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Neoadjuvant Botensilimab/ Balstilimab for localized mismatch repair proficient and deficient colon cancer: Results of the NEST phase 2 clinical trial

Data availability

Intensity values for each sample can be downloaded from GEO: GSE337193.

Samples

Sample_name ROI MSI Naming in figures
NEST2-06 tumor_bed Stable NEST2-06_Resection
NEST1-06 tumor_bed High NEST1-06_Resection
NEST1-11 tumor Stable NEST1-11_Baseline
NEST1-04 tumor Stable NEST1-04_Baseline
NEST1-05 tumor High NEST1-05_Baseline
NEST1-05 tumor_bed High NEST1-05_Resection
NEST2-04 tumor Stable NEST2-04_Baseline
NEST1-04 tumor Stable NEST1-04_Resection
NEST1-01 tumor_bed Stable NEST1-01_Resection
NEST2-03 tumor_bed Stable NEST2-03_Resection
NEST1-08 tumor_inner Stable NEST1-08_Resection
NEST1-11 tumor_bed Stable NEST1-11_Resection
NEST2-06 tumor Stable NEST2-06_Baseline
NEST2-08a tumor Stable NEST2-08a_Baseline
NEST2-01 tumor_bed Stable NEST2-01_Resection
NEST2-04 tumor_inner Stable NEST2-04_Resection
NEST2-10 tumor_inner Stable NEST2-10_Resection

DATA ANALYSIS

Immunofluorescence intensity values were extracted from TIFF images using HALO software for selected ROIs. Mean nuclear intensity values were used for the protein markers FOXP3, PCNA, PAX5, and MKI67, while mean cytoplasmic intensity values were used for the remaining markers. This produced one table per Sample_name, from which we proceeded as follows:

  • Step 1: QC, normalization and probes poisitivity assesment. From single cell intensity values, exclude cells with the lowest 2% of Area and 2% of DAPI signal. Then for each ROI/probe, generate a binary expression matrix following the 6σ approach. QC. We will run this script for each sample_name/ROI of interest.
  • Step 2: cell annotation. Using the binary matrix, annotate cells on the positivity of certain markers (probes), and the negativity of the rest of the markers. In a second round of annotation, use VIMENTIN, Podoplanin and SMA probes as neutral probes, so any of the cells can be positive for them. cell_typing. We will run this script for each sample_name/ROI of interest.
  • Step 3: cell type characterization and niche identification. Characterization of cell type composition in each ROI and identification of cellular niches across all ROI. ROI_characterization
  • Step 4: cell type density differences. With the cell type annotation, normalize cell type counts based on the area of each ROI and apply t-test for each cell type to identify cell type density differences between conditions. abundances
  • Step 5: immune proportion differences. Calculate immune proportions within each sample and apply t-test to identify immune differences between conditions. immune_diff
  • Step 6: neighborhood analysis. Neighborhood analysis to look for differences in the proportion of the different cell types within 50 microns of each cell within the cell type of interest between condtions. neighborhood

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