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Thermo Fisher Scientific • Street Address • City, ST ZIP Code • thermofisher.com
G. Lowman1, T. Looney2, E. Linch1, L. Miller1, D. Topacio-Hall1, J. Zheng3, F. Hyland3, M. Andersen1
1Thermo Fisher Scientific, Life Sciences Solutions, 5781 Van Allen Way, Carlsbad, California, U.S.A. 92008
2Thermo Fisher Scientific, Life Sciences Solutions, 2130-2150 Woodward St, Austin, TX U.S.A. 78701
3Thermo Fisher Scientific, Life Sciences Solutions, 180 Oyster Point Blvd, South San Francisco, California, U.S.A. 94080
Targeted T-cell receptor beta immune repertoire sequencing in several FFPE
tissue types – applications in profiling the tumor microenvironment.
Figure 3. Development of a functional qPCR assay to
guide sample input
Oncomine TCR Beta-SR (RNA) Library Yields before and after cDNA input adjustment
ABSTRACT
T-cell receptor beta (TCRβ) immune repertoire analysis by next-generation
sequencing is a valuable tool for studies of the tumor microenvironment and
potential immune responses to cancer immunotherapy. Here we describe a
TCRβ sequencing assay that leverages the low sample input requirements of
AmpliSeq library preparation technology to extend the capability of targeted
immune repertoire sequencing to include FFPE samples which can often be
degraded and in short supply.
This assay targets the highly diverse CDR3 region which allows for T-cell
clone identification and frequency measurement which, when combined, can
provide a broad view of the immune landscape within archived tissue
samples.
To evaluate assay accuracy, we sequenced libraries including known
amounts of 29 well-studied T-cell lymphoma rearrangements, as well as
samples comprised of sorted T cells. T-cell repertoires were successfully
evaluated from as low as 5 ng to as large as 1µg of input from samples of
varying T-cell repertoire diversity, such as sorted T cells, peripheral blood
leukocytes, fresh-frozen tissue, and FFPE tissue from a variety of normal and
cancerous tissues including lung, colon, brain, spleen, lymph node, and
thymus. In addition, we demonstrate use of a qPCR assay for quantification
of sample T cell content to guide sample input for TCRB immune repertoire
sequence experiments.
These data represent a T-cell immune repertoire sequencing solution for
application in a wide range of sample types, in particular, challenging FFPE
preserved samples. We find that the assay is capable of profiling repertoire
metrics from FFPE samples over a large range of input amounts from several
normal and tumor tissue types.
INTRODUCTION
The Qubit™ RNA HS Assay Kit (Thermo Fisher Scientific, Catalog No.
Q32852) is used to quantify and evaluate RNA integrity. Due to FFPE quality
and variation in T-cell content in different tissue types, standardized inputs
lead to inconsistent assay performance. For RNA samples with biologically
variable or low T-cell content, or for samples that may be degraded, we
developed a functional CD3 RNA qualification assay to determine the
minimum acceptable input amount. For DNA samples, we use the TaqMan®
RNase P assay to check for sample degradation.
Here we present the Oncomine™ TCR-Beta-SR assay. A high-throughput
next-generation sequencing (NGS) assay that interrogates the
complementarity determining region 3 (CDR3) of the gene that codes for the
T-cell receptor beta chain, and is optimized for convenient but difficult to
sequence formalin-fixed paraffin-embedded (FFPE) tissue samples. These
assays identify unique T-cell clones through interrogation of the diverse
complementarity-determining region 3 (CDR3) of the T-cell receptor (TCR)
gene locus in genomic DNA or RNA. The nucleotide sequence of the CDR3
region is unique to each T-cell clone and codes for the part of the TCR beta
chain that is involved in antigen recognition.
MATERIALS AND METHODS
The Ion Oncomine™ TCR Beta-SR Assay leverages Ion AmpliSeq™
technology to profile the TCR repertoire through the enrichment of the highly
diverse CDR3 of the TCR beta gene. By utilizing multiplex primers to target
the framework 3 (FR3) region and the joining (J) region that flank the CDR3
this method produces an 80bp amplicon thus enabling the use of both
genomic DNA and RNA templates and high-throughput sequencing on Ion
530™, 540™ and 550™ chips. The Oncomine™ TCR Beta-SR Assay is
compatible with the new Ion Torrent™ Dual Barcode Kit 1-96 which
significantly increases the assay specificity to enable deep TCR sequencing
with multiplexed samples.
CONCLUSIONS
To summarize, the Oncomine Immune Repertoire-SR Assay profiles the T
cell repertoire by enriching the CDR3 region of the TCR beta gene in both
RNA and gDNA templates. An assay optimized for difficult FFPE tissue
samples of variable T cell content, the Oncomine TCR Beta-SR Assay is an
ideal choice for applications that profile the tumor microenvironment. We
have also developed the TaqMan® CD247 qPCR assay to help guide assay
input for particular sample types and research objectives.
REFERENCES
1. Y. Sandberg et al. Leukemia 21, 230-237 (2007)
ACKNOWLEDGEMENTS
The authors would like to acknowledge the work of all who participated in this
program, particularly: Lifeng Lin, Grace Lui, Gauri Ganpule, Lakshmi
Sampath, Sonny Sovan, Tyler Stine, Lawreen Asuncion, Rob Bennett, and
Jim Godsey.
For Research Use Only. Not for use in diagnostic procedures.
© 2018 Thermo Fisher Scientific Inc. All rights reserved.
All trademarks are the property of Thermo Fisher Scientific and its subsidiaries unless otherwise specified.
TaqMan is a registered trademark of Roche Molecular Systems, Inc., used under permission and license.
11 & & &
•  CDR regions make contact with antigen
•  Framework regions code for internal protein residues supporting
3D structure.
Variable Diversity Joining Constant
N1 N2
A. Adult IGH or TCRBeta chain rearrangement
In adult B and T cells, the process of VDJ rearrangement very often involves
exonucleotide chewback of VDJ genes and the addition of
non-templated bases, forming N1 and N2 regions in the B cell receptor
heavy chain CDR3 and the T cell receptor Beta chain CDR3.
These processes vastly increase IGH and TCRB CDR3 diversity.
Variable Diversity Joining Constant
B. Fetal IGH or TCRBeta chain rearrangement
In the fetus, the process of VDJ rearrangement often occurs without
exonucleotide chewback of VDJ genes and addition of non-templated
bases, resulting in a restricted IGH and TCRB CDR3 repertoire that is
distinct from the adult repertoire.
These structural differences can be used to distinguish fetal B and T cell
CDR3 receptors from maternal B and T cell CDR3 receptors in cell free
DNA present in maternal peripheral blood. In this way, fetal B and T
cell health and development may be monitored in a non-invasive
manner.
Figure 1. Structural differences between fetal and adult B and T cell receptors
Variable Diversity Joining Constant
N1 N2
A. Adult IGH or TCRBeta chain rearrangement
In adult B and T cells, the process of VDJ rearrangement very often involves
exonucleotide chewback of VDJ genes and the addition of
non-templated bases, forming N1 and N2 regions in the B cell receptor
heavy chain CDR3 and the T cell receptor Beta chain CDR3.
These processes vastly increase IGH and TCRB CDR3 diversity.
Variable Diversity Joining Constant
B. Fetal IGH or TCRBeta chain rearrangement
In the fetus, the process of VDJ rearrangement often occurs without
exonucleotide chewback of VDJ genes and addition of non-templated
bases, resulting in a restricted IGH and TCRB CDR3 repertoire that is
distinct from the adult repertoire.
These structural differences can be used to distinguish fetal B and T cell
CDR3 receptors from maternal B and T cell CDR3 receptors in cell free
DNA present in maternal peripheral blood. In this way, fetal B and T
cell health and development may be monitored in a non-invasive
manner.
Figure 1. Structural differences between fetal and adult B and T cell receptors
Variable Diversity Joining Constant
N1 N2
A. Adult IGH or TCRBeta chain rearrangement
In adult B and T cells, the process of VDJ rearrangement very often involves
exonucleotide chewback of VDJ genes and the addition of
non-templated bases, forming N1 and N2 regions in the B cell receptor
heavy chain CDR3 and the T cell receptor Beta chain CDR3.
These processes vastly increase IGH and TCRB CDR3 diversity.
Variable Diversity Joining Constant
B. Fetal IGH or TCRBeta chain rearrangement
In the fetus, the process of VDJ rearrangement often occurs without
exonucleotide chewback of VDJ genes and addition of non-templated
bases, resulting in a restricted IGH and TCRB CDR3 repertoire that is
distinct from the adult repertoire.
These structural differences can be used to distinguish fetal B and T cell
CDR3 receptors from maternal B and T cell CDR3 receptors in cell free
DNA present in maternal peripheral blood. In this way, fetal B and T
cell health and development may be monitored in a non-invasive
manner.
Figure 1. Structural differences between fetal and adult B and T cell receptors
Intron
gDNA
cDNA
Not to Scale
ble Diversity Joining Constant
N1 N2
TCRBeta chain rearrangement
lls, the process of VDJ rearrangement very often involves
ewback of VDJ genes and the addition of
ses, forming N1 and N2 regions in the B cell receptor
and the T cell receptor Beta chain CDR3.
astly increase IGH and TCRB CDR3 diversity.
ble Diversity Joining Constant
CRBeta chain rearrangement
ocess of VDJ rearrangement often occurs without
ewback of VDJ genes and addition of non-templated
a restricted IGH and TCRB CDR3 repertoire that is
adult repertoire.
ifferences can be used to distinguish fetal B and T cell
om maternal B and T cell CDR3 receptors in cell free
aternal peripheral blood. In this way, fetal B and T
velopment may be monitored in a non-invasive
al differences between fetal and adult B and T cell receptors
Leader FR1 FR2
Diversity Joining Constant (Isotype)
Variable gene CDR3
FR3
CDR1 CDR2
Diversity Joining Constant
N1 N2
RBeta chain rearrangement
the process of VDJ rearrangement very often involves
back of VDJ genes and the addition of
s, forming N1 and N2 regions in the B cell receptor
d the T cell receptor Beta chain CDR3.
ly increase IGH and TCRB CDR3 diversity.
Diversity Joining Constant
Beta chain rearrangement
ess of VDJ rearrangement often occurs without
back of VDJ genes and addition of non-templated
estricted IGH and TCRB CDR3 repertoire that is
lt repertoire.
rences can be used to distinguish fetal B and T cell
maternal B and T cell CDR3 receptors in cell free
rnal peripheral blood. In this way, fetal B and T
opment may be monitored in a non-invasive
ifferences between fetal and adult B and T cell receptors
The rearranged IGH or TCRB locus
ConstantJoining (J)Diversity (D)
J-gene
targeting primers
Region of interest
(CDR3)V-gene (FR3)
targeting primers
gDNA
J-gene
targeting primers
Region of interest
(CDR3)V-gene (FR3)
targeting primers
RNA/cDNA
Variable Diversity Joining Constant
N1 N2
A. Adult IGH or TCRBeta chain rearrangement
In adult B and T cells, the process of VDJ rearrangement very often involves
exonucleotide chewback of VDJ genes and the addition of
non-templated bases, forming N1 and N2 regions in the B cell receptor
heavy chain CDR3 and the T cell receptor Beta chain CDR3.
These processes vastly increase IGH and TCRB CDR3 diversity.
Variable Diversity Joining Constant
B. Fetal IGH or TCRBeta chain rearrangement
In the fetus, the process of VDJ rearrangement often occurs without
exonucleotide chewback of VDJ genes and addition of non-templated
bases, resulting in a restricted IGH and TCRB CDR3 repertoire that is
distinct from the adult repertoire.
These structural differences can be used to distinguish fetal B and T cell
CDR3 receptors from maternal B and T cell CDR3 receptors in cell free
DNA present in maternal peripheral blood. In this way, fetal B and T
cell health and development may be monitored in a non-invasive
manner.
Figure 1. Structural differences between fetal and adult B and T cell receptors
Diversity Joining Constant
N1 N2
Beta chain rearrangement
he process of VDJ rearrangement very often involves
ack of VDJ genes and the addition of
forming N1 and N2 regions in the B cell receptor
the T cell receptor Beta chain CDR3.
increase IGH and TCRB CDR3 diversity.
Diversity Joining Constant
Beta chain rearrangement
ss of VDJ rearrangement often occurs without
ack of VDJ genes and addition of non-templated
stricted IGH and TCRB CDR3 repertoire that is
repertoire.
ences can be used to distinguish fetal B and T cell
maternal B and T cell CDR3 receptors in cell free
nal peripheral blood. In this way, fetal B and T
pment may be monitored in a non-invasive
fferences between fetal and adult B and T cell receptors
Leader FR1 FR2
Diversity (D) Joining (J) ConstantCDR1 CDR2
Variable gene (V)
FR1 FR2
CDR1 CDR2
Variable gene (V)
Figure 1. Oncomine™ TCR Beta-SR Assay consists of Multiplex AmpliSeq
primers that target the framework region 3 (FR3) and joining (J) regions of the
TCRβ locus producing a ~80bp amplicon which covers the CDR3 region. The
assay utilizes both RNA and genomic DNA input from blood, tissue (fresh
frozen or FFPE), or sorted T cells and has a flexible input range between
10ng – 1µg.
RESULTS
Figure 1. Assay Design
Figure 3. CD247 TaqMan® Gene Expression Assay measures RNA
quality as it relates to the relative T cell content in a particular sample. The
CD247 TaqMan® probe targets the CD247 gene which expresses the T-
cell receptor T3 zeta chain of the T-cell receptor-CD3 complex.
While a valuable source for retrospective studies of archival tissues, the
modifications that occur during the fixation-process of formalin-fixed-paraffin-
embedded (FFPE) tissues pose challenges for next-generation sequencing
applications. NGS based TCRβ profiling in FFPE tissue has the additional
difficulty of the biological variability of T cell recruitment and tissue infiltration.
RNA quality and relative T cell content in a tissue sample significantly affects
assay input requirements. To address this need, we developed a qPCR assay
that guides the template input for the Oncomine TCR Beta-SR Assay by
taking into account sample quality in the context of T cell content.
CD247 TaqMan® Gene Expression Assay
5ng Jurkat typically yields
~300pM library
If desired yield is ~200-300
pM, then recommended
input = 5ng/Quantity Mean
PCR cycle number can be
scaled up or down by 3
cycles with every increase
or decrease in input
amount by a factor of 10
25ng required at 20 cycles
2.5ng required at 23 cycles
Figure 4. (A) Components used in CD247 TaqMan® Gene Expression
Assay. (B) When 25ng input is used with samples of varied T-cell content,
library yield ranged from 60pM to 16nM, making it difficult to assess assay
performance. After calculating recommended input using the Quantity
Mean and Jurkat correction factor, the samples with varied T-cell content
were prepared with different input amounts to obtain similar library yields.
Input (ng)
Library Yield
(pM)
1 25 16,590
2 25 863
3 25 355
4 25 147
5 25 63
6 25 63
Sample
Quantity
Mean
Input (ng)
Library Yield
(pM)
1 Jurkat Control RNA 1 5 300
2 CAR-T 11 Pre-Expansion 21.44 0.23 204
3 PBL RNA B710019 0.8667 5.77 209
4 PBL RNA B707173 0.1332 37.5 296
5 Normal Tissue (Lung) RNA 0.07061 70.8 209
6 Normal Tissue (Brain) RNA 0.04227 118.3 211
7 Fresh Frozen CRC RNA 0.005625 888.9 269
Following standard workflow, without input adjustment:
Following standard workflow, after input adjustment:
Sample
Isolated T-Cell
PBL RNA B710019
PBL RNA B707173
Normal Tissue (Lung) RNA
Normal Tissue (Brain) RNA
Fresh Frozen CRC RNA
Quantify Sample/
T cell content
Qubit™
Extract RNA/DNA
from FFPE
RecoverAll™
MagMax™
FFPE Ultra
Library
Preparation
Templating /
Sequencing
Ion Chef™
Ion Gene
Studio S5™qPCR
Repertoire
Analysis
Ion Reporter
Software
Figure 2. Assay Linearity
Figure 2. Linearity was established using reference rearrangements.
Libraries were prepared using a pool of 29 unique plasmids, cloned with
known T-cell lymphoma rearrangement sequences1, spiked into a
background of 100ng peripheral blood leukocyte cDNA at known inputs (10 to
1,000,000 copies per reference plasmid). We observed strong linearity
across 6 orders of magnitude and were able to detect the plasmid sequences
when spiked-in at a level as low as 10 copies of each plasmid.
Thermo Fisher Scientific • 5781 Van Allen Way • Carlsbad, CA 92008 • thermofisher.com
0.0000001
0.000001
0.00001
0.0001
0.001
0.01
0.1
1.00E+00 1.00E+01 1.00E+02 1.00E+03 1.00E+04 1.00E+05 1.00E+06
Observedplasmidfrequency
Copies of plasmid
Plasmids in 100ng Peripheral Blood Leukocyte
ARR
CCRF-CEM
CML-T1a
CML-T1b
DND-41
DU.528
H-SB2
HPB-ALL
HUT_102
HUT_78/H9
JB6
Jurkat
K-T1a
K-T1b
Karpas_299
Karpas_45
KE-37/SKW-3
MOLT_13
MOLT_16/17
MT-1
P12-Ichikawa
Peer/Be13
PF-382
RPMI_8402
SU-DHL-1
SUP-T1
SUP-T3
TALL-1
Required materials for cDNA qualification assay
Standard T Cell Leukemia (Jurkat) Total RNA Cat. No. AM7858
Probe
TaqMan™ Gene Expression Assay, CD247
(20X, Hs00167901_m1)
Cat. No. 4331182
Master Mix TaqMan™ Fast Advanced Master Mix Cat. No. 4444556
(A)
(B)
To evaluate the linearity of the Oncomine™ TCR Beta-SR Assay, we
sequenced control samples with known TCRβ rearrangement sequences1
spiked into peripheral blood leukocyte cDNA.
439 shared clones
4269 unique to
Replicate 1
2947 unique
to Replicate 2
-6 -5 -4 -3 -2
-6
-5
-4
-3
-2
rep1
rep2
Clonal Overlap Between Replicates
Log10 Frequency in Replicate 1
Log10FrequencyinReplicate2
Pseudocount added
Biopsy Site Liver Metastasis
Clones Detected: 211
Shannon Diversity: 6.91
Evenness: .8947
Primary Tumor
Clones Detected: 663
Shannon Diversity: 8.56
Evenness: .9135
Data courtesy Jose Luis Costa, IPATIMUP
Lymph Node
Clones Detected: 1215
Shannon Diversity: 9.66
Evenness: .9430
Correlation of Clones from 25ng of FFPE-Preserved Tonsil RNA
17Principles of adaptive immunity.
1-14 Lymphocytes mature in the bone marrow or the thymus and
then congregate in lymphoid tissues throughout the body.
Lymphocytes circulate in the blood and the lymph and are also found in large
numbers in lymphoid tissues or lymphoid organs, which are organized
aggregates of lymphocytes in a framework of nonlymphoid cells. Lymphoid
organs can be divided broadly into the central or primary lymphoid organs,
where lymphocytes are generated, and the peripheral or secondary lym-
phoid organs, where mature naive lymphocytes are maintained and adaptive
immune responses are initiated. The central lymphoid organs are the bone
marrow and the thymus, an organ in the upper chest. The peripheral lymphoid
organs comprise the lymph nodes, the spleen, and the mucosal lymphoid tis-
sues of the gut, the nasal and respiratory tract, the urogenital tract, and other
mucosa. The locations of the main lymphoid tissues are shown schematically
in Fig. 1.18; we describe the individual peripheral lymphoid organs in more
detail later in the chapter. Lymph nodes are interconnected by a system of lym-
phatic vessels, which drain extracellular fluid from tissues, carry it through the
lymph nodes, and deposit it back into the blood.
The progenitors that give rise to B and T lymphocytes originate in the bone
marrow. B cells complete their development within the bone marrow.
Although the ‘B’ in B lymphocytes originally stood for the bursa of Fabricius,
a lymphoid organ in young chicks in which lymphocytes mature, it is a use-
ful mnemonic for bone marrow. The immature precursors of T lymphocytes
migrate to the thymus, from which they get their name, and complete their
development there. Once they have completed maturation, both types of lym-
phocytes enter the bloodstream as mature naive lymphocytes and continu-
ously circulate through the peripheral lymphoid tissues.
Immunobiology | chapter 1 | 01_008
Murphy et al | Ninth edition
© Garland Science design by blink studio limited
adenoid
tonsil
right subclavian vein
lymph node
kidney
appendix
lymphatics
left subclavian vein
thymus
heart
thoracic duct
spleen
Peyer’s patch in
small intestine
large intestine
bone marrow
Fig. 1.18 The distribution of lymphoid
tissues in the body. Lymphocytes arise
from stem cells in bone marrow and
differentiate in the central lymphoid organs
(yellow)—B cells in the bone marrow
and T cells in the thymus. They migrate
from these tissues and are carried in the
bloodstream to the peripheral lymphoid
organs (blue). These include lymph nodes,
spleen, and lymphoid tissues associated
with mucosa, such as the gut-associated
tonsils, Peyer’s patches, and appendix.
The peripheral lymphoid organs are the
sites of lymphocyte activation by antigen,
and lymphocytes recirculate between
the blood and these organs until they
encounter their specific antigen. Lymphatics
drain extracellular fluid from the peripheral
tissues, through the lymph nodes, and into
the thoracic duct, which empties into the
left subclavian vein. This fluid, known as
lymph, carries antigen taken up by dendritic
cells and macrophages to the lymph nodes,
as well as recirculating lymphocytes from
the lymph nodes back into the blood.
Lymphoid tissue is also associated with
other mucosa such as the bronchial linings
(not shown).
IMM9 chapter 1.indd 17 24/02/2016 15:41
Human Lymphoid Tissues
Replicate 1 (25ng)
Clones Detected: 4708
Shannon Diversity: 11.85
Evenness: .9715
Replicate 2 (25ng)
Clones Detected: 5113
Shannon Diversity: 11.92
Evenness: .9672
Extract Tonsil RNA
Adapted from Janeway s Immunobiology
ClonesDetected%ProductiveRepertoireReads
0
1000
2000
3000
4000
5000
6000
Spleen Tonsil Thymus
Clones Detected
0%
10%
20%
30%
40%
50%
60%
70%
80%
Spleen Tonsil Thymus
% Productive Repertoire Reads
Replicate 1 MagMAX
Replicate 2 MagMAX
0.00E+00
2.00E-03
4.00E-03
6.00E-03
8.00E-03
1.00E-02
1.20E-02
Spleen Tonsil Thymus Placenta
QuantityMean
Amplifiable T Cell Content
RecoverAll
MagMax
QuantityMean
(A)
(B)
(C)
Clonal Overlap in an Individual with Colorectal Cancer (FFPE-DNA Input)
Data Courtesy Josè Luis Costa, IPATIMUP, Porto, Portugal
-6 -5 -4 -3 -2 -1
-6
-5
-4
-3
-2
-1
Primary Tumor
LiverMetastasis
Clonal Overlap Between Primary
Tumor and Metastasis
34 shared clones
630 unique to
Primary Tumor
177 unique to
Liver Metastasis
Log10 Frequency in Primary Tumor
Log10FrequencyinLiver
Pseudocount added
Figure 5. Total RNA was
extracted from various FFPE
tissue samples with high
(tonsil), medium (thymus), and
low (spleen and placenta)
levels of T cell content. Two
purification methods were
compared in this experiment:
RecoverAll™ Total Nucleic Acid
Isolation Kit for FFPE and
MagMax™ FFPE DNA/RNA
Ultra Kit. (A) Extraction kits
were compared by measuring
amplifiable T cell content using
CD247 TaqMan® gene
expression Assay. We observe
similar RNA yields [not shown]
and amplifiable T cell content
between extraction kits. (B-C)
Productive read percentage
and clone richness are highly
correlated in replicate
experiments using FFPE RNA
from spleen, tonsil, and thymus
tissue. The productive read
percentage and number of
clones detected also follow the
same trend predicted from the
CD247 TaqMan® gene
expression assay.
Figure 6. (A) 25ng of total
RNA extracted from tonsil
FFPE tissue was sequenced in
replicate 25ng of RNA per
library leads to 4708 and 5513
clones detected. Evenness
values, a measure of the
diversity of clone sizes, is also
very consistent between
replicates with values of 0.972
and 0.967.
(B) Plot showing the degree of
clonal overlap between the
replicates. In this case we see
439 clones shared between
libraries. This level of overlap
is expected when sequencing
tissues with high T cell content
in replicate.
(A)
(B)
Figure 7. (A) 100ng of
genomic DNA extracted from
primary CRC FFPE tissue, liver
metastasis FFPE tissue, and
lymph node adjacent to the
primary tumor was sequenced.
We observed 1215 clones in
the lymph node tissue, 663
clones in the primary tumor,
and 211 clones in the liver
metastasis tissue. We observe
greater evenness in the lymph
node tissue than either the
primary tumor or the
metastasis. (B) Plot showing
the degree of clonal overlap
between the replicates. We
observe 34 clones that are
detected in both the primary
tumor and liver metastasis (often at elevated frequency). These shared
clones may be at an increased probability to have arisen from a tumor
neoantigen, and further study, given their detection within both primary and
met tissue.

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Targeted T-cell receptor beta immune repertoire sequencing in several FFPE tissue types – applications in profiling the tumor microenvironment

  • 1. Thermo Fisher Scientific • Street Address • City, ST ZIP Code • thermofisher.com G. Lowman1, T. Looney2, E. Linch1, L. Miller1, D. Topacio-Hall1, J. Zheng3, F. Hyland3, M. Andersen1 1Thermo Fisher Scientific, Life Sciences Solutions, 5781 Van Allen Way, Carlsbad, California, U.S.A. 92008 2Thermo Fisher Scientific, Life Sciences Solutions, 2130-2150 Woodward St, Austin, TX U.S.A. 78701 3Thermo Fisher Scientific, Life Sciences Solutions, 180 Oyster Point Blvd, South San Francisco, California, U.S.A. 94080 Targeted T-cell receptor beta immune repertoire sequencing in several FFPE tissue types – applications in profiling the tumor microenvironment. Figure 3. Development of a functional qPCR assay to guide sample input Oncomine TCR Beta-SR (RNA) Library Yields before and after cDNA input adjustment ABSTRACT T-cell receptor beta (TCRβ) immune repertoire analysis by next-generation sequencing is a valuable tool for studies of the tumor microenvironment and potential immune responses to cancer immunotherapy. Here we describe a TCRβ sequencing assay that leverages the low sample input requirements of AmpliSeq library preparation technology to extend the capability of targeted immune repertoire sequencing to include FFPE samples which can often be degraded and in short supply. This assay targets the highly diverse CDR3 region which allows for T-cell clone identification and frequency measurement which, when combined, can provide a broad view of the immune landscape within archived tissue samples. To evaluate assay accuracy, we sequenced libraries including known amounts of 29 well-studied T-cell lymphoma rearrangements, as well as samples comprised of sorted T cells. T-cell repertoires were successfully evaluated from as low as 5 ng to as large as 1µg of input from samples of varying T-cell repertoire diversity, such as sorted T cells, peripheral blood leukocytes, fresh-frozen tissue, and FFPE tissue from a variety of normal and cancerous tissues including lung, colon, brain, spleen, lymph node, and thymus. In addition, we demonstrate use of a qPCR assay for quantification of sample T cell content to guide sample input for TCRB immune repertoire sequence experiments. These data represent a T-cell immune repertoire sequencing solution for application in a wide range of sample types, in particular, challenging FFPE preserved samples. We find that the assay is capable of profiling repertoire metrics from FFPE samples over a large range of input amounts from several normal and tumor tissue types. INTRODUCTION The Qubit™ RNA HS Assay Kit (Thermo Fisher Scientific, Catalog No. Q32852) is used to quantify and evaluate RNA integrity. Due to FFPE quality and variation in T-cell content in different tissue types, standardized inputs lead to inconsistent assay performance. For RNA samples with biologically variable or low T-cell content, or for samples that may be degraded, we developed a functional CD3 RNA qualification assay to determine the minimum acceptable input amount. For DNA samples, we use the TaqMan® RNase P assay to check for sample degradation. Here we present the Oncomine™ TCR-Beta-SR assay. A high-throughput next-generation sequencing (NGS) assay that interrogates the complementarity determining region 3 (CDR3) of the gene that codes for the T-cell receptor beta chain, and is optimized for convenient but difficult to sequence formalin-fixed paraffin-embedded (FFPE) tissue samples. These assays identify unique T-cell clones through interrogation of the diverse complementarity-determining region 3 (CDR3) of the T-cell receptor (TCR) gene locus in genomic DNA or RNA. The nucleotide sequence of the CDR3 region is unique to each T-cell clone and codes for the part of the TCR beta chain that is involved in antigen recognition. MATERIALS AND METHODS The Ion Oncomine™ TCR Beta-SR Assay leverages Ion AmpliSeq™ technology to profile the TCR repertoire through the enrichment of the highly diverse CDR3 of the TCR beta gene. By utilizing multiplex primers to target the framework 3 (FR3) region and the joining (J) region that flank the CDR3 this method produces an 80bp amplicon thus enabling the use of both genomic DNA and RNA templates and high-throughput sequencing on Ion 530™, 540™ and 550™ chips. The Oncomine™ TCR Beta-SR Assay is compatible with the new Ion Torrent™ Dual Barcode Kit 1-96 which significantly increases the assay specificity to enable deep TCR sequencing with multiplexed samples. CONCLUSIONS To summarize, the Oncomine Immune Repertoire-SR Assay profiles the T cell repertoire by enriching the CDR3 region of the TCR beta gene in both RNA and gDNA templates. An assay optimized for difficult FFPE tissue samples of variable T cell content, the Oncomine TCR Beta-SR Assay is an ideal choice for applications that profile the tumor microenvironment. We have also developed the TaqMan® CD247 qPCR assay to help guide assay input for particular sample types and research objectives. REFERENCES 1. Y. Sandberg et al. Leukemia 21, 230-237 (2007) ACKNOWLEDGEMENTS The authors would like to acknowledge the work of all who participated in this program, particularly: Lifeng Lin, Grace Lui, Gauri Ganpule, Lakshmi Sampath, Sonny Sovan, Tyler Stine, Lawreen Asuncion, Rob Bennett, and Jim Godsey. For Research Use Only. Not for use in diagnostic procedures. © 2018 Thermo Fisher Scientific Inc. All rights reserved. All trademarks are the property of Thermo Fisher Scientific and its subsidiaries unless otherwise specified. TaqMan is a registered trademark of Roche Molecular Systems, Inc., used under permission and license. 11 & & & •  CDR regions make contact with antigen •  Framework regions code for internal protein residues supporting 3D structure. Variable Diversity Joining Constant N1 N2 A. Adult IGH or TCRBeta chain rearrangement In adult B and T cells, the process of VDJ rearrangement very often involves exonucleotide chewback of VDJ genes and the addition of non-templated bases, forming N1 and N2 regions in the B cell receptor heavy chain CDR3 and the T cell receptor Beta chain CDR3. These processes vastly increase IGH and TCRB CDR3 diversity. Variable Diversity Joining Constant B. Fetal IGH or TCRBeta chain rearrangement In the fetus, the process of VDJ rearrangement often occurs without exonucleotide chewback of VDJ genes and addition of non-templated bases, resulting in a restricted IGH and TCRB CDR3 repertoire that is distinct from the adult repertoire. These structural differences can be used to distinguish fetal B and T cell CDR3 receptors from maternal B and T cell CDR3 receptors in cell free DNA present in maternal peripheral blood. In this way, fetal B and T cell health and development may be monitored in a non-invasive manner. Figure 1. Structural differences between fetal and adult B and T cell receptors Variable Diversity Joining Constant N1 N2 A. Adult IGH or TCRBeta chain rearrangement In adult B and T cells, the process of VDJ rearrangement very often involves exonucleotide chewback of VDJ genes and the addition of non-templated bases, forming N1 and N2 regions in the B cell receptor heavy chain CDR3 and the T cell receptor Beta chain CDR3. These processes vastly increase IGH and TCRB CDR3 diversity. Variable Diversity Joining Constant B. Fetal IGH or TCRBeta chain rearrangement In the fetus, the process of VDJ rearrangement often occurs without exonucleotide chewback of VDJ genes and addition of non-templated bases, resulting in a restricted IGH and TCRB CDR3 repertoire that is distinct from the adult repertoire. These structural differences can be used to distinguish fetal B and T cell CDR3 receptors from maternal B and T cell CDR3 receptors in cell free DNA present in maternal peripheral blood. In this way, fetal B and T cell health and development may be monitored in a non-invasive manner. Figure 1. Structural differences between fetal and adult B and T cell receptors Variable Diversity Joining Constant N1 N2 A. Adult IGH or TCRBeta chain rearrangement In adult B and T cells, the process of VDJ rearrangement very often involves exonucleotide chewback of VDJ genes and the addition of non-templated bases, forming N1 and N2 regions in the B cell receptor heavy chain CDR3 and the T cell receptor Beta chain CDR3. These processes vastly increase IGH and TCRB CDR3 diversity. Variable Diversity Joining Constant B. Fetal IGH or TCRBeta chain rearrangement In the fetus, the process of VDJ rearrangement often occurs without exonucleotide chewback of VDJ genes and addition of non-templated bases, resulting in a restricted IGH and TCRB CDR3 repertoire that is distinct from the adult repertoire. These structural differences can be used to distinguish fetal B and T cell CDR3 receptors from maternal B and T cell CDR3 receptors in cell free DNA present in maternal peripheral blood. In this way, fetal B and T cell health and development may be monitored in a non-invasive manner. Figure 1. Structural differences between fetal and adult B and T cell receptors Intron gDNA cDNA Not to Scale ble Diversity Joining Constant N1 N2 TCRBeta chain rearrangement lls, the process of VDJ rearrangement very often involves ewback of VDJ genes and the addition of ses, forming N1 and N2 regions in the B cell receptor and the T cell receptor Beta chain CDR3. astly increase IGH and TCRB CDR3 diversity. ble Diversity Joining Constant CRBeta chain rearrangement ocess of VDJ rearrangement often occurs without ewback of VDJ genes and addition of non-templated a restricted IGH and TCRB CDR3 repertoire that is adult repertoire. ifferences can be used to distinguish fetal B and T cell om maternal B and T cell CDR3 receptors in cell free aternal peripheral blood. In this way, fetal B and T velopment may be monitored in a non-invasive al differences between fetal and adult B and T cell receptors Leader FR1 FR2 Diversity Joining Constant (Isotype) Variable gene CDR3 FR3 CDR1 CDR2 Diversity Joining Constant N1 N2 RBeta chain rearrangement the process of VDJ rearrangement very often involves back of VDJ genes and the addition of s, forming N1 and N2 regions in the B cell receptor d the T cell receptor Beta chain CDR3. ly increase IGH and TCRB CDR3 diversity. Diversity Joining Constant Beta chain rearrangement ess of VDJ rearrangement often occurs without back of VDJ genes and addition of non-templated estricted IGH and TCRB CDR3 repertoire that is lt repertoire. rences can be used to distinguish fetal B and T cell maternal B and T cell CDR3 receptors in cell free rnal peripheral blood. In this way, fetal B and T opment may be monitored in a non-invasive ifferences between fetal and adult B and T cell receptors The rearranged IGH or TCRB locus ConstantJoining (J)Diversity (D) J-gene targeting primers Region of interest (CDR3)V-gene (FR3) targeting primers gDNA J-gene targeting primers Region of interest (CDR3)V-gene (FR3) targeting primers RNA/cDNA Variable Diversity Joining Constant N1 N2 A. Adult IGH or TCRBeta chain rearrangement In adult B and T cells, the process of VDJ rearrangement very often involves exonucleotide chewback of VDJ genes and the addition of non-templated bases, forming N1 and N2 regions in the B cell receptor heavy chain CDR3 and the T cell receptor Beta chain CDR3. These processes vastly increase IGH and TCRB CDR3 diversity. Variable Diversity Joining Constant B. Fetal IGH or TCRBeta chain rearrangement In the fetus, the process of VDJ rearrangement often occurs without exonucleotide chewback of VDJ genes and addition of non-templated bases, resulting in a restricted IGH and TCRB CDR3 repertoire that is distinct from the adult repertoire. These structural differences can be used to distinguish fetal B and T cell CDR3 receptors from maternal B and T cell CDR3 receptors in cell free DNA present in maternal peripheral blood. In this way, fetal B and T cell health and development may be monitored in a non-invasive manner. Figure 1. Structural differences between fetal and adult B and T cell receptors Diversity Joining Constant N1 N2 Beta chain rearrangement he process of VDJ rearrangement very often involves ack of VDJ genes and the addition of forming N1 and N2 regions in the B cell receptor the T cell receptor Beta chain CDR3. increase IGH and TCRB CDR3 diversity. Diversity Joining Constant Beta chain rearrangement ss of VDJ rearrangement often occurs without ack of VDJ genes and addition of non-templated stricted IGH and TCRB CDR3 repertoire that is repertoire. ences can be used to distinguish fetal B and T cell maternal B and T cell CDR3 receptors in cell free nal peripheral blood. In this way, fetal B and T pment may be monitored in a non-invasive fferences between fetal and adult B and T cell receptors Leader FR1 FR2 Diversity (D) Joining (J) ConstantCDR1 CDR2 Variable gene (V) FR1 FR2 CDR1 CDR2 Variable gene (V) Figure 1. Oncomine™ TCR Beta-SR Assay consists of Multiplex AmpliSeq primers that target the framework region 3 (FR3) and joining (J) regions of the TCRβ locus producing a ~80bp amplicon which covers the CDR3 region. The assay utilizes both RNA and genomic DNA input from blood, tissue (fresh frozen or FFPE), or sorted T cells and has a flexible input range between 10ng – 1µg. RESULTS Figure 1. Assay Design Figure 3. CD247 TaqMan® Gene Expression Assay measures RNA quality as it relates to the relative T cell content in a particular sample. The CD247 TaqMan® probe targets the CD247 gene which expresses the T- cell receptor T3 zeta chain of the T-cell receptor-CD3 complex. While a valuable source for retrospective studies of archival tissues, the modifications that occur during the fixation-process of formalin-fixed-paraffin- embedded (FFPE) tissues pose challenges for next-generation sequencing applications. NGS based TCRβ profiling in FFPE tissue has the additional difficulty of the biological variability of T cell recruitment and tissue infiltration. RNA quality and relative T cell content in a tissue sample significantly affects assay input requirements. To address this need, we developed a qPCR assay that guides the template input for the Oncomine TCR Beta-SR Assay by taking into account sample quality in the context of T cell content. CD247 TaqMan® Gene Expression Assay 5ng Jurkat typically yields ~300pM library If desired yield is ~200-300 pM, then recommended input = 5ng/Quantity Mean PCR cycle number can be scaled up or down by 3 cycles with every increase or decrease in input amount by a factor of 10 25ng required at 20 cycles 2.5ng required at 23 cycles Figure 4. (A) Components used in CD247 TaqMan® Gene Expression Assay. (B) When 25ng input is used with samples of varied T-cell content, library yield ranged from 60pM to 16nM, making it difficult to assess assay performance. After calculating recommended input using the Quantity Mean and Jurkat correction factor, the samples with varied T-cell content were prepared with different input amounts to obtain similar library yields. Input (ng) Library Yield (pM) 1 25 16,590 2 25 863 3 25 355 4 25 147 5 25 63 6 25 63 Sample Quantity Mean Input (ng) Library Yield (pM) 1 Jurkat Control RNA 1 5 300 2 CAR-T 11 Pre-Expansion 21.44 0.23 204 3 PBL RNA B710019 0.8667 5.77 209 4 PBL RNA B707173 0.1332 37.5 296 5 Normal Tissue (Lung) RNA 0.07061 70.8 209 6 Normal Tissue (Brain) RNA 0.04227 118.3 211 7 Fresh Frozen CRC RNA 0.005625 888.9 269 Following standard workflow, without input adjustment: Following standard workflow, after input adjustment: Sample Isolated T-Cell PBL RNA B710019 PBL RNA B707173 Normal Tissue (Lung) RNA Normal Tissue (Brain) RNA Fresh Frozen CRC RNA Quantify Sample/ T cell content Qubit™ Extract RNA/DNA from FFPE RecoverAll™ MagMax™ FFPE Ultra Library Preparation Templating / Sequencing Ion Chef™ Ion Gene Studio S5™qPCR Repertoire Analysis Ion Reporter Software Figure 2. Assay Linearity Figure 2. Linearity was established using reference rearrangements. Libraries were prepared using a pool of 29 unique plasmids, cloned with known T-cell lymphoma rearrangement sequences1, spiked into a background of 100ng peripheral blood leukocyte cDNA at known inputs (10 to 1,000,000 copies per reference plasmid). We observed strong linearity across 6 orders of magnitude and were able to detect the plasmid sequences when spiked-in at a level as low as 10 copies of each plasmid. Thermo Fisher Scientific • 5781 Van Allen Way • Carlsbad, CA 92008 • thermofisher.com 0.0000001 0.000001 0.00001 0.0001 0.001 0.01 0.1 1.00E+00 1.00E+01 1.00E+02 1.00E+03 1.00E+04 1.00E+05 1.00E+06 Observedplasmidfrequency Copies of plasmid Plasmids in 100ng Peripheral Blood Leukocyte ARR CCRF-CEM CML-T1a CML-T1b DND-41 DU.528 H-SB2 HPB-ALL HUT_102 HUT_78/H9 JB6 Jurkat K-T1a K-T1b Karpas_299 Karpas_45 KE-37/SKW-3 MOLT_13 MOLT_16/17 MT-1 P12-Ichikawa Peer/Be13 PF-382 RPMI_8402 SU-DHL-1 SUP-T1 SUP-T3 TALL-1 Required materials for cDNA qualification assay Standard T Cell Leukemia (Jurkat) Total RNA Cat. No. AM7858 Probe TaqMan™ Gene Expression Assay, CD247 (20X, Hs00167901_m1) Cat. No. 4331182 Master Mix TaqMan™ Fast Advanced Master Mix Cat. No. 4444556 (A) (B) To evaluate the linearity of the Oncomine™ TCR Beta-SR Assay, we sequenced control samples with known TCRβ rearrangement sequences1 spiked into peripheral blood leukocyte cDNA. 439 shared clones 4269 unique to Replicate 1 2947 unique to Replicate 2 -6 -5 -4 -3 -2 -6 -5 -4 -3 -2 rep1 rep2 Clonal Overlap Between Replicates Log10 Frequency in Replicate 1 Log10FrequencyinReplicate2 Pseudocount added Biopsy Site Liver Metastasis Clones Detected: 211 Shannon Diversity: 6.91 Evenness: .8947 Primary Tumor Clones Detected: 663 Shannon Diversity: 8.56 Evenness: .9135 Data courtesy Jose Luis Costa, IPATIMUP Lymph Node Clones Detected: 1215 Shannon Diversity: 9.66 Evenness: .9430 Correlation of Clones from 25ng of FFPE-Preserved Tonsil RNA 17Principles of adaptive immunity. 1-14 Lymphocytes mature in the bone marrow or the thymus and then congregate in lymphoid tissues throughout the body. Lymphocytes circulate in the blood and the lymph and are also found in large numbers in lymphoid tissues or lymphoid organs, which are organized aggregates of lymphocytes in a framework of nonlymphoid cells. Lymphoid organs can be divided broadly into the central or primary lymphoid organs, where lymphocytes are generated, and the peripheral or secondary lym- phoid organs, where mature naive lymphocytes are maintained and adaptive immune responses are initiated. The central lymphoid organs are the bone marrow and the thymus, an organ in the upper chest. The peripheral lymphoid organs comprise the lymph nodes, the spleen, and the mucosal lymphoid tis- sues of the gut, the nasal and respiratory tract, the urogenital tract, and other mucosa. The locations of the main lymphoid tissues are shown schematically in Fig. 1.18; we describe the individual peripheral lymphoid organs in more detail later in the chapter. Lymph nodes are interconnected by a system of lym- phatic vessels, which drain extracellular fluid from tissues, carry it through the lymph nodes, and deposit it back into the blood. The progenitors that give rise to B and T lymphocytes originate in the bone marrow. B cells complete their development within the bone marrow. Although the ‘B’ in B lymphocytes originally stood for the bursa of Fabricius, a lymphoid organ in young chicks in which lymphocytes mature, it is a use- ful mnemonic for bone marrow. The immature precursors of T lymphocytes migrate to the thymus, from which they get their name, and complete their development there. Once they have completed maturation, both types of lym- phocytes enter the bloodstream as mature naive lymphocytes and continu- ously circulate through the peripheral lymphoid tissues. Immunobiology | chapter 1 | 01_008 Murphy et al | Ninth edition © Garland Science design by blink studio limited adenoid tonsil right subclavian vein lymph node kidney appendix lymphatics left subclavian vein thymus heart thoracic duct spleen Peyer’s patch in small intestine large intestine bone marrow Fig. 1.18 The distribution of lymphoid tissues in the body. Lymphocytes arise from stem cells in bone marrow and differentiate in the central lymphoid organs (yellow)—B cells in the bone marrow and T cells in the thymus. They migrate from these tissues and are carried in the bloodstream to the peripheral lymphoid organs (blue). These include lymph nodes, spleen, and lymphoid tissues associated with mucosa, such as the gut-associated tonsils, Peyer’s patches, and appendix. The peripheral lymphoid organs are the sites of lymphocyte activation by antigen, and lymphocytes recirculate between the blood and these organs until they encounter their specific antigen. Lymphatics drain extracellular fluid from the peripheral tissues, through the lymph nodes, and into the thoracic duct, which empties into the left subclavian vein. This fluid, known as lymph, carries antigen taken up by dendritic cells and macrophages to the lymph nodes, as well as recirculating lymphocytes from the lymph nodes back into the blood. Lymphoid tissue is also associated with other mucosa such as the bronchial linings (not shown). IMM9 chapter 1.indd 17 24/02/2016 15:41 Human Lymphoid Tissues Replicate 1 (25ng) Clones Detected: 4708 Shannon Diversity: 11.85 Evenness: .9715 Replicate 2 (25ng) Clones Detected: 5113 Shannon Diversity: 11.92 Evenness: .9672 Extract Tonsil RNA Adapted from Janeway s Immunobiology ClonesDetected%ProductiveRepertoireReads 0 1000 2000 3000 4000 5000 6000 Spleen Tonsil Thymus Clones Detected 0% 10% 20% 30% 40% 50% 60% 70% 80% Spleen Tonsil Thymus % Productive Repertoire Reads Replicate 1 MagMAX Replicate 2 MagMAX 0.00E+00 2.00E-03 4.00E-03 6.00E-03 8.00E-03 1.00E-02 1.20E-02 Spleen Tonsil Thymus Placenta QuantityMean Amplifiable T Cell Content RecoverAll MagMax QuantityMean (A) (B) (C) Clonal Overlap in an Individual with Colorectal Cancer (FFPE-DNA Input) Data Courtesy Josè Luis Costa, IPATIMUP, Porto, Portugal -6 -5 -4 -3 -2 -1 -6 -5 -4 -3 -2 -1 Primary Tumor LiverMetastasis Clonal Overlap Between Primary Tumor and Metastasis 34 shared clones 630 unique to Primary Tumor 177 unique to Liver Metastasis Log10 Frequency in Primary Tumor Log10FrequencyinLiver Pseudocount added Figure 5. Total RNA was extracted from various FFPE tissue samples with high (tonsil), medium (thymus), and low (spleen and placenta) levels of T cell content. Two purification methods were compared in this experiment: RecoverAll™ Total Nucleic Acid Isolation Kit for FFPE and MagMax™ FFPE DNA/RNA Ultra Kit. (A) Extraction kits were compared by measuring amplifiable T cell content using CD247 TaqMan® gene expression Assay. We observe similar RNA yields [not shown] and amplifiable T cell content between extraction kits. (B-C) Productive read percentage and clone richness are highly correlated in replicate experiments using FFPE RNA from spleen, tonsil, and thymus tissue. The productive read percentage and number of clones detected also follow the same trend predicted from the CD247 TaqMan® gene expression assay. Figure 6. (A) 25ng of total RNA extracted from tonsil FFPE tissue was sequenced in replicate 25ng of RNA per library leads to 4708 and 5513 clones detected. Evenness values, a measure of the diversity of clone sizes, is also very consistent between replicates with values of 0.972 and 0.967. (B) Plot showing the degree of clonal overlap between the replicates. In this case we see 439 clones shared between libraries. This level of overlap is expected when sequencing tissues with high T cell content in replicate. (A) (B) Figure 7. (A) 100ng of genomic DNA extracted from primary CRC FFPE tissue, liver metastasis FFPE tissue, and lymph node adjacent to the primary tumor was sequenced. We observed 1215 clones in the lymph node tissue, 663 clones in the primary tumor, and 211 clones in the liver metastasis tissue. We observe greater evenness in the lymph node tissue than either the primary tumor or the metastasis. (B) Plot showing the degree of clonal overlap between the replicates. We observe 34 clones that are detected in both the primary tumor and liver metastasis (often at elevated frequency). These shared clones may be at an increased probability to have arisen from a tumor neoantigen, and further study, given their detection within both primary and met tissue.