ImmunoSequencing holds great future for immunotherapy


Adaptive Biotechnologies is doing something unimaginable 4-5 years ago by adding on top of genomics, proteomics, microbiomics and metabolomics data yet another layer of big biological data.

“Adaptive” refers to the adaptive immune system, the major players of which are B and T cells as they are the major types of lymphocytes. The human body has about 2 trillion lymphocytes, constituting 20–40% of white blood cells and weighting about the same as the brain or liver (!). The peripheral blood contains 2% of circulating lymphocytes; the rest move within the tissues and lymphatic system. All vertebrate animals (or Chordata) — amphibiansreptiles,mammals, and birds — have an adaptive immune system, while other living organisms do not.

Our body, specifically bone marrow and thymus, generate every day 10^8 – 10^12 T and B cells, respectively, each carrying a unique B and T cell receptor (called BCR and TCR), made by selecting and splicing together V, D and J genes from an individual’s genome. At the junctions between V-D and D-J segments, a varying number of nucleotides are deleted and a special enzyme inserts random nucleotides, creating a unique TCR or BCR. B and T cells circulate throughout the lymphatic system for a month or two recognizing pathogens and becoming in the result memory B and T cells so next time the body encounter the same pathogen it can be killed immediately. Every individual has a unique repertoire, or “makeup”, of B and T cells circulating in her body, which is also unique to the current immune status of the individual. Thus it will differ when the person becomes sick. It is not hard to imagine the medical applications: for example, B cells produce antibodies, and thus the B cell repertoire of patients who fought HIV or cancer present an interest for finding new antibody therapeutics against HIV and cancer.

Adaptive Biotechnologies developed a technology, based on massive parallel sequencing of T cell receptors, that allows to  identify 10-15 million unique TCRs in one individual. “The immunoSEQ assay utilizes a multiplex PCR strategy to amplify the CDR3 region of the T cell receptor, spanning the variable region formed by the junction of the V, D and J segments and their associated non-templated insertions. In most cases, the identity of each segment is also captured. The resulting 60 base pair nucleotide sequence may be used as an identifier or “tag” for a particular clone across different samples.” (from the company website)

Current focus of the company on a drug therapy targeting the specific TCR combinations associated with prevalent auto-immune diseases, when T cells mistakenly attack the proteins of the individual. Thus, in collaboration with the Benaroya Research Institute at Virginia Mason Hospital in Seattle, Adaptive is currently screening blood samples from patients with either Type 1 Diabetes or Multiple Sclerosis for public TCR sequences. Over the next 12 months, Adaptive plans to develop general diagnostics to use as clinical measurements, with an initial focus in oncology. The company already offers ClonoSEQ, a set of CLIA-standardized assays developed for highly sensitive (10^6) detection of Minimal Residual Disease in leukemia and lymphoma patients.

The company provides the full service, so researchers can ship DNA and cDNA samples to Adaptive’s headquarters in Seattle, Washington, and then interpret and manipulate produced data on their computers using a suite of cloud-based software tools called the immunoSEQ Analyzer.



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