over ice for cell lysis and centrifuged for 3 min at 3000 g. 0.3 μL of 100 mM DTT in 25 mM ABC was added to the PCR tube. Samples were incubated at 75° C. for 1 h for denaturation and reduction. After that, 0.5 μL of 60 mM IAA in 25 mM ABC was added to the PCR tube. Samples were incubated in the dark at room temperature for 30 min for alkylation. The reduction and alkylation steps appear optional: there is no apparent difference in protein identification and quantification between samples with and without reduction and alkylation. 2 of 1 trypsin (Promega) in 25 mM ABC was added to the PCR tube or the 96-well plate at a total amount of 2 ng. Samples were digested for ˜3-4 h at 37° C. with gentle sharking at ˜500 g. After digestion, 0.5 μL of 5% FA was added to the tube to stop enzyme reaction. The final sample volume was adjusted to ˜10-15 μL with the addition of 25 mM ammonium bicarbonate (triethylammonium bicarbonate for TMT samples) for direct LC injection. The sample PCR tube was inserted into the LC vial or the 96-well PCR plate was sealed with a matt. They were either analyzed directly or stored at −20° C. for later LC-MS analysis. For the integrated SOP-BASIL-MS analysis, the digested peptides from single MCF10A cells were labeled with different TMT reagents as sample channels, and 10 ng of peptides from bulk MCF10A cell digests were labeled with TMT126 as the carrier channel. The TMT126 labeled carrier channel peptides were equally distributed to each sample channel, and all the samples were combined together to form one single sample. The combined channel sample was desalted by using a simple reversed phase-based Stage Tip65.


For LCM-dissected tissue sections, 1.5 μL of cell lysis buffer containing 0.2% DDM and 5 mM DTT was added to the PCR tube and incubated at 80° C. for 60 min for cell lysis and protein denaturation. IAA was added to the PCR tube with the final concentration of 10 mM. Samples were incubated in the dark at room temperature for 30 min. After that they were diluted by the addition of 25 mM ammonium bicarbonate to reduce the DDM concentration to 0.02%. The mixed Lys-C and trypsin were added to the PCR tube with the final enzyme concentration of 0.5 ng/μL (i.e., a total of 5 ng for the final processing volume of 15 μL). The sample was gently mixed at 850 rpm for 3 min, and then incubated at 37° C. overnight (˜16 h) for digestion. After digestion, 1 μL of 5% FA was added to the PCR tube to stop enzyme reaction. The sample PCR tube was inserted into the LC vial and the sample was either directly analyzed or stored at −20° C. for later LC-MS analysis.


LC-MS/MS Analysis


The single-cell digests were analyzed using a commonly available Q Exactive Plus Orbitrap MS (Thermo Scientific, San Jose, Calif.). The standard LC system consisted of a PAL autosampler (CTC ANALYTICS AG, Zwingen, Switzerland), two Cheminert six-port injection valves (Valco Instruments, Houston, USA), a binary nanoUPLC pump (Dionex UltiMate NCP-3200RS, Thermo Scientific), and an HPLC sample loading pump (1200 Series, Agilent, Santa Clara, USA). Both SPE precolumn (150 μm i.d., 4 cm length) and LC column (50 μm i.d., 70-cm Self-Pack PicoFrit column, New Objective, Woburn, USA) were slurry-packed with 3-μm C18 packing material (300-A pore size) (Phenomenex, Terrence, USA). Sample was fully injected into a 20 μL loop and loaded onto the SPE column using Buffer A (0.1% formic acid in water) at a flow rate of 5 μL/min for 20 min. The concentrated sample was separated at a flow rate of 150 nL/min and a 75 min gradient of 8-35% Buffer B (0.1% formic acid in acetonitrile). The LC column was washed using 80% Buffer B for 10 min and equilibrated using 2% Buffer B for 20 min. Q Exactive Plus Orbitrap MS (Thermo Scientific) was used to analyze the separated peptides. A 2.2 kV high voltage was applied at the ionization source to generate electrospray and ionize peptides. The ion transfer capillary was heated to 250° C. to desolvate droplets. The data dependent acquisition mode was employed to automatically trigger the precursor scan and the MS/MS scans. Precursors were scanned at a resolution of 35,000, an AGC target of 3×106, a maximum ion trap time of 50 ms (100 ms for CTC single cell analysis). Top-10 precursors were isolated with an isolation window of 2, an AGC target of 2×105, a maximum ion injection time of 300 ms (for CTC single-cell analysis, the AGC target of 2×105 and 500 ms ion injection time was used), and fragmented by high energy collision with an energy level of 32%. A dynamic exclusion of 30 s was used to minimize repeated sequencing. MS/MS spectra were scanned at a resolution of 17,500.


Data Analysis


The freely-available open-source MaxQuant software was used for protein identification and quantification. The MS raw files were processed with MaxQuant (Version 1.5.1.11)66, 67 and MS/MS spectra were searched by Andromeda search engine against the against a human (or mouse) UniProt database (fasta file dated Apr. 12, 2017) (with the following parameters: tryptic peptides with 0-2 missed cleavage sites; 10 ppm of parent ion tolerance; 0.6 Da of fragment ion mass tolerance; variable modifications (methionine oxidation). Search results were processed with MaxQuant and filtered with a false discovery rate ≤1%. When a peptide library was available, the match between runs (MBR) function was selected to increase proteome coverage. Protein quantification was performed by using the label-free quantitation (LFQ) function. Contaminants were removed from the peptides.txt file prior to use for downstream statistical analysis. Biological functions and signaling pathways were analyzed by using DAVID Bioinformatics Resources (Version 6.8)68 and Peruses (Version 1.6.2.1)69, and protein-protein association network analysis was performed by the latest version of STRING (Version 11.0)70.


Statistics and Reproducibility


At least three biological or technical replicates were used to evaluate reproducibility for sample recovery and SOP-MS. No data exclusion was performed, and no randomization or blinding methods were used in data analysis. After label-free quantification with MaxQuant MBR, the extracted ion chromatogram (XIC) areas of the identified protein groups were log 2 transformed, and then normalized by the median value of each column. The proteins containing at least 50% valid values in one group were kept in the data matrix, and the missing values were imputed by the normal distribution in each column with a width of 0.3 and a downshift of 1.8 by using Perseus (Version 1.6.2.1)69. The non-supervised PCA analysis was used to generate PCA plot. The inventors further used Anova t-test to prioritize significantly differentiated proteins (p<0.05, FDR<0.2) for the heatmap generation. The extracted data were further processed and visualized with Microsoft Excel 2017.


It will be readily apparent to one skilled in the art that varying substitutions and modifications may be made to the invention disclosed herein without departing from the scope and spirit of the invention. The invention illustratively described herein suitably may be practiced in the absence of any element or elements, limitation or limitations which is not specifically disclosed herein. The terms and expressions which have been employed are used as terms of description and not of limitation, and there is no intention in the use of such terms and expressions of excluding any equivalents of the features shown and described or portions thereof, but it is recognized that various modifications are possible within the scope of the invention. Thus, it should be understood that although the present invention has been illustrated by specific embodiments and optional features, modification and/or variation of the concepts herein disclosed may be resorted to by those skilled in the art, and that such modifications and variations are considered to be within the scope of this invention.


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Supplementary Materials and Methods

Stable Isotope-Labeled Phosphopeptides.


Crude stable isotope-labeled (SIL) phosphopeptides were synthesized with 13C/15N on C-terminal lysine or arginine (New England Peptide, Gardner, Mass.). The peptides were dissolved individually in 15% acetonitrile (ACN) and 0.1% formic acid (FA) at a concentration of 1.5 mM and stored at −80° C. A mixture of these peptides was made with a final concentration of 10 pmol/μL for each peptide.


LC-SRM Analysis.


The SIL phosphopeptides were diluted by ddH2O into 250 fmol/μL and analyzed using an Altis triple quadruple mass spectrometer (Thermo Fisher Scientific) equipped with a nanoACQUITY UPLC system (Waters, Milford, Mass.) for generating the data of FIG. 6. Peptide samples were loaded onto an ACQUITY UPLC BEH 1.7-μm C18 column (100 μm i.d.×10 cm). The mobile phases were (A) 0.1% FA in water and (B) 0.1% FA in ACN. 2 μL of the sample was loaded onto the column and separated at a flow rate of 400 nL/min using a 72-min gradient as followed (min:% B): 11:0.5, 13.5:10, 17:15, 38:25, 49:38, 50:95, 59:10, 60:95, 64:0.5. The LC column is operated at a temperature of 45° C. The parameters of the instrument were set as follows: Q1 and Q3 resolution were 0.7 fwhm, with 1 s cycle time. Data were acquired in scheduled SRM mode.


The selection of surrogate peptides for epidermal growth factor receptor (EGFR) pathway proteins and the SRM assays were described previously1. High-purity light peptides (>95%) were used to calibrate crude heavy peptide concentrations. Crude heavy isotope-labeled EGFR pathway peptide standards at a total amount of 30 fmol for each peptide were used for evaluation of peptide recovery with and without DDM (Table 1). Samples were analyzed using a nanoACQUITY UPLC (Waters Corporation, Milford, Mass.) coupled to a TSQ Vantage triple quadrupole mass spectrometer (Thermo Scientific, San Jose, Calif.). The UPLC's nanoACQUITY UPLC BEH 1.7 μm C18 column (75 μm i.d.×20 cm) was connected to a chemically etched 20 μm i.d. fused-silica electrospray emitter via a stainless metal union. Solvents used were 0.1% formic acid in water (mobile phase A) and 0.1% formic acid in 90% acetonitrile (mobile phase B). An amount of ˜12 μL out of the total ˜15 μL peptide sample was directly loaded onto the BEH C18 column from the PCR tube without using a trapping column. Sample loading and separation were performed at a flow rate of 350 and 300 nL/min, respectively. The binary LC gradient was used: 5-20% B in 26 min, 20-25% B in 10 min, 25-40% B in 8 min, 40-95% B in 1 min and at 95% B for 7 min for a total of 52 min, and the analytical column was re-equilibrated at 99.5% A for 8 min. The TSQ Vantage mass spectrometer was operated with ion spray voltages of 2400±100 V, a capillary offset voltage of 35 V, a skimmer offset voltage of −5 V, and a capillary inlet temperature of 220° C. The tube lens voltages were obtained from automatic tuning and calibration without further optimization. The retention time scheduled SRM mode was applied for SRM data collection with the scan window of ≥6 min. The cycle time was set to 1 s, and the dwell time for each transition was automatically adjusted depending on the number of transitions scanned at different retention time windows. A minimal dwell time 10 ms was used for each SRM transition. All the EGFR pathway proteins were simultaneously monitored in a single LC-SRM analysis.


Data analysis. Skyline software was used for all SRM data analysis2. The raw data were initially imported into Skyline software for visualization of chromatograms of target peptides to determine the detectability of target peptides. For each peptide the best transition without matrix interference was used for precise quantification. Two criteria were used to determine the peak detection and integration: (1) same retention time and (2) approximately the same relative SRM peak intensity ratios across multiple transitions between endogenous (light) peptide and heavy peptide internal standards. All the data were manually inspected to ensure correct peak detection and accurate integration. The RAW data from TSQ Vantage were loaded into Skyline software to display graphs of extracted ion chromatograms (XICs) of multiple transitions of target proteins monitored.


Background of a PCDX Model.


In the dissemination of metastatic tumors, cancer cells from the primary tumor are shed into the peripheral blood vasculature. These circulating tumor cells (CTCs) serve as the vehicle by which primary tumors can seed distant metastases. In order to become a CTC, cancer cells from the primary tumor must undergo several steps to reach the bloodstream. Initially, tumor cells may undergo an epithelial to mesenchymal transition (EMT) and begin invading the surrounding extracellular matrix and basement membrane3-5. Eventually tumor cells will reach a local blood vessel and intravasate6. CTCs remain in the blood stream for up to several hours as single cells or clusters, sometimes associating with various other cell types, until they extravasate at a potential site of metastasis7-10. However, even in patients with advanced metastatic cancers, CTCs are a rare population (normally less than 0.1%) compared to peripheral blood mononuclear cells (PBMCs) within the blood. CTCs are commonly distinguished from other cell populations in the blood by negative expression of CD45, a leukocyte marker, and the positive expression of epithelial markers including EpCAM, cytokeratin, and/or other tumor associated antigens11, which might be heterogeneous and not expressed in all CTCs. There remains understudied concerning the dynamic changes CTCs may undergo compared to tumor cells within the primary tumor and distant metastases. Most notably, CTCs may exhibit cellular junction proteins and properties of cancer stem cells, which promote their ability to cluster and survive in the blood stream and seed distant metastases12-16. The detection of CTCs in singles and clusters in patient samples has shown important prognostic value7, 14-17. The characterization of CTC heterogeneity has been impeded due to the difficult sampling and maintenance of this rare population of tumor cells.


The development of patient derived xenografts (PDXs) that develop spontaneous metastases in mice has afforded researchers a representative model system to investigate the molecular and cellular basis of metastasis in vivo13, 18. In this study, the inventors further established patient CTC-derived xenografts (PCDXs) which developed spontaneous lung metastasis, first creation to our knowledge, for single cell proteomic profiling of primary tumor cells as well as spontaneous lung metastases. Lentiviral labeling of this PCDX with the luciferase 2-tdTomato (L2T) dual fusion gene reporter enabled a convenient isolation and FACS-based single cell sorting of L2T+ tumor cells from both primary tumor and lung metastasis after dissociation. The single cell proteomic profiling of PCDX model with metastasis not only allowed for the identification of new markers that can be leveraged for CTC isolation, but also facilitated elucidating the heterogeneous alterations of metastatic tumor cells upon colonization of the lungs.


Procedure for Prioritization of the 18 Differentially Expressed Proteins and Generation of the Heatmap:


1) After label-free quantification with MaxQuant MBR, the extracted ion chromatogram (XIC) areas of the identified protein groups were log 2 transformed, and then normalized by the median value of each column; 2) The proteins containing at least 50% valid values in one group were kept in the data matrix, and the missing values were imputed by the normal distribution in each column with a width of 0.3 and a downshift of 1.8 by using Perseus (Version 1.6.2.1); 3) The non-supervised PCA analysis was then used to generate PCA plot; 4) The inventors further used Anova t-test to prioritize significantly differentiated proteins between lung metastatic and primary tumor cells (p<0.05, FDR<0.2) for the heatmap generation.


SUPPLEMENTARY REFERENCES



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  • 3. Mani, S. A. et al. The epithelial-mesenchymal transition generates cells with properties of stem cells. Cell 133, 704-715 (2008).

  • 4. Wang, Y. et al. Vimentin expression in circulating tumor cells (CTCs) associated with liver metastases predicts poor progression-free survival in patients with advanced lung cancer. Journal of Cancer Research and Clinical Oncology (2019).

  • 5. Hanahan, D. & Weinberg, R. A. Hallmarks of cancer: the next generation. Cell 144, 646-674 (2011).

  • 6. Pantel, K. & Speicher, M. R. The biology of circulating tumor cells. Oncogene 35, 1216-1224 (2016).

  • 7. Cristofanilli, M. et al. Circulating Tumor Cells, Disease Progression, and Survival in Metastatic Breast Cancer. New England Journal of Medicine 351, 781-791 (2004).

  • 8. Mu, Z. et al. Prospective assessment of the prognostic value of circulating tumor cells and their clusters in patients with advanced-stage breast cancer. Breast Cancer Research and Treatment 154, 563-571 (2015).

  • 9. Meng, S. et al. Circulating Tumor Cells in Patients with Breast Cancer Dormancy. Clinical Cancer Research 10, 8152-8162 (2004).

  • 10. Hong, Y., Fang, F. & Zhang, Q. Circulating tumor cell clusters: What we know and what we expect (Review). Int J Oncol 49, 2206-2216 (2016).

  • 11. Paoletti, C. & Hayes, D. F. in Novel Biomarkers in the Continuum of Breast Cancer. (ed. V. Stearns) 235-258 (Springer International Publishing, Cham; 2016).

  • 12. Kreso, A. & Dick, John E. Evolution of the Cancer Stem Cell Model. Cell Stem Cell 14, 275-291 (2014).

  • 13. Liu, H. et al. Cancer stem cells from human breast tumors are involved in spontaneous metastases in orthotopic mouse models. Proc Natl Acad Sci USA 107, 18115-18120 (2010).

  • 14. Liu, X. et al. Homophilic CD44 Interactions Mediate Tumor Cell Aggregation and Polyclonal Metastasis in Patient-Derived Breast Cancer Models. Cancer Discov 9, 96-113 (2019).

  • 15. Aceto, N. et al. Circulating tumor cell clusters are oligoclonal precursors of breast cancer metastasis. Cell 158, 1110-1122 (2014).

  • 16. Gkountela, S. et al. Circulating Tumor Cell Clustering Shapes DNA Methylation to Enable Metastasis Seeding. Cell 176, 98-112 e114 (2019).

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  • 18. Liu, H. et al. Cancer stem cells from human breast tumors are involved in spontaneous metastases in orthotopic mouse models. Proc Natl Acad Sci USA 107, 18115-18120 (2010).



Example 3—Experimental Data on Targeted Detection of Wildtype and Mutated Peptides in Cancer Cells Via Mass Spectrometry Using Residual or Minimal Samples

Residual or minimal samples of small numbers of cells from PANC-1 and prostate cancer cell lines were prepared for mass spectrometry and treated with 0.015% DDM. Heavy isotope-labelled standards for peptides of interest were synthesized and used as standards. The inventors demonstrated that the disclosed methods are capable of detecting peptides derived from oncogenes, and single amino acid variants (SAAVs) of said peptides, e.g., SEQ ID NO: 1 (FIG. 13a), SEQ ID NO: 3 (FIG. 13b), SEQ ID NO: 5 (FIG. 14a), and SEQ ID NO: 7 (FIG. 14b). Therefore, the inventors concluded that the disclosed methods are suitable for single-cell proteome analysis, and, further, the methods are suitable for the detection of clinically relevant variant peptides from small or single-cell tissue samples. The detection and quantification of SAVVs from small numbers of cells or single cells may serve as the basis for future translational research in cancer precision medicine and personal immunotherapy and treatment as well as potential target sites for drug design.









TABLE 2







Final BC panel-revised












Original


Mutation
Mutation peptide
Wild type peptide


No
Gene
Accession
Site
position
position















1
AR
P10275
AR-
QLVHM716VK
QLVHV716VK





V716M
(SEQ ID NO: 20)
(SEQ ID NO: 21)





2
BRCA1
P38398
BRCA1-
TDAEFVCEW1699TLK
TDAEFVCERI699





R1699W
(SEQ ID NO: 22)
(SEQ ID NO: 23)





3
BRCA2
P51587
BRCA2-

C2660DTEID R

Y2660DTEID R





Y2660C
(SEQ ID NO: 24)
(SEQ ID NO: 25)





4
BRCA2
P51587
BRCA2-
TSSGLYIFC2842NER
TSSGLYIFR2842





R2842C
(SEQ ID NO: 26)
(SEQ ID NO: 27)





5
BRCA2
P51587
BRCA2-
LTVD2748QK
LTVG2748QK





G2748D
(SEQ ID NO: 28)
(SEQ ID NO: 29)





6
CCNE1
P24864
CCNE1-

L330MVPFAMVIR

W330MVPFAMVIR





W330L
(SEQ ID NO: 30)
(SEQ ID NO: 31)





8
CDK6
Q00534
CDK6-
ADQQYECG16AEIGE
ADQQYECV16AEIGEGA





V16G
GAYGK
YGK






(SEQ ID NO: 32)
(SEQ ID NO: 33)





9
FGFR1
PI 1362
FGFR1-
NVSFEDAGK338
NVSFEDAGE338YTCLAGN





E338K
(SEQ ID NO: 34)
SIGLSHHSAVVLTVLEALE







ER







(SEQ ID NO: 35)





10
GATA3
P23771
GATA3-
NSL390FNPAALSR
NSS390FNPAALSR





S390L
(SEQ ID NO: 36)
(SEQ ID NO: 37)





11
GATA3
P23771
GATA3-
VHDSLK383
VHDSLE383DFPK





E383K
(SEQ ID NO: 38)
(SEQ ID NO: 39)





12
PTEN
P60484
PTEN-
VAQYPFEN92HNPPQL
VAQYPFED92HNPPQLELIK





D92N
ELIK
(SEQ ID NO: 41)






(SEQ ID NO: 40)






13
PTEN
P60484
PTEN-
PFCEDLDQWLSEDDNHV
PFCEDLDQWLSEDDNHVAAI





H123Y
AAIY123CK
H123CK






(SEQ ID NO: 42)
(SEQ ID NO: 43)





14
RB1
P06400
RB1-
IMESLAWLSDSPLC570
IMESLAWLSDSPLF570DLIK





F570C
DLIK
(SEQ ID NO: 45)






(SEQ ID NO: 44)






15
RB1
P06400
RB1-
LP876FDIEGSDEADGSK






R876P
(SEQ ID NO: 46)






16
STK11
Q15831
STK11-
LV264ENIGK
LF264ENIGK





F264V
(SEQ ID NO: 47)
(SEQ ID NO: 48)





17
ERBB2
P04626
ERBB2-
CWGESSEDCQSLTH217TVCA
CWGESSEDCQSLTR217





R217H
GGCAR
(SEQ ID NO: 50)






(SEQ ID NO: 49)






18
ERBB2
P04626
ERBB2-
CWGESSEDCQSLTC217TVCA
CWGESSEDCQSLTR217





R217C
GGCAR
(SEQ ID NO: 52)






(SEQ ID NO: 51)






19
ERBB2
P04626
ERBB2-
YTFGASCVTACPYNYLSTDVG
YTFGASCVTACPYNYLSTD





S310F

F310CTLVCPLHNQEVTAEDG

VGS310CTLVCPLHNQEVT






TQR
AEDGTQR






(SEQ ID NO: 53)
(SEQ ID NO:54)





20
ERBB2
P04626
ERBB2-
YTFGASCVTACPYNYLSTDVG
YTFGASCVTACPYNYLSTD





S310Y

Y310CTLVCPLHNQEVTAEDG

VGS310CTLVCPLHNQEVT






TQR
AEDGTQR






(SEQ ID NO: 55)
(SEQ ID NO: 54)





22
ERBB2
P04626
ERBB2-
LLQETELVEPLTPSGAMPN
LLQETELVEPLTPSGAMPN





Q709L

L709AQMR

Q709AQMR






(SEQ ID NO: 56)
(SEQ ID NO: 57)





24
ERBB2
P04626
ERBB2-







L755S







25
ERBB2
P04626
ERBB2-
EM767LDEAYVMAGVGSP
EI767LDEAYVMAGVGSPYVSR





I767M
YVSR (SEQ ID NO: 58)
(SEQ ID NO: 59)





26
ERBB2
P04626
ERBB2-
EILH769EAYVMAGVGSPYVSR
EILD769EAYVMAGVGSPYVSR





D769H
(SEQ ID NO: 158)
(SEQ ID NO: 59)





27
ERBB2
P04626
ERBB2-
EILY769EAYVMAGVGSPYVSR
EILD769EAYVMAGVGSPYVSR





D769Y
(SEQ ID NO: 159)
(SEQ ID NO: 59)





28
ERBB2
P04626
ERBB2-
EILDEAYVMAGL777GSPYVSR
EILDEAYVMAGV777GSPYVSR





V777L
(SEQ ID NO: 160)
(SEQ ID NO: 59)





30
ESR1
P03372
ESR1-
VPGFVDLTLHDQVHLLQ380C
VPGFVDLTLHDQVHLLE380C





E380Q
AWLEILMIGLVWR
AWLEILMIGLVWR






(SEQ ID NO: 60)
(SEQ ID NO: 61)





31
ESR1
P03372
ESR1-
SIILLNSGVYTFLP463STLK
SIILLNSGVYTFLS463STLK





S463P
(SEQ ID NO: 62)
(SEQ ID NO: 63)





32
ESR1
P03372
ESR1-
ITDTLM487HLMAK
ITDTLI487HLMAK





I487M
(SEQ ID NO: 64)
(SEQ ID NO: 65)





33
ESR1
P03372
ESR1-
NWPP536YDLLLEMLDAHR
NWPL536YDLLLEMLDAHR





L536P
(SEQ ID NO: 66)
(SEQ ID NO: 67)





34
ESR1
P03372
ESR1-
NVVPR536
NVVPL536YDLLLEMLDAHR





L536R
(SEQ ID NO: 68)
(SEQ ID NO: 67)





35
ESR1
P03372
ESR1-
NVVPH536YDLLLEMLDAHR
NVVPL536YDLLLEMLDAHR





L536H
(SEQ ID NO: 69)
(SEQ ID NO: 67)





36
ESR1
P03372
ESR1-
NWPLS537DLLLEMLDAHR
NWPLY537DLLLEMLDAHR





Y537S
(SEQ ID NO: 70)
(SEQ ID NO: 67)





37
ESR1
P03372
ESR1-
NVVPLN537DLLLEMLDAHR
NVVPLY537DLLLEMLDAHR





Y537N
(SEQ ID NO: 71)
(SEQ ID NO: 67)





38
ESR1
P03372
ESR1-
NVVPLC537DLLLEMLDAHR
NVVPLY537DLLLEMLDAHR





Y537C
(SEQ ID NO: 72)
(SEQ ID NO: 67)





39
ESR1
P03372
ESR1-
NWPLD537DLLLEMLDAHR
NWPLY537DLLLEMLDAHR





Y537D
(SEQ ID NO: 73)
(SEQ ID NO: 67)





40
ESR1
P03372
ESR1-
NVVPLG537DLLLEMLDAHR
N WPLY537DLLLEMLDAHR





Y537G
(SEQ ID NO: 74)
(SEQ ID NO: 67)





41
ESR1
P03372
ESR1-
NWPLH537DLLLEMLDAHR
NWPLY537DLLLEMLDAHR





Y537H
(SEQ ID NO: 75)
(SEQ ID NO: 67)





42
ESR1
P03372
ESR1-
NWPLYG538LLLEMLDAHR
NWPLYD538LLLEMLDAHR





D538G
(SEQ ID NO: 76)
(SEQ ID NO: 67)





45
PIK33CA
P42336
PIK33CA-
EA81FFDETR
EE81FFDETR





E81A
(SEQ ID NO: 77)
(SEQ ID NO: 78)





46
PIK3CA
P42336
PIK3CA-

Q88LCDLR

88LCDLR





R88Q
(SEQ ID NO: 79)
(SEQ ID NO: 80)





47
PIK3CA
P42336
PIK3CA-
LCDLQ93LFQPFLK
LCDLR93





R93Q
(SEQ ID NO: 81)
(SEQ ID NO: 80)





48
PIK3CA
P42336
PIK3CA-
VIEPVV106NR
VIEPVG106NR





G106V
(SEQ ID NO: 82)
(SEQ ID NO: 83)





49
PIK3CA
P42336
PIK3CA-
VIEPVGT107R
VIEPVGN107R





N107T
(SEQ ID NO: 84)
(SEQ ID NO: 83)





50
PIK3CA
P42336
PIK3CA-
VIEPVGNH108EEK
VIEPVGNR108





R108H
(SEQ ID NO: 85)
(SEQ ID NO: 83)





51
PIK3CA
P42336
PIK3CA-
EID118FAIGMPVCEFDMVK
EIG118FAIGMPVCEFD





G118D
(SEQ ID NO: 86)
MVK







(SEQ ID NO: 87)





52
PIK33CA
P42336
PIK3CA-
ILCATYVK345
ILCATYVN345VNIR





N345K
(SEQ ID NO: 88)
(SEQ ID NO: 89)





52
PIK3CA
P42336
PIK3CA-
TGIYHGGK365
TGIYHGGE365PLCDNVNTQR





E365K
(SEQ ID NO: 90)
(SEQ ID NO: 91)





54
PIK3CA
P42336
PIK3CA-
EEHR420
EEHC420PLAWGNINLFDYT





C420R
(SEQ ID NO: 92)
DTLVSGK







(SEQ ID NO: 93)





56
PIK3CA
P42336
PIK3CA-
MALNLWPVPHGLK453
MALNLWPVPHGLE453DLLNP





E453K
(SEQ ID NO: 94)
IGVTGSNPNK







(SEQ ID NO: 95)





60
PIK3CA
P42336
PIK3CA-
DPLSK542
DPLSE542ITEQEK





E542K
(SEQ ID NO: 96)
(SEQ ID NO: 97)





61
PIK3CA
P42336
PIK3CA-
DPLSQ542ITEQEK
DPLSE542ITEQEK





E542Q
(SEQ ID NO: 98)
(SEQ ID NO: 97)





62
PIK3CA
P42336
PIK3CA-
DPLSEITK545
DPLSEITE545QEK





E545K
(SEQ ID NO: 99)
(SEQ ID NO: 97)





63
PIK3CA
P42336
PIK3CA-
DPLSEITQ545QEK
DPLSEITE545QEK





E5450
(SEQ ID NO: 100)
(SEQ ID NO: 97)





64
PIK33CA
P42336
PIK3CA-
DPLSEITG545QEK
DPLSEITE545QEK





E545G
(SEQ ID NO: 101)
(SEQ ID NO: 97)





65
PIK3CA
P42336
PIK3CA-
DPLSEITER546
DPLSEITEQ546EK





Q546R
(SEQ ID NO: 102)
(SEQ ID NO: 97)





66
PIK3CA
P42336
PIK3CA-
DPLSEITEK546
DPLSEITEQ546EK





Q546K
(SEQ ID NO: 103)
(SEQ ID NO: 97)





67
PIK3CA
P42336
PIK3CA-
DK726
DE726TQK





E726K

(SEQ ID NO: 104)





68
PIK3CA
P42336
PIK3CA-
SCAGYCVATFILGIE914
SCAGYCVATFILGIG914DR





G914E
DR
(SEQ ID NO: 106)






(SEQ ID NO: 105)






70
PIK3CA
P42336
PIK33CA-

S1025LALDK

T1025LALDK





T1025S
(SEQ ID NO: 107)
(SEQ ID NO: 108)





71
PIK3CA
P42336
PIK3CA-
TLALN1029K
TLALD1029K





D1029N
(SEQ ID NO: 109)
(SEQ ID NO: 108)





72
PIK3CA
P42336
PIK3CA-
TEQEALK1037
TEQEALE1037YFMK





E1037K
(SEQ ID NO: 110)
(SEQ ID NO: 111)





74
PIK3CA
P42336
PIK3CA-
QMNDAR1047
QMNDAH1047HGGWTTK





H1047R
(SEQ ID NO: 112)
(SEQ ID NO: 113)





75
PIK3CA
P42336
PIK3CA-
QMNDAL1047HGGWTTK
QMNDAH1047HGGWTTK





H1047L
(SEQ ID NO: 114)
(SEQ ID NO: 113)





76
PIK3CA
P42336
PIK3CA-
QMNDAQ1047HGGWTTK
QMNDAH1047HGGWTTK





H10470
(SEQ ID NO: 115)
(SEQ ID NO: 113)





77
PIK3CA
P42336
PIK3CA-
QMNDAHHR1049
QMNDAHHG1049GWTTK





GI049R
(SEQ ID NO: 116)
(SEQ ID NO: 113)





78
TP53
P04637
TP53-
SVTCTN126SPALNK
SVTCTY126SPALNK





Y126N
(SEQ ID NO: 117)
(SEQ ID NO: 118)





79
TP53
P04637
TP53-
SVTCTYSPALNR132
SVTCTYSPALNK132





KI32R
(SEQ ID NO: 119)
(SEQ ID NO: 118)





80
TP53
P04637
TP53-
SVTCTYSPALNE132MFCQ
SVTCTYSPALNK132





K132E
LAK
(SEQ ID NO: 118)






(SEQ ID NO: 120)






81
TP 5 3
P04637
TP53-
MFY135QLAK
MFC1350LAK





C135Y
(SEQ ID NO: 121)
(SEQ ID NO: 122)





82
TP53
P04637
TP53-
TCPM143QLWVDSTPPPGTR
TCPV143QLWVDSTPPPGTR





V143M
(SEQ ID NO: 123)
(SEQ ID NO: 124)





83
TP53
P04637
TP53-
TCPVQLWVDSTS151PPGTR
TCPVQLWVDSTP151PPGTR





P151S
(SEQ ID NO: 173)
(SEQ ID NO: 124)





84
TP53
P04637
TP53-
TCPVQLWVDSTH151PPGTR
TCPVQLWVDSTP151PPGTR





P151H
(SEQ ID NO: 174)
(SEQ ID NO: 124)





85
TP53
P04637
TP53-
TCPVQLWVDSTPL152PGTR
TCPVQLWVDSTPP152PGTR





P152L
(SEQ ID NO: 175)
(SEQ ID NO: 124)





86
TP53
P04637
TP53-
TCPVQLWVDSTPPPGI155R
TCPVQLWVDSTPPPGT155R





T155I
(SEQ ID NO: 176)
(SEQ ID NO: 124)





87
TP53
P04637
TP53-
TCPVQLWVDSTPPPGTP156
TCPVQLWVDSTPPPGTR156





RI56P
VR
(SEQ ID NO: 124)






(SEQ ID NO: 177)






88
TP53
P04637
TP53-
QSQHMTEF172VR
QSQHMTEV172VR





V172F
(SEQ ID NO: 125)
(SEQ ID NO: 126)





89
TP53
P04637
TP53-
QSQHMTEVM173R
QSQHMTEW173R





V173M
(SEQ ID NO: 127)
(SEQ ID NO: 126)





93
TP53
P04637
TP53-
CSDSDGLAPPQL193LIR
CSDSDGLAPPQH193LIR





H193L
(SEQ ID NO: 128)
(SEQ ID NO: 129)





106
TP53
P04637
TP53-

S249PILTIITLEDSS

(R)249PILTIITLED





R249S
GNLLGR
SSGNLLGR






(SEQ ID NO: 130)
(SEQ ID NO: 131





107
TP53
P04637
TP53-
NSL270EVR
NSF270EVR





F270L
(SEQ ID NO: 132)
(SEQ ID NO: 133)





108
TP53
P04637
TP53-
NSFEVH273VCACPGR
NSFEVR273





R273H
(SEQ ID NO: 134)
(SEQ ID NO: 133)





109
TP53
P04637
TP53-
NSFEVC273VCACPGR
NSFEVR273





R273C
(SEQ ID NO: 135)
(SEQ ID NO: 133)





111
TP53
P04637
TP53-
VCACPGG280DR
VCACPGR280





R280G
(SEQ ID NO: 136)
(SEQ ID NO: 137)





113
TP53
P04637
TP53-
TEV286ENLR
TEE286ENLR





E286V
(SEQ ID NO: 138)
(SEQ ID NO: 139)






KRAS
P01116
KRAS-
LVVVGAG12GVGK
LVVVGAG12GVGK





G12D
(SEQ ID NO: 140)
(SEQ ID NO: 140)






KRAS
P01116
KRAS-
LVWGAV12GVGK
LVWGAG12GVGK





G12V
(SEQ ID NO: 141)
(SEQ ID NO: 140)






KRAS
P01116
KRAS-
LVWGAC12GVGK
LVWGAG12GVGK





G12C
(SEQ ID NO: 142)
(SEQ ID NO: 140)






KRAS
P01116
KRAS-
LVVVGAA12GVGK
LVVVGAG12GVGK





G12A
(SEQ ID NO: 143)
(SEQ ID NO: 140)






KRAS
P01116
KRAS-
LVWGAR12
LVWGAG12GVGK





G12R
(SEQ ID NO: 144)
(SEQ ID NO: 140)






KRAS
PI) 1116
KRAS-
LVVVGAGV13VGK
LVVVGAGG13VGK





G13D
(SEQ ID NO: 145)
(SEQ ID NO: 146)






KRAS
P01116
KRAS-
LVVVGAGGI14GK
LVVVGAGGV14GK





V14I
(SEQ ID NO: 147)
(SEQ ID NO: 147)






KRAS
P01116
KRAS-
QVVIDGETCLLDILDT
QVVIDGETCLLDILDTA





061H
AGH61EEYSAMR
GQ61EEYSAMR






(SEQ ID NO: 148)
(SEQ ID NO: 149)






KRAS
P01116
KRAS-
DSEDVPMVLVGNN117C
DSEDVPMVLVGNK117





K117N
DLPSR
(SEQ ID NO: 161)






(SEQ ID NO: 150)







KRAS
P01116
KRAS-
SYGIPFIETST146K
SYGIPFIETSA146K





A146T
(SEQ ID NO: 152)
(SEQ ID NO: 153)






EGFR
P00533
EGFR-
LLGICLTSTVQLIM790Q
LLGICLTSTVQLIT790Q





T790M
LMPFGCLLDYVR
LMPFGCLLDYVR






(SEQ ID NO: 154)
(SEQ ID NO: 155)






EGFR
P00533
EGFR-
ITDFGR858
ITDFGL858AK





L858R
(SEQ ID NO: 156)
(SEQ ID NO: 157)
















TABLE 3







Final BC panel










Remark




(Mutation




peptide)
Wild type peptide position






M
QLVHV716VK




(SEQ ID NO: 21)






C
TDAEFVCER1699




(SEQ ID NO: 23)






c

Y2660DTEIDR





(SEQ ID NO: 25)






c
TSSGLYIFR2842




(SEQ ID NO: 27)






short (6
LTVG2748QK



aa)
(SEQ ID NO: 29)






2M

W330MVPFAMVIR





(SEQ ID NO: 31)






C
ADQQYECV16AEIGEGAYGK




(SEQ ID NO: 33)







NVSFEDAGE338YTCLAGNS




IGLSHHSAWLTVLEALEER







(SEQ ID NO: 35)







NSS390FNPAALSR




(SEQ ID NO: 37)






Short
VHDSLE383DFPK



(6 aa)
(SEQ ID NO: 39)







VAQYPFED92HNPPQLELIK




(SEQ ID NO: 41)






2C
PFCEDLDQWLSEDDNHVAAIH123CK




(SEQ ID NO: 43)






M, C
IMESLAWLSDSPLF570DLIK




(SEQ ID NO: 45)







LF264ENIGK




(SEQ ID NO: 48)






4C
CWGESSEDCQSLTR217




(SEQ ID NO: 50)






5C
CWGESSEDCQSLTR217




(SEQ ID NO: 50)






long (42
YTFGASCVTACPYNYLSTDVGS310C



aa)
TLVCPLHNQEVTAEDGTQR







(SEQ ID NO: 54)






long (42
YTFGASCVTACPYNYLSTDVGS310C



aa)
TLVCPLHNQEVTAEDGTQR







(SEQ ID NO: 54)






M
LLQETELVEPLTPSGAMPNQ709AQMR




(SEQ ID NO: 57)






short (3
VL755R



aa)







M
EI767LDEAYVMAGVGSPYVSR




(SEQ ID NO: 59)






M
EILD769EAYVMAGVGSPYVSR




(SEQ ID NO: 59)






M
EILD769EAYVMAGVGSPYVSR




(SEQ ID NO: 59)






M
EILDEAYVMAGV777GSPYVSR




(SEQ ID NO: 59)






long (31
VPGFVDLTLHDQVHLLE380C



aa)
AWLEILMIGLVWR




(SEQ ID NO: 61)







SIILLNSGVYTFLS463STLK




(SEQ ID NO: 63)






M
ITDTLI487HLMAK




(SEQ ID NO: 65)






M
NWPL536YDLLLEMLDAHR




(SEQ ID NO: 67)






short (5
NWPL536YDLLLEMLDAHR



aa)
(SEQ ID NO: 67)






M
NWPL536YDLLLEMLDAHR




(SEQ ID NO: 67)






M
NWPLY537DLLLEMLDAHR




(SEQ ID NO: 67)






M
NWPLY537DLLLEMLDAHR




(SEQ ID NO: 67)






M
NWPLY537DLLLEMLDAHR




(SEQ ID NO: 67)






M
NVVPLY537DLLLEMLDAHR




(SEQ ID NO: 67)






M
NWPLY537DLLLEMLDAHR




(SEQ ID NO: 67)






M
NWPLY537DLLLEMLDAHR




(SEQ ID NO: 67)






M
NWPLYD538LLLEMLDAHR




(SEQ ID NO: 67)







EE81FFDETR




(SEQ ID NO: 78)






short (6
88LCDLR



aa)
(SEQ ID NO: 80)






C
LCDLR93




(SEQ ID NO: 80)







VIEPVG106NR




(SEQ ID NO: 83)







VIEPVGN107R




(SEQ ID NO: 83)







VIEPVGNR108




(SEQ ID NO: 83)






C
EIG118FAIGMPVCEFDMVK




(SEQ ID NO: 87)






C
ILCATYVN345VNIR




(SEQ ID NO: 89)






OK
TGIYHGGE365PLCDNVNTOR




(SEQ ID NO: 91)






short (4
EEHC420PLAWGNINLFDYT



aa)
DTLVSGK




(SEQ ID NO: 93)






M
MALNLWPVPHGLE453DLLNP




IGVTGSNPNK




(SEQ ID NO: 95)






short (5
DPLSE542ITEQEK



aa)
(SEQ ID NO: 97)







DPLSE542ITEQEK




(SEQ ID NO: 97)







DPLSEITE545QEK




(SEQ ID NO: 97)







DPLSEITE545QEK




(SEQ ID NO: 97)







DPLSEITE545QEK




(SEQ ID NO: 97)







DPLSEITEQ546EK




(SEQ ID NO: 97)







DPLSEITE0546EK




(SEQ ID NO: 97)






short (2
DE726TQK



aa)
(SEQ ID NO: 104)






2C
SCAGYCVATFILGIG914DR




(SEQ ID NO: 106)






short (6

T1025LALDK




aa)
(SEQ ID NO: 108)






short (6
TLALD1029K



aa)
(SEQ ID NO: 108)






OK
TEOEALE1037YFMK




(SEQ ID NO: 111)






short (6
OMNDAH1047HGGWTTK



aa)
(SEQ ID NO: 113)






M
QMNDAH1047HGGWTTK




(SEQ ID NO: 113)






M
QMNDAH1047HGGWTTK




(SEQ ID NO: 113)






M
OMNDAHHG1049GWTTK




(SEQ ID NO: 113)






C
SVTCTY126SPALNK




(SEQ ID NO: 118)






C
SVTCTYSPALNK132




(SEQ ID NO: 118)






2C, M
SVTCTYSPALNK132




(SEQ ID NO: 118)






M
MFC135QLAK




(SEQ ID NO: 122)






C, M
TCPV143QLWVDSTPPPGTR






C
TCPVQLWVDSTP151PPGTR






c
TCPVQEWVDSTP151PPGTR






c
TCPVQLWVDSTPP152PGTR






c
TCPVQLWVDSTPPPGT155R






c
TCPVQLWVDSTPPPGTR156






M
QSQHMTEV172VR




(SEQ ID NO: 126)






M
QSQHMTEW173R




(SEQ ID NO: 126)






C
CSDSDGLAPPQH193LIR




(SEQ ID NO: 129)







(R)249PILTIITLEDSSGNLLGR




(SEQ ID NO: 131)






short (6
NSF270EVR



aa)
(SEQ ID NO: 133)






2C
NSFEVR273




(SEQ ID NO: 133)






3C
NSFEVR273




(SEQ ID NO: 133)






2C
VCACPGR280




(SEQ ID NO: 137)







TEE286ENLR




(SEQ ID NO: 139)
















TABLE 4







Panel-selected 44 sites









Mutation peptide
Wild type peptide



sequence Filtered
sequence Filtered
Remark





NSLFNPAALSR
NSSFNPAALSR



(SEQ ID NO: 36)
(SEQ ID NO: 37)






VAQYPFENHNPPQLE
VAQYPFEDHNPPQLE
Wild type


LIK
LIK
detected in


(SEQ ID NO: 40)
(SEQ ID NO: 41)
lung cancer




in-house




data





LVENIGK
LFENIGK
Wild type


(SEQ ID NO: 47)
(SEQ ID NO: 48)
detected in




lung cancer




in-house







data





SIILLNSGVYTFLPS
SIILLNSGVYTFLSS



TLK
TLK



(SEQ ID NO: 62)
(SEQ ID NO: 63)






EAFFDETR
EEFFDETR



(SEQ ID NO: 77)
(SEQ ID NO: 78)






VIEPVVNR
VIEPVGNR



(SEQ ID NO: 82)
(SEQ ID NO: 83)






VIEPVGTR
VIEPVGNR



(SEQ ID NO: 84)
(SEQ ID NO: 83)






VIEPVGNHEEK
VIEPVGNR



(SEQ ID NO: 85)
(SEQ ID NO: 83)






DPLSQITEQEK
DPLSEITEQEK
Wild type


(SEQ ID NO: 96)
(SEQ ID NO: 97)
detected in




lung cancer




in-house




data





DPLSEITK
DPLSEITEQEK
Wild type


(SEQ ID NO: 99)
(SEQ ID NO: 97)
detected in




lung cancer




in-house




data





DPLSEITQQEK
DPLSEITEQEK
Wild type


(SEQ ID NO: 100)
(SEQ ID NO: 97)
detected in




lung cancer




in-house




data





DPLSEITGQEK
DPLSEITEQEK
Wild type


(SEQ ID NO: 101)
(SEQ ID NO: 97)
detected in




lung cancer




in-house




data





DPLSEITER
DPLSEITEQEK
Wild type


(SEQ ID NO: 102)
(SEQ ID NO: 97)
detected in




lung cancer




in-house




data





DPLSEITEK
DPLSEITEQEK
Wild type


(SEQ ID NO: 103)
(SEQ ID NO: 97)
detected in




lung cancer




in-house




data





SPILTIITLEDSSGNLLGR
PILTIITLEDSSGNLLGR
Wild type


(SEQ ID NO: 130)
(SEQ ID NO: 131)
detected in




lung cancer




in-house




data





TEVENLR
TEEENLR



(SEQ ID NO: 138)
(SEQ ID NO: 139)






QLVHMVK
QLVHVVK



(SEQ ID NO: 20)
(SEQ ID NO: 21)







LMVPFAMV1R


WMVPFAMVIR




(SEQ ID NO: 30)
(SEQ ID NO: 31)






LLQETELVEPLTPSG
LLQETELVEPLTPSG
Wild type


AMPNLAQMR
AMPNQAQMR
detected in


(SEQ ID NO: 56)
(SEQ ID NO: 57)
lung cancer




in-house




data





EMLDEAYVMAGVGSP
EILDEAYVMAGVGSP
Wild type


YVSR
YVSR
detected in


(SEQ ID NO: 66)
(SEQ ID NO: 67)
lung cancer




in-house




data





EILHEAYVMAGVGSP
EILDEAYVMAGVGSP
Wild type


YVSR
YVSR
detected in


(SEQ ID NO: 158)
(SEQ ID NO: 67)
lung cancer




in-house




data





EILYEAYVMAGVGSP
EILDEAYVMAGVGSP
Wild type


YVSR
YVSR
detected in


(SEQ ID NO: 159)
(SEQ ID NO: 67)
lung cancer




in-house




data





EILDEAYVMAGLGSP
EILDEAYVMAGVGSP
Wild type


YVSR
YVSR
detected in


(SEQ ID NO: 160)
(SEQ ID NO: 67)
lung cancer




in-house




data





ITDTLMHLMAK
ITDTLIHLMAK



(SEQ ID NO: 64)
(SEQ ID NO: 65)






NVVPPYDLLLEMLDAHR
NVVPLYDLLLEMLDAHR



(SEQ ID NO: 66)
(SEQ ID NO: 67)






NVVPHYDLLLEMLDAHR
NVVPLYDLLLEMLDAHR



(SEQ ID NO: 69)
(SEQ ID NO: 67)






NVVPLSDLLLEMLDAHR
NVVPLYDLLLEMLDAHR



(SEQ ID NO: 70)
(SEQ ID NO: 67)






NVVPLNDLLLEMLDAHR
NVVPLYDLLLEMLDAHR



(SEQ ID NO: 71)
(SEQ ID NO: 67)






NVVPLCDLLLEMLDAHR
NVVPLYDLLLEMLDAHR



(SEQ ID NO: 72)
(SEQ ID NO: 67)






NVVPLDDLLLEMLDAHR
NVVPLYDLLLEMLDAHR



(SEQ ID NO: 73)
(SEQ ID NO: 67)






NVVPLGDLLLEMLDAHR
NVVPLYDLLLEMLDAHR



(SEQ ID NO: 74)
(SEQ ID NO: 67)






NVVPLHDLLLEMLDAHR
NVVPLYDLLLEMLDAHR



(SEQ ID NO: 75)
(SEQ ID NO: 67)






NVVPLYGLLLEMLDAHR
NVVPLYDLLLEMLDAHR



(SEQ ID NO: 76)
(SEQ ID NO: 67)






MALNLWPVPHVLEDLL
MALNLWPVPHGLEDLL
Wild type


NPIGVTGSNPNK
NPIGVTGSNPNK
detected in


(SEQ ID NO: 161)
(SEQ ID NO: 95)
lung cancer




in-house




data





MALNLWPVPHGLK
MALNLWPVPHGLEDLL
Wild type


(SEQ ID NO: 94)
NPIGVTGSNPNK
detected in



(SEQ ID NO: 95)
lung cancer




in-house




data





MALNLWPVPHGLQDL
MALNLWPVPHGLEDLLN
Wild type


LNPIGVIGSNPNK
PIGVTGSNPNK
detected in


(SEQ ID NO: 162)
(SEQ ID NO: 95)
lung cancer




in-house




data





MALNLWPVPHGLGDL
MALNLWPVPHGLEDLLN
Wild type


LNPIGVTGSNPNK
PIGVTGSNPNK
detected in


(SEQ ID NO: 163)
(SEQ ID NO: 95)
lung cancer




in-house




data





QHANLFINLFSIMLG
QHANLFINLFSMMLGSG



SGMPELQSFDDIAYIR
MPELQSFDDIAYIR



(SEQ ID NO: 164)
(SEQ ID NO: 165)






TEQEALK
TEQEALEYFMK
Wild type


(SEQ ID NO: 110)
(SEQ ID NO: 111)
detected in




lung cancer




in-house




data





QMNDALHGGWTTK
QMNDAHHGGWTTK



(SEQ ID NO: 114)
(SEQ ID NO: 113)






QMNDAQHGGWTTK
QMNDAHHGGWTTK



(SEQ ID NO: 115)
(SEQ ID NO: 113)






QMNDAHHR
QMNDAHHGGWTTK



(SEQ ID NO: 116)
(SEQ ID NO: 113)






QSQHMTEFVR
QSQHMTEVVR
Wild type


(SEQ ID NO: 125)
(SEQ ID NO: 126)
detected in




lung cancer




in-house




data





QSQHMTEVMR
QSQHMTEVVR
Wild type


(SEQ ID NO: 127)
(SEQ ID NO: 126)
detected in




lung cancer




in-house




data





Note:


More stringent criteria from Reta













TABLE 5







Panel_peptides (all detail)





















Remark






Mutation
Remark
Wild type
(Wild


Original


Mutation
peptide
(Mutation
Peptide
type


No
Gene
Accession
Site
position
peptide)
position
peptide)

















1
AR
P10275
AR-V716M
QLVHM716VK
M
QLVHV716VK







(SEQ ID NO: 20)

(SEQ ID NO: 21)






2
BRCA1
P38398
BRCA1-
TDAEFVCEW1699TLK
C
TDAEFVCER1699
C





R1699W
(SEQ ID NO: 22)

(SEQ ID NO: 23)






3
BRCA2
P51587
BRCA2-

C2660DTEIDR

c
Y2660DTEIDR






Y2660C
(SEQ ID NO: 24)

(SEQ ID NO: 25)






4
BRCA2
P51587
BRCA2-
TSSGLYIFC2842N
c
TSSGLYIFR2842






R2842C
ER

(SEQ ID NO: 27)







(SEQ ID NO: 25)








5
BRCA2
P51587
BRCA2-
LTVD2748QK
short
LTVG2748QK
short (6





G2748D
(SEQ ID NO: 28)
(6 aa)
(SEQ ID NO: 29)
aa)





6
CCNE1
P24864
CCNEI-W330L

L330MVPFAMVIR

2M
W330MVPFAMVIR
2M






(SEQ ID NO: 30)

(SEQ ID NO: 31)






7
CCNE1
P24864
CCNE1-Y296H
LSPLTIVSWLNVY
long
LSPLTIVSWLNVYM
long (76






MQVAYLNDLHEVL
(76 aa)
QVAYLNDLHEVLLP
aa)






LPQYPQQIFIQIA

QYPQQIFIQ1AELL







ELLDLCVLDVDCL

DLCVLDVDCLEFP







EFPH296GILAAS

Y296GILAASALY







ALYHFSSSELMQK

HFSSSELMQK







(SEQ ID NO: 166)

(SEQ ID NO: 167)






8
CDK6
000534
CDK6-V16G
ADQQYECG16AEIG
C
ADQQYECV16AEIG
C






EGAYGK

EGAYGK







(SEQ ID NO: 32)

(SEQ ID NO: 33)






9
FGFR1
P11362
FGFR1-E338K
NVSFEDAGK338

NVSFEDAGE338YTC
long (36






(SEQ ID NO: 34)

LAGNSIGLSHHSAWL
aa)








TVLEALEER









(SEQ ID NO: 35)






10
GATA3
P23771
GATA3-S390L
NSL390FNPAALSR

NSS390FNPAALSR







(SEQ ID NO: 36)

(SEQ ID NO: 37)






11
GATA3
P23771
GATA3-E383K
VHDSLK383
short
VHDSLE383DFPK







(SEQ ID NO: 38)
(6 aa)
(SEQ ID NO: 39)






12
PTEN
P60484
PTEN-D92N
VAQYPFEN92H

VAQYPFED92H







NPPQLELIK

NPPQLEL1K







(SEQ ID NO: 40)

(SEQ ID NO: 41)






13
PTEN
P60484
PTEN-H123Y
PFCEDLDQWLS
2C
PFCEDLDQWLS
2C






EDDNHVAAI

EDDNHVAAI








Y123CK


H123CK







(SEQ ID NO: 42)

(SEQ ID NO: 43)






14
RBI
P06400
RB1-F570C
IMESLAWLSDS
M, C
IMESLAWLSDS
M






PLC570DLIK

PLF570DLIK







(SEQ ID NO: 44)

(SEQ ID NO: 45)






15
RBI
P06400
RB1-R876P
LP876FDIEGS


Short






DEADGSK


{2 aa)






(SEQ ID NO: 46)








16
STKI1
Q15831
STKI1-F264V
LV264ENIGK

LF264ENIGK







(SEQ ID NO: 47)

(SEQ ID NO: 48)






17
ERBB2
P04626
ERBB2-R217H
CWGESSEDCQSL
4C
CWGESSEDCQS
2C






TH217TVC

LTR217 (SEQ







AGGCAR

ID NO: 50)







(SEQ ID NO: 49)








18
ERBB2
P04626
ERBB2-R217C
CWGESSEDCQ
5C
CWGESSEDCQS
2C






SLTC217TVC

LTR217 (SEQ







AGGCAR

ID NO: 50)







(SEQ ID NO: 51)








19
ERBB2
P04626
ERBB2-S310F
YTFGASCVTAC
Long
YTFGASCVTA
Long






PYNYLSTDV
(42 aa)
CPYNYLSTDV
(41






GF310CTLVC

GS310CTLVC
aa)






PLHNQEVTAE

PLHNQEVTAED







DGTQR

GTQR







(SEQ ID NO: 53)

(SEQ ID NO: 54)






20
ERBB2
P04626
ERBB2-S310Y
YTFGASCVTAC
Long
YTFGASCVTA
Long






PYNYLSTDV
(42 aa)
CPYNYLSTDV
(41






GY310CTLVC

GS310CTLVC
aa)






PLHNQEVTAE

PLHNQEVTAED







DGTQR

GTQR







(SEQ ID NO: 55)

(SEQ ID NO: 54)






21
ERBB2
P04626
ERBB2-R683Q



Short









(2 aa)





22
ERBB2
P04626
ERBB2-Q709L
LLQETELVE
M
LLQETELVEPL
M






PLTPSGAMP

TPSGAMPN







NL709AQMR

Q709AQMR







(SEQ ID NO: 56)

(SEQ ID NO: 57)






23
ERBB2
P04626
ERBB2-E717D

D717TELR

short (5 aa)
E717TELR
Short






(SEQ ID NO: 168)

(SEQ ID NO: 168)
(4 aa)





24
ERBB2
P04626
ERBB2-L755S
VS755R
short (3 aa)
VL755R
short









(3aa)





25
ERBB2
P04626
ERBB2-I767M
EM767LDEAY
M
EI767LDEAYV
M






VMAGVGSPY

MAGVGSPYVS







VSR

R







(SEQ ID NO: 58)

(SEQ ID NO: 59)






26
ERBB2
P04626
ERBB2-D769H
EILH769EAY
M
EILD769EAYVM
M






VMAGVGSPYV

AGVGSPYVSR







SR

(SEQ ID NO: 59)







(SEQ ID NO: 158)








27
ERBB2
P04626
ERBB2-D769Y
EILY769EAYV
M
EILD769EAYVM
M






MAGVGSPYV

AGVGSPYVS







SR

R







(SEQ ID NO: 159)

(SEQ ID NO: 59)






28
ERBB2
P04626
ERBB2-V777L
EILDEAYVMAG
M
EILDEAYVMAG
M







L777GSPYVS


V777GSPYVS







R

R







(SEQ ID NO: 160)

(SEQ ID NO: 59)






29
ERBB2
P04626
ERBB2-L869R
R869
short
L869LDIDETE








(1 aa)
YHADGGK









(SEQ ID NO: 169)






30
ESR1
P03372
ESR1-E380Q
VPGFVDLTLHD
Long
VPGFVDLTLHDQ
long (31






QVHLLQ380
(31 aa)
VHLLE380CAWL
aa)






CAWLEILMIG

EILMIGLVWR







LVWR (SEQ ID

(SEQ ID







NO: 60)

NO: 61)






31
ESR1
P03372
ESR1-S463P
SIILLNSGVYT

SIILLNSGVYTF







FLP463STLK

LS463STLK







(SEQ ID NO: 62)

(SEQ ID NO: 63)






32
ESR1
P03372
ESR1-I487M
ITDTLM487HL
M
ITDTLI487HL
M






MAK (SEQ ID

MAK (SEQ ID







NO: 64)

NO: 65)






33
ESR1
P03372
ESR1-L536P
NVVPP536YDL
M
NVVPL536YDLL
M






LLEMLDAHR

LEMLDAHR







(SEQ ID NO: 66)

(SEQ ID NO: 67)






34
ESR1
P03372
ESR1-L536R
NVVPR536
short
NVVPL536YDLL
M






(SEQ ID NO: 68)
(5 aa)
LEMLDAHR









(SEQ ID NO: 67)






35
ESR1
P03372
ESR1-L536H
NVVPH536YDL
M
NVVPL536YDLL
M






LLEMLDAHR

LEMLDAHR







(SEQ ID NO: 69)

(SEQ ID NO: 67)






36
ESR1
P03372
ESR1-Y537S
NVVPLS537DL
M
NVVPLY537DLL
M






LLEMLDAHR

LEMLDAHR







(SEQ ID NO: 70)

(SEQ ID NO: 67)






37
ESR1
P03372
ESR1-Y537N
NVVPLN537DL
M
NVVPLY537DLL
M






LLEMLDAHR

LEMLDAHR







(SEQ ID NO: 71)

(SEQ ID NO: 67)






38
ESR1
P03372
ESR1-Y537C
NVVPLC537DLL
M
NVVPLY537DLL
M






LEMLDAHR

LEMLDAHR







(SEQ ID NO: 72)

(SEQ ID NO: 67)






39
ESR1
P03372
ESR1-Y537D
NVVPLD537DL
M
NVVPLY537DLLL
M






LLEMLDAHR

EMLDAHR







(SEQ ID NO: 73)

(SEQ ID NO: 67)






40
ESR1
P03372
ESR1-Y537G
NVVPLG537DL
M
NVVPLY537DLLL
M






LLEMLDAHR

EMLDAHR







(SEQ ID NO: 74)

(SEQ ID NO: 67)






41
ESR1
P03372
ESR1-Y537H
NVVPLH537DLL
M
NVVPLY537DLL
M






LEMLDAHR

LEMLDAHR







(SEQ ID NO: 75)

(SEQ ID NO: 67)






42
ESR1
P03372
ESR1-D538G
NVVPLYG538LL
M
NVVPLYD538LL
M






LEMLDAHR

LEMLDAHR







(SEQ ID NO: 76)

(SEQ ID NO: 67)






43
PIK3CA
P42336
P1K3CA-R38H
ILVECLLPNGMI
2C
ILVECLLPNGMIV
M, 2C






VTLECLH38

TLECLR38







EATLIT1K

(SEQ ID NO: 171)







(SEQ ID NO: 170)








44
PIK3CA
P42336
PIK3CA-E81K
EK81
Short
EE81FFDETR








(2 aa)
(SEQ ID NO: 78)






45
PIK3CA
P42336
PIK3CA-
EA81FFDETR

EE81FFDETR






E81A
(SEQ ID NO: 77)

(SEQ ID NO: 78)






46
PIK3CA
P42336
PIK3CA-

Q88LCDLR

short
88LCDLR
short (5





R88Q
(SEQ ID NO: 79)
(6 aa)
(SEQ ID NO: 80)
aa). C





47
PIK3CA
P42336
PIK3CA-
LCDLQ93LFQ
C
LCDLR93
short (5





R930
PFLK (SEQ ID

(SEQ ID NO: 80)
aa). C






NO: 81)








48
PIK3CA
P42336
PIK3CA-
VIEPVV106NR

VIEPVG106NR






G106V
(SEQ ID NO:

(SEQ ID NO:







82)

83)






49
PIK3CA
P42336
PIK3CA-
V1EPVGT107R

VIEPVGN107R






N107T
(SEQ ID NO:

(SEQ ID NO:







84)

83)






50
PIK3CA
P42336
PIK3CA-
VIEPVGNH108E

VIEPVGNR108






R108H
EK (SEQ ID

(SEQ ID NO:







NO: 85)

83)






51
PIK3CA
P42336
PIK3CA-
EIDII8FAIGMP
C
EIGI18FAIGMP
2M.C





G118D
VCEFDMVK

VCEFDM VK







(SEQ ID NO: 86)

(SEQ ID NO: 87)






52
PIK3CA
P42336
PIK3CA-
ILCATYVK345
c
ILCATYVN345VNIR
C





N345K
(SEQ ID NO:

(SEQ ID







88)

NO: 89)






53
PIK3CA
P42336
PIK3CA-
TGIYHGGK365
OK
TGIYHGGE365PL
C





E365K
(SEQ ID NO:

CDNVNTQR







90)

(SEQ ID NO: 91)






54
PIK3CA
P42336
PIK3CA-
EEHR420
short
EEHC420PLAWG
C





C420R
(SEQ ID NO: 92)
(4 aa)
NINLFDYTD









TLVSGK









(SEQ ID NO: 93)






55
PIK3CA
P42336
PIK3CA-
MALNLWPVPHV451L
M
MALNLWPVPH
M





G45IV
EDLLNPIGVTGSNP

G451LEDLLN







NK (SEQ ID NO:

PIGVTGSNPNK







161)

(SEQ ID NO:









95)






56
PIK3CA
P42336
PIK3CA-
MALNLWPVPHGL
M
MALNLWPVPHG
M





E453K

K453 (SEQ


LE453DLLN







ID NO: 94)

PIGVTGSNPNK









(SEQ ID NO:









95)






57
PIK3CA
P42336
PIK3CA-
MALNLWPVPHGL
M
MALNLWPVPHG
M





E453Q

Q453DLLN


LE453DLLN







PIGVTGSNPNK

PIGVTGSNPNK







(SEQ ID NO:

(SEQ ID NO:







162)

95)






58
PIK3CA
P42336
PIK3CA-
MALNLWPVPHGL
M
MALNLWPVPHG
M





E453G

G453DLLN


LE453DLLN







PIGVTGSNPNK

PIGVTGSNPNK







(SEQ ID NO:

(SEQ ID NO: 95)







163)








59
PIK3CA
P42336
PIK3CA-
DR539
short
DP539LSEITE






P539R

(2 aa)
QEK (SEQ ID









NO: 97)






60
PIK3CA
P42336
PIK3CA-
DPLSK542
short
DPLSE542IT






E542K
(SEQ ID NO: 96)
(5 aa)
EQEK (SEQ ID









NO: 97)






61
PIK3CA
P42336
P1K3CA-E542Q
DPLSQ5421TEQEK

DPLSE542ITEQEK







(SEQ ID NO: 98)

(SEQ ID NO: 97)






62
PIK3CA
P42336
PIK3CA-E545K
DPLSEITK545

DPLSEITE545QEK







(SEQ ID NO: 99)

(SEQ ID NO: 97)






63
P1K3CA
P42336
PIK3CA-E545Q
DPLSEITQ545QEK

DPLSEITE545QEK







(SEQ ID NO: 100)

(SEQ ID NO: 97)






64
PIK3CA
P42336
P1K3CA-E545G
DPLSEITG545QEK

DPLSEITE545QEK







(SEQ ID NO: 101)

(SEQ ID NO: 97)






65
PIK3CA
P42336
PIK3CA-
DPLSEITER546

DPLSEITEQ546EK






0546R
(SEQ ID NO: 102)

(SEQ ID NO: 97)






66
PIK3CA
P42336
PIK3CA-
DPLSEITEK546

DPLSEITEQ546EK






Q546K
(SEQ ID NO: 103)

(SEQ ID NO: 97)






67
PIK3CA
P42336
PIK3CA-E726K
DK726
short
DE726TQK
short (5







(2 aa)
(SEQ ID NO: 104)
aa)





68
PIK3CA
P42336
PIK3CA-G914E
SCAGYCVATFILGI
2C
SCAGYCVATFILGI
2C







E914DR


G914DR







(SEQ ID NO: 105)

(SEQ ID NO: 106)






69
PIK3CA
P42336
PIK3CA-
QHANLFINLFSI1004
2M
QHANLFINLFSM1004
3M





M10041
MLGSGMPELQSFDD

MLGSG







IAYIR

MPELQSFDDIAYIR







(SEQ ID NO: 164)

(SEQ ID NO: 172)






70
PIK3CA
P42336
PIK3CA-

S1025LALDK

short
T1025LALDK
short (6





T1025S
(SEQ ID NO: 107)
(6 aa)
(SEQ ID NO: 108)
aa)





71
PIK3CA
P42336
PIK3 CA-
TLALN1029K
short
TLALD1029K
short (6





DI 029N
(SEQ ID NO: 109)
(6 aa)
(SEQ ID NO: 108)
aa)





72
PIK3CA
P42336
PIK3CA-
TEQEALK1037
OK
TEQEALE1037YFMK
M





E1037K
(SEQ ID NO: 110)

(SEQ ID NO: 111)






73
PIK3CA
P42336
PIK3CA-
QMK1044
short
QMN1044DAHHGGWTTK
M





N1044K

(3 aa)
(SEQ ID NO: 113)






74
PIK3CA
P42336
PIK3CA-
QMNDAR1047
short
QMNDAH1047HGGWTTK
M





H1047R
(SEQ ID NO: 112)
(6 aa)
(SEQ ID NO: 113)






75
PIK3CA
P42336
PIK3CA-
QMNDAL1047HGGWTTK
M
QMNDAH1047HGGWTTK
M





H1047L
(SEQ ID NO: 114)

(SEQ ID NO: 113)






76
PIK3CA
P42336
PIK3CA-
QMNDAQ1047HGGWTTK
M
QMNDAH1047HGGWTTK
M





H1047Q
(SEQ ID NO: 115)

(SEQ ID NO: 113)






77
PIK3CA
P42336
PIK3CA-
QMNDAHHR1049
M
QMNDAHHG1049GWTTK
M





G1049R
(SEQ ID NO: 116)

(SEQ ID NO: 113)






78
TP53
P04637
TP53-Y126N
SVTCTN126SPALNK
C
SVTCTY126SPALNK
C






(SEQ ID NO: 117)

(SEQ ID NO: 118)






79
TP53
P04637
TP53-K132R
SVTCTYSPALNR132
C
SVTCTYSPALNK132
C






(SEQ ID NO: 119)

(SEQ ID NO: 118)






80
TP53
P04637
TP53-K132E
SVTCTYSPALNE132M
2C, M
SVTCTYSPALNK132
c






FCQLAK

(SEQ ID NO: 118)







(SEQ ID NO: 120)








81
TP53
P04637
TP53-C135Y
MFY135QLAK
M
MFC135QLAK
c






(SEQ ID NO: 121)

(SEQ ID NO: 122)






82
TP53
P04637
TP53-V143M
TCPM143QLWVDSTP
C, M
TCPV143QLWVDSTPP
c






PPGTR

PGTR







(SEQ ID NO: 123)

(SEQ ID NO: 124)






83
TP53
P04637
TP53-P151S
TCPVQLWVDSTS151
C
TCPVQLWVDSTP151P
c






PPGTR

PGTR







(SEQ ID NO: 173)

(SEQ ID NO: 124)






84
TP53
P04637
TP53-P151H
TCPVQLWVDSTH151
C
TCPVQLWVDSTP151P
c






PPGTR

PGTR







(SEQ ID NO: 174)

(SEQ ID NO: 124)






85
TP53
P04637
TP53-P152L
TCPVQLWVDSTPL152
C
TCPVQLWVDSTPP152
c






PGTR

PGTR







(SEQ ID NO: 175)

(SEQ ID NO: 124)






86
TP53
P04637
TP53-T1551
TCPVQLWVDSTPPPG
C
TCPVQLWVDSTPPPG
c







I155R


T155R







(SEQ ID NO: 176)

(SEQ ID NO: 124)






87
TP53
P04637
TP53-R156P
TCPVQLWVDSTPPPGT
C
TCPVQLWVDSTPPP
c







P156VR


GTR156







(SEQ ID NO: 177)

(SEQ ID NO: 124)






88
TP53
P04637
TP53-V172F
QSQHMTEF172VR
M
QSQHMTEV172VR
M






(SEQ ID NO: 125)

(SEQ ID NO: 126)






89
TP53
P04637
TP53-V173M
QSQHMTEVM173R
M
QSQHMTEVV173R
M






(SEQ ID NO: 127)

(SEQ ID NO: 126)






90
TP53
P04637
TP53-R175H

H175CPHHER

C
R175
short (1






(SEQ ID NO: 178)


aa)





91
TP53
P04637
TP53-HI79R
CPHR179
short
CPHH179ER
short (6






(SEQ ID NO: 179)
(4 aa)
(SEQ ID NO: 180)
aa)





92
TP53
P04637
TP53-H179Y
CPHY179ER
short
CPHH179ER
short (6






(SEQ ID NO: 181)
(5 aa)
(SEQ ID NO: 180)
aa)





93
TP53
P04637
TP53-H193L
CSDSDGLAPPQ
C
CSDSDGLAPPQ
C







L193LIR


H193LIR







(SEQ ID NO: 128)

(SEQ ID NO: 129)






94
TP53
P04637
TP53-H214R

R214

short
H214SVWPYEP
long







(1 aa)
PEVGSDCTT
(35








IHYNYMCNS
aa),








SCMGGMNR
3C








(SEQ ID NO: 182)






95
TP53
P04637
TP53-P219S
HSVVVS219YEP
Ions
HSVVVP219YE
long






PEVGSDCTT
(35 aa)
PPEVGSDCTT
(35






IHYNYMCNSSCM

IHYNYMCNSSC
aa),






GGMNR

MGGMNR
3C






(SEQ ID NO: 183)

(SEQ ID NO: 182)






96
TP53
P04637
TP53-Y220C
HSVVVPC220EP
Ions
HSVVVPY220E
long






PEVGSDCTT
(35 aa)
PPEVGSDCTT
(35






IHYNYMCNSSC

IHYNYMCNSSC
aa),






MGGMNR

MGGMNR
3C






(SEQ ID NO: 184)

(SEQ ID NO: 182)






97
TP53
P04637
TP53-C238S
HSVVVPYEPPE
Ions
HSVVVPYEPPEV
long






VGSDCTTIH
(35 aa)
GSDCTTIHY
(35






YNYMS238NSS

NYMC238NSSC
aa),






CMGGMNR

MGGMNR
3C






(SEQ ID NO: 185)

(SEQ ID NO: 182)






98
TP53
P04637
TP53-C238F
HSVVVPYEPPE
Ions
HSVVVPYEPPEV
long






VGSDCTTIH
(35 aa)
GSDCTTIHY
(35






YNYMF238NSS

NYMC238NSS
aa),






CMGGMNR

CMGGMNR
3C






(SEQ ID NO: 186)

(SEQ ID NO: 182)






99
TP53
P04637
TP53-C238Y
HSVVVPYEPPE
Ions
HSVVVPYEPPE
long






VGSDCTTIH
(35 aa)
VGSDCTTIHY
(35






YNYMY238NS

NYMC238NSS
aa),






SCMGGMNR

CMGGMNR
3C






(SEQ ID NO: 187)

(SEQ ID NO: 182)






1(X)
TP53
P04637
TP53-C242F
HSVVVPYEPPE
Ions
HSVVVPYEPPE
long






VGSDCTTIH
(35 aa)
VGSDCTTIHY
(35






YNYMCNSSF242

NYMCNSSC242
aa),






MGGMNR

MGGMNR
3C






(SEQ ID NO: 188)

(SEQ ID NO: 182)






101
TP53
P04637
TP53-G244D
HSVVVPYEPPE
Ions
HSVVVPYEPPE
long






VGSDCTTIH
(35 aa)
VGSDCTTIHY
(35






YNYMCNSSCM

NYMCNSSCM
aa),







D244GMNR


G244GMNR
3C






(SEQ ID NO: 189)

(SEQ ID NO: 182)






102
TP53
P04637
TP53-G245S
HSVVVPYEPP
Ions
HSVVVPYEPPE
long






EVGSDCTTIH
(35 aa)
VGSDCTTIHY
(35






YNYMCNSSCM

NYMCNSSCMGG
aa),






GS245MNR

245MNR
3C






(SEQ ID NO: 190)

(SEQ ID NO: 182)






103
TP53
P04637
TP53-M246V
HSVVVPYEPPE
Ions
HSVVVPYEPP
long






VGSDCTTIH
(35 aa)
EVGSDCTTIHY
(35






YNYMCNSSCM

NYMCNSSCMG
aa),






GGV246NR

GM246NR
3C






(SEQ ID NO: 191)

(SEQ ID NO: 182)






104
TP53
P04637
TP53-R248W
HSVVVPYEPP
Ions
HSVVVPYEPP
long






EVGSDCTTIH
(35 aa)
EVGSDCTTIHY
(35






YNYMCNSSCM

NYMCNSSCMG
aa),






GGMNW248R

GMNR248
3C






(SEQ ID NO: 192)

(SEQ ID NO: 182)






105
TP53
P04637
TP53-R248Q
HSVVVPYEPPE
long
HSVWPYEPPE
long (35






VGSDCTTIH
(35 aa)
VGSDCTTIHY
aa). 3C






YNYMCNSSCMG

NYMCNSSCM







GMNQ248R

GGMNR248







(SEQ ID NO: 193)

(SEQ ID NO: 182)






106
TP53
P04637
TP53-R249S

S249PILTIIT


(R)249PILTII
indirect






LEDSSGNLLGR

TLEDSSGNLLGR
(cleavage)






(SEQ ID NO: 130)

(SEQ ID NO: 131)






107
TP53
P04637
TP53-F270L
NSL270EVR
short
NSF270EVR
short (6






(SEQ ID NO: 132)
(6 aa)
(SEQ ID NO: 133)
aa)





108
TP53
P04637
TP53-R273H
NSFEVH273V
2C
NSFEVR273
short (6






CACPGR (SEQ

(SEQ ID NO: 133)
aa)






ID NO: 134)








109
TP53
P04637
TP53-R273C
NSFEVC273V
3C
NSFEVR273
short (6






CACPGR (SEQ

(SEQ ID NO: 133)
aa)






ID NO: 135)








110
TP53
P04637
TP53-P278R
VCACR278
short
VCACP278GR
2C






(SEQ ID NO: 194)
(5 aa)
(SEQ ID NO:









137)






111
TP53
P04637
TP53-R280G
VCACPGG280
2C
VCACPGR280
2C






DR (SEQ ID

(SEQ ID NO:







NO: 136)

137)






112
TP53
P04637
TP53-R282G
DG282R
short
DR282
short (2







(3 aa)

aa)





113
TP53
P04637
TP53-E286V
TEV286ENLR

TEE286ENLR







(SEQ ID NO:

(SEQ ID NO:







138)

139)
















TABLE 6







1PANEL




















Therapy-











TOP 50
Included
relevant


alteration
in Guardant
(ESR1,


of TCGA
panel (for
HER2,




knownEf-


ClinicalSig-


dataset
ctDNA)
PIK3CA)
Freq.
Percent
Cum.
oncogenic
fect
Summary
Level
nificance
Class





















X
X
X
32
0.47
11.11
Oncogenic
Gain-of-
The
LEVEL_3A
Uncertain
single









function
ERBB2

significance
nucleotide










V777L


variant










mutation is










known to










be










oncogenic.


X
X
X
17
0.25
22.98
Oncogenic
Gain-of-
The
LEVEL_3A
Likely
single









function
ERBB2

pathogenic
nucleotide










L755S


variant










mutation is










known to










be










oncogenic.



X
X
16
0.24
23.71
Oncogenic
Gain-of-
The
LEVEL_3A
Likely
single









function
ERBB2

pathogenic
nucleotide










S310F


variant










mutation is










known to










be










oncogenic.



X
X
5
0.07
64.72
Oncogenic
Gain-of-
The
LEVEL_3A
Likely
single









function
ERBB2

pathogenic
nucleotide










S310Y


variant










mutation is










known to










be










oncogenic.





10
0.15
42.35
Likely
Likely
The
LEVEL_3A
Uncertain
single








Oncogenic
Gain-of-
ERBB2

significance
nucleotide









function
R683Q


variant










mutation is










likely










oncogenic.



X

7
0.1
55.25
Oncogenic
Gain-of-
The
LEVEL_3A
Pathogenic
single









function
ERBB2


nucleotide










L869R


variant










mutation is










known to










be










oncogenic.





6
0.09
59.43
Likely
Likely
The
LEVEL_3A
NA
NA








Oncogenic
Gain-of-
ERBB2









function
R217H










mutation










has not










been










functionally










or clinically










validated.










However,










ERBB2










R217C is










likely










oncogenic,










and










therefore










ERBB2










R217H is










considered










likely










oncogenic.





1
0.01
94.39
Likely
Likely
The
LEVEL_3A
NA
NA








Oncogenic
Gain-of-
ERBB2









function
R217C










mutation is










likely










oncogenic.





5
0.07
64.57
Likely
Unknown
The
LEVEL_3A
NA
NA








Oncogenic

ERBB2










E717D










mutation










has not










been










functionally










or clinically










validated.










However,










ERBB2










E717K is










known to










be










oncogenic,










and










therefore










ERBB2










E717D is










considered










likely










oncogenic.



X

4
0.06
71.43
Oncogenic
Gain-of-
The
LEVEL_3A
NA
NA









function
ERBB2










I767M










mutation is










known to










be










oncogenic.





4
0.06
71.49
Oncogenic
Gain-of-
The
LEVEL_3A
NA
NA









function
ERBB2










Q709L










mutation is










known to










be










oncogenic.



X
X
2
0.03
84.75
Oncogenic
Gain-of-
The
LEVEL_3A
Pathogenic/
single









function
ERBB2

Likely
nucleotide










D769H

pathogenic
variant










mutation is










known to










be










oncogenic.



X
X
2
0.03
84.78
Oncogenic
Gain-of-
The
LEVEL_3A
Pathogenic/
single









function
ERBB2

Likely
nucleotide










D769Y

pathogenic
variant










mutation is










known to










be










oncogenic.
















TABLE 7







variants_breast_annotated










Gene
Variant







PIK3CA
H1047R



ESR1
D538G



PIK3CA
E542K



PIK3CA
E545K



TP53
R175H



TP53
R273H



ESR1
Y537S



ESR1
E380Q



PIK3CA
C420R



AKT1
E17K



ERBB2
V777L



TP53
R248W



CDK6
V16G



PIK3CA
H1047L



TP53
R273C



GNAS
R201H



PIK3CA
E726K



TP53
K132R



TP53
R248Q



TP53
H214R



ESR1
L536P



ESR1
Y537N



CCNE1
W330L



KIT
V654A



TP53
H193L



STK11
F264V



ERBB2
L755S



TP53
E286V



ERBB2
S310F



PTEN
T277K



TP53
C238S



PTEN
R130G



TP53
P219S



AR
V716M



TP53
C238F



TP53
H179R



TP53
P278R



TP53
V143M



BRCA2
Y2660C



GATA3
S391L



IDH1
R132H



PIK3CA
G118D



TP53
C238Y



TP53
C242F



TP53
P151S



TP53
Y126N



RB1
F570C



ATM
R337H



ESR1
I487M



TP53
C135Y



TP53
G245S



TP53
R280G



ERBB2
R683Q



FGFR2
N549K



TP53
Y220C



ESR1
L536R



PIK3CA
N345K



TP53
T155I



ESR1
Y537C



PIK3CA
E542Q



PIK3CA
P539R



TP53
V173M



ERBB2
L869R



ESR1
L536H



NRAS
G12C



PIK3CA
D1029N



RB1
R876P



TP53
K132E



BRAF
V600E



ERBB2
R217H



FGFR1
E338K



PIK3CA
G1049R



BRCA2
R2842H



ATM
R3008C



CCNE1
Y296H



ERBB2
E717D



ERBB2
S310Y



KRAS
G12D



KRAS
G13D



KRAS
K117N



KRAS
V14I



MAP2K1
R47Q



MAP2K2
N126T



CDKN2A
P81L



GATA3
E384K



PIK3CA
Q546R



PIK3CA
R93Q



PTEN
C136R



SMAD4
E330K



TP53
F270L



TP53
G244D



TP53
H179Y



TP53
M246V



TP53
P151H



TP53
P152L



TP53
R156P



TP53
R249S



TP53
R282G



TP53
V172F



ATM
R3008H



ERBB2
I767M



ERBB2
Q709L



HRAS
G13V



KRAS
G12V



PIK3CA
R88Q



CDKN2A
A36V



EGFR
T790M



ESR1
S463P



KIT
S480Y



KRAS
G12C



KRAS
G12R



NRAS
G12D



PIK3CA
E453K



PIK3CA
E453Q



PIK3CA
E545Q



PIK3CA
Q546K



PTEN
R130Q



ATM
R337C



BRAF
L485F



BRAF
N581S



BRCA2
R2842C



ERBB2
D769H



ERBB2
D769Y



HRAS
Q61L



MTOR
Y1463F



PIK3CA
E81K



PIK3CA
H1047Q



PIK3CA
N1044K



PIK3CA
T1025S



PTEN
D92N



PTEN
H123Y



ARAF
P216R



ATM
R2832H



BRAF
D594G



BRAF
D594N



BRAF
V600M



BRCA1
R1699W



BRCA2
G2748D



ERBB2
R103Q



ERBB2
R217C



ESR1
Y537D



ESR1
Y537G



ESR1
Y537H



HRAS
F28S



HRAS
G12D



HRAS
G12S



HRAS
Q61H



IDH1
R132S



KIT
E562K



KIT
V560A



KRAS
A146T



KRAS
G12A



PIK3CA
E1037K



PIK3CA
E365K



PIK3CA
E453G



PIK3CA
E545G



KRAS
Q61H



PIK3CA
E81A



PIK3CA
G106V



PIK3CA
G451V



PIK3CA
G914E



PIK3CA
M1004I



PIK3CA
N107T



PIK3CA
R108H



PIK3CA
R38H



RET
C634Y



TP53
R196*



TP53
R213*



PTEN
Q245*



CDH1
Q351*



TP53
Q38*



ARID1A
S1791*



SMAD4
Q245*



TP53
Y163*



NF1
E785*



BRCA1
Q1525*



ARID1A
Q625*



ERBB2
A775_G776insVA



NF1
Q535*



PTEN
Q171*



APC
S393*



PTEN
Q214*



TP53
E224*



TP53
Q167*



ATM
L2946*



SMAD4
W99*



TP53
R342*



BRACA2
S617*



PTEN
E235*



TP53
E204*



ATM
R3047*



CDKN2A
R80*



NF1
Q1341*



PTEN
E91*



TP53
Q192*



BRCA1
Q1240*



BRCA2
R2520*



CDK12
E887*



NF1
Q1399*



NF1
S1030*



PTEN
Q17*



BRCA2
E2193*



BRCA2
S3356*



ATM
Q2637*



BRCA1
E1221*



BRCA2
Q2456*



NF1
R1241*



PTEN
R41*



BRCA1
S1363*



BRCA1
S770*



BRCA2
F1192*



BRCA2
W563*



PIK3CA
G460del



NOTCH1
S341R



ATM
K618E



PDGFRA
R764C



RAF1
V537I



AKT1
R174H



NF1
L1876R



APC
D1512N



AR
E323K



MYC
S264R



NF1
I1911V



PIK3CA
L540V



RHOA
E47K



TERT
Q73P



ARID1A
P198L



NF1
H1143Y



NF1
V921L



PIK3CA
I84IV



RBI
T5P



TSC1
G1016S



ALK
A1440T



ALK
S1487L



ATM
N2879S



FGFR2
D304N



MAP2K2
N113H



MET
I1115V



PDGFRA
P60R



SMAD4
R496C



TERT
C7G



AR
E32K



AR
Q641K



KIT
R281K



MET
I865T



MET
R547Q



PDGFRA
E927K



PDGFRA
R522H



ALK
L1555P



ARAF
E195A



ARID1A
W2091R



EGFR
K327N



KIT
G872V



KIT
L160F



MTOR
R553H



ALK
R1373K



APC
E1544Q



AR
Q62L



CCND1
L165V



EGFR
V674I



FGFR2
P413P



NF1
E715A



NF1
S1420L



PDGFRA
V859M



TERT
D685N



TERT
R669Q



TP53
C277Y



TP53
H179D



APC
R213Q



ARID1A
P1280S



AR
Q488*



ATM
K3018N



ATM
N2697I



ATM
P2699L



ATM
Y332H



BRAF
G327V



BRAF
L190V



CCND2
P281L



CDH1
L116L



EGFR
G917R



ERBB2
D582N



ERBB2
E286K



ERBB2
T105I



FBXW7
P4P



FGFR2
A704S



FGFR3
L723L



MAPK3
A378T



MYC
F38L



NF1
A1424V



PDGFRA
A491D



PIK3CA
D454N



RB1
T12P



RHOA
G17E



APC
G309E



APC
APC_N2098S



APC
APC_S92Y



ARID1A
ARID1A_E2224Q



AR
AR_S244L



ATM
ATM_I352F



BRCA1
BRCA1_R1076K



BRCA2
BRCA2_L3277V



EGFR
EGFR_A647T



EGFR
EGFR_K860N



ERBB2
ERBB2_L720L



HNF1A
HNF1A_E274K



HNF1A
HNF1A_R272H



MAP2K2
MAP2K2_G132D



MET
MET_R1148Q



MET
MET_S1353F



NF1
NF1_A1224A



NF1
NF1_S1567L



PDGFRA
PDGFRA_I1076I



RAF1
RAF1_V88V



RB1
RB1_R775S



RB1
RB1_S249L



TP53
TP53_V272M



TP53
TP53_Y163D



ALK
ALK_I1383T



AR
AR_P378S



CCND1
CCND1_V293M



CDKN2A
CDKN2_AA102V



EGFR
EGFR_E548Q



ERBB2
ERBB2_F534L



ERBB2
ERBB2_G727A



ERBB2
ERBB2_R340Q



FBXW7
FBXW7_R479*



FGFR1
FGFR1_D60N



GNAS
GNAS_R201S



MET
MET_A1363T



MET
MET_E168D



MET
MET_I883T



NF1
NF1_C383S



NF1
NF1_Y2698H



NOTCH1
NOTCH1_S2533F



PDGFRA
PDGFRA_E1068*



PDGFRA
PDGFRA_R500Q



PIK3CA
PIK3CA_R88*



TP53M160
TP53_M160_A161del



TP53
TP53_M237I



TP53
TP53_S241A



ARAF
ARAF_D491H



ARID1A
ARID1A_M618I



ARID1A
ARID1A_Q2219H



ARID1A
ARID1A_S1134A



ATM
ATM_N3003D



BRCA1
BRCA1_S1796L



BRCA2
BRCA2_Exon 11 Deletion



BRCA2
BRCA2_M965I



CCND1
CCND1_V77V



CDK12
CDK12_E765K



DDR2
DDR2_N617S



ERBB2
ERBB2_E507K



ERBB2
ERBB2_S413L



FGFR2
FGFR2_S453L



GNAS
GNAS_R201C



KIT
KIT_L970V



MET
MET_M39I



NF1
NF1_L2290L



NF1
NF1_Q28Q



NF1
NF1_V903M



NOTCH1
NOTCH1_E2515K



NOTCH1
NOTCH1_S225L



NOTCH1
NOTCH1_V220V



PDGFRA
PDGFRA_K910K



RB1
RB1_D918N



SMO
SMO_I530I



SMO
SMO_R547H



TP53
TP53_E336K



TP53
TP53_M243V



TP53
TP53_R158H



APC
APC_G1116D



APC
APC_S1588L



APC
APC_S2129L



ARID1A
ARID1A_A1626A



ARID1A
ARID1A_D2086A



ARID1A
ARID1A_E1531K



ARID1A
ARID1A_P1326Q



ARID1A
ARID1A_Q515*



ARID1A
ARID1A_Q766P



ARIDIA
ARID1A_R693R



AR
AR_A141T



AR
AR_D296H



AR
AR_E622K



AR
AR_G462D



AR
AR_G744E



BRAF
BRAF_I543I



BRAF
BRAF_R252*



BRCA1
BRCA1_D1269E



BRCA2
BRCA2_D3170N



BRCA2
BRCA2_E1577Q



BRCA2
BRCA2_E2650K



BRCA2
BRCA2_P3189L



CCND1
CCND1_R291W



CCND2
CCND2_L21R



CCND2
CCND2_R22Q



CDH1
CDH1_N390N



CDK6
CDK6_R214H



CDKN2A
CDKN2A_L30L



CDKN2B
CDKN2B_G113G



EGFR
EGFR_A1195V



EGFR
EGFR_A822T



EGFR
EGFR_R832H



ERBB2
ERBB2_R536W



ESR1
ESR1_V422del



FGFR1
FGFR1_D69A



FGFR1
FGFR1_E562E



FGFR1
FGFR1_S136L



FGFR1
FGFR1_S789C



FGFR1
FGFR1_V394V



FGFR2-KIAA1598
FGFR2-KIAA1598_Fusion



FGFR2
FGFR2_R330W



FGFR3
FGFR3_S783L



GNAS
GNAS_I207I



IDH2
IDH2_K166K



KIT
KIT_R830*



MAPK3
MAPK3_F36F



MET
MET_D1286N



MET
MET_E868*



MET
MET_P44P



NF1
NF1_E337K



NF1
NF1_R1526R



NF1
NF1_S636F



NOTCH1
NOTCH1_S2121R



NOTCH1
NOTCH1_S223R



PTEN
PTEN_D236N



RB1_c.1957
RB1_c.1957_1960 + 27del



RET
RET_E805Q



ROS1
ROS1_K1904T



VHL
VHL_V62G



APC
APC_D1636N



APC
APC_H753Y



APC
APC_I2181T



APC
APC_I2541I



APC
APC_P2261P



APC
APCS104L



APC
APCS384R



APC
APCT175T



ARID1A
ARJD1AP1456A



ARID1A
ARIDlA_P854fs



ARID1A
ARID1AQ1342*



ARID1A
ARID1AQ878*



ARID1A
ARID1AS304L



AR
ARA22D



AR
ARC785Y



AR
ARS215L



ATM
ATM_G2777D



ATM
ATMR1610T



ATM
ATMY2019C



BRCA1
BRCA1_R1204K



BRCA2
BRCA2_D2566H



BRCA2D935
BRCA2_D935_A938delinsYMT



BRCA2
BRCA2_P606P



CCND1
CCND1_V193V



CCND2
CCND2_I287I



CCND2
CCND2_P94P



CCNE1
CCNE1_R145Q



CDH1
CDH1_R63*



CDK12
CDK12_I925fs



CDK12
CDK12_Q1307fs



EGFR
EGFR_H805Q



EGFR
EGFR_L907L



EGFR
EGFR_P644P



EGFR
EGFR_Q1159L



EGFR
EGFR_R671H



EGFR
EGFR_Y113Y



ERBB2
ERBB2_A598D



ERBB2
ERBB2_C224F



ERBB2
ERBB2_S609C



ESR1
ESR1_P535R



ESR1_Q565
ESRl_Q565_H567del



FGFR1
FGFR1_N546K



GATA3
GATA3_T441fs



HNF1A
HNF1A_L185L



IDH1
IDH1_I129I



KIT
KIT_D419N



KIT
KIT_G658G



MET_c.2888-20
MET_c.2888-20_2888-4del



MYC
MYC_P57S



NF1
NF1_G1219R



NF1
NF1_K2652fs



NF1
NF1_P1432Q



NF1
NF1_R125C



NF1
NF1_V2511V



NF1_W1831
NF1_W1831_E1832del



NOTCH1
NOTCH1_N1682S



NOTCH1
NOTCH1_S2537C



NOTCH1
NOTCH1_T2483M



PDGFRA
PDGFRA_Splice Site SNV



PTEN
PTEN_D368D



RB1
RB1_M708I



RB1
RB1_Q689L



ROS1
ROS1_A1711S



ROS1
ROS1_S1891I



SMAD4
SMAD4_E377Q



SMAD4
SMAD4_S154*



SMAD4
SMAD4_T521I



TERT
TERT_S656S



TERT
TERT_W36G



TP53_A276
TP53_A276_P278del



TP53
TP53_C135*



TP53
TP53_C135F



TP53
TP53_C176Y



TP53
TP53_E258*



TP53
TP53_E271Q



TP53
TP53_E285K



TP53
TP53_G356A



TP53
TP53_N235fs



TP53
TP53_P152fs



TP53
TP53_P278H



TP53
TP53_R110P



TP53
TP53_R267W



TP53
TP53_R273G



TP53
TP53_R282W



TP53
TP53_R306*



TP53
TP53_R337C



TP53
TP53_S106fs



TP53
TP53_V197L



TP53
TP53_Y205F



TP53
TP53_c.1101-2del



ALK
ALK_R1214C



APC
APC_G277S



APC
APC_Q1447*



APC
APC_Q901E



APC
APC_R2237*



ARID1A
ARID1A_D1258N



ARID1A
ARID1A_D204A



ARID1A
ARID1A_E1297*



ARID1A
ARID1A_E1778K



ARID1A
ARID1A_H860H



ARID1A
ARID1A_I2192I



ARID1A
ARID1A_L2056I



ARID1A
ARID1A_P225P



ARID1A
ARID1A_P469S



ARID1A
ARID1A_Q1334Q



ARID1A
ARID1A_Q566*



ARID1A
ARID1A_R693Q



ARID1A
ARID1A_S261*



ARID1A
ARID1A_V1717A



ATM
ATM_G2695R



ATM
ATM_H2538Q



ATM
ATM_L176Q



BRAF
BRAF_D179E



BRAF
BRAF_E204D



BRAF
BRAF_G518G



BRAF
BRAF_I666M



BRCA1
BRCA1_A1175A



BRCA1
BRCA1_E349D



BRCA1
BRCA1_S426L



BRCA1
BRCA1_V1234fs



BRCA2
BRCA2_R2896H



BRCA2
BRCA2_S1538C



BRCA2
BRCA2_S3192S



CCNE1
CCNE1_G342G



CCNE1
CCNE1_L108L



CCNE1
CCNE1_L140M



CCNE1
CCNE1_P396S



CDH1
CDH1_T79fs



CDH1
CDH1_V365V



EGFR
EGFR_A613T



EGFR
EGFR_D1014Y



EGFR
EGFR_E282K



EGFR
EGFR_K189M



EGFR
EGFR_L1198fs



EGFR
EGFR_Q105Q



ERBB2
ERBB2_A705A



ERBB2
ERBB2_D769D



ERBB2
ERBB2_E238K



ERBB2
ERBB2_I628M



ERBB2
ERBB2_L181L



ERBB2
ERBB2_P593R



ERBB2
ERBB2_P617A



ESR1
ESR1_F461I



ESR1
ESR1_G442R



ESR1
ESR1_T347T



FBXW7
FBXW7_L648P



FGFR1
FGFR1_E496K



FGFR2
FGFR2_W4L



GATA3
GATA3_A319A



GATA3
GATA3_R399fs



GATA3
GATA3_S427fs



GATA3
GATA3_S438fs



GATA3
GATA3_Y345S



HNF1A
HNF1A_T196T



HNF1A
HNF1A_V259I



KIT
KIT_N99D



KIT
KIT_R135C



KIT
KIT_R224K



MAPK1
MAPK1_F329L



MAPK3
MAPK3_I319I



MET
MET_D1101H



MET
MET_E436K



MET
MET_G672S



MET
MET_K599N



MET
MET_M1013I



MET
MET_P664L



MYC
MYC_L114R



MYC
MYC_L214F



MYC
MYC_L84V



MYC
MYC_P246Q



NF1
NF1_E1344L



NF1
NF1_L1978L



NF1
NF1_L2380L



NF1
NF1_R2814C



NF1
NF1_Y80S



NF1_c.7063-2
NF1_c.7063-2_7065del



NOTCH1
NOTCH1_A2452V



NOTCH1
NOTCH1_E1636K



NOTCH1
NOTCH1_L2149L



NOTCH1
NOTCH1_P143L



NOTCH1
NOTCH1_P1566P



NTRK1
NTRK1_R347C



NTRK1
NTRK1_V647L



PDGFRA
PDGFRA_H974Y



PDGFRA
PDGFRA_I119V



PDGFRA
PDGFRA_V484M



PIK3CA
PIK3CA_D1017H



PIK3CA
PIK3CA_I1058L



RAF1
RAF1_N635S



RAF1
RAF1_R627W



RET
RET_F644F



RET
RET_R678R



ROS1
ROS1_I1844I



SMAD4
SMAD4_P246R



STK11
STK11_H174D



STK11
STK11_W308C



TERT
TERT_P64Q



TP53
TP53_A276G



TP53
TP53_C176S



TP53
TP53_D228fs



TP53
TP53_G266E



TP53
TP53_H179Q



TP53
TP53_H193R



TP53
TP53_I195T



TP53
TP53_I255S



TP53
TP53_L194F



TP53
TP53_N239S



TP53
TP53_P177L



TP53
TP53_P295fs



TP53
TP53_P318fs



TP53
TP53_Q167fs



TP53
TP53_V272E



TP53
TP53_W91*



TP53
TP53_W91fs



TP53
TP53_Y163N



TSC1
TSC1_H1161D



TSC1
TSC1_R1033T



AKT1
AKT1_F237F



AKT1
AKT1_K268K



ALK
ALK_E1605K



ALK
ALK_S1538S



APC
APC_A1358A



APC
APC_D2059N



APC
APC_E225K



APC
APC_E2655K



APC
APC_E847fs



APC
APC_K39N



APC
APC_L1657V



APC
APC_P1999P



APC
APC_Q8Q



APC
APC_S2575F



APC
APC_S982S



APC
APC_T2382I



ARID1A
ARID1A_A164A



ARID1A_A344
ARID1A_A344_A348del



ARID1A
ARID1A_E1019*



ARID1A
ARID1A_G191fs



ARID1A
ARID1A_L69R



ARID1A
ARID1A_P1325P



ARID1A
ARID1A_P1560L



ARID1A
ARID1A_Q1066*



ARID1A
ARID1A_Q1415*



ARID1A
ARID1A_Q171Q



ARID1A
ARID1A_Q766fs



ARID1A
ARID1A_R1202G



ARID1A
ARID1A_S1937T



AR
AR_A201S



AR
AR_A420A



AR
AR_A587A



AR
AR_I2I



AR
AR_L194L



AR
AR_L713F



AR
AR_M1?



AR
AR_P383S



AR
AR_Q488E



AR
AR_R586R



AR
AR_S158*



AR
AR_S53G



AR
AR_T440K



AR
AR_W4*



ATM
ATM_D2721N



ATM
ATM_D2959N



ATM
ATM_E2429G



ATM
ATM_G2891D



ATM
ATM_I1035M



ATM
ATM_I1093V



ATM
ATM_K2318N



ATM
ATM_K797K



ATM
ATM_L2447V



ATM
ATM_L3017L



ATM
ATM_R2034P



ATM
ATM_R2526T



ATM
ATM_R720H



ATM
ATM_S3027G



ATM
ATM_V2441G



ATM
ATM_V2716I



ATM
ATM_Y2954D



BRAF
BRAF_G219A



BRAF
BRAF_R603Q



BRAF
BRAF_S136L



BRAF
BRAF_Splice Site SNV



BRCA1
BRCA1_E1060K



BRCA1
BRCA1_E1221K



BRCA1
BRCA1_H279D



BRCA1
BRCA1_K701K



BRCA1
BRCA1_Q1396Q



BRCA1
BRCA1_R1028C



BRCA1
BRCA1_V1632V



BRCA2
BRCA2_C1893Y



BRCA2
BRCA2_E1555K



BRCA2
BRCA2_E2239Q



BRCA2
BRCA2_E3256V



BRCA2
BRCA2_G379R



BRCA2
BRCA2_N2374S



BRCA2
BRCA2_Q699R



BRCA2
BRCA2_S538R



BRCA2
BRCA2_T2097A



CCND2
CCND2_E2E



CCND2
CCND2_L243L



CCND2
CCND2_V91V



CCNE1
CCNE1_A178A



CDH1
CDH1_V114V



CDH1
CDH1_Y68*



CDK12
CDK12_E1345K



CDK12
CDK12_E431Q



CDK12
CDK12_I836M



CDK12
CDK12_P1030S



CDK12
CDK12_R93L



CDK12
CDK12_T1071T



CDK12
CDK12_V1297M



DDR2
DDR2_L623V



DDR2
DDR2_S667C



EGFR
EGFR_D770N



EGFR
EGFR_E513K



EGFR
EGFR_E711K



EGFR
EGFR_I646I



EGFR
EGFR_K80N



EGFR
EGFR_N552K



EGFR
EGFR_P564T



EGFR
EGFR_P644L



EGFR
EGFR_Q1143Q



EGFR
EGFR_R427H



EGFR
EGFR_S116fs



EGFR
EGFR_S186S



EGFR
EGFR_S895C



EGFR
EGFR_V1097I



ERBB2
ERBB2_E1195K



ERBB2
ERBB2_E207D



ERBB2
ERBB2_E580K



ERBB2
ERBB2_E619K



ERBB2
ERBB2_E766Q



ERBB2
ERBB2_G246S



ERBB2
ERBB2_L458L



ERBB2
ERBB2_L85L



ERBB2
ERBB2_L96L



ERBB2
ERBB2_R1146W



ERBB2
ERBB2_R143Q



ERBB2
ERBB2_R689T



ERBB2
ERBB2_S457L



ERBB2
ERBB2_S463S



ERBB2
ERBB2_S963F



ERBB2
ERBB2_Y1222H



ESR1
ESR1_D545D



ESR1
ESR1_K362N



ESR1
ESR1_K520K



ESR1
ESR1_R394C



FGFR1
FGFR1_L269L



FGFR1
FGFR1_S518L



FGFR1
FGFR1_T111T



FGFR1
FGFR1_V740V



FGFR2-CCDC6
FGFR2-CCDC6_Fusion



FGFR2
FGFR2_A171V



FGFR2
FGFR2_A181A



FGFR2
FGFR2_E116Q



FGFR2
FGFR2_G272E



FGFR2
FGFR2_H254Y



FGFR2
FGFR2_L716L



FGFR2
FGFR2_P443P



FGFR2
FGFR2_T320T



FGFR3-TACC3
FGFR3-TACC3_Fusion



FGFR3
FGFR3_S408C



FGFR3
FGFR3_S804S



GATA3
GATA3_M357I



GATA3
GATA3_P436fs



HNF1A
HNF1A_R229Q



HNF1A
HNF1A_R271W



HRAS
HRAS_R123R



IDH1
IDH1_E84Q



IDH1
IDH1_G131S



IDH1
IDH1_G136E



IDH2
IDH2_I153M



KIT
KIT_A621T



KIT
KIT_I172I



KIT
KIT_I235fs



KIT
KIT_I563fs



KIT
KIT_L148F



KIT
KIT_S729C



KIT
KIT_S729Y



KIT
KIT_V603fs



MAPK1
MAPK1_D44N



MAPK3
MAPK3_L154L



MAPK3
MAPK3_S170fs



MAPK3
MAPK3_V68M



MET
MET_F346F



MET
MET_G921E



MET
MET_I166T



MET
MET_K508K



MET
MET_Q926*



MET
MET_R412H



MET
MET_R417*



MET
MET_W911*



MPL
MPL_L513L



MTOR
MTOR_I975I



MTOR
MTOR_R960*



MTOR
MTOR_S678F



MTOR
MTOR_T714S



MYC
MYC_R331W



NF1
NF1_D2482N



NF1
NF1_Exon 10 Deletion



NF1
NF1_Exon 3 Deletion



NF1
NF1_L651L



NF1
NF1_N1503S



NF1
NF1_S137S



NF1
NF1_S1786L



NFE2L2
NFE2L2_Q87*



NOTCH1
NOTCH1_A1634A



NOTCH1
NOTCH1_D1560H



NOTCH1
NOTCH1_E2103K



NOTCH1
NOTCH1_L2434L



NOTCH1
NOTCH1_P2128L



NOTCH1
NOTCH1_P226L



NOTCH1
NOTCH1_R2272C



NOTCH1
NOTCH1_S2183F



NOTCH1
NOTCH1_S2357R



NTRK1
NTRK1_E388K



PDGFRA
PDGFRA_E298E



PDGFRA
PDGFRA_F678I



PDGFRA
PDGFRA_G898D



PDGFRA
PDGFRA_R981H



PDGFRA
PDGFRA_Y993Y



PIK3CA_E109
PIK3CA_E109_L113delinsI



PIK3CA
PIK3CA_E291Q



PIK3CA
PIK3CA_I1058M



PIK3CA
PIK3CA_K723K



PIK3CA
PIK3CA_M1040I



PIK3CA
PIK3CA_R818C



PIK3CA
PIK3CA_S1003P



PIK3CA
PIK3CA_S405F



PTEN
PTEN_E242K



PTEN
PTEN_E352Q



PTEN
PTEN_F154F



PTEN
PTEN_P246P



PTEN
PTEN_P30A



PTPN11
PTPN11_D94N



RAF1
RAF1_A280V



RAF1
RAF1_G544G



RAF1
RAF1_P261R



RAF1
RAF1_R73Q



RAF1
RAF1_S52C



RAF1
RAF1_V180V



RB1_E413
RB1_E413_I422del



RB1
RB1_L477V



RB1
RB1_M708K



RB1
RB1_S534fs



RET
RET_H594P



RET
RET_R721Q



RHOA
RHOA_R5W



RIT1
RIT1_R106*



ROS1
ROS1_A1921T



ROS1
ROS1_I1716N



SMAD4
SMAD4_Q366*



SMAD4
SMAD4_R361C



SMAD4
SMAD4_R361H



SMAD4
SMAD4_S242*



STK11
STK11_W239C



TERT
TERT_G32W



TP53
TP53_A159V



TP53
TP53_A364A



TP53
TP53_C242S



TP53
TP53_D259V



TP53
TP53_D259Y



TP53_E258
TP53_E258_S260delinsA



TP53
TP53_E286K



TP53
TP53_E336*



TP53
TP53_Exon 4 Deletion



TP53
TP53_Exon 5 Insertion



TP53
TP53_F113fs



TP53
TP53_G154S



TP53
TP53_G245C



TP53
TP53_G266R



TP53
TP53_G360V



TP53
TP53_I195S



TP53
TP53_K132Q



TP53
TP53_L111R



TP53
TP53_L111fs



TP53
TP53_L265del



TP53
TP53_M246I



TP53
TP53_M246T



TP53
TP53_P177R



TP53
TP53_P190S



TP53
TP53_Q331*



TP53
TP53_R158G



TP53
TP53_R280I



TP53
TP53_R280K



TP53
TP53_R280S



TP53
TP53_S215R



TP53
TP53_S46fs



TP53
TP53_V143fs



TP53
TP53_V73V



TP53
TP53_Y107D



TP53
TP53_Y163C



TP53
TP53_Y205D



TP53
TP53_Y234C



TP53_c.783-4
TP53_c.783-4_792del



TP53
TP53_c.920-2del



TSC1
TSC1_E1101K



VHL
VHL_H125H



VHL
VHL_I109I



AKT1
AKT1_P369P



AKT1
AKT1_Q79K



AKT1
AKT1_W80R



AKT1
AKT1_Y176*



ALK
ALK_A1300fs



ALK
ALK_C1008R



ALK
ALK_E1065K



ALK
ALK_E1077Q



ALK
ALK_E1558Q



ALK
ALK_K1003K



ALK
ALK_R1120W



ALK
ALK_S11061



ALK
ALK_Y1359H



APC
APC_A630fs



APC
APC_D1794H



APC
APC_D2729Y



APC
APC_E1020Q



APC
APC_E136K



APC
APC_E1726K



APC
APC_E2589K



APC
APC_E418K



APC
APC_E771K



APC
APC_G1702R



APC
APC_G817fs



APC
APC_I1779M



APC
APC_K2695N



APC
APC_L589L



APC
APC_M337I



APC
APC_Q1444Q



APC
APC_Q203fs



APC
APC_Q445H



APC
APC_R2319T



APC
APC_R2434T



APC
APC_R2454T



APC
APC_R2543fs



APC
APC_S1144N



APC
APC_S2307L



APC
APC_S2307S



APC
APC_S2531C



APC
APC_S2768G



APC
APC_Splice Site SNV



APC
APC_T1074T



APC
APC_V754V



APC
APC_W2658*



ARAF
ARAF_R209H



ARAF
ARAF_R211H



ARID1A
ARID1A_D1810N



ARID1A
ARID1A_E1297K



ARID1A
ARID1A_E1802K



ARID1A
ARID1A_G889fs



ARID1A
ARID1A_H1581Q



ARID1A
ARID1A_H1871Y



ARID1A
ARID1A_L1405V



ARID1A
ARID1A_L1676L



ARID1A
ARID1A_N1502S



ARID1A
ARID1A_N2109S



ARID1A
ARID1A_P517S



ARID1A
ARID1A_Q1363P



ARID1A
ARIDlA_Q1519fs



ARID1A
ARID1A_Q2100E



ARID1A
ARID1A_Q268*



ARID1A
ARID1A_Q439L



ARID1A
ARID1A_Q501*



ARID1A
ARID1A_Q510*



ARID1A
ARID1A_Q557*



ARID1A
ARID1A_Q581*



ARID1A
ARID1A_Q840H



ARID1A
ARID1A_R1046K



ARID1A
ARID1A_R1202W



ARID1A
ARID1A_R1461*



ARID1A
ARID1A_R1461Q



ARID1A
ARID1A_R1463C



ARID1A
ARID1A_R1721Q



ARID1A
ARID1A_R2236C



ARID1A
ARID1A_S1248*



ARID1A
ARID1A_S1544S



ARID1A
ARID1A_S1675Y



ARID1A
ARID1A_S2002F



ARID1A
ARID1A_S2262L



ARID1A
ARID1A_S334L



ARID1A
ARID1A_S506F



ARID1A
ARID1A_S519Y



ARID1A
ARIDlA_Splice Site SNV



ARID1A
ARID1A_T2060S



ARID1A
ARID1A_V1464V



ARID1A
ARID1A_Y1101C



AR
AR_A236D



AR
AR_A358A



AR
AR_A417A



AR
AR_A52S



AR
AR_E204Q



AR
AR_E666K



AR
AR_E679D



AR
AR_F857L



AR
AR_G38G



AR
AR_G423V



AR
AR_G744R



AR
AR_K778R



AR
AR_K913T



AR
AR_N235N



AR
AR_P218S



AR
AR_R20Q



AR
AR_R407C



AR
AR_R407H



AR
AR_S165S



AR
AR_S186R



AR
AR_S885*



AR
AR_S909C



ATM
ATM_A2524T



ATM
ATM_D2016H



ATM
ATM_E2154Q



ATM
ATM_E2444G



ATM
ATM_F505F



ATM
ATM_H2872R



ATM
ATM_K147E



ATM
ATM_K2440E



ATM
ATM_K2717Q



ATM
ATM_L1125M



ATM
ATM_L2338L



ATM
ATM_L2946V



ATM
ATM_L3048L



ATM
ATM_P597S



ATM
ATM_Q2397R



ATM
ATM_Q2522H



ATM
ATM_R2034G



ATM
ATM_R2453H



ATM
ATM_R2973T



ATM
ATM_R493C



ATM
ATM_T1953I



ATM
ATM_T2773N



ATM
ATM_T909P



ATM
ATM_V2951F



ATM
ATM_V2951I



ATM
ATM_W2845L



BRAF
BRAF_L185L



BRAF
BRAF_S123C



BRAF
BRAF_S337*



BRAF
BRAF_S614F



BRCA1
BRCA1_D1778G



BRCA1
BRCA1_E1011K



BRCA1
BRCA1_E1440Q



BRCA1
BRCA1_E1829K



BRCA1
BRCA1_G160G



BRCA1
BRCA1_K947Q



BRCA1
BRCA1_L1128V



BRCA1
BRCA1_L1600F



BRCA1
BRCA1_P1099T



BRCA1
BRCA1_Q202H



BRCA1
BRCA1_R1470K



BRCA1
BRCA1_R1670K



BRCA1
BRCA1_S282L



BRCA1
BRCA1_S770L



BRCA2
BRCA2_A1204T



BRCA2
BRCA2_C2605S



BRCA2
BRCA2_E1581D



BRCA2
BRCA2_E2193V



BRCA2
BRCA2_G1194D



BRCA2
BRCA2_G2593R



BRCA2
BRCA2_G267A



BRCA2
BRCA2_H1905Y



BRCA2
BRCA2_L1234V



BRCA2_M2192
BRCA2_M2192_E2193del



BRCA2
BRCA2_Q3206Q



BRCA2
BRCA2_R1131T



BRCA2
BRCA2_R2268K



BRCA2
BRCA2_S1560N



BRCA2
BRCA2_S1817C



BRCA2
BRCA2_S2378L



BRCA2_V1392
BRCA2_V1392_K1394del



BRCA2
BRCA2_Y42fs



CCDC6-RET
CCDC6-RET_Fusion



CCND1
CCND1_E256Q



CCND1
CCND1_E51K



CCND1
CCND1_L217L



CCND1
CCND1_L32L



CCND1
CCND1_Q264H



CCND1
CCND1_R260fs



CCND1
CCND1_S41L



CCNE1
CCNE1_A214A



CCNE1
CCNE1_A410V



CCNE1
CCNE1_A47T



CCNE1
CCNE1_D55N



CDH1
CDH1_H123N



CDH1
CDH1_R74*



CDH1
CDH1_Splice Site SNV



CDH1
CDH1_V391fs



CDH1
CDH1_V412fs



CDK12
CDK12_G479A



CDK12
CDK12_G927fs



CDK12L823
CDK12_L823_E825del



CDK12
CDK12_N1081N



CDK12
CDK12_R1484T



CDK12
CDK12_S601S



CDK4
CDK4_G42E



CDK4
CDK4_L147V



CDK4
CDK4_L213F



CDK6
CDK6_L105F



CDK6
CDK6_L42L



CDK6
CDK6_P250P



CDKN2A
CDKN2A_A118V



CDKN2A
CDKN2A_G111A



CDKN2A
CDKN2A_H83Y



CDKN2A
CDKN2A_P18L



CDKN2A
CDKN2A_Q50fs



CDKN2A
CDKN2A_R87fs



CDKN2A
CDKN2A_S12L



CDKN2A
CDKN2A_S152L



CDKN2A
CDKN2A_W110*



CTNNB1
CTNNB1_E55Q



DDR2
DDR2_K720T



DDR2
DDR2_L687V



DDR2
DDR2_Q664Q



DDR2
DDR2_Q791K



DDR2
DDR2_R752H



EGFR
EGFR_A1201A



EGFR
EGFR_A864V



EGFR
EGFR_A92A



EGFR
EGFR_C231C



EGFR
EGFR_D1009D



EGFR
EGFR_D230N



EGFR
EGFR_D247N



EGFR
EGFR_E317K



EGFR
EGFR_E634K



EGFR
EGFR_E749K



EGFR
EGFR_E758*



EGFR
EGFR_H850R



EGFR
EGFR_K823R



EGFR
EGFR_L423L



EGFR
EGFR_L49V



EGFR
EGFR_L679L



EGFR
EGFR_M176I



EGFR
EGFR_M567I



EGFR
EGFR_N338N



EGFR
EGFR_P518P



EGFR
EGFR_P848P



EGFR
EGFR_Q40P



EGFR
EGFR_R149R



EGFR
EGFR_R255Q



EGFR
EGFR_R309Q



EGFR
EGFR_R958R



EGFR
EGFR_R962C



EGFR
EGFR_S1081S



EGFR
EGFR_W410*



EGFR
EGFR_W817S



ERBB2
ERBB2_C540C



ERBB2
ERBB2_F173F



ERBB2
ERBB2_F258F



ERBB2
ERBB2_G1056G



ERBB2
ERBB2_G778A



ERBB2_G778
ERBB2_G778_P780dup



ERBB2
ERBB2_H174Y



ERBB2
ERBB2_H267fs



ERBB2
ERBB2_M955I



ERBB2
ERBB2_N111N



ERBB2_P1116
ERBB2_P1116_D1125del



ERBB2
ERBB2_P197L



ERBB2
ERBB2_Q527L



ERBB2
ERBB2_Q828Q



ERBB2
ERBB2_R1111W



ERBB2
ERBB2_R351L



ERBB2
ERBB2_V153V



ESR1
ESR1_E419E



ESR1
ESR1_L489L



ESR1
ESR1_L539R



ESR1
ESR1_L540P



ESR1
ESR1_M528V



ESR1
ESR1_Q314*



ESR1
ESR1_R394R



ESR1
ESR1_V392I



ESR1
ESR1_V595V



ESR1
ESR1_Y537Y



ESR1_Y537
ESRl_Y537_D538insN



FBXW7
FBXW7_C533S



FBXW7
FBXW7_D643N



FBXW7
FBXW7_S476C



FBXW7
FBXW7_S641*



FBXW7
FBXW7_T530T



FGFR1
FGFR1_A354A



FGFR1
FGFR1_A74A



FGFR1
FGFR1_D110N



FGFR1
FGFR1_D407N



FGFR1
FGFR1_D527N



FGFR1
FGFR1_K514K



FGFR1
FGFR1_M731R



FGFR1
FGFR1_P466P



FGFR1
FGFR1_R250W



FGFR1
FGFR1_R54C



FGFR1
FGFR1_S104G



FGFR2
FGFR2_C701S



FGFR2
FGFR2_E467K



FGFR2
FGFR2_G583R



FGFR2
FGFR2_K74K



FGFR2
FGFR2_L104L



FGFR2
FGFR2_L10L



FGFR2
FGFR2_L528F



FGFR2
FGFR2_P775H



FGFR2_R111
FGFR2_R111_T112delinsS



FGFR2
FGFR2_R190W



FGFR2
FGFR2_S252L



FGFR2
FGFR2_T454M



FGFR3
FGFR3_I698I



FGFR3
FGFR3_Q263H



FGFR3
FGFR3_S269S



GATA3
GATA3_A396A



GATA3
GATA3_K388fs



GATA3
GATA3_M357fs



GATA3
GATA3_P422fs



GATA3
GATA3_R330K



GATA3
GATA3_R367*



GATA3
GATA3_S408fs



GATA3
GATA3_T323fs



GATA3
GATA3_T364fs



GATA3
GATA3_V440fs



GNA11
GNA11_E212K



GNAS
GNAS_Q227H



GNAS
GNAS_Q227L



GNAS
GNAS_T204A



HNF1A
HNF1A_P300P



HNF1A
HNF1A_S249*



IDH1
IDH1_C114G



IDH1
IDH1_F86L



IDH1
IDH1_I130I



IDH1
IDH1_I130V



JAK2
JAK2_V617F



JAK3
JAK3_A573V



KIT
KIT_D140D



KIT
KIT_D975N



KIT
KIT_L890R



KIT
KIT_M618V



KIT
KIT_R5G



KIT
KIT_S785S



KRAS
KRAS_Q25*



KRAS
KRAS_Q61*



KRAS
KRAS_R41S



MAP2K1
MAP2K1_M143I



MAP2K2
MAP2K2_H104H



MAP2K2
MAP2K2_L122L



MAP2K2
MAP2K2_V64F



MAPK1
MAPK1_A307T



MAPK1
MAPK1_E220Q



MAPK1
MAPK1_H80P



MAPK1
MAPK1_L234V



MAPK3
MAPK3_E18Q



MAPK3
MAPK3_E339A



MAPK3
MAPK3_E351*



MAPK3
MAPK3_I273I



MET
MET_A48T



MET
MET_D174H



MET
MET_D543E



MET
MET_E221K



MET
MET_E419K



MET
MET_E75E



MET
MET_E863Q



MET
MET_E999K



MET
MET_L180L



MET
MET_L614F



MET
MET_Q1029L



MET
MET_R1184Q



MET
MET_R1227S



MET
MET_S135S



MET
MET_T230T



MET
MET_V383V



MET
MET_V603D



MET
MET_V919I



MLH1
MLH1_D376N



MLH1
MLH1_L404V



MTOR
MTOR_C674S



MTOR
MTOR_D785G



MTOR
MTOR_E706Q



MTOR
MTOR_L660L



MTOR
MTOR_P189P



MTOR
MTOR_Q829Q



MTOR
MTOR_R112W



MTOR
MTOR_R910R



MTOR
MTOR_R957R



MTOR
MTOR_V420V



MYC
MYC_L442F



MYC
MYC_N45N



MYC
MYC_P58L



MYC
MYC_R314G



MYC
MYC_S344G



MYC
MYC_S79R



NF1
NF1_C1711G



NF1
NF1_C1930R



NF1
NF1_D1644G



NF1
NF1_E2578Q



NF1
NF1_E725K



NF1
NF1_L2023L



NF1
NF1_N1451S



NF1
NF1_P1638P



NF1
NF1_Q369*



NF1
NF1_R135fs



NF1
NF1_R2179H



NF1
NF1_R2452H



NF1
NF1_R2594H



NF1
NF1_S1329L



NF1
NF1_S1754fs



NF1
NF1_S495fs



NF1
NF1_S883L



NF1
NF1_Splice Site SNV



NF1
NF1_V174fs



NF1
NF1_V2799I



NFE2L2
NFE2L2_E79K



NFE2L2
NFE2L2_E79Q



NOTCH1
NOTCH1_A1562A



NOTCH1
NOTCH1_A2265fs



NOTCH1
NOTCH1_A2463A



NOTCH1
NOTCH1_D1609Y



NOTCH1
NOTCH1_E1555G



NOTCH1
NOTCH1_E198K



NOTCH1
NOTCH1_E2103A



NOTCH1
NOTCH1_P2445S



NOTCH1
NOTCH1_P2525P



NOTCH1
NOTCH1_S2073I



NOTCH1
NOTCH1_V1599V



NOTCH1
NOTCH1_Y219Y



NRAS
NRAS_R164C



NTRK1
NTRK1_I572I



NTRK1
NTRK1_M296K



NTRK1
NTRK1_R654C



NTRK1
NTRK1_S603C



NTRK1
NTRK1_V630M



NTRK3
NTRK3_G608G



NTRK3
NTRK3_I695T



NTRK3
NTRK3_P612H



NTRK3
NTRK3_R582Q



PDGFRA
PDGFRA_C835C



PDGFRA
PDGFRA_D444Y



PDGFRA
PDGFRA_I269N



PDGFRA
PDGFRA_I647T



PDGFRA
PDGFRA_L825H



PDGFRA
PDGFRA_P441L



PDGFRA
PDGFRA_R979C



PDGFRA
PDGFRA_R981C



PDGFRA
PDGFRA_S145F



PDGFRA
PDGFRA_T99T



PDGFRA
PDGFRA_V129A



PDGFRA
PDGFRA_Y872*



PIK3CA
PIK3CA_E722K



PIK3CA
PIK3CA_G359R



PIK3CA
PIK3CA_G460D



PIK3CA
PIK3CA_I459V



PIK3CA
PIK3CA_L1067F



PIK3CA
PIK3CA_L287L



PIK3CA
PIK3CA_L586F



PIK3CA
PIK3CA_N426S



PIK3CA
PIK3CA_Q75E



PTEN
PTEN_D24V



PTEND24
PTEN_D24_L25del



PTEN
PTEN_D92H



PTEN
PTEN_E43fs



PTEN
PTEN_F243V



PTEN
PTEN_G129E



PTEN
PTEN_G165R



PTEN
PTEN_H118Y



PTEN_I253
PTEN_I253_V255del



PTEN
PTEN_I306L



PTEN
PTEN_K128T



PTEN
PTEN_L318F



PTEN
PTEN_M1?



PTEN
PTEN_N31D



PTEN
PTEN_Q110*



PTEN
PTEN_Q171E



PTEN
PTEN_R159K



PTEN
PTEN_S113fs



PTEN
PTEN_S229*



PTEN
PTEN_Y176*



PTEN
PTEN_Y176delins**CIIIH



PTEN
PTEN_Y178*



PTPN11
PTPN11_A72T



PTPN11
PTPN11_E76K



RAF1
RAF1_H369Y



RAF1
RAF1_K572K



RAF1
RAF1_Q520*



RAF1
RAF1_S567Y



RAF1
RAF1_T543M



RB1
RB1_C706F



RB1
RB1_E551*



RB1
RB1_E629*



RB1
RB1_E677*



RB1
RB1_F351fs



RB1
RB1_I532I



RB1
RB1_L797*



RB1
RB1_M208V



RB1
RB1_N522fs



RB1
RB1_N541fs



RB1
RB1_P23L



RB1
RB1_P3P



RB1
RB1_R254T



RB1
RB1_R255*



RB1
RB1_R656W



RB1
RB1_R661W



RB1
RB1_R787*



RB1
RB1_R787R



RB1
RB1_S163I



RB1
RB1_S567*



RB1
RB1_S618fs



RB1
RB1_S807*



RB1
RB1_S882L



RB1
RB1_V654M



RB1_c.2212-1
RB1_c.2212-1_2212del



RET
RET_E818E



RET
RET_Q781Q



RET
RET_V573V



RHOA
RHOA_G17V



RHOA
RHOA_I4F



RIT1
RIT1_M90I



RIT1
RIT1_S101C



ROS1
ROS1_C1922F



ROS1
ROS1_D2108Y



ROS1
ROS1_G1915G



ROS1
ROS1_P1938S



ROS1
ROS1_T2045M



SMAD4
SMAD4_A208V



SMAD4
SMAD4_C363Y



SMAD4
SMAD4_C523fs



SMAD4
SMAD4_D351H



SMAD4
SMAD4_D355G



SMAD4
SMAD4_D493N



SMAD4
SMAD4_E205A



SMAD4
SMAD4_E330Q



SMAD4
SMAD4_E337K



SMAD4
SMAD4_E374D



SMAD4
SMAD4_G247E



SMAD4
SMAD4_I94M



SMAD4
SMAD4_Q116*



SMAD4
SMAD4_Q224*



SMAD4
SMAD4_Q256*



SMAD4
SMAD4_R445*



SMAD4
SMAD4_S191S



SMAD4
SMAD4_S485*



SMO
SMO_C314*



SMO
SMO_W331*



STK11
STK11_L102P



STK11
STK11_L290I



STK11
STK11_P221L



STK11
STK11_R39C



STK11
STK11_R415G



STK11
STK11_R42L



STK11
STK11_S283C



STK11
STK11_T13M



STK11T189
STK11_T189_G196del



STK11_c.717
STK11_c.717_734 + 8del



TERT
TERT_A651A



TERT
TERT_Promoter Indel



TERT
TERT_V39V



TP53
TP53_C176G



TP53
TP53_C242Y



TP53
TP53_C275F



TP53
TP53_C277fs



TP53
TP53_D148H



TP53
TP53_D184fs



TP53
TP53_D208fs



TP53
TP53_D281Y



TP53
TP53_E198fs



TP53
TP53_E258K



TP53
TP53_E271K



TP53
TP53_E271fs



TP53
TP53_E285L



TP53
TP53_E294*



TP53
TP53_E339K



TP53
TP53_E343*



TP53
TP53_E51*



TP53
TP53_Exon 5 Deletion



TP53
TP53_Exon 7 Insertion



TP53
TP53_F113del



TP53
TP53_F134L



TP53
TP53_F341C



TP53_G117
TP53_G117_V122del



TP53
TP53_G244C



TP53
TP53_G245D



TP53
TP53_G245fs



TP53
TP53_H233fs



TP53
TP53_I255N



TP53
TP53_I50fs



TP53
TP53_K101*



TP53
TP53_K120R



TP53
TP53_L130H



TP53
TP53_L137Q



TP53
TP53_L194R



TP53
TP53_L252P



TP53
TP53_L257P



TP53
TP53_L45fs



TP53
TP53_M246K



TP53
TP53_N239fs



TP53
TP53_P12P



TP53
TP53_P151A



TP53
TP53_Q104*



TP53
TP53_Q317*



TP53
TP53_R181P



TP53
TP53_R248fs



TP53
TP53_R280T



TP53
TP53_R342G



TP53
TP53_S116C



TP53
TP53_S127T



TP53
TP53_S149fs



TP53
TP53_S215G



TP53
TP53_S269fs



TP53
TP53_S96fs



TP53
TP53_T329fs



TP53
TP53_V147fs



TP53
TP53_V173L



TP53
TP53_V197M



TP53_W146
TP53_W146_T150delinsS



TP53
TP53_Y163H



TP53
TP53_Y205fs



TP53
TP53_Y234del



TP53
TP53_Y236C



TP53
TP53_Y236N



TP53
TP53_c.783-2del



TP53_c.916
TP53_c.916_919 + 18del



TSC1
TSC1_E1044fs



VHL
VHL_H115Y



NA
NA



Total
Total










Citations to a number of patent and non-patent references may be made herein. The cited references are incorporated by reference herein in their entireties. In the event that there is an inconsistency between a definition of a term in the specification as compared to a definition of the term in a cited reference, the term should be interpreted based on the definition in the specification.

Claims
  • 1. A method for performing proteomic analysis on a sample, the method comprising treating the sample with a non-ionic surfactant, performing mass spectrometry on the treated sample, and detecting proteins in the treated sample.
  • 2. The method of claim 1, wherein the non-ionic surfactant is an alkyl glucoside.
  • 3. The method of claim 1, wherein the non-ionic surfactant is an alkyl diglucoside.
  • 4. The method of claim 1, wherein the non-ionic surfactant is an alkyl maltoside.
  • 5. The method of claim 1, wherein the non-ionic surfactant is octyl-maltoside, decyl-maltoside, dodecyl-maltoside, or tetradecyl-maltoside.
  • 6. The method of claim 1, wherein the non-ionic surfactant is n-dodecyl-β-D-maltoside (DDM).
  • 7. The method of claim 1, wherein the concentration of the non-ionic surfactant is 0.005% to 0.1%.
  • 8. The method of claim 7, wherein the concentration is 0.01% to 0.02%.
  • 9. The method of claim 8, wherein the concentration is 0.015%.
  • 10. The method of claim 1, wherein the method results in at least about a 20-fold enhancement in the mass spectrometry signal from the sample when compared to a sample not treated with the non-ionic surfactant.
  • 11. The method of claim 1, wherein the detected protein comprises an amino acid sequence of a peptide of Tables 2-7.
  • 12. A method for performing proteomic analysis on a single cell, the method comprising isolating a single cell to prepare a sample, treating the sample with a non-ionic surfactant, performing mass spectrometry on the treated sample and detecting proteins in the treated sample.
  • 13. The method of claim 12, wherein the non-ionic surfactant is an alkyl glucoside.
  • 14. The method of claim 12, wherein the non-ionic surfactant is an alkyl diglucoside.
  • 15. The method of claim 12, wherein the non-ionic surfactant is an alkyl maltoside.
  • 16. The method of claim 12, wherein the non-ionic surfactant is octyl-maltoside, decyl-maltoside, dodecyl-maltoside, or tetradecyl-maltoside.
  • 17. The method of claim 12, wherein the non-ionic surfactant is n-dodecyl-β-D-maltoside (DDM).
  • 18. The method of claim 12, wherein the concentration of the non-ionic surfactant is 0.005% to 0.1%.
  • 19. The method of claim 18, wherein the concentration is 0.01% to 0.02%.
  • 20. The method of claim 19, wherein the concentration is 0.015%.
  • 21. The method of claim 12, wherein the method results in at least about a 20-fold enhancement in the mass spectrometry signal from the sample when compared to a sample not treated with the non-ionic surfactant.
  • 22. The method of claim 1, wherein the detected protein comprises an amino acid sequence of a peptide of Tables 2-7.
CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims benefit of priority to U.S. Provisional Application No. 63/151,537, filed Feb. 19, 2021, the content of which is incorporated herein by reference in its entirety.

STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT

This invention was made with government support under UG3CA256967 and CA223715 awarded by the National Institutes of Health and W81XWH-16-1-0021 awarded by the Department of Defense Breast Cancer Research Program (DOD BCRP). The government has certain rights in the invention.

Provisional Applications (1)
Number Date Country
63151537 Feb 2021 US