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Cheatography

Immuno-oncology Cheat Sheet (DRAFT) by

This is a draft cheat sheet. It is a work in progress and is not finished yet.

One minute pitch

 
RNAsco­pe(R) ISH is the only technology delivering sensitive and specific multiplex detection of any checkpoint marker, in complex tumor enviro­nment enabling a better unders­tanding of the tumor/­str­oma­/immune system intera­ction.

Concept - Immuno­-on­cology

Immuno­-on­cology
Branch of imm­uno­log­y that studies intera­ctions between the immune system­ an­d c­anc­er ­cells
Cancer Immune Cycle
The cancer immunity cycle describes a process of how one’s own immune system can protect the body against cancer. When performing optimally, the cycle is self-s­ust­aining. See image below.
Immune Checkpoint Marker
Immune checkpoint markers are molecules in the immune system that either turn up a signal or turn down the cancer immunity cycle.
PDL1-PD1
Most widely known and studied checkpoint marker. Known to turn down the immune response (pregn­ancy). Used by cancer to escape the immune cycle.
Immuno­-th­erapy
Use of the immune system to re-est­ablish an efficient cancer immune cycle to treat cancer. Include checkpoint marker therapy, CAR-T cell therapy, therap­eutic antibo­dies, etc

Cancer Immune Cycle

RNAscope probes for each stage of the cycle

Questions to ask

Are you looking to measure the expression of different checkpoint markers in the tumor?
We can provide an assay (with high sensit­ivity and specif­icity) for any checkpoint marker in 2 weeks
Are you looking to measure the infilt­ration of the immune cell in to the tumor?
RNAscope ISH allows to visualize which genes are expressed, localize where they are expressed, and quantify the level of expres­sion.
Do you want to multiplex your assays?
Unlike IHC, RNAscope multiplex ISH requires minimum optimi­zation and can be achieve in few days. Note also that RNAscope ISH can easily be combined with IHC
 

Research Challenges and RNAscope Key Benefits

Morpho­logical context
Cancer tissues are non-un­iform and extremely complex structure. Analysis in the context provide unique inform­ation to better understand the complex and dynamic relati­onship between the immune system, the tumor(s) and the enviro­nment. While many biomarker analysis techno­logies are available, most do not provide spatial and cell type-s­pecific inform­ation critical for assessing the specific immune cell types with lineage and functional inform­ation in the evolving microe­nvi­ronment of each tumor.
Antibody specif­icity
RNAscope provides specific and sensitive assay for any target gene and is the ideal tool to validate IHC results
Blurry IHC staining
Punctuate dot, easy to read
Multip­lexing optimi­zation
Multip­lexing capabi­lities are highly desirable in order to obtain compre­hensive single cell-level co-exp­ression inform­ation and to maximize the use of limited biopsied sample material. Multiplex capability up to 4 targets without extensive optimi­zation (few days versus weeks or months for IHC)

Competitor product

IHC - limited by antibody availa­bility, lack of specif­icity and long/d­iff­icult multiplex optimi­zation
Profiling technology like Nanostring that allows analysis of multi-gene expression signat­ures. Limita­tion: lack of morpho­logical context.

Recomm­anded products - Academic

RNAscope® Fluore­scent Multiplex (320850) for fresh & fixed frozen C1/C3: stronger channel (low expres sor), C2: slightly weaker channel
RNAscope® Multiplex Fluore­scent v2 (323110) up to 4 targets, but ideal for FFPE, 4-plex: They need 4-Plex Ancillary Kit (323120)
RNAscope® 2.5 HD Duplex Reagent Kit (322430)

Recomm­anded products - Biopharma

RNAscope® LS Multiplex Fluore­scent Assay
RNAscope® 2.5 LS Duplex Assay
RNAscope® Fluore­scent Multiplex (320850) for fresh & fixed frozen C1/C3: stronger channel (low expres sor), C2: slightly weaker channel
RNAscope® Multiplex Fluore­scent v2 (323110) up to 4 targets, but ideal for FFPE, 4-plex: They need 4-Plex Ancillary Kit (323120)

Key tools/­Ref­erences

- App note & appendix
- Probe list
- Lung Cancer Study flyer
- Multitude of poster­s/P­ubc­rushs
- 3 min speech
Find everything in Showpad: Diseas­e/area of research - Immuno­-on­cology: http:/­/bi­t.l­y/2­q7rGHQ