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Discovery and Molecular Characterization of AGS-15/SLITRK6 as a Novel Target for Antibody-Mediated Therapeutic Development in Bladder Cancer Yuriy Shostak, Suzanne Said, Deanna L. Russell, Michael D. Mattie, Mi Sook Chang, Ashley Christensen, Karen Morrison, Kendall Morrison, David Stover, Pia Challita-Eid. Agensys Inc., an affiliate of Astellas Pharma Inc, Santa Monica, CA. Abstract AGS-15/SLITRK6 discovered at Agensys as a differentially expressed gene in bladder cancer utilizing suppression subtractive hybridization (SSH) methodology using: - bladder cancer patient specimens pool vs. 9 vital normal tissue mix and normal bladder SLITRK6 encodes a cell surface single-pass type I transmembrane protein, with two N-terminal LRR domains with SLIT proteins homology and C-terminal regions with neurotrophin receptors homology Member of the SLITRK family of factors with neuronal function activities Slitrk6 implicated in neurite outgrowth control, inner ear neural circuits development, and auditory-vestibular functions SLITRK6 gene chromosomal location: 13q31.1 SLITRK6 exhibits restricted tissue expression pattern, distinct from other SLITRK family members Discovery efforts utilizing suppression subtractive hybridization identified AGS-15/SLITRK6 as a differentially expressed gene in bladder cancer. SLITRK6 encodes a cell surface type I transmembrane protein, a member of the SLITRK family of factors with neuronal function activities. Comprehensive SLITRK6 RNA expression analysis in patient specimens revealed limited restricted normal tissue expression and high frequent expression in bladder cancers, as well expression in subsets of breast, lung and several other cancer types. Tissue immunohistochemical analysis validated SLITRK6 protein limited expression in normal tissues and high expression levels in cancers. SLITRK6 expression profiling in cancer cell lines and Agensys proprietary patient-derived xenografts (PDXs) identified model systems in relevant cancer indications for further target characterization and antibody therapeutics development. Genomic analyses, including whole exome next generation sequencing, chromosomal aberrations and gene copy number assessments, were performed to evaluate SLITRK6 gene status in model cell lines and PDXs. Thus, we discovered and characterized AGS-15/SLITRK6 as a novel target with high levels and selective expression in tumors, particularly in bladder cancer. This cell surface antigen’s attractive expression profile is a major determinant of AGS-15/SLITRK6 as a suitable and preferential candidate for antibody drug conjugate therapeutic targeting in bladder cancer treatment and, potentially, in several other cancer indications. Copyright: Agensys, Inc. an affiliate of Astellas Pharma, Inc. Printed by Abstract # 2047 AGS-15/SLITRK6 Gene Limited Normal Tissue Expression and High Expression in Cancers AGS-15/Slitrk6 Protein is Highly Expressed in Cancer Tissues Discovery of AGS-15/SLITRK6 as a Differentially Expressed Gene in Bladder Cancer Summary and Discussion AGS-15/SLITRK6 was identified and validated as a gene highly and selectively expressed in tumors, particularly in bladder cancer, and several other cancer indications Agensys proprietary patient-derived xenografts (PDXs) and cell lines with SLITRK6 expression in relevant cancer indications were identified, characterized, and utilized in antibody therapeutics development - Immunohistochemical tissue expression analysis and therapeutic antibody development: abstracts #1274 and #4332, 2013 AACR Annual Meeting DNA copy number analysis revealed a lack of SLITRK6 gene amplification in a majority of samples examined, especially in bladder cancer In addition to expression in bladder cancer, SLITRK6 expression was detected in subsets of patient tumor specimens and cancer cell lines of other cancer indications (e.g., lung and breast cancers, neuroblastoma, HNSCC) AGS-15/SLITRK6 cell surface antigen attractive expression profile is a major determinant of AGS-15/SLITRK6 as a suitable and preferential candidate for antibody drug conjugate therapeutic targeting in bladder cancer treatment and, potentially, in several other cancer indications Membranous and cytoplasmic immunoreactivity of anti-AGS-15 specific mAb M15-68(2)22 Immunohistochemical Analysis of Slitrk6 Protein Expression Bladder transitional cell carcinoma specimens: AG-B7 patient-derived xenograft Patient tumor BL2082 Lung cancer specimens: Patient tumor LC20810 Lung squamous cell carcinoma Bronchoalveolar carcinoma NCI-H322M-XCL xenograft Mouse IgG Control IHC tissue staining Anti-AGS-15 mAb M15-68(2)22 SLITRK6-positive AG-B7 SLITRK6-negative specimen SLITRK6 mRNA Expression in Normal Tissues and Patient Cancer Specimens: semi-quantitative RT-PCR analysis (normalized to GAPDH) 0 50 100 150 200 250 300 350 400 450 500 550 600 650 700 Bladder Cancer 141312 3 11 6 17 5 8 181519 4 16 1 9 2 10 7 Relative Abundance Patient Specimen SLITRK6 mRNA Expression in Normal Tissues, Patient Cancer Specimens, and Patient-Derived Xenografts (PDX): whole genome microarray analysis (SLITRK6 - 2 probes) 0 1000 2000 3000 4000 5000 N. Bladder 1 N. Bladder 2 AG-B10 AG-B11 AG-B4 AG-B7 AG-B8 AG-B1 (P0) AG-B1(+) (S17) AG-B10 (P10) AG-B10 (P4) AG-B11 (P3) AG-B11 (P7) AG-B12 (P3) AG-B13 (P3) AG-B4 (P17) AG-B4 (P6) AG-B7 (P17) AG-B7 (P7) AG-B8 (P13) AG-B8 (P5) N. PBMC 1 N. PBMC 2 N. Bone Marrow N. Brain 1 N. Brain 2 N. Breast 1 N. Breast 2 N. Breast 3 AG-Br10 AG-Br12 AG-Br13 AG-Br2 AG-Br21 AG-Br26 AG-Br28 AG-Br29 AG-Br4 AG-Br7 AG-Br8 AG-Br21 (P2) N. Colon 1 N. Colon 2 N. Colon 3 N. Heart 1 N. Heart 2 N. Intestine N. Kidney 1 N. Kidney 2 AG-K12 AG-K18 AG-K24 AG-K9 AG-K18 (P10) AG-K18 (P6) N. Liver 1 N. Liver 2 N. Lung 1 N. Lung 2 N. Lung 3 AG-L11 AG-L12 AG-L13 AG-L14 AG-L15 AG-L16 AG-L18 AG-L19 AG-L21 AG-L25 AG-L29 AG-L4 AG-L8 AG-L9 AG-L11 (P1) AG-L11 (P4) AG-L13 (P14) AG-L13 (P5) AG-L14 (P10) AG-L14 (P5) AG-L15 (P5) AG-L15 (P8) AG-L4 (P14) AG-L4 (P6) AG-L8 (P7) AGL8 (P17) AG-L9 (P2) AG-L9 (P5) N. Lymph Node 1 N. Lymph Node 2 N. Lymph Node 3 N. Ovary 1 N. Ovary 2 N. Ovary 3 N. Pancreas 1 N. Pancreas 2 N. Placenta 1 N. Placenta 2 N. Prostate 1 N. Prostate 2 N. Prostate 3 AG-PC10 AG-PC10 (P3) AG-PC10 (P7) CWR22R LAPC-9AD (PR16) LAPC-9AD (PR2) LAPC-9AI (PR10) LAPC-9AI (PR3) N. Sk. Muscle 1 N. Sk. Muscle 1 N. Skin 1 N. Skin 2 N. Skin 3 N. Spleen 1 N. Spleen 2 N. Spleen 3 N. Stomach N. Testis N. Tonsil N. Uterus 1 N. Uterus 2 HUVEC 22RV-1 HPAC-LM-XCL M14 H. Ref. RNA H. Ref. RNA H. Ref. RNA N Patient Tumor Xenograft Normal Patient Tumor X N Tumor X Normal Patient Tumor Xenograft Normal T Xenograft Bladder Normal Tissues Breast Normal Tissues Kidney N Lung Normal Tissues Prostate Normal Tissues Cell Lines Pooled Normal Normalized Intensity A_33_P3230189 Intensity 0 10000 20000 30000 40000 50000 60000 N. Bladder 1 N. Bladder 2 AG-B10 AG-B11 AG-B4 AG-B7 AG-B8 AG-B1 (P0) AG-B1(+) (S17) AG-B10 (P10) AG-B10 (P4) AG-B11 (P3) AG-B11 (P7) AG-B12 (P3) AG-B13 (P3) AG-B4 (P17) AG-B4 (P6) AG-B7 (P17) AG-B7 (P7) AG-B8 (P13) AG-B8 (P5) N. PBMC 1 N. PBMC 2 N. Bone Marrow N. Brain 1 N. Brain 2 N. Breast 1 N. Breast 2 N. Breast 3 AG-Br10 AG-Br12 AG-Br13 AG-Br2 AG-Br21 AG-Br26 AG-Br28 AG-Br29 AG-Br4 AG-Br7 AG-Br8 AG-Br21 (P2) N. Colon 1 N. Colon 2 N. Colon 3 N. Heart 1 N. Heart 2 N. Intestine N. Kidney 1 N. Kidney 2 AG-K12 AG-K18 AG-K24 AG-K9 AG-K18 (P10) AG-K18 (P6) N. Liver 1 N. Liver 2 N. Lung 1 N. Lung 2 N. Lung 3 AG-L11 AG-L12 AG-L13 AG-L14 AG-L15 AG-L16 AG-L18 AG-L19 AG-L21 AG-L25 AG-L29 AG-L4 AG-L8 AG-L9 AG-L11 (P1) AG-L11 (P4) AG-L13 (P14) AG-L13 (P5) AG-L14 (P10) AG-L14 (P5) AG-L15 (P5) AG-L15 (P8) AG-L4 (P14) AG-L4 (P6) AG-L8 (P7) AGL8 (P17) AG-L9 (P2) AG-L9 (P5) N. Lymph Node 1 N. Lymph Node 2 N. Lymph Node 3 N. Ovary 1 N. Ovary 2 N. Ovary 3 N. Pancreas 1 N. Pancreas 2 N. Placenta 1 N. Placenta 2 N. Prostate 1 N. Prostate 2 N. Prostate 3 AG-PC10 AG-PC10 (P3) AG-PC10 (P7) CWR22R LAPC-9AD (PR16) LAPC-9AD (PR2) LAPC-9AI (PR10) LAPC-9AI (PR3) N. Sk. Muscle 1 N. Sk. Muscle 1 N. Skin 1 N. Skin 2 N. Skin 3 N. Spleen 1 N. Spleen 2 N. Spleen 3 N. Stomach N. Testis N. Tonsil N. Uterus 1 N. Uterus 2 HUVEC 22RV-1 HPAC-LM-XCL M14 H. Ref. RNA H. Ref. RNA H. Ref. RNA N Patient Tumor Xenograft Normal Patient Tumor X N Tumor X Normal Patient Tumor Xenograft Normal T Xenograft Bladder Normal Tissues Breast Normal Tissues Kidney N Lung Normal Tissues Prostate Normal Tissues Cell Lines Pooled Normal Normalized Intensity A_23_P65307 Intensity Lung Cancer 4 9 3 19 6 18241321111620 5 2 232210 8 12 1 151417 7 0 50 100 150 200 250 300 350 400 450 500 550 600 650 700 Relative Abundance Patient Specimen High levels of SLITRK6 mRNA expression in patient bladder cancer AG-B7, AG-B8, and specimens from various cancer indications Corresponding proprietary PDXs exhibit retained and stable levels of SLITRK6 expression, thus providing suitable representative models for use in therapeutics development AGS-15/SLITRK6 Gene is Highly and Frequently Expressed in Bladder Cancer AGS-15/SLITRK6 Expression in Cancer Cells Identification and Validation of Model Cell Lines CL = Cell lines (listed in order): UM-UC-3, J82, SCaBER P = Patient N = Normal Bladder N AT = Normal adjacent tissue T = Tumor P1 - Transitional, grade 2 P2 - Transitional, grade 3/2 P3 - Transitional, P4 - Polypoid Cystitis P5 - Papillary, grade 3/3 9.5- 7.5- 4.4- 2.4- 1.4- CL CL CL N NAT T NAT T NAT T T T kb P1 P2 P3 P4 P5 9.5- 7.5- 4.4- 2.4- 1.4- CL CL CL N NAT T NAT T NAT T T T kb P1 P2 P2 P3 P3 P4 P5 9.5- 7.5- 4.4- 2.4- 1.4- CL CL CL N NAT T NAT T T T T T kb P1 P2 P2 P3 P3 P4 P4 P5 P5 P6 P6 CL = Cell lines (from left to right): UM-UC-3, J82, SCaBER P = Patient N = Normal Bladder N AT = Normal adjacent tissue T = Tumor P1 - Transitional, grade 4 P2 - Squamous inv. P3 - Transitional, grade 3 P4 - Papillary non -inv, grade 1/3 P5 - Papillary, grade 3/3 P6 - Transitional, grade 3/2 AGS-15/SLITRK6 mRNA Expression and Transcript Size Analysis by Northern Blot in Bladder Cancer SLITRK6 mRNA detected in bladder cancer specimens as a transcript appearing to migrate predominantly as a single band around 4.4 kb marker SLITRK6 mRNA Expression in Normal Bladder and Bladder Cancer Patient Specimens: real-time qPCR analysis SLITRK6 mRNA Expression in Cell Lines: CCLE Bioinformatics Data AGS-15/SLITRK6 RPL19 Actin ( .1/.2 primer set) .3/.4 OriACTB 5'/3' NCI-H1975 Lung Adenocarcinoma 2510 24370 37149 NCI-H1734 Lung Adenocarcinoma, NSCLC 1549 2689 24621 CHP-212 Brain Neuroblastoma 1160 5918 7562 SW 780 Bladder Transitional Cell Carcinoma 1089 8644 24188 HPAC-LM-XCL Pancreas Adenocarcinoma (mouse lung MET) 992 11293 12636 HCC1419 Breast Primary Ductal Carcinoma 787 1594 41333 NCI-H520 Lung Squamous Cell Carcinoma 736 13568 25287 NCI-H1930 Lung Carcinoma; Small Cell Lung Cancer - Lymph Node MET 531 4690 16234 A-375 Skin Malignant Melanoma 459 9294 2194 NCI-H322M-XCL Lung Bronchoalveolar carcinoma 449 5949 N/A RT4 Bladder Transitional Cell Papilloma 329 3971 6783 BxPC-3 Pancreas Adenocarcinoma 297 2780 8633 OVCAR-5 Ovary Carcinoma 220 11906 25530 TOV-112D Ovary Endomitrioid Adenocarcinoma 205 15695 12286 MDA-MB-453 Breast Metastatic Carcinoma - Pericardial effusion 160 8425 15973 SF-295 CNS Glioblastoma multiforme 155 2045 16509 A549 Lung Adenocarcinoma 143 9554 7607 CMK Peripheral Blood Acute Megakaryocytic Leukemia 125 6449 39246 NCI-H1581 Lung NSCLC, Large Cell 121 16101 19164 OVCA420 Ovary 103 4492 13244 HCC38 Breast Primary Ductal Carcinoma 89 5036 27562 PC3 Prostate Carcinoma 74 5173 16985 A-253 Submaxillary salivary gland Epidermoid Carcinoma 57 13416 43253 DMS-114 Lung Small Cell Carcinoma 47 15983 13358 HCC827 Lung Adenocarcinoma 42 5430 13239 G-292 Bone Osteosarcoma 38 4127 13832 NCI-H292 Lung Mucoepidermoid Pulmonary Carcinoma 33 4543 12274 Hep 3B2.1-7 Liver Hepatocellular Carcinoma (HBV integrated) 30 20436 24260 AG-OV1-XCL Ovary Adenosquamous Carcinoma 28 5576 12871 NCI-N87 Stomach Gastric Carcinoma 24 33554 13362 Capan-1 Pancreas Adenocarcinoma - Liver MET 23 8544 26073 SK-MEL-2 Skin Malignant Melanoma - Thigh MET 22 11136 5806 U-87 MG Brain Glioblastoma 18 3832 10327 CAL-120 Breast Adenocarcinoma 16 1506 7961 SNB-19 CNS Glioblastoma 15 1833 25637 UT-7 Bone Marrow Acute Myeloid Leukemia 15 7710 25286 HCC1806 Breast Primary Acantholytic Squamous Cell Carcinoma 14 1479 11190 NCI-H23 Lung Adenocarcinoma, NSCLC 12 3589 5585 T98G Brain Glioblastoma multiforme 12 11106 27477 UACC-62 Melanoma Malignant Melanoma 10 1666 6566 GRANTA-519 Peripheral Blood B Cell Lymphoma 0 61247 18975 OVCAR-3 Ovary Carcinoma - Ascites MET 0 1803 8493 AG-Mel2-PCL Skin Melanoma 0 5064 7044 M14 Melanoma Amelanotic Melanoma 0 2824 18102 JVM-3 Peripheral Blood Chronic B cell Leukemia (PLL) - EBV transformed 0 1915 12792 WM-266-4 Skin Melanoma 0 6772 16674 Capan-2 Pancreas Adenocarcinoma 0 2562 29484 Daudi Peripheral Blood Burkitt's lympohoma; B lymphoblast 0 11691 11742 HS-578T Breast Ductal Carcinoma 0 1092 20843 qPCR: Relative Abundance (10 -4 GAPDH units) Cell Line Name Cell Origin (Organ) Cell / Cancer Type Copy number data for SLITRK6 extracted from CCLE_copynumber_2012-09-29.seg. http://www.broadinstitute.org/ccle SLITRK6 mRNA expression was detected in multiple cell lines of several cancer indications, including neuronal, bladder, breast, lung, and other origins AGS-15/SLITRK6 Gene DNA Copy Number Analysis in Cancer Specimens with SLITRK6 mRNA Expression SLITRK6 gene, in general, is not amplified in cancer cell lines expressing SLITRK6 mRNA Lack of SLITRK6 gene amplification was observed in majority of samples examined, especially in bladder cancer Similar observations as above were made from whole genome aCGH copy number analysis conducted on select cancer specimens with SLITRK6 expression, as well as on additional specimens with low/no SLITRK6 expression (data not shown) SLITRK6 Gene DNA Copy Number in Cell Lines: CCLE Bioinformatics Data Various levels of SLITRK6 mRNA expression detected in majority of bladder tumors evaluated 24915 23853 SLITRK6 gene DNA Copy Number Evaluation: CNV qPCR assay SLITRK6 mRNA Expression Analysis: real-time qPCR AGS-15/SLITRK6 SNP Analysis in Cancer Specimens and Normal Individuals aa position aa change Zygosity Model(s) Variant type Presence in genome panel (69) Comments 25 L>F x1 Known 1 European, 1 Kenya Signal peptide 414 Q>R x1 B1(+), L16 Known 6 Yoruba, 2 Kenya, 3 Afr-Amer ECD 414 Q>R x2 - Known 1 Kenya, 2 Afr-Amer ECD 451 L>Q x1 OV5 Novel - ECD 508 L>F x1 B7,B8,B9,C9 Known - ECD 526 V>I x2 Br7 Novel - ECD 550 G>R x1 - Known 1 Kenya ECD 635 R>C x1 Panc5 Novel - 728 S>L x1 - Known 1 Kenya 732 G>E x1 B1(+) Known 1 Puerto Rico 822 E>K x1 Mel9 Novel - 832 D>N x1 C3 Novel - 549 Frameshift P>P x1 UG-B1, LAPC-9AD, LAPC-9AI Novel - SLITRK6 Gene Coding Region Mutational/SNP Analysis using Whole Exome Next Generation Sequencing (NGS): 49 patient cancer specimens 69-sample normal specimens genome panel Several potential missense SNPs in SLITRK6 coding region have been identified, including in AG-B7 and AG-B8 bladder cancer models with high SLITRK6 expression Discovery using suppression subtractive hybridization (SSH) was conducted as previously described (Hubert, R.S., et al., PNAS 1999; 96(25):14523-8) Whole genome microarray RNA expression analysis: Agilent 8x60K arrays; Agilent Feature Extraction software, data normalized using quantile method Real-time qPCR gene expression analysis: Bio-Rad CFX384 real time detection system; modified deltaCq analysis method Copy number variation (CNV) analysis: SABiosciences qPCR assays, Mref norm. Whole genome DNA copy number profiling: Agilent SurePrint aCGH 2x400K arrays, Partek Genomics Suite analysis Whole exome sequencing (Nimblegen EZ Exome V2.0, Illumina HiSeq 2000, DNA Nexus) Immunohistochemical (IHC) analysis of SLITRK6: refer to poster, abstract #1274, 2013 AACR Annual Meeting Methods Real-time qPCR analysis Gene Expression data for SLITRK6 extracted from CCLE_Expression_Entrez_2012-10-18.res :Gene-centric RMA-normalized mRNA expression data. http://www.broadinstitute.org/ccle SLITRK6 mRNA expression was detected at various levels in multiple cell lines of several cancer indications; cell lines with high expression levels were of lung, brain, bladder, breast, and other cancer indications Slitrk6 cell surface protein expression was evaluated and validated in several high mRNA expressing lines using FACs analysis (data not shown) AGS-15/SLITRK6 RPL19 (.1/.2 primer set) .3/.4 Transitional Cell Carcinoma MET AG-B8 (P13) X 3302 5471 Transitional Cell Carcinoma AG-B7 (P18) X 1297 7084 Papillary Urothelial Carcinoma AG-B10 (P11) X 779 2407 AG-B13 (P3) X 576 12507 Papillary Carcinoma AG-B1+ (P2) X 223 2303 Transitional Cell Carcinoma AG-B7 24915 39607 Transitional Cell Carcinoma MET AG-B8 24915 39607 Bld. Ca. 34 10503 TBD Bld. Ca. 14 8423 19518 Bld. Ca. 15 5050 103344 Bld. Ca. 18 3798 33181 Bld. Ca. 11 2436 9070 Bld. Ca. 17 2353 36856 Bld. Ca. 3 2224 26067 Bld. Ca. 12 2217 24627 Bld. Ca. 6 1657 18965 Bld. Ca. 13 1497 9335 Bld. Ca. 19 1195 40170 Bld. Ca. 38 1122 TBD Bld. Ca. 39 1047 TBD Bld. Ca. 4 753 19247 Adenocarcinoma Bld. Ca. 8 623 14353 Transitional Cell Carcinoma Bld. Ca. 5 556 8108 Bld. Ca. 35 538 TBD Bld. Ca. 37 317 TBD Bld. Ca. 33 250 TBD Transitional Cell Carcinoma Bld. Ca. 40 26 TBD Br. Ca 2 7399 8844 Br. Ca 1 6339 9653 AG-Br21 3662 42052 Br. Ca 4 1167 4112 Br. Ca 5 328 5189 AG-Br40 316 18244 AG-Br26 310 8642 Br. Ca 3 302 5129 T AG-K18 2244 17315 X AG-K18 (P9) X 665 7408 Lrx. Ca 1 1314 5149 Lrx. Ca 2 692 8278 Lrx. Ca 3 228 4707 X Large Cell Carcinoma AG-L15 (P6) X 1993 76432 T AG-L36 219 7476 X Prostate Adenocarcinoma LAPC-9AI (PR11) X 320 13607 Adenocarcinoma NCI-H1975 2510 24370 Adenocarcinoma, NSCLC NCI-H1734 1549 2689 Brain Neuroblastoma CHP-212 1160 5918 Bladder Transitional Cell Carcinoma SW 780 1089 8644 Pancreas Adenocarcinoma (mouse lung MET) HPAC-LM-XCL 992 11293 Breast Primary Ductal Carcinoma HCC1419 787 1594 Squamous Cell Carcinoma NCI-H520 736 13568 Bronchoalveolar carcinoma NCI-H322M-XCL 449 5949 Bladder Transitional Cell Papilloma RT4 329 3971 CNS Glioblastoma multiforme SF-295 155 2045 Cell Line T Xenograft (X) Transitional Cell Carcinoma Transitional Cell Carcinoma Papillary Transitional Cell Carcinoma Infiltrating Ductal Carcinoma Infiltrating Ductal Carcinoma Invasive Urothelial Carcinoma HNSSC Patient Tumor (T) Patient Tumor Type Bladder Breast Kidney Larynx Cancer Type Cancer Origin (Organ) Specimen Name qPCR: Relative Abundance (10 -4 GAPDH units) Lung Lung Lung 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 Calibrator AG-B8 (P13) X AG-B7 (P18) X AG-B10 (P11) X AG-B13 (P3) X AG-B1+ (P2) X AG-B7 AG-B8 Bld. Ca. 34 Bld. Ca. 14 Bld. Ca. 15 Bld. Ca. 18 Bld. Ca. 11 Bld. Ca. 17 Bld. Ca. 3 Bld. Ca. 12 Bld. Ca. 6 Bld. Ca. 13 Bld. Ca. 19 Bld. Ca. 38 Bld. Ca. 39 Bld. Ca. 4 Bld. Ca. 8 Bld. Ca. 5 Bld. Ca. 35 Bld. Ca. 37 Bld. Ca. 33 Bld. Ca. 40 Br. Ca 2 Br. Ca 1 AG-Br21 Br. Ca 4 Br. Ca 5 AG-Br40 AG-Br26 Br. Ca 3 AG-K18 AG-K18 (P9) X Lrx. Ca 1 Lrx. Ca 2 Lrx. Ca 3 AG-L15 (P6) X AG-L36 LAPC-9AI (PR11) X NCI-H1975 NCI-H1734 CHP-212 SW 780 HPAC-LM-XCL HCC1419 NCI-H520 NCI-H322M-XCL RT4 SF-295 Bladder Cancer Breast Cancer Kd Ca HNSSC Lu Ca Pr Ca Cancer Cell Lines SLITRK6 Gene DNA Copy Number Ave. of triplicates, standard deviation shown Normal Tissues 0 50 100 150 200 250 300 350 400 450 500 550 600 650 700 Bladder Blood cells (PBMCs) Bone marrow Brain Breast Cervix Colon Heart Kidney Liver Lung Lymph node Ovary Pituitary gland Pancreas Placenta Prostate Salivary gland Skeletal muscle Skin Small intestine Spleen Stomach Testis Thymus Tonsil Uterus HUVEC NP28-1 NP28-2 NP28-3 Relative Abundance NP28-1,2,3 3 normal specimens panels containing 3 distinct samples for each normal tissue AGS-15/SLITRK6 (.1/.2) 0 2000 4000 6000 8000 10000 12000 NAT - AG-B6 N. Bladder 1 N. Bladder 3 N. Bladder 2 AG-B7 AG-B8 Bld. Ca. 34 Bld. Ca. 32 Bld. Ca. 14 Bld. Ca. 28 Bld. Ca. 24 Bld. Ca. 15 Bld. Ca. 22 Bld. Ca. 27 Bld. Ca. 18 AG-B10 Bld. Ca. 20 Bld. Ca. 11 Bld. Ca. 17 Bld. Ca. 1 Bld. Ca. 3 Bld. Ca. 12 Bld. Ca. 9 Bld. Ca. 6 Bld. Ca. 25 Bld. Ca. 13 Bld. Ca. 19 Bld. Ca. 38 Bld. Ca. 23 Bld. Ca. 39 Bld. Ca. 26 Bld. Ca. 4 Bld. Ca. 8 AG-B9 Bld. Ca. 5 Bld. Ca. 35 AG-B5 Bld. Ca. 37 Bld. Ca. 21 AG-B6 Bld. Ca. 30 Bld. Ca. 33 AG-B11 AG-B4 Bld. Ca. 31 Bld. Ca. 29 Bld. Ca. 10 Bld. Ca. 40 Normal Bladder / NAT Tr C Ca Tr C Ca M t Tr C Ca Tr C Ca Sq Ca Tr C Ca P. U. Ca Tr C Ca P. Tr C Ca Transitional Cell Carcinoma Transitional Cell Carcinoma Ad Ca Tr. C Ca P. Tr C Ca Tr C Ca P. Tr C Ca Tr C Ca Tr C Ca P. Tr C Ca Sq Ca U. Ca M t Tr C Ca Bladder Cancer Patien Tumors Relative Abundance (10 -4 GAPDH units) AGS-15/SLITRK6 (.1/.2) Ave. of triplicates, standard deviation shown 24915 23853 2013 AACR Annual Meeting Washington, DC

AACR 2013 Abstract 2047 Poster - SLITRK6 in Bladder Cancer - YS

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Page 1: AACR 2013 Abstract 2047 Poster - SLITRK6 in Bladder Cancer - YS

Discovery and Molecular Characterization of AGS-15/SLITRK6 as a Novel Target for Antibody-Mediated

Therapeutic Development in Bladder Cancer Yuriy Shostak, Suzanne Said, Deanna L. Russell, Michael D. Mattie, Mi Sook Chang, Ashley Christensen, Karen Morrison, Kendall Morrison, David Stover, Pia Challita-Eid. Agensys Inc., an affiliate of Astellas Pharma Inc, Santa Monica, CA.

Abstract

• AGS-15/SLITRK6 discovered at Agensys as a differentially expressed

gene in bladder cancer utilizing suppression subtractive hybridization

(SSH) methodology using:

- bladder cancer patient specimens pool vs. 9 vital normal tissue

mix and normal bladder

• SLITRK6 encodes a cell surface single-pass type I transmembrane

protein, with two N-terminal LRR domains with SLIT proteins homology

and C-terminal regions with neurotrophin receptors homology

• Member of the SLITRK family of factors with neuronal function activities

• Slitrk6 implicated in neurite outgrowth control, inner ear neural circuits

development, and auditory-vestibular functions

• SLITRK6 gene chromosomal location: 13q31.1

• SLITRK6 exhibits restricted tissue expression pattern, distinct from

other SLITRK family members

Discovery efforts utilizing suppression subtractive hybridization

identified AGS-15/SLITRK6 as a differentially expressed gene in bladder

cancer. SLITRK6 encodes a cell surface type I transmembrane protein, a

member of the SLITRK family of factors with neuronal function activities.

Comprehensive SLITRK6 RNA expression analysis in patient specimens

revealed limited restricted normal tissue expression and high frequent

expression in bladder cancers, as well expression in subsets of breast,

lung and several other cancer types. Tissue immunohistochemical

analysis validated SLITRK6 protein limited expression in normal tissues

and high expression levels in cancers. SLITRK6 expression profiling in

cancer cell lines and Agensys proprietary patient-derived xenografts

(PDXs) identified model systems in relevant cancer indications for further

target characterization and antibody therapeutics development. Genomic

analyses, including whole exome next generation sequencing,

chromosomal aberrations and gene copy number assessments, were

performed to evaluate SLITRK6 gene status in model cell lines and

PDXs. Thus, we discovered and characterized AGS-15/SLITRK6 as a

novel target with high levels and selective expression in tumors,

particularly in bladder cancer. This cell surface antigen’s attractive

expression profile is a major determinant of AGS-15/SLITRK6 as a

suitable and preferential candidate for antibody drug conjugate

therapeutic targeting in bladder cancer treatment and, potentially, in

several other cancer indications.

Copyright: Agensys, Inc. an affiliate of Astellas Pharma, Inc.

Printed by

Abstract # 2047

AGS-15/SLITRK6 Gene Limited Normal Tissue

Expression and High Expression in Cancers

AGS-15/Slitrk6 Protein is Highly Expressed in

Cancer Tissues

Discovery of AGS-15/SLITRK6 as a Differentially

Expressed Gene in Bladder Cancer

Summary and Discussion

• AGS-15/SLITRK6 was identified and validated as a gene highly and

selectively expressed in tumors, particularly in bladder cancer, and

several other cancer indications

• Agensys proprietary patient-derived xenografts (PDXs) and cell lines

with SLITRK6 expression in relevant cancer indications were identified,

characterized, and utilized in antibody therapeutics development

- Immunohistochemical tissue expression analysis and therapeutic antibody

development: abstracts #1274 and #4332, 2013 AACR Annual Meeting

• DNA copy number analysis revealed a lack of SLITRK6 gene

amplification in a majority of samples examined, especially in bladder

cancer

• In addition to expression in bladder cancer, SLITRK6 expression was

detected in subsets of patient tumor specimens and cancer cell lines of

other cancer indications (e.g., lung and breast cancers, neuroblastoma,

HNSCC)

• AGS-15/SLITRK6 cell surface antigen attractive expression profile is a

major determinant of AGS-15/SLITRK6 as a suitable and preferential

candidate for antibody drug conjugate therapeutic targeting in bladder

cancer treatment and, potentially, in several other cancer indications

• Membranous and cytoplasmic immunoreactivity of anti-AGS-15 specific

mAb M15-68(2)22

Immunohistochemical Analysis of Slitrk6 Protein Expression

Bladder transitional cell carcinoma specimens:

AG-B7 patient-derived xenograft Patient tumor BL2082

Lung cancer specimens:

Patient tumor LC20810

Lung squamous cell carcinoma Bronchoalveolar carcinoma

NCI-H322M-XCL xenograft

Mouse IgG

Control IHC tissue staining

Anti-AGS-15 mAb M15-68(2)22

SLITRK6-positive AG-B7 SLITRK6-negative specimen

SLITRK6 mRNA Expression in Normal Tissues and Patient Cancer

Specimens: semi-quantitative RT-PCR analysis (normalized to GAPDH)

Normal Tissues

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Sa

liva

ry g

lan

d

Ske

leta

l mu

scle

Ski

n

Sm

all

inte

stin

e

Sp

lee

n

Sto

ma

ch

Te

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Th

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VE

C

NP28-1

NP28-2

NP28-3

20.6

Bladder Cancer

141312 3 11 6 17 5 8 1815 19 4 16 1 9 2 10 7

Rela

tive A

bundance

Patient Specimen

SLITRK6 mRNA Expression in Normal Tissues, Patient Cancer

Specimens, and Patient-Derived Xenografts (PDX): whole genome

microarray analysis (SLITRK6 - 2 probes)

0 1000 2000 3000 4000 5000

N. Bladder 1

N. Bladder 2

AG-B10

AG-B11

AG-B4

AG-B7

AG-B8

AG-B1 (P0)

AG-B1(+) (S17)

AG-B10 (P10)

AG-B10 (P4)

AG-B11 (P3)

AG-B11 (P7)

AG-B12 (P3)

AG-B13 (P3)

AG-B4 (P17)

AG-B4 (P6)

AG-B7 (P17)

AG-B7 (P7)

AG-B8 (P13)

AG-B8 (P5)

N. PBMC 1

N. PBMC 2

N. Bone Marrow

N. Brain 1

N. Brain 2

N. Breast 1

N. Breast 2

N. Breast 3

AG-Br10

AG-Br12

AG-Br13

AG-Br2

AG-Br21

AG-Br26

AG-Br28

AG-Br29

AG-Br4

AG-Br7

AG-Br8

AG-Br21 (P2)

N. Colon 1

N. Colon 2

N. Colon 3

N. Heart 1

N. Heart 2

N. Intestine

N. Kidney 1

N. Kidney 2

AG-K12

AG-K18

AG-K24

AG-K9

AG-K18 (P10)

AG-K18 (P6)

N. Liver 1

N. Liver 2

N. Lung 1

N. Lung 2

N. Lung 3

AG-L11

AG-L12

AG-L13

AG-L14

AG-L15

AG-L16

AG-L18

AG-L19

AG-L21

AG-L25

AG-L29

AG-L4

AG-L8

AG-L9

AG-L11 (P1)

AG-L11 (P4)

AG-L13 (P14)

AG-L13 (P5)

AG-L14 (P10)

AG-L14 (P5)

AG-L15 (P5)

AG-L15 (P8)

AG-L4 (P14)

AG-L4 (P6)

AG-L8 (P7)

AGL8 (P17)

AG-L9 (P2)

AG-L9 (P5)

N. Lymph Node 1

N. Lymph Node 2

N. Lymph Node 3

N. Ovary 1

N. Ovary 2

N. Ovary 3

N. Pancreas 1

N. Pancreas 2

N. Placenta 1

N. Placenta 2

N. Prostate 1

N. Prostate 2

N. Prostate 3

AG-PC10

AG-PC10 (P3)

AG-PC10 (P7)

CWR22R

LAPC-9AD (PR16)

LAPC-9AD (PR2)

LAPC-9AI (PR10)

LAPC-9AI (PR3)

N. Sk. Muscle 1

N. Sk. Muscle 1

N. Skin 1

N. Skin 2

N. Skin 3

N. Spleen 1

N. Spleen 2

N. Spleen 3

N. Stomach

N. Testis

N. Tonsil

N. Uterus 1

N. Uterus 2

HUVEC

22RV-1

HPAC-LM-XCL

M14

H. Ref. RNA

H. Ref. RNA

H. Ref. RNA

NPa

tien

t Tum

orXe

nogr

aft

Nor

mal

Pati

ent T

umor

XN

Tum

orX

Nor

mal

Pati

ent T

umor

Xeno

graf

tN

orm

alT

Xeno

graf

t

Blad

der

Nor

mal

Ti

ssue

sBr

east

Nor

mal

Tis

sues

Kidn

eyN

Lung

Nor

mal

Tis

sues

Pros

tate

Nor

mal

Tis

sues

Cell

Line

sPo

oled

N

orm

al

Normalized Intensity

A_33_P3230189 Intensity

0 10000 20000 30000 40000 50000 60000

N. Bladder 1

N. Bladder 2

AG-B10

AG-B11

AG-B4

AG-B7

AG-B8

AG-B1 (P0)

AG-B1(+) (S17)

AG-B10 (P10)

AG-B10 (P4)

AG-B11 (P3)

AG-B11 (P7)

AG-B12 (P3)

AG-B13 (P3)

AG-B4 (P17)

AG-B4 (P6)

AG-B7 (P17)

AG-B7 (P7)

AG-B8 (P13)

AG-B8 (P5)

N. PBMC 1

N. PBMC 2

N. Bone Marrow

N. Brain 1

N. Brain 2

N. Breast 1

N. Breast 2

N. Breast 3

AG-Br10

AG-Br12

AG-Br13

AG-Br2

AG-Br21

AG-Br26

AG-Br28

AG-Br29

AG-Br4

AG-Br7

AG-Br8

AG-Br21 (P2)

N. Colon 1

N. Colon 2

N. Colon 3

N. Heart 1

N. Heart 2

N. Intestine

N. Kidney 1

N. Kidney 2

AG-K12

AG-K18

AG-K24

AG-K9

AG-K18 (P10)

AG-K18 (P6)

N. Liver 1

N. Liver 2

N. Lung 1

N. Lung 2

N. Lung 3

AG-L11

AG-L12

AG-L13

AG-L14

AG-L15

AG-L16

AG-L18

AG-L19

AG-L21

AG-L25

AG-L29

AG-L4

AG-L8

AG-L9

AG-L11 (P1)

AG-L11 (P4)

AG-L13 (P14)

AG-L13 (P5)

AG-L14 (P10)

AG-L14 (P5)

AG-L15 (P5)

AG-L15 (P8)

AG-L4 (P14)

AG-L4 (P6)

AG-L8 (P7)

AGL8 (P17)

AG-L9 (P2)

AG-L9 (P5)

N. Lymph Node 1

N. Lymph Node 2

N. Lymph Node 3

N. Ovary 1

N. Ovary 2

N. Ovary 3

N. Pancreas 1

N. Pancreas 2

N. Placenta 1

N. Placenta 2

N. Prostate 1

N. Prostate 2

N. Prostate 3

AG-PC10

AG-PC10 (P3)

AG-PC10 (P7)

CWR22R

LAPC-9AD (PR16)

LAPC-9AD (PR2)

LAPC-9AI (PR10)

LAPC-9AI (PR3)

N. Sk. Muscle 1

N. Sk. Muscle 1

N. Skin 1

N. Skin 2

N. Skin 3

N. Spleen 1

N. Spleen 2

N. Spleen 3

N. Stomach

N. Testis

N. Tonsil

N. Uterus 1

N. Uterus 2

HUVEC

22RV-1

HPAC-LM-XCL

M14

H. Ref. RNA

H. Ref. RNA

H. Ref. RNA

NPa

tien

t Tum

orXe

nogr

aft

Nor

mal

Pati

ent T

umor

XN

Tum

orX

Nor

mal

Pati

ent T

umor

Xeno

graf

tN

orm

alT

Xeno

graf

t

Blad

der

Nor

mal

Ti

ssue

sBr

east

Nor

mal

Tis

sues

Kidn

eyN

Lung

Nor

mal

Tis

sues

Pros

tate

Nor

mal

Tis

sues

Cell

Line

sPo

oled

N

orm

al

Normalized Intensity

A_23_P65307 Intensity

Lung Cancer

4 9 3 19 6 18241321111620 5 2 232210 8 12 1 151417 7

Normal Tissues

0

50

100

150

200

250

300

350

400

450

500

550

600

650

700

Bla

dd

er

Blo

od

ce

lls (

PB

MC

s)

Bo

ne

ma

rro

w

Bra

in

Bre

ast

Ce

rvix

Co

lon

He

art

Kid

ne

y

Liv

er

Lu

ng

Lym

ph

no

de

Ova

ry

Pitu

itary

gla

nd

Pa

ncr

ea

s

Pla

cen

ta

Pro

sta

te

Sa

liva

ry g

lan

d

Ske

leta

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scle

Ski

n

Sm

all

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Sp

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n

Sto

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Te

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Th

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To

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rus

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VE

C

NP28-1

NP28-2

NP28-3

20.6

Rela

tive A

bundance

Patient Specimen

• High levels of SLITRK6 mRNA expression in patient bladder cancer

AG-B7, AG-B8, and specimens from various cancer indications

• Corresponding proprietary PDXs exhibit retained and stable levels of

SLITRK6 expression, thus providing suitable representative models for

use in therapeutics development

AGS-15/SLITRK6 Gene is Highly and Frequently

Expressed in Bladder Cancer

AGS-15/SLITRK6 Expression in Cancer Cells –

Identification and Validation of Model Cell Lines

CL = Cell lines (listed in order):UM-UC-3, J82, SCaBER

P = PatientN = Normal Bladder

N AT = Normal adjacent tissue

T = Tumor

P1 - Transitional, grade 2P2 - Transitional, grade 3/2

P3 - Transitional,

P4 - Polypoid Cystitis

P5 - Papillary, grade 3/3

9.5-7.5-

4.4-

2.4-

1.4-

CL CL CL N NAT T NAT T NAT T T Tkb

P1 P2 P3 P4 P5

9.5-7.5-

4.4-

2.4-

1.4-

CL CL CL N NAT T NAT T NAT T T Tkb

P1 P2P2 P3P3 P4 P5

0 0 ND ND ND ND ND 3 ND ND ND 2

9.5-7.5-

4.4-

2.4-

1.4-

CL CL CL N NAT T NAT T T T T Tkb

P1 P2P2 P3P3 P4P4 P5P5 P6P6

RT-PCR

result

0 0 ND 0.5 ND ND ND 1 1 1 2 3 CL = Cell lines (from left to right): UM-UC-3, J82, SCaBER

P = PatientN = Normal Bladder

N AT = Normal adjacent tissueT = Tumor

P1 - Transitional, grade 4

P2 - Squamous inv.

P3 - Transitional, grade 3

P4 - Papillary non -inv, grade 1/3

P5 - Papillary, grade 3/3

P6 - Transitional, grade 3/2

AGS-15/SLITRK6 mRNA Expression and Transcript

Size Analysis by Northern Blot in Bladder Cancer

• SLITRK6 mRNA detected in bladder cancer specimens as a transcript

appearing to migrate predominantly as a single band around 4.4 kb

marker

SLITRK6 mRNA Expression in Normal Bladder and Bladder

Cancer Patient Specimens: real-time qPCR analysis

SLITRK6 mRNA Expression in Cell Lines: CCLE Bioinformatics Data

AGS-15/SLITRK6 RPL19 Actin

( .1/.2 primer set) .3/.4OriACTB

5'/3'

NCI-H1975 Lung Adenocarcinoma 2510 24370 37149

NCI-H1734 Lung Adenocarcinoma, NSCLC 1549 2689 24621

CHP-212 Brain Neuroblastoma 1160 5918 7562

SW 780 Bladder Transitional Cell Carcinoma 1089 8644 24188

HPAC-LM-XCL Pancreas Adenocarcinoma (mouse lung MET) 992 11293 12636

HCC1419 Breast Primary Ductal Carcinoma 787 1594 41333

NCI-H520 Lung Squamous Cell Carcinoma 736 13568 25287

NCI-H1930 Lung Carcinoma; Small Cell Lung Cancer - Lymph Node MET 531 4690 16234

A-375 Skin Malignant Melanoma 459 9294 2194

NCI-H322M-XCL Lung Bronchoalveolar carcinoma 449 5949 N/A

RT4 Bladder Transitional Cell Papilloma 329 3971 6783

BxPC-3 Pancreas Adenocarcinoma 297 2780 8633

OVCAR-5 Ovary Carcinoma 220 11906 25530

TOV-112D Ovary Endomitrioid Adenocarcinoma 205 15695 12286

MDA-MB-453 Breast Metastatic Carcinoma - Pericardial effusion 160 8425 15973

SF-295 CNS Glioblastoma multiforme 155 2045 16509

A549 Lung Adenocarcinoma 143 9554 7607

CMK Peripheral Blood Acute Megakaryocytic Leukemia 125 6449 39246

NCI-H1581 Lung NSCLC, Large Cell 121 16101 19164

OVCA420 Ovary 103 4492 13244

HCC38 Breast Primary Ductal Carcinoma 89 5036 27562

PC3 Prostate Carcinoma 74 5173 16985

A-253 Submaxillary salivary gland Epidermoid Carcinoma 57 13416 43253

DMS-114 Lung Small Cell Carcinoma 47 15983 13358

HCC827 Lung Adenocarcinoma 42 5430 13239

G-292 Bone Osteosarcoma 38 4127 13832

NCI-H292 Lung Mucoepidermoid Pulmonary Carcinoma 33 4543 12274

Hep 3B2.1-7 Liver Hepatocellular Carcinoma (HBV integrated) 30 20436 24260

AG-OV1-XCL Ovary Adenosquamous Carcinoma 28 5576 12871

NCI-N87 Stomach Gastric Carcinoma 24 33554 13362

Capan-1 Pancreas Adenocarcinoma - Liver MET 23 8544 26073

SK-MEL-2 Skin Malignant Melanoma - Thigh MET 22 11136 5806

U-87 MG Brain Glioblastoma 18 3832 10327

CAL-120 Breast Adenocarcinoma 16 1506 7961

SNB-19 CNS Glioblastoma 15 1833 25637

UT-7 Bone Marrow Acute Myeloid Leukemia 15 7710 25286

HCC1806 Breast Primary Acantholytic Squamous Cell Carcinoma 14 1479 11190

NCI-H23 Lung Adenocarcinoma, NSCLC 12 3589 5585

T98G Brain Glioblastoma multiforme 12 11106 27477

UACC-62 Melanoma Malignant Melanoma 10 1666 6566

GRANTA-519 Peripheral Blood B Cell Lymphoma 0 61247 18975

OVCAR-3 Ovary Carcinoma - Ascites MET 0 1803 8493

AG-Mel2-PCL Skin Melanoma 0 5064 7044

M14 Melanoma Amelanotic Melanoma 0 2824 18102

JVM-3 Peripheral Blood Chronic B cell Leukemia (PLL) - EBV transformed 0 1915 12792

WM-266-4 Skin Melanoma 0 6772 16674

Capan-2 Pancreas Adenocarcinoma 0 2562 29484

Daudi Peripheral Blood Burkitt's lympohoma; B lymphoblast 0 11691 11742

HS-578T Breast Ductal Carcinoma 0 1092 20843

qPCR: Relative Abundance (10-4

GAPDH units)

Cell Line Name Cell Origin (Organ) Cell / Cancer Type

Copy number data for SLITRK6 extracted from CCLE_copynumber_2012-09-29.seg. http://www.broadinstitute.org/ccle

• SLITRK6 mRNA expression was detected in multiple cell lines of several cancer

indications, including neuronal, bladder, breast, lung, and other origins

AGS-15/SLITRK6 Gene DNA Copy Number Analysis in Cancer

Specimens with SLITRK6 mRNA Expression

• SLITRK6 gene, in general, is not amplified in cancer cell lines expressing SLITRK6 mRNA

• Lack of SLITRK6 gene amplification was observed in majority of samples examined, especially in

bladder cancer

• Similar observations as above were made from whole genome aCGH copy number analysis

conducted on select cancer specimens with SLITRK6 expression, as well as on additional

specimens with low/no SLITRK6 expression (data not shown)

SLITRK6 Gene DNA Copy Number in Cell Lines: CCLE Bioinformatics Data

• Various levels of SLITRK6 mRNA expression detected in majority

of bladder tumors evaluated

24915

23853

SLITRK6 gene DNA Copy Number

Evaluation: CNV qPCR assay

SLITRK6 mRNA Expression Analysis:

real-time qPCR

AGS-15/SLITRK6 SNP Analysis in Cancer Specimens

and Normal Individuals

aa position

aa

change Zygosity Model(s)

Variant

type Presence in genome panel (69) Comments Base Sequence used in the sequence comparability analysis:

25 L>F x1 Known 1 European, 1 Kenya Signal peptide NM_032229

414 Q>R x1 B1(+), L16 Known 6 Yoruba, 2 Kenya, 3 Afr-Amer ECD NP_115605

414 Q>R x2 - Known 1 Kenya, 2 Afr-Amer ECD >gi|40217825|ref|NP_115605.2| SLIT and NTRK-l ike protein 6 precursor [Homo sapiens]

451 L>Q x1 OV5 Novel - ECD MKLWIHLFYSSLLACISLHSQTPVLSSRGSCDSLCNCEEKDGTMLINCEAKGIKMVSEISVPPSRPFQLS

508 L>F x1 B7,B8,B9,C9 Known - ECD LLNNGLTMLHTNDFSGLTNAISIHLGFNNIADIEIGAFNGLGLLKQLHINHNSLEILKEDTFHGLENLEF

526 V>I x2 Br7 Novel - ECD LQADNNFITVIEPSAFSKLNRLKVLILNDNAIESLPPNIFRFVPLTHLDLRGNQLQTLPYVGFLEHIGRI

550 G>R x1 - Known 1 Kenya ECD LDLQLEDNKWACNCDLLQLKTWLENMPPQSIIGDVVCNSPPFFKGSILSRLKKESICPTPPVYEEHEDPS

635 R>C x1 Panc5 Novel - GSLHLAATSSINDSRMSTKTTSILKLPTKAPGLIPYITKPSTQLPGPYCPIPCNCKVLSPSGLLIHCQER

728 S>L x1 - Known 1 Kenya NIESLSDLRPPPQNPRKLILAGNIIHSLMKSDLVEYFTLEMLHLGNNRIEVLEEGSFMNLTRLQKLYLNG

732 G>E x1 B1(+) Known 1 Puerto Rico NHLTKLSKGMFLGLHNLEYLYLEYNAIKEILPGTFNPMPKLKVLYLNNNLLQVLPPHIFSGVPLTKVNLK

822 E>K x1 Mel9 Novel - TNQFTHLPVSNILDDLDLLTQIDLEDNPWDCSCDLVGLQQWIQKLSKNTVTDDILCTSPGHLDKKELKAL

832 D>N x1 C3 Novel - NSEILCPGLVNNPSMPTQTSYLMVTTPATTTNTADTILRSLTDAVPLSVLILGLLIMFITIVFCAAGIVV

549 Frameshi ft P>P x1 UG-B1, LAPC-9AD, LAPC-9AI Novel - LVLHRRRRYKKKQVDEQMRDNSPVHLQYSMYGHKTTHHTTERPSASLYEQHMVSPMVHVYRSPSFGPKHL

EEEEERNEKEGSDAKHLQRSLLEQENHSPLTGSNMKYKTTNQSTEFLSFQDASSLYRNILEKERELQQLG

ITEYLRKNIAQLQPDMEAHYPGAHEELKLMETLMYSRPRKVLVEQTKNEYFELKANLHAEPDYLEVLEQQ

T

158P01D07 ORF

841 aa

Putative Signal peptide

Putative TM Region (609-633)

pTag5 & psecFc (16-608)

ITIM motif

Putative Extracellular Domain (27-608)

Putative Intracellular Domain

SSH (282-357)

pTag5 (27-300) pTag5 (301-608)

SLITRK6 Gene Coding Region Mutational/SNP Analysis using Whole

Exome Next Generation Sequencing (NGS):

49 patient cancer specimens

69-sample normal specimens genome panel

• Several potential missense SNPs in SLITRK6 coding region have been identified,

including in AG-B7 and AG-B8 bladder cancer models with high SLITRK6 expression

• Discovery using suppression subtractive hybridization (SSH) was conducted as

previously described (Hubert, R.S., et al., PNAS 1999; 96(25):14523-8)

• Whole genome microarray RNA expression analysis: Agilent 8x60K arrays; Agilent

Feature Extraction software, data normalized using quantile method

• Real-time qPCR gene expression analysis: Bio-Rad CFX384 real time detection

system; modified deltaCq analysis method

• Copy number variation (CNV) analysis: SABiosciences qPCR assays, Mref norm.

• Whole genome DNA copy number profiling: Agilent SurePrint aCGH 2x400K

arrays, Partek Genomics Suite analysis

• Whole exome sequencing (Nimblegen EZ Exome V2.0, Illumina HiSeq 2000, DNA

Nexus)

• Immunohistochemical (IHC) analysis of SLITRK6: refer to poster, abstract #1274,

2013 AACR Annual Meeting

Methods

Real-time qPCR analysis

Gene Expression data for SLITRK6 extracted from CCLE_Expression_Entrez_2012-10-18.res :Gene-centric RMA-normalized mRNA expression data. http://www.broadinstitute.org/ccle

• SLITRK6 mRNA expression was detected at various levels in multiple cell

lines of several cancer indications; cell lines with high expression levels

were of lung, brain, bladder, breast, and other cancer indications

• Slitrk6 cell surface protein expression was evaluated and validated in

several high mRNA expressing lines using FACs analysis (data not shown)

AGS-15/SLITRK6 RPL19

(.1/.2 primer set) .3/.4

Transitional Cell Carcinoma MET AG-B8 (P13) X 3302 5471

Transitional Cell Carcinoma AG-B7 (P18) X 1297 7084

Papillary Urothelial Carcinoma AG-B10 (P11) X 779 2407

AG-B13 (P3) X 576 12507

Papillary Carcinoma AG-B1+ (P2) X 223 2303

Transitional Cell Carcinoma AG-B7 24915 39607

Transitional Cell Carcinoma MET AG-B8 24915 39607

Bld. Ca. 34 10503 TBD

Bld. Ca. 14 8423 19518

Bld. Ca. 15 5050 103344

Bld. Ca. 18 3798 33181

Bld. Ca. 11 2436 9070

Bld. Ca. 17 2353 36856

Bld. Ca. 3 2224 26067

Bld. Ca. 12 2217 24627

Bld. Ca. 6 1657 18965

Bld. Ca. 13 1497 9335

Bld. Ca. 19 1195 40170

Bld. Ca. 38 1122 TBD

Bld. Ca. 39 1047 TBD

Bld. Ca. 4 753 19247

Adenocarcinoma Bld. Ca. 8 623 14353

Transitional Cell Carcinoma Bld. Ca. 5 556 8108

Bld. Ca. 35 538 TBD

Bld. Ca. 37 317 TBD

Bld. Ca. 33 250 TBD

Transitional Cell Carcinoma Bld. Ca. 40 26 TBD

Br. Ca 2 7399 8844

Br. Ca 1 6339 9653

AG-Br21 3662 42052

Br. Ca 4 1167 4112

Br. Ca 5 328 5189

AG-Br40 316 18244

AG-Br26 310 8642

Br. Ca 3 302 5129

T AG-K18 2244 17315

X AG-K18 (P9) X 665 7408

Lrx. Ca 1 1314 5149

Lrx. Ca 2 692 8278

Lrx. Ca 3 228 4707

X Large Cell Carcinoma AG-L15 (P6) X 1993 76432

T AG-L36 219 7476

X Prostate Adenocarcinoma LAPC-9AI (PR11) X 320 13607

Adenocarcinoma NCI-H1975 2510 24370

Adenocarcinoma, NSCLC NCI-H1734 1549 2689

Brain Neuroblastoma CHP-212 1160 5918

Bladder Transitional Cell Carcinoma SW 780 1089 8644

Pancreas Adenocarcinoma (mouse lung MET) HPAC-LM-XCL 992 11293

Breast Primary Ductal Carcinoma HCC1419 787 1594

Squamous Cell Carcinoma NCI-H520 736 13568

Bronchoalveolar carcinoma NCI-H322M-XCL 449 5949

Bladder Transitional Cell Papilloma RT4 329 3971

CNS Glioblastoma multiforme SF-295 155 2045

Ce

ll L

ine

T

Xen

og

raft

(X

)

Transitional Cell Carcinoma

Transitional Cell Carcinoma

Papillary Transitional Cell Carcinoma

Infiltrating Ductal Carcinoma

Infiltrating Ductal Carcinoma

Invasive Urothelial Carcinoma

HNSSC

Pa

tie

nt

Tu

mo

r (T

)P

ati

en

t T

um

or

Type

Bladder

Breast

Kidney

Larynx

Cancer TypeCancer

Origin

(Organ)

Specimen Name

qPCR: Relative

Abundance (10-4

GAPDH

units)

Lung

Lung

Lung

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

Calibrator

AG-B8 (P13) X

AG-B7 (P18) X

AG-B10 (P11) X

AG-B13 (P3) X

AG-B1+ (P2) X

AG-B7

AG-B8

Bld. Ca. 34

Bld. Ca. 14

Bld. Ca. 15

Bld. Ca. 18

Bld. Ca. 11

Bld. Ca. 17

Bld. Ca. 3

Bld. Ca. 12

Bld. Ca. 6

Bld. Ca. 13

Bld. Ca. 19

Bld. Ca. 38

Bld. Ca. 39

Bld. Ca. 4

Bld. Ca. 8

Bld. Ca. 5

Bld. Ca. 35

Bld. Ca. 37

Bld. Ca. 33

Bld. Ca. 40

Br. Ca 2

Br. Ca 1

AG-Br21

Br. Ca 4

Br. Ca 5

AG-Br40

AG-Br26

Br. Ca 3

AG-K18

AG-K18 (P9) X

Lrx. Ca 1

Lrx. Ca 2

Lrx. Ca 3

AG-L15 (P6) X

AG-L36

LAPC-9AI (PR11) X

NCI-H1975

NCI-H1734

CHP-212

SW 780

HPAC-LM-XCL

HCC1419

NCI-H520

NCI-H322M-XCL

RT4

SF-295

Bla

dd

er C

ance

rB

reas

t Can

cer

Kd

Ca

HN

SSC

Lu C

aP

r C

aC

ance

r Ce

ll L

ine

s

SLITRK6 Gene DNA Copy Number

Ave. of triplicates, standard deviation shown

Normal Tissues

0

50

100

150

200

250

300

350

400

450

500

550

600

650

700

Bla

dd

er

Blo

od

ce

lls (

PB

MC

s)

Bo

ne

ma

rro

w

Bra

in

Bre

ast

Ce

rvix

Co

lon

He

art

Kid

ne

y

Liv

er

Lu

ng

Lym

ph

no

de

Ova

ry

Pitu

itary

gla

nd

Pa

ncr

ea

s

Pla

cen

ta

Pro

sta

te

Sa

liva

ry g

lan

d

Ske

leta

l mu

scle

Ski

n

Sm

all

inte

stin

e

Sp

lee

n

Sto

ma

ch

Te

stis

Th

ymu

s

To

nsi

l

Ute

rus

HU

VE

C

NP28-1

NP28-2

NP28-3

20.6

Rela

tive A

bundance

NP28-1,2,3 – 3 normal specimens panels containing 3 distinct samples for each normal tissue

AGS-15/SLITRK6 (.1/.2) 0 2000 4000 6000 8000 10000 12000

NAT - AG-B6

N. Bladder 1

N. Bladder 3

N. Bladder 2

AG-B7

AG-B8

Bld. Ca. 34

Bld. Ca. 32

Bld. Ca. 14

Bld. Ca. 28

Bld. Ca. 24

Bld. Ca. 15

Bld. Ca. 22

Bld. Ca. 27

Bld. Ca. 18

AG-B10

Bld. Ca. 20

Bld. Ca. 11

Bld. Ca. 17

Bld. Ca. 1

Bld. Ca. 3

Bld. Ca. 12

Bld. Ca. 9

Bld. Ca. 6

Bld. Ca. 25

Bld. Ca. 13

Bld. Ca. 19

Bld. Ca. 38

Bld. Ca. 23

Bld. Ca. 39

Bld. Ca. 26

Bld. Ca. 4

Bld. Ca. 8

AG-B9

Bld. Ca. 5

Bld. Ca. 35

AG-B5

Bld. Ca. 37

Bld. Ca. 21

AG-B6

Bld. Ca. 30

Bld. Ca. 33

AG-B11

AG-B4

Bld. Ca. 31

Bld. Ca. 29

Bld. Ca. 10

Bld. Ca. 40

No

rmal

B

lad

de

r /

NA

T

Tr

C

Ca

Tr

C

Ca M t

Tr C

C

aTr

C C

a

Sq

Ca

Tr C

Ca

P.

U.

Ca

Tr C

Ca

P.

Tr

C

Ca

Tran

siti

on

al C

ell

Car

cin

om

aTr

ansi

tio

nal

Ce

ll C

arci

no

ma

Ad

C

aTr

. C

Ca

P.

Tr

C

Ca

Tr

C

Ca

P.

Tr

C

Ca

Tr C

C

a

Tr

C

Ca

P.

Tr

C

Ca

Sq

Ca

U.

Ca

M tTr

C C

a

Bla

dd

er

Can

cer

Pat

ien

Tu

mo

rs

Relative Abundance (10-4 GAPDH units)

AGS-15/SLITRK6 (.1/.2)

Ave. of triplicates, standard deviation shown

24915

23853

2013 AACR Annual Meeting – Washington, DC