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add kader-lin-hug-2024 publication
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title: Investigating the origins and early diagnosis of ovarian cancer
description: "Ovarian cancer presents a more formidable challenge per case than breast cancer, yet it has seen fewer advancements in treatment and diagnosis. In the United States, we observe approximately 20,000 new ovarian cancer diagnoses annually, which lead to 14,000 tragic deaths. This rate contrasts with breast cancer, which records around 240,000 new cases and 42,000 fatalities. Like breast cancer, ovarian cancer is more prevalent in individuals carrying mutations in the BRCA1 or BRCA2 genes (approximately 1.2% without vs. 40% with mutation). Consequently, people with a BRCA1/2 mutation face the agonizing decision of either living with an elevated ovarian cancer risk or undergoing surgery to remove their healthy ovaries and fallopian tubes, a procedure known as risk-reducing salpingo-oophorectomy.
The decision to undergo risk reduction surgery is complicated by the fact that ovarian cancer is often diagnosed at late stages, and we have a limited understanding of its origins. However, recent insights have revealed that certain epithelial ovarian cancers may start in the fallopian tube from a pre-cancerous condition known as serous tubal intraepithelial carcinoma (STIC). Our project aims to characterize the biology of STICs, elucidate their clinical significance, and establish precise diagnostic criteria for identifying STICs in surgical samples."

---
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### Contents
* [Project Overview](#project-overview)
* [Publications](#publications)
* [Data Stories](#data-stories)
* [Explore Tissue Images](#explore-tissue-images)

## Project Overview
<div class="col-md-6 mb-4">
{% include vimeo-card.html id="866120650" title="Ovarian Cancer Atlas with Dr. Ronny Drapkin and Dr. Tanjina Kader" %}
<div class="row mb-4">
<div class="col-md-6 mb-4">
{% include vimeo-card.html id="866120650" title="Ovarian Cancer Atlas with Dr. Ronny Drapkin and Dr. Tanjina Kader" %}
</div>
</div>

### Uncovering the origins of ovarian cancer
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<br>
Our long-term goal for this project is to extend the characterization of incidental precancers on a larger scale, offering a deeper understanding of the biology of STICs in surgical samples. Given that STICs are a well-known precursor to eventual peritoneal cancer, we intend to stratify the risk associated with STIC lesions for clinical decision-making. Additionally, our analysis of a substantial patient cohort has the potential to open avenues for preventive measures for high-risk patients in the future.
</details>
---
## Publications
{% comment %}
'publicationList' should be a comma-delineated string of publication file names
{% endcomment %}
{% assign publicationList = 'multimodal-spatial-profiling-reveals-immune-suppression-and-microenvironment-remodeling-fallopian-tube-precursors-high-grade-serous-ovarian-carcinoma.md' %}

{% include pub-list.html list=publicationList %}
---

## Data Stories
Data Stories are narrated Minerva stories that guide readers through the complexities of a large image dataset via a series of progressive narrated waypoints.
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assign overviews = site.data-cards
| where_exp: "item", "item.url contains 'kader-drapkin-ovarian-pilot/'"
| where_exp: "item", "item.hide != true"
| where_exp: "item", "item.tags contains 'exploration'"
| where_exp: "item", "item.tags contains 'narrated'"
%}

{% if overviews.size > 0 %}
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{%
assign overviews = site.data-cards
| where_exp: "item", "item.url contains 'kader-drapkin-ovarian-pilot/'"
| where_exp: "item", "item.url contains 'kader-lin-hug-2024/'"
| where_exp: "item", "item.hide != true"
| where_exp: "item", "item.tags contains 'overview'"
| where_exp: "item", "item.tags contains 'curated'"
%}

{% if overviews.size > 0 %}
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50 changes: 46 additions & 4 deletions _atlas-datasets/kader-lin-hug-2024.md
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publication:
title: 'Multimodal Spatial Profiling Reveals Immune Suppression and Microenvironment Remodeling in Fallopian Tube Precursors to High-Grade Serous Ovarian Carcinoma'
authors: 'Tanjina Kader, Jia-Ren Lin, Clemens Hug, Shannon Coy, Yu-An Chen, Ino de Bruijn, Natalie Shih, Euihye Jung, Roxanne J. Pelletier, Mariana Lopez Leon, Gabriel Mingo, Dalia Khaled Omran, Jong Suk Lee, Clarence Yapp, Baby Anusha Satravada, Ritika Kundra, Yilin Xu, Sabrina Chan, Juliann B. Tefft, Jeremy Muhlich, Sarah Kim, Stefan M. Gysler, Judith Agudo, James R. Heath, Nikolaus Schultz, Charles Drescher, Peter K Sorger, Ronny Drapkin, Sandro Santagata'
journal: 'TBD'
description: 'High-Grade Serous Ovarian Cancer (HGSOC) originates from fallopian tube (FT) precursors. However, the molecular changes that occur as precancerous lesions progress to HGSOC are not well understood. To address this, we integrated high-plex imaging and spatial transcriptomics to analyze human tissue samples at different stages of HGSOC development, including p53 signatures, serous tubal intraepithelial carcinomas (STIC), and invasive HGSOC. Our findings reveal immune modulating mechanisms within precursor epithelium, characterized by chromosomal instability, persistent interferon (IFN) signaling, and dysregulated innate and adaptive immunity. FT precursors display elevated expression of MHC-class I, including HLA-E, and IFN-stimulated genes, typically linked to later-stage tumorigenesis. These molecular alterations coincide with progressive shifts in the tumor microenvironment, transitioning from immune surveillance in early STICs to immune suppression in advanced STICs and cancer. These insights identify potential biomarkers and therapeutic targets for HGSOC interception and clarify the molecular transitions from precancer to cancer.'
links:
Preprint: https://doi.org/10.1101/2024.09.25.615007
journal: 'Cancer Discovery (2024)'
---

{% assign urlParts = page.url | split: '/' %}
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pubData=page.data
thumbnailDir=sectionId %}

<a href="https://www.cbioportal.org/study/summary?id=ovary_geomx_gray_foundation_2024" class="button">Data</a>
<a href="https://doi.org/10.1158/2159-8290.CD-24-1366" class="button">Publication</a>
<a href="https://doi.org/10.1101/2024.09.25.615007" class="button">Preprint</a>

## Contents
* [Abstract](#abstract)
* [Narrated Minerva Stories](#narrated-minerva-stories)
* [Data Overviews](#data-overviews)
* [Data Access](#data-access)

### Abstract
High-Grade Serous Ovarian Cancer (HGSOC) originates from fallopian tube (FT) precursors. However, the molecular changes that occur as precancerous lesions progress to HGSOC are not well understood. To address this, we integrated high-plex imaging and spatial transcriptomics to analyze human tissue samples at different stages of HGSOC development, including p53 signatures, serous tubal intraepithelial carcinomas (STIC), and invasive HGSOC. Our findings reveal immune modulating mechanisms within precursor epithelium, characterized by chromosomal instability, persistent interferon (IFN) signaling, and dysregulated innate and adaptive immunity. FT precursors display elevated expression of MHC-class I, including HLA-E, and IFN-stimulated genes, typically linked to later-stage tumorigenesis. These molecular alterations coincide with progressive shifts in the tumor microenvironment, transitioning from immune surveillance in early STICs to immune suppression in advanced STICs and cancer. These insights identify potential biomarkers and therapeutic targets for HGSOC interception and clarify the molecular transitions from precancer to cancer.

### Narrated Minerva Stories
Narrated stories use multi-step narrations and annotations to walk a viewer through key features of the data. Narrated stories distill the multidisciplinary knowledge encompassed by each dataset into a single product that grounds the scientific analyses in the underlying data and metadata. Click the Minerva story icon for an interactive view of the full-resolution images.

{%
assign overviews = site.data-cards
| where_exp: "item", "item.url contains 'kader-drapkin-ovarian-pilot/'"
| where_exp: "item", "item.hide != true"
| where_exp: "item", "item.tags contains 'narrated'"
%}

{% if overviews.size > 0 %}
{% include cards.html cards=overviews %}
{% endif %}

### Curated Minerva Stories
Curated stories provide access to images that have undergone a quality control step to remove failed markers, ensure appropriate channel intensity settings, and provide metadata about the underlying sample and image. Click the Minerva story icon for an interactive view of the full-resolution images.

{%
assign overviews = site.data-cards
| where_exp: "item", "item.url contains 'kader-lin-hug-2024/'"
| where_exp: "item", "item.hide != true"
| where_exp: "item", "item.tags contains 'curated'"
%}

{% if overviews.size > 0 %}
{% include cards.html cards=overviews %}
{% endif %}


## Data Access

Data for this paper is available to explore in [cbioportal](https://www.cbioportal.org/study/summary?id=ovary_geomx_gray_foundation_2024), including access to associated GeoMx microregional transcriptomic data, ROI annotations, clinical data, and Minerva stories.
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- Gray
- BRCA
- STIC
- Overview
- curated
- CyCIF

---
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- Gray
- BRCA
- STIC
- Overview
- CyCIF
- curated
---
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- Gray
- BRCA
- STIC
- Overview
- CyCIF
- curated
---
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- STIC
- Overview
- CyCIF
- curated
---
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- Gray
- BRCA
- STIC
- Overview
- curated
- CyCIF
---
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- Gray
- BRCA
- STIC
- exploration
- narrated
- CyCIF
---
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- Gray
- BRCA
- STIC
- exploration
- narrated
- CyCIF
---
15 changes: 15 additions & 0 deletions _data-cards/kader-lin-hug-2024/LSP11060.md
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---
title: LSP16696
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP11060/LSP11060.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP11060/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- curated

---
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---
title: LSP11064
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP11064/LSP11064.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP11064/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- curated

---
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---
title: LSP11068
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP11068/LSP11068.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP11068/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- curated

---
15 changes: 15 additions & 0 deletions _data-cards/kader-lin-hug-2024/LSP11072.md
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---
title: LSP11072
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP11072/LSP11072.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP11072/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- curated

---
15 changes: 15 additions & 0 deletions _data-cards/kader-lin-hug-2024/LSP11076.md
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---
title: LSP11076
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP11076/LSP11076.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP11076/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- curated

---
15 changes: 15 additions & 0 deletions _data-cards/kader-lin-hug-2024/LSP11088.md
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---
title: LSP11088
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP11088/LSP11088.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP11088/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- curated

---
15 changes: 15 additions & 0 deletions _data-cards/kader-lin-hug-2024/LSP15327.md
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---
title: LSP15327
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15327/LSP15327.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15327/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- curated

---
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---
title: LSP15331
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15331/LSP15331.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15331/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- GeoMx
- cbioportal

---
15 changes: 15 additions & 0 deletions _data-cards/kader-lin-hug-2024/LSP15335.md
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---
title: LSP15335
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15335/LSP15335.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15335/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- curated

---
15 changes: 15 additions & 0 deletions _data-cards/kader-lin-hug-2024/LSP15339.md
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---
title: LSP15339
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15339/LSP15339.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15339/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- curated

---
15 changes: 15 additions & 0 deletions _data-cards/kader-lin-hug-2024/LSP15343.md
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---
title: LSP15343
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15343/LSP15343.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15343/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- curated

---
15 changes: 15 additions & 0 deletions _data-cards/kader-lin-hug-2024/LSP15347.md
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---
title: LSP15347
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15347/LSP15347.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15347/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- curated

---
15 changes: 15 additions & 0 deletions _data-cards/kader-lin-hug-2024/LSP15355.md
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---
title: LSP15355
image: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15355/LSP15355.png
date: 2024-12-10
minerva_link: https://s3.amazonaws.com/www.cycif.org/110-BRCA-Mutant-Ovarian-Precursors/LSP15355/index.html
info_link: null
show_page_link: false
tags:
- Gray
- BRCA
- STIC
- CyCIF
- curated

---
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