Contents

1 Package overview

This overview provides insight into the available datasets (R package version 1.3.0) provided via ExperimentHub cloud services. The main data class is a MultiAssayExperiment (MAE) object compatible with numerous Bioconductor packages.


3 different omics base data types and accompanying clinical/phenotype data are currently available:

  1. gex.* assays contain gene expression values, with the suffix wildcard indicating unit or method for gene expression
  2. cna.* assays contain copy number values, with the suffix wildcard indicating method for copy number alterations
  3. mut assays contain somatic mutation calls
  4. MultiAssayExperiment::colData(maeobj) contains the clinical metadata curated based on a pre-defined template

Their availability is subject to the study in question, and you will find coverage of the omics here-in. Furthermore, derived variables based on these base data types are provided in the constructed MultiAssayExperiment (MAE) class objects.

For a comprehensive guide on how to neatly handle such MAE objects, refer to the MultiAssayExperiment user guide (or cheat-sheets): [MAE User Guide] (https://www.bioconductor.org/packages/devel/bioc/vignettes/MultiAssayExperiment/inst/doc/MultiAssayExperiment.html) .

2 R-package

The curatedPCaData package contains a collection of manually curated datasets concerning patients diagnosed with prostate cancer. The datasets within this package have followed uniform processing and naming conventions to allow users to more easily reproduce similar analyses between datasets and spend less time concerned with harmonzing data from different sources.

3 Downloading data from ExperimentHub or loading them from local cache

To get a full list of available datasets see the documentation for getPCa function, or via querying ExperimentHubdirectly for the components used to construct MultiAssayExperiments for the studies. However, getPCa is aimed to comprehensively provide readily usable multi-omics compatible MAE-objects.

3.1 All available datasets

Fetching all datasets available in curatedPCaData:

library(curatedPCaData)

# Use a function to extract all known study short identifiers
studies <- curatedPCaData::getPCaStudies()
studies
#>  [1] "abida"        "baca"         "barbieri"     "barwick"      "chandran"    
#>  [6] "friedrich"    "hieronymus"   "icgcca"       "igc"          "kim"         
#> [11] "kunderfranco" "ren"          "sun"          "taylor"       "tcga"        
#> [16] "true"         "wallace"      "wang"         "weiner"

# List apply across studies to extract all MAE objects corresponding to the
# short identifiers
maes <- lapply(studies, FUN = \(id) {
    curatedPCaData::getPCa(id)
})
names(maes) <- studies

3.1.1 Dataset criteria

The datasets were manually selected based on various criteria, such as:

  • Primary data availability (preferably raw data available)
  • Data platform types and their overlap (gene expression, copy number alteration, mutation data, …)
  • End points (e.g. recurrence, Gleason, …)
  • Clinical metadata availability and reliability
  • Design of the study

3.1.2 Studies

The function getPCa utilizes the studies’ short name for identifying which data to extract. An overview into the main datasets is as follows:

# Create a summary table depicting key features in available studies
studytable <- curatedPCaData::getPCaSummaryStudies(maes)

Table 1: Key study characteristics
Study short id Sample types GEX/CNA/MUT platform(s) Notes Data source Reference(s)
abida metastatic: 444 cBioPortal Abida et al.
baca metastatic: 2, primary: 55 cBioPortal Baca et al.
barbieri primary: 123 cBioPortal Barbieri et al.
barwick primary: 146 Custom DASL GEO Barwick et al.
chandran metastatic: 25, normal: 81, primary: 65 GPL8300 [HG_U95Av2] GEO Chandran et al., Yu et al.
friedrich BPH: 39, normal: 52, primary: 164 Custom Agilent array GEO Friedrich et al.
hieronymus primary: 104 GPL8737 Agilent-021529 Human CGH CNA only GEO Hieronymus et al.
icgcca primary: 213 Canadian data from International Cancer Genome Collaboratory ICGC Data Portal (PRAD-CA) PRAD-CA in Zhang et al.
igc primary: 83 GPL570 [HG-U133_Plus_2] GEO GEO accession code GSE2109
kim primary: 266 GPL5188 [HuEx-1_0-st] GEO Kim et al.
kunderfranco normal: 14, primary: 53 GPL887 Agilent-012097 Human 1A Microarray (V2) GEO Kunderfranco et al., Peraldo-Neia et al., Longoni et al.
ren primary: 65 cBioPortal Ren et al.
sun primary: 79 GPL96 [HG-U133A] GEO Sun et al.
taylor metastatic: 37, normal: 29, primary: 181 GEX: GPL5188 [HuEx-1_0-st], CNA: GPL4091 Agilent CGH Also known as MSKCC GEO Taylor et al.
tcga metastatic: 1, normal: 52, primary: 498 Xenabrowser Cancer Genome Atlas Research Network, Goldman et al.
true primary: 32 GPL3834 FHCRC Human Prostate PEDB cDNA v3 / v4 GEO True et al.
wallace normal: 20, primary: 69 GPL571 [HG-U133A_2] GEO Wallace et al.
wang BPH: 55, atrophic: 21, primary: 60 GPL96 [HG-U133A] GEO Wang et al., Jia et al.
weiner primary: 838 GPL5175 [HuEx-1_0-st] GEO Weiner et al.

Please note that the TCGA PCa dataset is a subset of the TCGA pan-cancer initiative. For a package focused on TCGA exclusively beyond the PRAD subset, see the Bioconductor package [curatedTCGAData] (https://bioconductor.org/packages/release/data/experiment/html/curatedTCGAData.html).

3.1.3 Citations

The use of curatedPCaData ought to be cited with (Laajala et al. 2023).

For individual datasets there-in, the following citations are suggested:

3.1.4 Curated clinical variables

The curatedPCaData-package has been curated with an emphasis on the following primary clinical metadata, which were extracted and cleaned up always when available:

Table 2: Template for prostate adenocarcinoma clinical
metadata
col.name var.class uniqueness requiredness allowedvalues description
study_name character non-unique required * The study name that will link this information to the study meta-data.
patient_id character non-unique required * A unique identifier for the patient. A single patient may have more than one sample taken.
sample_name character unique required * Primary sample identifier
alt_sample_name character unique optional * If an alternative identifier is available, for example in supplemental tables or any of the repositories, it is reported here.
overall_survival_status integer non-unique optional 1 | 0 Binarized status of the patient, where 1 represents death and 0 represents no reported death.
days_to_overall_survival numeric non-unique optional [1-10000] Time to death or last follow-up in days.
age_at_initial_diagnosis integer non-unique optional [1-9][0-9] Age at diagnosis in years.
year_diagnosis integer non-unique optional [1900-2010] The year at which the patient was diagnoses with PCa.
gleason_grade integer non-unique optional 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 Gleason grade: sum of Gleason major plus minus.
gleason_major integer non-unique optional 2 | 3 | 4 | 5 Gleason grade for the major site score.
gleason_minor integer non-unique optional 2 | 3 | 4 | 5 Gleason grade for the minor site score.
source_of_gleason character non-unique optional biopsy | prostatectomy | tissue_block Source of where the pathogist performed Gleason grading.
grade_group character non-unique optional <=6 | 3+4 | 4+3 | 7 | >=8 Separation of the Gleason grades into groups that show different prognosis; if major+minor is separation not available, allow showing just sum (ie. 7).
T_pathological integer non-unique optional 1 | 2 | 3 | 4 Pathological T stage (assessment made after surgery), based on tumor only.
T_substage_pathological character non-unique optional a | b | c Pathological T substage (assessment made after surgery), based on tumor only.
T_clinical integer non-unique optional 1 | 2 | 3 | 4 Clinical T stage (at time of diagnosis) based on tumor only.
T_substage_clinical character non-unique optional a | b | c Clinical T substage (at time of diagnosis) based on tumor only.
ERG_fusion_CNA integer non-unique optional 1 | 0 Presence of TMPRSS2:ERG gene fusion in prostate tumor as determined by copy number alteration analysis.
ERG_fusion_IHC integer non-unique optional 1 | 0 Presence of TMPRSS2:ERG gene fusion in prostate tumor as determined by immunohistochemistry.
ERG_fusion_GEX integer non-unique optional 1 | 0 Presence of TMPRSS2:ERG gene fusion in prostate tumor as determined by gene expression.
disease_specific_recurrence_status integer non-unique optional 1 | 0 Binarized status of the patient, where 1 represents a recurrence and 0 represents no reported recurrence.
days_to_disease_specific_recurrence numeric non-unique optional [1-10000] Time to recurrence or last follow-up in days.
metastasis_occurrence_status integer non-unique optional 1 | 0 Binarized status of the patient, where 1 represents a metastatic occurrence and 0 represents no reported metastatic occurrence.
days_to_metastatic_occurrence numeric non-unique optional [1-10000] Time to metastatic occurrence or last follow-up in days.
psa numeric non-unique optional [0-10000] Prostate specific antigen level (numeric) at diagnosis.
race character non-unique optional caucasian | african_american | asian | other Ethnicity of the patient.
smoking_status integer non-unique optional 1 | 0 Binarized indicator for smoker (past or current) or never-smoker.
extraprostatic_extension integer non-unique optional 1 | 0 Spread of prostate cancer out of the prostate gland. Denotes a later stage of prostate cancer (NOTE: We do not currently distinguish between focal, established and multifocal, which are all currently translated into this template as y).
perineural_invasion integer non-unique optional 1 | 0 Cancer spreading to the space surrounding a nerve.
seminal_vesicle_invasion integer non-unique optional 1 | 0 Cancer has spread to the seminal vesicles.
angiolymphatic_invasion integer non-unique optional 1 | 0 Cancer has spread to blood vessels and lymph vessels.
androgen_ablation integer non-unique optional 1 | 0 Medical treatment to suppress or block the production of male sex hormones.
capsule character non-unique optional extensive | focal | intact Status of the prostate capsule.
M_stage character non-unique optional X | 0 | 1 Metastasis status at the time of surgery. X: cannot evaluate distant metastasis, 0: there is no distant metastasis, 1: there is distant metastasis.
M_substage character non-unique optional [abc] Letter substage in M1[abc]; M1a: the cancer has spread to lymph nodes beyond the regional ones, M1b: the cancer has spread to_bone, M1c: the cancer has spread to other sites (regardless of bone involvement).
other_patient character non-unique optional * A character string that captures any additional patient information, features separated by bar (e.g. feature_1=value | feature_2=value | feature_3=value).
sample_type character non-unique optional primary | metastatic | normal | BPH | atrophic | cell.line | xenograft Type of tissue isolated from the patient and used for further -omic profiling. Normal samples include both healthy individuals and healthy tissue from PCa patients, and metastatic indicates non-primary tumors.
sample_paired integer non-unique optional 1 | 0 Whether the platform produces paired sample (e.g. 2-channel relative intensities); the paired sample can be a patient specific paired sample or a generic panel of normals.
genomic_alterations character non-unique optional * Character string with the list of reported alterations in the sample, in the format, gene:event, separated by a bar (eg. TP53:mutation | ETV1:fusion | PTEN:deletion).
tumor_margins_positive integer non-unique optional 1 | 0 Histologically altered cells in any surgical margins.
tissue_source character non-unique optional biopsy | TURP | prostatectomy | prostatectomy_and_TURP | autopsy | cystoprostatectomy | other The source of the sample.
metastatic_site character non-unique optional prostate | liver | lung | bone | brain | lymph_node | soft_tissue | adrenal_gland | other Site where the metastatic sample was taken from.
microdissected integer non-unique optional 1 | 0 Microdissected or not.
frozen_ffpe character non-unique optional frozen | FFPE Frozen or FFPE
other_feature character non-unique optional CRPC | cribriform | neuroendocrine Other descriptions of the sample.
batch character non-unique optional * A way that describes a batch and provides an effect that can be modeled (can be numeric or categorical).
other_sample character non-unique optional * A character string that captures any additional sample information, features separated by bar (e.g. feature_1=value | feature_2=value | feature_3=value).
tumor_purity_pathology integer non-unique optional [0-100] Estimate of the tumor purity according to pathological assessment.
tumor_purity_demixt integer non-unique optional [0-100] Estimate of the tumor purity in the sample using the DeMixT method.
tumor_purity_absolute integer non-unique optional [0-100] Estimate of the tumor purity in the sample using the Absolute method.
tumor_purity_ascat numeric non-unique optional [0-100] Estimate of the tumor purity in the sample using ASCAT (Allele-Specific Copy number Analysis of Tumours).
zone_of_origin character non-unique optional transitional | peripheral | mixed | central Zone of origin assessed through tissue pathology.
zone_of_origin_estimated character non-unique optional transitional | peripheral Estimate of zone of origin using the method from Sinnott et al.
mutational_signatures character non-unique optional [] Estimate of mutational signatures using the deconstructSigs method.
neoantigen_load character non-unique optional [] Estimate of mutational load using the NetMHCPan method.
AR_activity integer non-unique optional [0-100] AR 20-gene signature as provided by original authors.
prolaris numeric non-unique optional * Prolaris risk score as provided by original authors.
decipher numeric non-unique optional * Decipher risk score as provided by original authors.
oncotypedx numeric non-unique optional * Oncotype DX risk score as provided by original authors.
N_stage character non-unique optional X | 0 | 1 | 2 | 3 Regional lymph node status at the time of surgery. X: cannot be measured, 0: no cancer in nearby lymph nodes, 1,2,3: the number and location of lymph nodes that contain cancer.
N_substage character non-unique optional [abc] 1a: the cancer has spread to lymph nodes beyond the regional ones, 1b: the cancer has spread to_bone, M1c: the cancer has spread to other sites (regardless of bone involvement).
therapy_radiation_initial integer non-unique optional 1 | 0 If radiation given as a primary therapy.
therapy_radiation_salvage integer non-unique optional 1 | 0 If radiation given after relapse from surgery.
therapy_surgery_initial integer non-unique optional 1 | 0 If surgery was performed as a primary therapy.
therapy_hormonal_initial integer non-unique optional 1 | 0 If hormonal therapy given as a primary therapy.
other_treatment character non-unique optional fish_oil | no_neoadjuvant | prednisone | selenium | vitaminE | taxane | other Any other treatments
psa_category character non-unique optional Normal | Elevated If PSA was normal or elevated in the patient at baseline.
genome_altered numeric non-unique optional [0-x] Numeric value depicting fraction of genome altered or absolute number mutations called preferring prior.

3.1.5 Clinical end-points

Three primary clinical end-points were utilized and are offered in the clinical metadata in colData for the MAE-objects, if available:

  • Gleason grade/Grade group(s)
  • Biochemical Recurrence (BCR)
  • Overall Survival (OS)

Below are summaries for each of these endpoints for each study. Of note, OS had very few events, thus survival modelling for this end-point may be considered unreliable.

Gleason grades:

# Create a summary table of Gleason grades
gleasons <- curatedPCaData::getPCaSummaryTable(maes, var.name = "gleason_grade",
    vals = 5:10)
Table 3: Gleason grades across datasets in
curatedPCaData
5 6 7 8 9 10 Other N/A
abida - 29 (7%) 107 (24%) 69 (16%) 128 (29%) 24 (5%) NA NA
baca - 8 (14%) 35 (61%) 8 (14%) 4 (7%) - NA NA
barbieri - 13 (11%) 87 (71%) 8 (7%) 4 (3%) - NA NA
barwick 2 (1%) 39 (27%) 93 (64%) 5 (3%) 7 (5%) - NA NA
chandran 2 (1%) 16 (9%) 27 (16%) 7 (4%) 12 (7%) - NA NA
friedrich 2 (1%) 47 (18%) 54 (21%) 68 (27%) 43 (17%) 2 (1%) NA NA
hieronymus - 16 (15%) 78 (75%) 4 (4%) 6 (6%) - NA NA
icgcca - 12 (6%) 58 (27%) 5 (2%) - - NA NA
igc - - - - - - NA NA
kim 1 (0%) 198 (74%) 65 (24%) - - - NA NA
kunderfranco 1 (1%) 9 (13%) 32 (48%) 6 (9%) 5 (7%) - NA NA
ren - - - - - - NA NA
sun - - - - - - NA NA
taylor - 53 (21%) 105 (43%) 18 (7%) 19 (8%) - NA NA
tcga - 50 (9%) 288 (52%) 67 (12%) 142 (26%) 4 (1%) NA NA
true - 4 (12%) 22 (69%) 1 (3%) 5 (16%) - NA NA
wallace 2 (2%) 22 (25%) 59 (66%) 1 (1%) 2 (2%) - NA NA
wang - - - - - - NA NA
weiner - - - - - - 0 (0%) 838 (100%)

Grade groups:

# Create a summary table of grade groups
gradegroups <- curatedPCaData::getPCaSummaryTable(maes, var.name = "grade_group",
    vals = c("<=6", "3+4", "4+3", "7", ">=8"))
Table 4: Grade groups across datasets in
curatedPCaData
<=6 3+4 4+3 7 >=8 Other N/A
abida - - - - - NA NA
baca 8 (14%) 23 (40%) 12 (21%) - 12 (21%) NA NA
barbieri 13 (11%) 58 (47%) 29 (24%) - 12 (10%) NA NA
barwick - - - - - NA NA
chandran 19 (11%) - - 27 (16%) 19 (11%) NA NA
friedrich 49 (19%) - - 54 (21%) 113 (44%) NA NA
hieronymus 16 (15%) 56 (54%) 22 (21%) - 10 (10%) NA NA
icgcca 12 (6%) 37 (17%) 21 (10%) - 5 (2%) NA NA
igc 27 (33%) - - 40 (48%) 14 (17%) NA NA
kim 199 (75%) 65 (24%) - - - NA NA
kunderfranco 10 (15%) 29 (43%) 3 (4%) - 11 (16%) NA NA
ren 5 (8%) 23 (35%) 13 (20%) - 14 (22%) NA NA
sun - - - - - NA NA
taylor 53 (21%) 72 (29%) 33 (13%) - 37 (15%) NA NA
tcga 50 (9%) 172 (31%) 116 (21%) - 213 (39%) NA NA
true 4 (12%) 12 (38%) 10 (31%) - 6 (19%) NA NA
wallace 24 (27%) - - 59 (66%) 3 (3%) NA NA
wang - - - - - NA NA
weiner 65 (8%) 419 (50%) 183 (22%) - 171 (20%) 0 (0%) 0 (0%)

Biochemical recurrences:

# Create a summary table of biochemical recurrences
recurrences <- curatedPCaData::getPCaSummarySurv(maes, event.name = "disease_specific_recurrence_status",
    time.name = "days_to_disease_specific_recurrence")
Table 5: Disease recurrence end point across
datasets in curatedPCaData
0 (no event) 1 (event) N/A (event) Time (days, quantiles) N/A (time)
abida - - 444 (100%) - 444 (100%)
baca - - 57 (100%) - 57 (100%)
barbieri - - 123 (100%) - 123 (100%)
barwick 113 (77%) 33 (23%) 0 (0%) [92,276,702,1700,2928] 0 (0%)
chandran - - 171 (100%) - 171 (100%)
friedrich - - 255 (100%) - 255 (100%)
hieronymus - - 104 (100%) - 104 (100%)
icgcca - - 213 (100%) - 213 (100%)
igc - - 83 (100%) - 83 (100%)
kim - - 266 (100%) - 266 (100%)
kunderfranco - - 67 (100%) - 67 (100%)
ren - - 65 (100%) - 65 (100%)
sun 40 (51%) 39 (49%) 0 (0%) - 79 (100%)
taylor 136 (55%) 60 (24%) 51 (21%) [3,710,1360,1955,4909] 51 (21%)
tcga 448 (81%) 103 (19%) 0 (0%) [0,398,782,1363,5024] 4 (1%)
true - - 32 (100%) - 32 (100%)
wallace - - 89 (100%) - 89 (100%)
wang - - 148 (100%) - 148 (100%)
weiner - - 838 (100%) - 838 (100%)

Overall survival:

# Create a summary table of overall survival
survivals <- curatedPCaData::getPCaSummarySurv(maes, event.name = "overall_survival_status",
    time.name = "days_to_overall_survival")
Table 6: Overall survival end point across datasets
in curatedPCaData
0 (no event) 1 (event) N/A (event) Time (days, quantiles) N/A (time)
abida 52 (12%) 84 (19%) 308 (69%) [51,326,605,898,2104] 308 (69%)
baca - - 57 (100%) - 57 (100%)
barbieri - - 123 (100%) - 123 (100%)
barwick - - 146 (100%) - 146 (100%)
chandran - - 171 (100%) - 171 (100%)
friedrich 230 (90%) 25 (10%) 0 (0%) [641,3005,3614,4301,6771] 91 (36%)
hieronymus 96 (92%) 8 (8%) 0 (0%) [295,1576,2139,2895,3758] 0 (0%)
icgcca 198 (93%) 8 (4%) 7 (3%) [1460,2190,2920,3650,4745] 1 (0%)
igc - - 83 (100%) - 83 (100%)
kim - - 266 (100%) - 266 (100%)
kunderfranco - - 67 (100%) - 67 (100%)
ren - - 65 (100%) - 65 (100%)
sun - - 79 (100%) - 79 (100%)
taylor - - 247 (100%) - 247 (100%)
tcga 541 (98%) 10 (2%) 0 (0%) [23,543,930,1446,5024] 0 (0%)
true - - 32 (100%) - 32 (100%)
wallace - - 89 (100%) - 89 (100%)
wang - - 148 (100%) - 148 (100%)
weiner - - 838 (100%) - 838 (100%)

3.2 Querying datasets

The function getPCa functions as the primary interface with building MAE-objects from either live download from ExperimentHub or by loading them from local cache, if the datasets have been downloaded previously.

The syntax for the function getPCa(dataset, assays, timestamp, verbose, ...) consists of the following parameters:

  • dataset: Primary indicator for which study to query from ExperimentHub; notice that this may only be one of the allowed values.
  • assays: This indicates which MAE-assays are fetched from the candidate ExperimentList. Two names are always required (and are filled if missing): colData which contains information on the clinical metadata, and sampleMap which maps the rownames of the metadata to columns in the fetched assay data.
  • timestamp: When data is deposited in the ExperimentHub resources, they are time stamped to avoid ambiguity. The timestamps provided in this parameter are resolved from left to right, and the first deposit stamp is "20230215".
  • verbose: Logical indicator whether additional information should be printed by getPCa.
  • ...: Further custom parameters passed on to getPCa.

As an example, let us consider querying the TCGA dataset, but suppose only wish to extract the gene expression data, and the immune deconvolution results derived by the method xCell. Further, we’ll request risk and AR scores slot. This subset could be retrieved with:

tcga_subset <- getPCa(dataset = "tcga", assays = c("gex.rsem.log", "xcell", "scores"),
    timestamp = "20230215")

tcga_subset
#> A MultiAssayExperiment object of 3 listed
#>  experiments with user-defined names and respective classes.
#>  Containing an ExperimentList class object of length 3:
#>  [1] gex.rsem.log: matrix with 19658 rows and 461 columns
#>  [2] xcell: matrix with 39 rows and 461 columns
#>  [3] scores: matrix with 4 rows and 461 columns
#> Functionality:
#>  experiments() - obtain the ExperimentList instance
#>  colData() - the primary/phenotype DataFrame
#>  sampleMap() - the sample coordination DataFrame
#>  `$`, `[`, `[[` - extract colData columns, subset, or experiment
#>  *Format() - convert into a long or wide DataFrame
#>  assays() - convert ExperimentList to a SimpleList of matrices
#>  exportClass() - save data to flat files

The standard way of extracting the latest MAE-object with all available assays is done via querying with just the dataset name:

mae_tcga <- getPCa("tcga")
mae_taylor <- getPCa("taylor")

3.2.1 Accessing primary data

The primary assay names in the MAE objects for gene expression and copy number alteration will consist of two parts. Mutation data is provided as a RaggedExperiment object.

  • Prefix indicating data type, either “gex.” or “cna.”.
  • Suffix indicating unit and processing for the data; for example, a gene expression dataset (gex) may have a suffix of “rma” for RMA-processed data, “fpkm” for processed RNA-seq data, “relz” for relative z-score normalized expression values for tumor-normal gene expression pairs, or “logq” for logarithmic quantile-normalized data. The main suffix for copy number alteration is the discretized GISTIC alteration calls with values {-2,-1,0,1,2}, although earlier version also provided log-ratios (“logr”)
  • Mutation data is provided as RaggedExperiment objects as “mut”.

The standard way for accessing a data slot in MAE could be done for example via:

mae_taylor[["gex.rma"]][1:5, 1:5]
#>          PCA0001   PCA0002   PCA0003   PCA0005   PCA0007
#> A1BG    7.957155  7.966502  8.237386  7.863266  7.799571
#> A1CF    4.479802  4.565785  4.719560  4.453506  4.521248
#> A2M    11.603692 11.145376 10.560886 10.587447 10.069504
#> A2ML1   4.670252  5.001697  4.970436  4.737025  4.756805
#> A4GALT  7.945086  8.228138  8.377694  8.163593  8.071018

The corresponding clinical variables have an accessor function colData provided by the MultiAssayExperiment-package:

MultiAssayExperiment::colData(mae_tcga)[1:2, ]
#> DataFrame with 2 rows and 68 columns
#>                  study_name   patient_id     sample_name        alt_sample_name
#>                 <character>  <character>     <character>            <character>
#> TCGA.2A.A8VL.01        TCGA TCGA.2A.A8VL TCGA.2A.A8VL.01 F9F392D3-E3C0-4CF2-A..
#> TCGA.2A.A8VO.01        TCGA TCGA.2A.A8VO TCGA.2A.A8VO.01 0BD35529-3416-42DD-A..
#>                 overall_survival_status days_to_overall_survival
#>                               <integer>                <numeric>
#> TCGA.2A.A8VL.01                       0                      621
#> TCGA.2A.A8VO.01                       0                     1701
#>                 age_at_initial_diagnosis year_diagnosis gleason_grade
#>                                <integer>      <integer>     <integer>
#> TCGA.2A.A8VL.01                       51           2010             6
#> TCGA.2A.A8VO.01                       57           2010             6
#>                 gleason_major gleason_minor source_of_gleason grade_group
#>                     <integer>     <integer>       <character> <character>
#> TCGA.2A.A8VL.01             3             3                NA         <=6
#> TCGA.2A.A8VO.01             3             3                NA         <=6
#>                 T_pathological T_substage_pathological T_clinical
#>                      <integer>             <character>  <integer>
#> TCGA.2A.A8VL.01              2                       b         NA
#> TCGA.2A.A8VO.01              3                       a          1
#>                 T_substage_clinical ERG_fusion_CNA ERG_fusion_IHC
#>                         <character>      <integer>      <integer>
#> TCGA.2A.A8VL.01                  NA             NA             NA
#> TCGA.2A.A8VO.01                   c             NA             NA
#>                 ERG_fusion_GEX disease_specific_recurrence_status
#>                      <numeric>                          <integer>
#> TCGA.2A.A8VL.01              1                                  0
#> TCGA.2A.A8VO.01              0                                  0
#>                 days_to_disease_specific_recurrence
#>                                           <integer>
#> TCGA.2A.A8VL.01                                 621
#> TCGA.2A.A8VO.01                                1701
#>                 metastasis_occurrence_status days_to_metastatic_occurrence
#>                                    <integer>                     <numeric>
#> TCGA.2A.A8VL.01                           NA                            NA
#> TCGA.2A.A8VO.01                           NA                            NA
#>                       psa        race smoking_status extraprostatic_extension
#>                 <numeric> <character>      <integer>                <integer>
#> TCGA.2A.A8VL.01      0.05   caucasian             NA                       NA
#> TCGA.2A.A8VO.01      0.05   caucasian             NA                       NA
#>                 perineural_invasion seminal_vesicle_invasion
#>                           <integer>                <integer>
#> TCGA.2A.A8VL.01                  NA                        0
#> TCGA.2A.A8VO.01                  NA                        1
#>                 angiolymphatic_invasion androgen_ablation     capsule   M_stage
#>                               <integer>         <integer> <character> <numeric>
#> TCGA.2A.A8VL.01                       0                NA          NA         0
#> TCGA.2A.A8VO.01                       0                NA          NA         0
#>                  M_substage other_patient sample_type sample_paired
#>                 <character>     <logical> <character>     <integer>
#> TCGA.2A.A8VL.01                        NA     primary            NA
#> TCGA.2A.A8VO.01                        NA     primary            NA
#>                 genomic_alterations tumor_margins_positive tissue_source
#>                           <logical>              <integer>   <character>
#> TCGA.2A.A8VL.01                  NA                     NA        biopsy
#> TCGA.2A.A8VO.01                  NA                     NA        biopsy
#>                 metastatic_site microdissected frozen_ffpe other_feature
#>                     <character>      <integer> <character>   <character>
#> TCGA.2A.A8VL.01              NA             NA          NA            NA
#> TCGA.2A.A8VO.01              NA             NA          NA            NA
#>                       batch other_sample tumor_purity_pathology
#>                 <character>    <logical>            <character>
#> TCGA.2A.A8VL.01          NA           NA                 31-40%
#> TCGA.2A.A8VO.01          NA           NA                 66-75%
#>                 tumor_purity_demixt tumor_purity_absolute tumor_purity_ascat
#>                           <numeric>             <numeric>          <numeric>
#> TCGA.2A.A8VL.01                0.49                  0.50                 NA
#> TCGA.2A.A8VO.01                0.55                  0.55                 NA
#>                 zone_of_origin zone_of_origin_estimated mutational_signatures
#>                    <character>              <character>             <logical>
#> TCGA.2A.A8VL.01     peripheral                       NA                    NA
#> TCGA.2A.A8VO.01          mixed                       NA                    NA
#>                 neoantigen_load AR_activity  prolaris  decipher oncotypedx
#>                       <logical>   <numeric> <numeric> <numeric>  <numeric>
#> TCGA.2A.A8VL.01              NA        9.17        NA        NA         NA
#> TCGA.2A.A8VO.01              NA        0.69        NA        NA         NA
#>                   N_stage  N_substage therapy_radiation_initial
#>                 <numeric> <character>                 <numeric>
#> TCGA.2A.A8VL.01         0          NA                         0
#> TCGA.2A.A8VO.01        NA          NA                         0
#>                 therapy_radiation_salvage therapy_surgery_initial
#>                                 <integer>               <integer>
#> TCGA.2A.A8VL.01                        NA                      NA
#> TCGA.2A.A8VO.01                        NA                      NA
#>                 therapy_hormonal_initial other_treatment psa_category
#>                                <integer>     <character>    <logical>
#> TCGA.2A.A8VL.01                       NA                           NA
#> TCGA.2A.A8VO.01                       NA                           NA
#>                 genome_altered
#>                      <numeric>
#> TCGA.2A.A8VL.01         0.0300
#> TCGA.2A.A8VO.01         0.0211

While it is ideal to make sure user is using the correct namespaces, the pckgName:: can be omitted as curatedPCaData imports necessary packages such as MultiAssayExperiment and their functions should be available in the workspace.

3.2.2 ExperimentHub data listing

In order to access the latest listing of curatedPCaData related resources available in ExperimentHub, consult the metadata.csv file delivered with the package:

metadata <- read.csv(system.file("extdata", "metadata.csv", package = "curatedPCaData"))
head(metadata)
#>                       Title
#> 1 abida_cna.gistic_20230215
#> 2   abida_gex.relz_20230215
#> 3        abida_mut_20230215
#> 4  abida_cibersort_20230215
#> 5      abida_xcell_20230215
#> 6       abida_epic_20230215
#>                                                                                                 Description
#> 1    abida_cna.gistic_20230215 Copy number alteration GISTIC data of abida cohort in curatedPCaData package
#> 2 abida_gex.relz_20230215 Gene expression (Relative z-score) data of abida cohort in curatedPCaData package
#> 3                                abida_mut_20230215 Mutation data of abida cohort in curatedPCaData package
#> 4    abida_cibersort_20230215 Deconvolution using CIBERSORTx data of abida cohort in curatedPCaData package
#> 5             abida_xcell_20230215 Deconvolution using xCell data of abida cohort in curatedPCaData package
#> 6               abida_epic_20230215 Deconvolution using EPIC data of abida cohort in curatedPCaData package
#>   BiocVersion Genome SourceType
#> 1        3.17     NA        TXT
#> 2        3.17     NA        TXT
#> 3        3.17     NA        TXT
#> 4        3.17     NA        TXT
#> 5        3.17     NA        TXT
#> 6        3.17     NA        TXT
#>                                                    SourceUrl SourceVersion
#> 1 https://www.cbioportal.org/study/summary?id=prad_su2c_2019          <NA>
#> 2 https://www.cbioportal.org/study/summary?id=prad_su2c_2019          <NA>
#> 3 https://www.cbioportal.org/study/summary?id=prad_su2c_2019          <NA>
#> 4 https://www.cbioportal.org/study/summary?id=prad_su2c_2019          <NA>
#> 5 https://www.cbioportal.org/study/summary?id=prad_su2c_2019          <NA>
#> 6 https://www.cbioportal.org/study/summary?id=prad_su2c_2019          <NA>
#>        Species TaxonomyId Coordinate_1_based DataProvider
#> 1 Homo sapiens       9606                 NA        MSKCC
#> 2 Homo sapiens       9606                 NA        MSKCC
#> 3 Homo sapiens       9606                 NA        MSKCC
#> 4 Homo sapiens       9606                 NA        MSKCC
#> 5 Homo sapiens       9606                 NA        MSKCC
#> 6 Homo sapiens       9606                 NA        MSKCC
#>                             Maintainer       RDataClass DispatchClass
#> 1 Teemu Daniel Laajala <[email protected]>           matrix           Rds
#> 2 Teemu Daniel Laajala <[email protected]>           matrix           Rds
#> 3 Teemu Daniel Laajala <[email protected]> RaggedExperiment           Rds
#> 4 Teemu Daniel Laajala <[email protected]>           matrix           Rds
#> 5 Teemu Daniel Laajala <[email protected]>           matrix           Rds
#> 6 Teemu Daniel Laajala <[email protected]>           matrix           Rds
#>                    ResourceName                                    RDataPath
#> 1 abida_cna.gistic_20230215.Rds curatedPCaData/abida_cna.gistic_20230215.Rds
#> 2   abida_gex.relz_20230215.Rds   curatedPCaData/abida_gex.relz_20230215.Rds
#> 3        abida_mut_20230215.Rds        curatedPCaData/abida_mut_20230215.Rds
#> 4  abida_cibersort_20230215.Rds  curatedPCaData/abida_cibersort_20230215.Rds
#> 5      abida_xcell_20230215.Rds      curatedPCaData/abida_xcell_20230215.Rds
#> 6       abida_epic_20230215.Rds       curatedPCaData/abida_epic_20230215.Rds
#>         Tags
#> 1 cna.gistic
#> 2   gex.relz
#> 3        mut
#> 4  cibersort
#> 5      xcell
#> 6       epic

3.3 Omics sample count and overlap

# Retrieve samples counts across different unique assay names as well as omics
# overlap sample counts
samplecounts <- curatedPCaData::getPCaSummarySamples(maes)

The sample counts in each ’omics separately is listed below:

Table 7: Sample N counts in each omics for
every MAE object
cibersort cna.gistic cna.logr epic estimate gex.logq gex.logr gex.relz gex.rma gex.rsem.log mcp mut quantiseq scores xcell
abida 266 444 266 266 266 266 444 266 266 266
baca 56 57
barbieri 31 109 31 31 31 31 112 31 31 31
barwick 146 146 146 146 146 146
chandran 171 171 171 171 171 171 171 171
friedrich 255 255 255 255 255 255 255 255
hieronymus 104
icgcca 213 213 213 213 213 213 213 213
igc 83 83 83 83 83 83 83 83
kim 266 266 266 266 266 266 266 266
kunderfranco 67 67 67 67 67 67 67 67
ren 65 65 65 65 65 65 65 65 65
sun 79 79 79 79 79 79 79 79
taylor 179 194 218 179 179 179 179 43 179 179 179
tcga 461 492 461 461 461 461 495 461 461 461
true 32 32 32 32 18 32 32
wallace 89 89 89 89 89 89 89 89
wang 148 148 148 148 148 148 148 148
weiner 838 838 838 838 838 838 838 838

However, taking intersections between different omics shows that different samples were analyzed on different platforms - therefore the effective N counts for analyzing multiple ’omics platforms simultaneously is smaller. The overlaps between gene expression (GEX), copy number alteration (CNA), and mutations (MUT) are shown below:

Table 8: Sample N counts for intersections
between different omics
GEX CNA MUT GEX & CNA GEX & MUT CNA & MUT GEX & CNA & MUT
abida 266 444 444 266 266 444 266
baca 0 56 57 0 0 56 0
barbieri 31 109 112 20 20 109 20
barwick 146 0 0 0 0 0 0
chandran 171 0 0 0 0 0 0
friedrich 255 0 0 0 0 0 0
icgcca 213 0 0 0 0 0 0
igc 83 0 0 0 0 0 0
kim 266 0 0 0 0 0 0
kunderfranco 67 0 0 0 0 0 0
ren 65 0 65 0 65 0 0
sun 79 0 0 0 0 0 0
taylor 179 194 43 128 37 41 35
tcga 461 492 495 403 405 489 400
true 32 0 0 0 0 0 0
wallace 89 0 0 0 0 0 0
wang 148 0 0 0 0 0 0
weiner 838 0 0 0 0 0 0

4 Derived variables

In curatedPCaData we refer to derived variables as further downstream variables, which have been computed based on primarily data. For most cases, this was done by extracting key gene information from the gex.* assays and pre-computing informative downstream markers as described in their primary publications.

4.1 Immune deconvolution

Tumor progression depends on the immune cell composition in the tumor microenvironment. The ‘immunedeconv’ package consists of different computational methods to computationally estimate immune cell content using gene expression data. In addition, CIBERTSORTx is provided externally, as this method required registered access. For user convenience, it has been run separately and provided as a slot in the MAE objects. The other methods have been run using the immunedeconv package (Sturm et al. 2019) and code for reproducing these derived variables are provided alongside the package.

In this package, we provide estimates of immune cell content from the following deconvolution methods:

  • quanTIseq
  • xCell
  • EPIC
  • MCP counter
  • CIBERSORT(x)
  • ESTIMATE

The estimates from each of these methods are stored in the MAE object as a seperate assay as shown for example in the Taylor dataset

mae_taylor
#> A MultiAssayExperiment object of 11 listed
#>  experiments with user-defined names and respective classes.
#>  Containing an ExperimentList class object of length 11:
#>  [1] cna.gistic: matrix with 17832 rows and 194 columns
#>  [2] cna.logr: matrix with 18062 rows and 218 columns
#>  [3] gex.rma: matrix with 17410 rows and 179 columns
#>  [4] mut: RaggedExperiment with 90 rows and 43 columns
#>  [5] cibersort: matrix with 22 rows and 179 columns
#>  [6] xcell: matrix with 39 rows and 179 columns
#>  [7] epic: matrix with 8 rows and 179 columns
#>  [8] quantiseq: matrix with 11 rows and 179 columns
#>  [9] mcp: matrix with 11 rows and 179 columns
#>  [10] estimate: matrix with 4 rows and 179 columns
#>  [11] scores: matrix with 4 rows and 179 columns
#> Functionality:
#>  experiments() - obtain the ExperimentList instance
#>  colData() - the primary/phenotype DataFrame
#>  sampleMap() - the sample coordination DataFrame
#>  `$`, `[`, `[[` - extract colData columns, subset, or experiment
#>  *Format() - convert into a long or wide DataFrame
#>  assays() - convert ExperimentList to a SimpleList of matrices
#>  exportClass() - save data to flat files

To access the quantiseq results for the Taylor et. al dataset, these pre-computed values can be obtained from the corresponding slot in the MAE-object:

head(mae_taylor[["cibersort"]])[1:5, 1:3]
#>                      PCA0001    PCA0002    PCA0003
#> B cells naive     0.08544376 0.13683292 0.03620644
#> B cells memory    0.03357079 0.00000000 0.03631384
#> Plasma cells      0.07151722 0.03991641 0.00000000
#> T cells CD8       0.20657390 0.20360110 0.23907130
#> T cells CD4 naive 0.00000000 0.00000000 0.00000000

Similarly to access results from the other immune deconvolution methods, the following assays/experiments are also available:

head(mae_taylor[["quantiseq"]])[1:5, 1:3]
#>                   PCA0001    PCA0002    PCA0003
#> B cell        0.100063011 0.08171362 0.09675483
#> Macrophage M1 0.006654406 0.01532479 0.01988157
#> Macrophage M2 0.085216324 0.08214651 0.07174060
#> Monocyte      0.000000000 0.00000000 0.00000000
#> Neutrophil    0.135286167 0.12045115 0.10142068
head(mae_taylor[["xcell"]])[1:5, 1:3]
#>                                      PCA0001    PCA0002      PCA0003
#> Myeloid dendritic cell activated 0.002601576 0.06149682 2.298156e-02
#> B cell                           0.013211541 0.01934287 0.000000e+00
#> T cell CD4+ memory               0.029688627 0.03778152 6.288573e-03
#> T cell CD4+ naive                0.002133965 0.00685892 3.883571e-18
#> T cell CD4+ (non-regulatory)     0.000000000 0.00000000 0.000000e+00
head(mae_taylor[["epic"]])[1:5, 1:3]
#>                                 PCA0001    PCA0002    PCA0003
#> B cell                       0.02249750 0.01935547 0.02441322
#> Cancer associated fibroblast 0.01962203 0.01828512 0.02019139
#> T cell CD4+                  0.18739469 0.20292446 0.18976862
#> T cell CD8+                  0.06283695 0.04923331 0.04992732
#> Endothelial cell             0.10510564 0.09707150 0.08088879
head(mae_taylor[["mcp"]])[1:5, 1:3]
#>                     PCA0001  PCA0002  PCA0003
#> T cell             6.518296 6.873941 6.771791
#> T cell CD8+        4.090739 4.168020 4.355332
#> cytotoxicity score 5.974354 6.218115 6.462306
#> NK cell            5.768176 5.857110 6.348053
#> B cell             6.655998 6.431666 6.711109

Each row of the deconvolution matrix represents the content of a certain immune cell type and the columns represent the patient sample IDs. The variables on the rows are specific for each method. Further, it should be noted that not all methods could be run on all datasets due to lack of overlap in genes of interest.

4.2 Risk scores and other metrics

The slot scores is used to provide key risk scores or other informative metrics based on the primary data. These scores can be accessed as a matrix as if they were variables on an assay with this name:

mae_tcga[["scores"]][, 1:4]
#>          TCGA.G9.6348.01 TCGA.CH.5766.01 TCGA.EJ.A65G.01 TCGA.EJ.5527.01
#> decipher     -0.08265918      0.01072473      -0.2997221       -0.086624
#> oncotype     -3.47973684     -3.54594586      -3.9224176       -3.461314
#> prolaris     -4.95408262     -5.76978328      -4.0708355       -6.194230
#> ar_score     -0.08262097      0.65489227      12.4016220        5.029849

The following PCa risk scores are offered:

Further, the 20-gene Androgen Receptor (AR) score is calculated as described in the TCGA’s Cell 2015 paper:

5 Single study example for Taylor et al.

Here, a brief example on how to download and process a single study is provided. The example data is of Taylor et al. (Taylor et al. 2010), also known as the MSKCC dataset.

5.1 Downloading the MAE-object

A character vector with the short study ID is used to download the MAE object; we will focus only on the primary prostate cancer samples and CNA (GISTIC) and GEX:

taylor <- getPCa("taylor", assays = c("gex.rma", "cna.gistic"), sampletypes = "primary")

class(taylor)
#> [1] "MultiAssayExperiment"
#> attr(,"package")
#> [1] "MultiAssayExperiment"

taylor
#> A MultiAssayExperiment object of 2 listed
#>  experiments with user-defined names and respective classes.
#>  Containing an ExperimentList class object of length 2:
#>  [1] cna.gistic: matrix with 17832 rows and 157 columns
#>  [2] gex.rma: matrix with 17410 rows and 131 columns
#> Functionality:
#>  experiments() - obtain the ExperimentList instance
#>  colData() - the primary/phenotype DataFrame
#>  sampleMap() - the sample coordination DataFrame
#>  `$`, `[`, `[[` - extract colData columns, subset, or experiment
#>  *Format() - convert into a long or wide DataFrame
#>  assays() - convert ExperimentList to a SimpleList of matrices
#>  exportClass() - save data to flat files

One typical end-point is an object of type Surv, exported from the survival-package. We will create this end-point for biochemical recurrence:

library(survival)
# BCR events
taylor_bcr <- colData(taylor)$disease_specific_recurrence_status
# BCR events / censoring follow-up time
taylor_fu <- colData(taylor)$days_to_disease_specific_recurrence

taylor_surv <- Surv(event = taylor_bcr, time = taylor_fu)

class(taylor_surv)
#> [1] "Surv"

head(taylor_surv)
#> [1]  564  1770+ 2841+ 4653+ 3846+ 4909+

With the response vector of type Surv, one can plot and analyze multiple survival modelling related tasks.

5.2 Kaplan-Meier curves

One of the most common ways to depict survival curves (here BCR events), is a Kaplan-Meier (KM) curve. Gleason grade is known to be a good prognostic factor for BCR, thus a KM curve in respect to biopsy Gleason grade shows differences in prognosis.

For this visualization, package survminer offers a variety of functions building on top of ggplot:

library(survminer)

taylor_bcr_gleason <- data.frame(bcr = taylor_surv, gleason = colData(taylor)$gleason_grade)

fit <- survfit(bcr ~ gleason, data = taylor_bcr_gleason)
ggsurvplot(fit, data = taylor_bcr_gleason, ylab = "Biochemical recurrence free proportion",
    risk.table = TRUE, size = 1, pval = TRUE, ggtheme = theme_bw())

For more settings for the KM plots, see documentation for survminer::ggsurvplot.

5.3 Cox regression

Functions longFormat and wideFormat from MultiAssayExperiment are essential for extracting multi-omics data and metadata in the right format. For the purposes of Cox regression, we will utilize wideFormat:

taylor_coxdat <- MultiAssayExperiment::wideFormat(taylor["PTEN", , ], colDataCols = c("age_at_initial_diagnosis",
    "gleason_grade", "disease_specific_recurrence_status", "days_to_disease_specific_recurrence"))

taylor_coxdat <- as.data.frame(taylor_coxdat)

taylor_coxdat$y <- Surv(time = taylor_coxdat$days_to_disease_specific_recurrence,
    event = taylor_coxdat$disease_specific_recurrence_status)

head(taylor_coxdat)
#>   primary age_at_initial_diagnosis gleason_grade
#> 1 PCA0001                       NA             7
#> 2 PCA0002                       NA             8
#> 3 PCA0003                       NA             7
#> 4 PCA0004                       NA             7
#> 5 PCA0005                       NA             7
#> 6 PCA0006                       NA             6
#>   disease_specific_recurrence_status days_to_disease_specific_recurrence
#> 1                                  1                                 564
#> 2                                  0                                1770
#> 3                                  0                                2841
#> 4                                  0                                4653
#> 5                                  0                                3846
#> 6                                  0                                4909
#>   cna.gistic_PTEN gex.rma_PTEN     y
#> 1               0     7.311643   564
#> 2               0     7.304157 1770+
#> 3               0     7.205469 2841+
#> 4               0           NA 4653+
#> 5               0     7.059756 3846+
#> 6              -1           NA 4909+

We’ll construct a simple Cox proportional hazards model with few variables; PTEN is a known tumor suppressor gene, so changes in its copy number or gene expression levels could also play a role in biochemical recurrence.

coxmodel <- coxph(y ~ cna.gistic_PTEN + gex.rma_PTEN + gleason_grade, data = taylor_coxdat)
coxmodel
#> Call:
#> coxph(formula = y ~ cna.gistic_PTEN + gex.rma_PTEN + gleason_grade, 
#>     data = taylor_coxdat)
#> 
#>                    coef exp(coef) se(coef)      z        p
#> cna.gistic_PTEN -0.8227    0.4392   0.3613 -2.277   0.0228
#> gex.rma_PTEN     1.6762    5.3450   0.8432  1.988   0.0468
#> gleason_grade    1.0904    2.9755   0.2307  4.727 2.28e-06
#> 
#> Likelihood ratio test=27.76  on 3 df, p=4.086e-06
#> n= 108, number of events= 24 
#>    (71 observations deleted due to missingness)

In this case we took the GISTIC normalized PTEN amplification as well as its RMA-normalized gene expression. We notice that both are statistically significant Cox regression coefficients together with Gleason grade.

6 Session info

sessionInfo()
#> R Under development (unstable) (2024-10-21 r87258)
#> Platform: x86_64-pc-linux-gnu
#> Running under: Ubuntu 24.04.1 LTS
#> 
#> Matrix products: default
#> BLAS:   /home/biocbuild/bbs-3.21-bioc/R/lib/libRblas.so 
#> LAPACK: /usr/lib/x86_64-linux-gnu/lapack/liblapack.so.3.12.0
#> 
#> locale:
#>  [1] LC_CTYPE=en_US.UTF-8       LC_NUMERIC=C              
#>  [3] LC_TIME=en_GB              LC_COLLATE=C              
#>  [5] LC_MONETARY=en_US.UTF-8    LC_MESSAGES=en_US.UTF-8   
#>  [7] LC_PAPER=en_US.UTF-8       LC_NAME=C                 
#>  [9] LC_ADDRESS=C               LC_TELEPHONE=C            
#> [11] LC_MEASUREMENT=en_US.UTF-8 LC_IDENTIFICATION=C       
#> 
#> time zone: America/New_York
#> tzcode source: system (glibc)
#> 
#> attached base packages:
#> [1] stats4    stats     graphics  grDevices utils     datasets  methods  
#> [8] base     
#> 
#> other attached packages:
#>  [1] survminer_0.5.0             ggpubr_0.6.0               
#>  [3] ggplot2_3.5.1               survival_3.7-0             
#>  [5] curatedPCaData_1.3.0        RaggedExperiment_1.31.0    
#>  [7] MultiAssayExperiment_1.33.0 SummarizedExperiment_1.37.0
#>  [9] Biobase_2.67.0              GenomicRanges_1.59.0       
#> [11] GenomeInfoDb_1.43.0         IRanges_2.41.0             
#> [13] MatrixGenerics_1.19.0       matrixStats_1.4.1          
#> [15] S4Vectors_0.45.0            BiocGenerics_0.53.1        
#> [17] generics_0.1.3              BiocStyle_2.35.0           
#> 
#> loaded via a namespace (and not attached):
#>   [1] DBI_1.2.3               gridExtra_2.3           formatR_1.14           
#>   [4] rlang_1.1.4             magrittr_2.0.3          compiler_4.5.0         
#>   [7] RSQLite_2.3.7           png_0.1-8               vctrs_0.6.5            
#>  [10] reshape2_1.4.4          stringr_1.5.1           pkgconfig_2.0.3        
#>  [13] crayon_1.5.3            fastmap_1.2.0           magick_2.8.5           
#>  [16] backports_1.5.0         dbplyr_2.5.0            XVector_0.47.0         
#>  [19] labeling_0.4.3          KMsurv_0.1-5            utf8_1.2.4             
#>  [22] rmarkdown_2.29          markdown_1.13           UCSC.utils_1.3.0       
#>  [25] tinytex_0.54            purrr_1.0.2             bit_4.5.0              
#>  [28] xfun_0.49               zlibbioc_1.53.0         cachem_1.1.0           
#>  [31] jsonlite_1.8.9          blob_1.2.4              highr_0.11             
#>  [34] DelayedArray_0.33.1     broom_1.0.7             R6_2.5.1               
#>  [37] bslib_0.8.0             stringi_1.8.4           car_3.1-3              
#>  [40] jquerylib_0.1.4         Rcpp_1.0.13-1           bookdown_0.41          
#>  [43] knitr_1.48              zoo_1.8-12              BiocBaseUtils_1.9.0    
#>  [46] Matrix_1.7-1            splines_4.5.0           tidyselect_1.2.1       
#>  [49] abind_1.4-8             yaml_2.3.10             ggtext_0.1.2           
#>  [52] codetools_0.2-20        curl_5.2.3              lattice_0.22-6         
#>  [55] tibble_3.2.1            plyr_1.8.9              withr_3.0.2            
#>  [58] KEGGREST_1.47.0         evaluate_1.0.1          BiocFileCache_2.15.0   
#>  [61] xml2_1.3.6              survMisc_0.5.6          ExperimentHub_2.15.0   
#>  [64] Biostrings_2.75.0       pillar_1.9.0            BiocManager_1.30.25    
#>  [67] filelock_1.0.3          carData_3.0-5           BiocVersion_3.21.1     
#>  [70] commonmark_1.9.2        munsell_0.5.1           scales_1.3.0           
#>  [73] xtable_1.8-4            glue_1.8.0              tools_4.5.0            
#>  [76] AnnotationHub_3.15.0    data.table_1.16.2       ggsignif_0.6.4         
#>  [79] grid_4.5.0              tidyr_1.3.1             AnnotationDbi_1.69.0   
#>  [82] colorspace_2.1-1        GenomeInfoDbData_1.2.13 Formula_1.2-5          
#>  [85] cli_3.6.3               km.ci_0.5-6             rappdirs_0.3.3         
#>  [88] fansi_1.0.6             S4Arrays_1.7.1          dplyr_1.1.4            
#>  [91] gtable_0.3.6            rstatix_0.7.2           sass_0.4.9             
#>  [94] digest_0.6.37           SparseArray_1.7.0       farver_2.1.2           
#>  [97] memoise_2.0.1           htmltools_0.5.8.1       lifecycle_1.0.4        
#> [100] httr_1.4.7              mime_0.12               gridtext_0.1.5         
#> [103] bit64_4.5.2

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