DHSA Pilot Projects:

Project Title: “Linking Genotype to Phenotype: A pilot project to create a research data warehouse of biospecimen and omic information”

Co-Investigators: Jack London, TJU, Cathy Wu, UD, Ed Ewen, CCHS, and Timothy Bunnell, Nemours

Background and Significance:

Translational research seeks to understand the cause and effect of disease-specific molecular defects and to translate this "bench" knowledge into “bedside” benefits. It is an iterative cyclic process, involving not only the transfer of information gained at the laboratory bench to the hospital bedside, but also the flow of clinical information back to the laboratory. This secondary use of clinical data for research purposes is a primary underpinning of current biomedical research.

Advances in genomic, proteomic and systems biology ("omics") technologies allow researchers to gain a global view of gene functions and complex regulatory processes in different disease states. These present great opportunities for translational research, as well as major challenges. To fully realize the value of such high-throughput data requires advanced bioinformatics for data integration and direct correlation of disease phenotypes and laboratory/pathological findings with underlying molecular changes.

Researchers frequently have a need for certain biospecimens for their experiments. These investigators need well-annotated biospecimens so that experimental results can be linked to clinical observations and procedures. Tissue banks can provide annotation characterizing the specimens based on clinical data available at the time of specimen accession. This information includes patient demographics such as age, gender and race/ethnicity, as well as clinical and/or pathological diagnoses.

While attention has been focused on clinical annotation of biobank specimens, less emphasis has been on omics specimen annotation. Biorepository databases do not usually have information on genomic or proteomic variations that may be present in stored specimens. They are not sufficiently comprehensive for the basic scientists. For example, a researcher interested in p53 variations may query the biobank database for tissue from individuals diagnosed with esophageal cancer, but not for lung cancer, another disease associated with this antigen. The investigator may be restricting the query to esophageal cancer from a desire to acquire tissue only from those individuals having that disease, or out of lack of awareness that the variation may also be apparent in lung cancer.

Meanwhile, databases exist which contain genomic, proteomic and other omics information linked with clinical observations, such as disease. The integration of this omics data with other biobank annotation would provide investigators with enhanced specimen characterization that would allow for more targeted selection of experimental biomaterial. It will allow researchers to frame scientific query from an omics as well as clinical perspective.

The primary objective of the proposal is to establish a translational research framework for the Delaware Health Sciences Alliance (DHSA). Leveraging the medical informatics and bioinformatics infrastructure of the partner institutions, the framework will link biospecimen with "omics" data and connect genotypes to phenotypes to support the DHSA investigators.

Specific Aims:

  • Aim 1: Link the omics data in the Protein Information Resource at UD with specimen diagnostic information in caTissue deployments at TJU, Christiana Care and Nemours.
  • Aim 2: Create a data warehouse using the i2b2 framework for combined biospecimen and associated omics data, thereby connecting genotypes to phenotypes.
  • Aim 3: Develop scientific use cases and evaluate the utility of omics specimen annotation for DHSA investigators.

RECENT PRESS

Health experts to address issues in education, research, practice
January 26, 2012--DHSA will hold its inaugural Global Health Symposium on Saturday, Feb. 4 at CCHS. The program will focus on education, research and practice, with presentations on topics ranging from refugee health clinics and relief medicine to anthropological approaches to the study of global health.
Christiana Care issues a call to men to prevent domestic violence
January 24, 2012--Christiana Care, a National Community Center of Excellence in Women's Health, has been working for years to help women who are victims of domestic violence at an annual event that offers resources, education and support.
After Holiday Eating Marathon, Jefferson Dietitian Offers 10 Tips to Get Back on Track and Kick Start New Year's Weight Loss Resolution
January 4, 2012--Celebrating the New Year goes hand-in-hand with creating resolutions to get healthy and trim - especially after weeks of holiday marathon eating. Dietitian Emily Rubin, R.D., L.D., with the Division of Gastroenterology at Thomas Jefferson University Hospital, says you can stay committed to being healthy and fit by following these 10 tips.
Procedure saves teen after rare carotid trauma
January 4, 2012--Neurointerventionalist Gregg Zoarski, M.D.'s recent surgical grand rounds lecture on carotid artery injuries focused on how to repair traumatic injuries to these vital vessels that supply blood to the brain.
Medical students delighted with Delaware branch campus Christiana Care is participating in Jefferson Medical Colleges Delaware Branch Campus program, underscoring the transformative role the health system plays in medical education.
December 23, 2011--This achievement specifically spotlights our core competency in providing clinical education to third- and fourth-year medical students. Christiana Care has a long-standing relationship in providing first-rate medical education to students from Jefferson, one of the country's top-rated medical collleges.
Healthy Kids Delaware (HKD) Network celebrated its one-year anniversary earlier this month.
December 22, 2011--Earlier this month the Healthy Kids Delaware (HKD) network celebrated its one-year anniversary. The Healthy Kids Delaware network has been working to address health and wellness needs of children throughout New Castle County.
Interprofessional Care for the 21st Century: Redefining Education and Practice
December 14, 2011--Registration is now open for Jefferson InterProfessional Education Center's (JCIPE) 2012 conference: Interprofessional Care for the 21st Century: Redefining Education and Practice. The conference will be held on May 18-19, 2012 at Dorrance H. Hamilton Building, Thomas Jefferson University, Philadelphia, PA. The purpose of this conference is to showcase scholarly work and works in progress advancing interprofessional education and/or practice. This conference reflects on innovative implementation and evaluation strategies of the interprofessional competencies.
Nemours participates in Partnership for a Healthier America Summit
December 8, 2011--The Partnership, of which Nemours is a founding member, has a mission of supporting First Lady Michelle Obama's Let's Move! campaign by working with the private sector to fight childhood obesity. The theme that emerged at the summit, a gathering of leaders from business and industry, academia, nonprofits and government, was: "Make the healthy choice the easy choice."
DHSA plans workshop on collaborative education for clinicians and scientists
December 8, 2011--DHSA will host "Creating Clinical and Research Teams for the Future: Workshop on Collaborative Education for Clinicians and Scientists" on Tuesday, Jan. 10, 2012, at the Ammon Education Center of Christiana Hospital. This workshop focuses on developing skills to write educational grants. The program will include information on how to obtain educational grant funding, set goals and evaluate an educational program, and develop an application for the DHSA Education Pilot Award.