"Oncogenic MAP Kinase Signaling Network" and "Leveraging Social Media Analysis to Inform Tobacco Prevention"
March 30, 2022Yale Cancer Center Grand Rounds | March 29, 2022
Presentations by: Dr. Benjamin Turk and Dr. Grace Kong
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- 7622
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Transcript
- 00:00So it's a couple minutes after the hour,
- 00:02so why don't we get started?
- 00:04Welcome to grand rounds.
- 00:08We have two really interesting talks today.
- 00:12For those of you who don't know me,
- 00:16I'll just.
- 00:18Point out that my name is Ryan Crop.
- 00:19I'm very new to Yale as the new medical
- 00:24director for the Clinical Trials Office.
- 00:27And it's pleasure to start meeting everyone.
- 00:31So we have two took off.
- 00:32As I mentioned the 1st.
- 00:36Benjamin Turk has been
- 00:39kind enough to join us.
- 00:40He's an associate professor of
- 00:42pharmacology and director of
- 00:44Medical Studies and pharmacology.
- 00:45He's a member of the CSN program.
- 00:49His graduate work was in biological
- 00:52chemistry at MIT and then a postdoc
- 00:55with Luke Cantley also in Boston,
- 00:58and he works understanding
- 01:00molecular mechanisms underlying
- 01:02signaling pathways and how they're
- 01:05organized into large networks,
- 01:07and his lab has been.
- 01:08Setting protein modifying enzymes
- 01:11and particularly kinase and
- 01:13proteases that are important in
- 01:15in signaling networks and today he
- 01:18will be talking about the aquaponic
- 01:21not kinase signaling network.
- 01:23Thank you Doctor Turk.
- 01:26OK, thank you. I will share my screen.
- 01:32See.
- 01:36OK can you see my screen in the pointer?
- 01:39Yeah perfect OK great.
- 01:41Well thank you for that introduction and
- 01:44also for the invitation to present our
- 01:48work on MAP kinase signaling networks.
- 01:51So as we all know,
- 01:52one of the hallmarks of cancer is
- 01:55uncontrolled cell proliferation and
- 01:57survival and cancer cells accomplish this,
- 02:00at least in part through Co
- 02:03opting signaling pathways that are
- 02:05normally activated downstream of
- 02:08peptide growth factor receptors.
- 02:10I'm gonna be talking about one of
- 02:12the major arms of growth factor
- 02:14signaling the wrasse, RAF, MEK,
- 02:16Erk, signaling cascade.
- 02:18So owing to high frequency mutations
- 02:21in rosanky genes as well as mutation,
- 02:23amplification of growth factor receptors,
- 02:26this pathway is amongst the most
- 02:29highly hyper activated in or more
- 02:32frequent most frequently hyperactivated
- 02:34in human cancers.
- 02:35And though the pathway has been the
- 02:38subject of intense study for for decades now,
- 02:41there are still some.
- 02:42Open questions in the field that our
- 02:44lab and of course many others are,
- 02:46are trying to understand and to to
- 02:48sum up some of these questions that
- 02:51I'm really talking about today.
- 02:52One question,
- 02:53what are the functionally important
- 02:55components of MAP kinase signaling networks?
- 02:59So obviously the kinases that form
- 03:01the core cascade are are have been
- 03:03well studied or well understood,
- 03:05but we have less understanding of
- 03:07other regulators of the pathway.
- 03:09So for example the protein phosphatases.
- 03:12That act on these kinases,
- 03:14and thus attenuate signaling through
- 03:16the pathway and it in addition.
- 03:20We don't have a complete catalogue
- 03:22of the substrates of Erk that act as
- 03:26the critical effectors in mediating
- 03:28the cancer cell phone. It type.
- 03:31So in addition,
- 03:33one question we're interested in is
- 03:35how specific connections are made
- 03:37between the kinases and the regulators
- 03:39and substrates in this pathway.
- 03:41So there's been a lot of really beautiful
- 03:44structural work emerging recently on
- 03:46the upstream components of the pathway,
- 03:48in particular,
- 03:49how Rask connects to RAF and MEK.
- 03:51But again,
- 03:52our understanding of the more downstream
- 03:55components where where we have these
- 03:57critical effector kinases and their
- 03:59substrates is is less well understood.
- 04:01And then lastly,
- 04:02one thing we know is that the
- 04:05persistent high level of activation
- 04:07of this pathway that one gets with
- 04:11new genic activation really doesn't
- 04:14faithfully recapitulate the sort
- 04:16of normal dynamics of activation
- 04:18when we'd see in response to a
- 04:21growth factor in a normal cell.
- 04:23And this can lead to a phenomenon
- 04:26that someone sometimes called
- 04:28network rewiring and how.
- 04:30New or which new connections are
- 04:32made in these networks and which
- 04:34connections are broken is is is
- 04:35something that's important to
- 04:37know in terms of having a complete
- 04:39understanding of tumor cell biology.
- 04:41So I'm I'm gonna tell two stories
- 04:44briefly today.
- 04:45The first has to do with the oncogenic
- 04:48map kinase signaling in in Melanoma.
- 04:52OK,
- 04:52so as many of you probably know,
- 04:55malignant melanomas are really
- 04:57driven by hyperactive Erk,
- 04:59MAP kinase signaling and so about half of
- 05:03melanomas Harbor mutations in the BRAF gene.
- 05:06Most frequently the V 600 year Leal that
- 05:09leads to high level constitutive activation.
- 05:12And the remaining tumors have mutations.
- 05:15Most of them have mutations either
- 05:17in the NRAS, GTP ace, the NF One Ras.
- 05:22GTP is activating protein that negatively
- 05:25regulates the pathway or gain of
- 05:28function mutations in in MEK MEK,
- 05:30one which is just around stream of UVB
- 05:34graph and and of course the dependence of
- 05:37melanomas on this pathway has really driven
- 05:41the development and eventual FDA approval.
- 05:44Of kinase inhibitors that target both
- 05:46B RAF and MEK that are currently
- 05:49used to treat Melanoma,
- 05:51and while there is a high response rate
- 05:55for tumors that harbor be RAF mutations,
- 05:58the the problem with these drugs
- 06:00and really all targeted therapies is
- 06:02that the responses are not durable
- 06:04and patients will relapse within
- 06:05a few months to a couple of years.
- 06:09And the most common way that one sees
- 06:12resistance to these inhibitors is through
- 06:14re activation of the Erk MAP kinase pathway.
- 06:17Despite the continued presence of
- 06:19inhibitor but one can also see
- 06:21activation of bypass pathways like the
- 06:23P I3 kinase mtor pathway leading to
- 06:26resistance and obviously there's been
- 06:28a lot of interest in understanding
- 06:30these mechanisms of of tumor cell
- 06:32resistance to these therapeutic agents.
- 06:34With the idea that if you understand
- 06:35how cells become resistant you might
- 06:37be able to devise.
- 06:39Addition,
- 06:39new therapeutic strategies that
- 06:41might be more durable.
- 06:43So we got into this area through a
- 06:46genetic loss of function screen and SH
- 06:48RNA screen that one of my graduate students,
- 06:52Eunice Cho conducted to identify
- 06:54genes that modulate sensitivity to
- 06:57MEK inhibitors in Melanoma cells and
- 07:00this work was published last year.
- 07:03People are interested in getting
- 07:04more of the details before I talk
- 07:06about the specifics of this research,
- 07:08I have to briefly plug the Yale Cancer
- 07:11Center Functional Genomics core that
- 07:13I Co direct with David Calderwood.
- 07:15And really,
- 07:16the the the the mission of this
- 07:18core is to facilitate these loss
- 07:20of function genetic screens.
- 07:22CRISPR CAS 9 screens or SH RNA screens
- 07:24like I'm going to talk about and so
- 07:26hopefully this talk will give you a
- 07:28flavor of the kinds of information
- 07:29you can get out of these screens
- 07:32and inspire you to contact us and
- 07:34and set up your own.
- 07:36So I don't have a lot of time to talk
- 07:37about the details of how the screen works.
- 07:39Needless to say, we.
- 07:42In introduce Melanoma cell line
- 07:45with a pooled SH RNA library.
- 07:48In this one.
- 07:48In this case,
- 07:49one targeting kinases and
- 07:51phosphatases and then we propagate
- 07:52in either the presence or absence.
- 07:54One of two MEK inhibitors tromette
- 07:56never sell you met in IB and then we
- 07:59look at which hairpins become enriched
- 08:01or depleted from the population at the
- 08:03end of the screen and and what this
- 08:06will should tell us our our what jeans.
- 08:09Impact the sensitivity mekan hitters and
- 08:13hopefully identify additional genetic
- 08:16modifiers of of map kinase signaling.
- 08:18So I'm going to jump to the
- 08:20top hit that came out of this
- 08:22screen which was a phosphatase.
- 08:24Assyrian threonine phosphatase called
- 08:26PPP six seed, and what you can see
- 08:29here is that amongst all of the
- 08:30hair pins that were in our library,
- 08:32those that target PPP succeed were
- 08:35specifically enriched in the presence
- 08:37of either Solomon if or trim it nib.
- 08:39But under control conditions they
- 08:41were not enriched in the population.
- 08:42And what that means is that when you
- 08:44treat cells with a MEK inhibitor,
- 08:46they grow better if you knock down.
- 08:49PPP 6C OK.
- 08:51So seeing PPP 6C as a hit in the
- 08:54screen really caught our eye and the
- 08:57reason for that is that something
- 08:59like 7 to 9% of melanomas have been
- 09:01shown through genomic analysis.
- 09:03Whole exome sequencing to harbor
- 09:06what are thought to be loss
- 09:08of function mutations in PP6C.
- 09:10So we thought identifying this
- 09:12phosphatase in the screen for modulators
- 09:15of drug sensitivity in Melanoma cell
- 09:17lines was probably not a coincidence.
- 09:19So first thing we did was to try to.
- 09:21Verify this result.
- 09:23So we derived PDP60 knockout cells
- 09:26through CRISPR CAS 9 gene editing,
- 09:28and sure enough,
- 09:29if we titrate in MEK inhibitor in
- 09:31this case a trim it and if you can
- 09:33see that knocking out PPP6C leads to
- 09:36substantial resistance to the inhibitor
- 09:38and the other thing that we're observing,
- 09:40which is kind of interesting,
- 09:42is that actually sells deleted for
- 09:45PPP6C grow more poorly than wild type
- 09:49cell line than the wild type cell line.
- 09:51But that growth is at growth effect is
- 09:54actually rescued by low concentrations
- 09:56of the MEK inhibitor and this is
- 09:59reminiscent of a phenomenon that's
- 10:01been seen in in preclinical models,
- 10:04that's called inhibitor addiction and
- 10:08basically what what this means is that
- 10:11it's it's typically characterized
- 10:13by cells having hyperactive map
- 10:15kinase signaling and hyperactive
- 10:17map kinase signaling is toxic to
- 10:19cells and they can be brought back.
- 10:21Down into the range that's optimal for
- 10:24cell growth with low concentrations
- 10:26of an inhibitor,
- 10:28and so that was it in a sort of a
- 10:30immediate clue that of what might
- 10:32be going on here.
- 10:34That if loss of PPP6C caused hyper
- 10:36activation of MAP kinase signaling,
- 10:39that would explain why you get
- 10:41resistance because it requires higher
- 10:43concentrations of drug to suppress the
- 10:45pathway enough to inhibit cell growth.
- 10:48And also explain this drug
- 10:50addiction phenotype.
- 10:51And sure enough, that's what we see.
- 10:53So basically,
- 10:54if we look at a number of
- 10:57distinct PPP 60 knockout clones,
- 11:00we can see profound hyperphosphorylation
- 11:04hyperactivation of of MEK and of Erk
- 11:06and we can rescue that hyperactivation
- 11:09by re expressing a wild type allele
- 11:12of PPP 6C but not a phosphatase dead
- 11:16allele that's catalytically inactive.
- 11:18OK,
- 11:19and we extended these observations
- 11:20to a whole panel of cell lines.
- 11:23I'm only showing a few of them here,
- 11:25basically,
- 11:26regardless of lineages we lookin cell
- 11:29lines that either harbor BRAF mutations,
- 11:32or crass Oren RAST mutations
- 11:34with a couple of exceptions.
- 11:37We see that when we knock down PPP
- 11:4060 by SH RNA, we get increased mech
- 11:43and or increased ORC phosphorylation.
- 11:45So we do think this is a general phenomenon,
- 11:47at least in the context of
- 11:48oncogenic map kinase. Signaling so.
- 11:53PPP succeed is a phosphatase and
- 11:57in experiments that I I I won't
- 11:59have time to tell you about.
- 12:01We had ruled out activation of upstream
- 12:04components of the pathway and had
- 12:07a good handle on this PB6C acting
- 12:10at the level of MEK because it's a
- 12:13phosphatase may most straightforward
- 12:14explanation would be that it directly
- 12:16dephosphorylates Mac and we we
- 12:18do think that's what's going on.
- 12:20So in in vitro phosphatase assays
- 12:22we could show that.
- 12:23Purified PP6P6C complexes.
- 12:27Candy phosphorylate MEK,
- 12:28but they don't be phosphorylate Erk,
- 12:30so there seems to be some substrate
- 12:32specificity for the upstream component
- 12:34and probably more compelling we could
- 12:37detect at least an indirect physical
- 12:39interaction between Mac and PPP 6C.
- 12:41So PP6C is the catalytic
- 12:44subunit of holoenzyme that is,
- 12:46heterotrimeric,
- 12:47that includes regulatory subunits
- 12:49that have ascribed roles and binding
- 12:52to substrates and recruiting
- 12:54them for dephosphorylation.
- 12:55And we could see in komuna precipitation
- 12:59assays that pulling down any of
- 13:02the three regulatory subunits.
- 13:04I will bring down Mac but not so
- 13:06much with the catalytic subunit,
- 13:08sort of confirming a role for these
- 13:11regulatory subunits in in recruiting.
- 13:13MEC two to the complex.
- 13:16So I mentioned that PPP 6C is
- 13:19recurrently mutated in melanomas
- 13:20and so we wanted to look at whether
- 13:23these mutations affected signaling
- 13:24through the MAP kinase pathway.
- 13:27And so we perform rescue experiments
- 13:29where we re expressed series of the
- 13:33the most frequently observed mutants
- 13:35in our PP60 knockout cells and what we
- 13:39observed is with a single exception
- 13:42that these mutants were either
- 13:45entirely or partially defective.
- 13:48In their ability to mediate
- 13:51mech dephosphorylation,
- 13:52so we conclude that these are
- 13:55likely partial loss of function
- 13:57mutations and it sort of makes
- 14:00sense that they're functioning to
- 14:03increase signaling through the core
- 14:05pathway that drives melanomas.
- 14:08That is, the map kinase signaling pathway.
- 14:10So, unfortunately,
- 14:11PPP 60 mutations are are rare enough
- 14:15that we we really don't know the.
- 14:18Clinical relevance of these
- 14:20mutations to pathway activation,
- 14:23but we were able to mine some data from
- 14:25C bio portal and it did appear as if
- 14:28there was a significant correlation
- 14:31between the M RNA expression level
- 14:33of PPP6C and the level of either
- 14:36phospho Erk or Phospho MEK as seen
- 14:38in reverse phase protein arrays.
- 14:40So we do believe that PPP 6C is
- 14:43modulating flux through the pathway in
- 14:46tumors and and may be a factor that
- 14:49influences. Therapeutic response.
- 14:50OK,
- 14:51so in conclusion of this first part
- 14:54we've identified PPP 6C as a new
- 14:57player in restraining oncogenic map
- 14:59kinase signaling through dephosphorylation
- 15:00of MEK and that loss of function.
- 15:03Mutations of PPP 60 lead to hyper
- 15:06activated Erk signaling some of the
- 15:08open questions that we're trying to pursue.
- 15:10Now,
- 15:11how is PPP 6C regulated?
- 15:13So this phenomenon where PPP 6C is
- 15:16required to restrain MEK activation
- 15:18has has something that we really
- 15:20only see in the setting of oncogenic
- 15:22activation of the pathway.
- 15:23And that suggests to us that maybe
- 15:26there's a negative
- 15:27feedback loop where pathway activation
- 15:29leads to activation of PPP6C
- 15:32towards the phosphorylation of MEK,
- 15:34and we'd like to understand how that happens.
- 15:36And of course, it may be that there
- 15:38are other signaling outputs substrates
- 15:40other than mech that are functionally
- 15:43important for tumors where you see lots
- 15:45of people pay 60 and we're interested
- 15:47in trying to identify those as well.
- 15:50So for the remaining time,
- 15:51I'm going to switch gears a little bit
- 15:53and move downstream in the pathway to
- 15:55do the the the kinase in the bottom
- 15:58of the map kinase cascade IIRC,
- 16:01and here the we're going to be
- 16:03talking a little bit more about the
- 16:06structural basis for how connections
- 16:08in the pathway is are made,
- 16:10and also some of these network rewiring
- 16:13phenomena they introduced at the
- 16:14beginning and so the work I'm going
- 16:16to talk about is the work of really
- 16:19talented graduate student who's.
- 16:20Currently in the lab Julissa Torres
- 16:22Robles and what she was interested in
- 16:26in looking at our oncogenic mutations in
- 16:29in Erk 2 itself or encoded by the map K1G.
- 16:32So as I said at the outset,
- 16:34you have high frequency mutations in
- 16:36multiple cancer types of Rasen draft but
- 16:39at lower frequency you do see mutations
- 16:41in some of the downstream components.
- 16:43The Erk mutations in particular are
- 16:45sort of interesting because you don't
- 16:47see them in the same tumor types
- 16:49that you do the Rasen draft mutation.
- 16:51So where, where as Rasen rap mutations
- 16:53you you see in melanomas,
- 16:55lung cancers, colorectal cancers,
- 16:57pancreatic cancer,
- 16:58the Erk.
- 16:592 mutations are largely restricted
- 17:01to squamous cell carcinomas,
- 17:03so about 8% of cervical squamous cell
- 17:06carcinomas have recurrent or two
- 17:08mutations and about 2% of head and neck.
- 17:11Squamous cell carcinomas have these
- 17:13mutations and they've attracted some
- 17:15attention in that setting because
- 17:17of potential association between
- 17:19the presence of those mutations.
- 17:21And clinical responses to EGF
- 17:25receptor inhibitors.
- 17:27So one of the things that kind
- 17:29of attracted us to this is the
- 17:31the nature of these mutations.
- 17:32They're sort of unusual when you compare
- 17:35them to other activating mutations and
- 17:37protein kinases that you see in cancer.
- 17:40So unlike say,
- 17:41BRAF mutations or EGF receptor mutations,
- 17:44these mutations don't intrinsically
- 17:46hyper activate the kinase and they
- 17:48all map at least in three dimensional
- 17:51space to a really interesting
- 17:53region of the kinase catalytic.
- 17:55So this is a region that falls
- 17:56outside of the catalytic cleft.
- 17:58That's known as the common docking group,
- 18:01and it's called that because
- 18:02it serves as a hub for protein
- 18:05protein interactions with ERP two,
- 18:07so this docking groove binds to
- 18:10a number of substrates of Erk,
- 18:13but it also binds to irks regulators,
- 18:15so the Mach one and Mach 2 which are
- 18:19the positive regulars that phosphorylate
- 18:20and turn on or combined at this site,
- 18:23and the dual specificity phosphatase that
- 18:26dephosphorylates find it this site as well.
- 18:29So this sort of presents a little
- 18:32bit of a conundrum because I just,
- 18:34you know,
- 18:34told you that this is a
- 18:36really functionally important
- 18:37part of the of the molecule yet,
- 18:40and so you might expect that mutations
- 18:42at this site would be loss of function.
- 18:44But of course just logically it
- 18:46would seem that mutations in, IIRC,
- 18:48that you find in cancer should be
- 18:51gain of function and and the reason
- 18:53why this is is that these mutations
- 18:56actually cause selective disruption of
- 18:58these protein protein interactions.
- 19:01So for example,
- 19:03we know that these cancer associated
- 19:05Earth mutants are still able to
- 19:07interact with MEK one and MEK two,
- 19:09and so they can be activated normally,
- 19:11but they no longer interact with
- 19:13the dual specificity phosphatase.
- 19:14So incels, this leads to an imbalance
- 19:17between their activation and inactivation,
- 19:19and you accumulate the hyper
- 19:21phosphorylated active form of the kinase,
- 19:24but that's not all there is to it because
- 19:26it turns out that at least one of the
- 19:29major signaling outputs of Earth that is the.
- 19:31Chinese risk is also
- 19:33broken by these mutations,
- 19:35so these mutants don't interact with
- 19:36risk and they don't phosphorylate risk,
- 19:38and so that makes you raised
- 19:40a few questions in our mind.
- 19:43So first of all,
- 19:45what is the scope of interactions
- 19:47with Erk that are selectively
- 19:49disrupted by her mutations?
- 19:51We simply don't know this at this
- 19:53point and and from a kind of
- 19:55structural or biochemical standpoint.
- 19:57Why are some interactions broken
- 19:59and some spared something that
- 20:01we we also don't understand?
- 20:03And so.
- 20:04In order to address this question,
- 20:06Jay Lisa conducted a proteome wide
- 20:09screen to identify sequences that can
- 20:11interact with the Erk docking group,
- 20:13and again I don't have time
- 20:15to explain this in detail.
- 20:17What we did was mine the human
- 20:19proteome for short amino acid
- 20:22stretches of amino acid sequence.
- 20:24That sort of had sequence similarity
- 20:27to known interacting sequences like you
- 20:30would find in in Mach one and Mach 2.
- 20:34And prepared a genetically encoded
- 20:35library of about 12,000 sequences.
- 20:37So these are short sequences,
- 20:39fragments of proteins that are
- 20:4114 amino acids long.
- 20:42And then we use those in a
- 20:45pooled competitive yeast.
- 20:46Two hybrid screening format and
- 20:47and the the bottom line is that you
- 20:50know similar to sort of an SH RNA or
- 20:53crisper screen if we have a successful
- 20:55interaction between Erk and the interactor,
- 20:58this will become enriched
- 20:59in the population overtime,
- 21:00and we can detect this by next
- 21:02generation sequencing.
- 21:03So when we do this screen with wild type.
- 21:05Work we can see that on gratifyingly,
- 21:09all of the known interactors
- 21:11interacting fragments that were in
- 21:13the library actually scores hits.
- 21:15They become enriched,
- 21:16and furthermore,
- 21:17if we align all of these sequences,
- 21:20we can see a sequence motif.
- 21:22A signature sequence that emerges
- 21:23that seems to be a common feature
- 21:26of sequences that interact with Erk.
- 21:28So a cluster of proline residues and
- 21:30a couple of leucine residues close by,
- 21:33and this is interesting in its own
- 21:35right because it tells us something about.
- 21:37How Erk recruits it's interacting proteins,
- 21:41but what about the mutants? So J.
- 21:43Lisa conducted this same screen with the two
- 21:46most recurrent cancer associated mutations,
- 21:49D321 and E322K and what we saw
- 21:52was kind of what we expected,
- 21:54which is that most of the interactions
- 21:57are preserved about 2/3 of the the
- 21:59interactors that scored his hits for wild
- 22:02type or also interact with the mutants,
- 22:04but about a third of them interacted.
- 22:07Only with the wild type kinase,
- 22:09and furthermore,
- 22:10when we look at the the sequences
- 22:13that interact only with wild type,
- 22:16we actually lose this sequence
- 22:18motif that's characteristic of
- 22:20of of Erk binders in general.
- 22:23And actually there's very little
- 22:25distinguishing feature here,
- 22:26save for the significant selection of a
- 22:29single arching residue in the sequence.
- 22:31So we were a little bit
- 22:32flummoxed by this at first,
- 22:34but first we just wanted to
- 22:36do some basic validation.
- 22:37I I'm I'm starting to run short on time,
- 22:40so I'm going to go through this briefly.
- 22:41Basically,
- 22:42we could confirm that a
- 22:43sensually all of the sequences,
- 22:45but if we if we made synthetic peptides
- 22:48corresponding to these sequences
- 22:50that scored as hits in the screen,
- 22:52we could see that where we expected we
- 22:56saw differential binding in vitro to
- 22:58wild type versus mutant alleles of Erk,
- 23:01one of them in particular peptide
- 23:03coming from the protein ISG 20 had
- 23:05particularly high affinity for Erk and
- 23:07showed the biggest differential binding.
- 23:09Between wild type and mutant forms.
- 23:12So we decided to take a structural
- 23:14biology approach to understand what
- 23:15was going on here in terms of how
- 23:17this interacted with her and with a
- 23:19lot of help from Titus Boggins lab
- 23:21here in the pharmacology department,
- 23:23Jay Lisa was able to solve the X-ray
- 23:25cocrystal structure of wild type work too.
- 23:27In complex with this fragment of the
- 23:30ISG 20 protein and I'm just going to
- 23:32zoom in on the key feature at the
- 23:35region of ISG 20 that binds to IRK.
- 23:38That is close to the hot spot for
- 23:41these mutations we see that the
- 23:43peptide forms a single turn of an
- 23:46alpha Helix and that is enforced.
- 23:48That motive interaction is enforced
- 23:50by a sequence motif that involves a
- 23:53hydrophobic isoleucine residue and
- 23:55then two arginine residues position
- 23:58close by that actually make direct
- 24:01polar contacts to the acidic residues
- 24:04that are mutated in in cancer.
- 24:07And sure enough, if we then go back.
- 24:10And look at our sequences.
- 24:12That bound most preferentially to
- 24:14wild type the the top 9 sequences
- 24:16in the original used to hybrid
- 24:19screening data all have this sequence
- 24:21motif and we could further confirm
- 24:25that this motif was important for
- 24:27binding to wild type IIRC,
- 24:28but not to mutant forms of work
- 24:31through in vitro binding assays
- 24:33that we did with synthetic peptides.
- 24:35So basically,
- 24:36if we if we mutate any
- 24:38of these three residues.
- 24:40We greatly reduce the binding
- 24:42affinity with wild type IIRC,
- 24:44but we have no effect on the
- 24:46already weak binding affinity
- 24:48with the mutant forms of FERC,
- 24:50presumably because the damage had
- 24:51already been done by those mutants.
- 24:54So we think we have a good handle on why
- 24:56some sequences interact specifically
- 24:57with wild type work and are broken.
- 25:00The interactions are broken with the mutants,
- 25:02but we're now trying to do is sort of
- 25:04understand a little bit more about how
- 25:06this relates to tumor cell biology,
- 25:08and this is my last data slide.
- 25:10And So what we've been doing is looking
- 25:11at some of the full length proteins
- 25:14that corresponds to its corresponding
- 25:15hits from the screen, and one that
- 25:17in particular that caught our eye,
- 25:18is the row GTPS exchange factor def.
- 25:22H1, which has been implicated in a positive
- 25:25feedback loop for the Erk signaling pathway.
- 25:29It's a known substrate of of work,
- 25:31and we can confirm that indietro,
- 25:33but also also confirm that these
- 25:36cancer mutated forms of Erk are
- 25:39unable to phosphorylate.
- 25:41FH1, at least in vitro,
- 25:42and we're now following up.
- 25:45On these studies in head and neck
- 25:48squamous cell carcinoma cell lines
- 25:50to see if we can verify this result
- 25:52and understand what this means
- 25:54for for tumor cell biology.
- 25:57So to sum up this part,
- 26:01we've identified that cancer associated
- 26:04mutations that map to these common docking
- 26:08groove of Earth 2 disrupt a subset of
- 26:12interactions and specifically those
- 26:14involving a particular sequence motif.
- 26:16And what we're trying to figure out now,
- 26:18of course,
- 26:19is if selective engagement of these
- 26:21substrates is important for the phenotypic
- 26:23consequences of work to mutation.
- 26:25So with that.
- 26:27I will stop and thank the people
- 26:29who did the work I mentioned,
- 26:31Eunice Cho,
- 26:32who recently left the lab graduated
- 26:35last year who had done all the work on
- 26:38PPP 6C and the work on Earth mutants
- 26:41was conducted by Julissa Torres Robles.
- 26:44I also like to point out my collaborators,
- 26:46David Calderwood,
- 26:47who's my partner in all the
- 26:50functional genomics stuff.
- 26:51Tice Boggins lab who helped us with
- 26:54the crystallography and Mark Gerstein
- 26:55lab that helped us with the the.
- 26:57Library design and computational analysis.
- 27:01And with that I'm happy to take
- 27:03any questions if we have time.
- 27:06Thank you that that that was great
- 27:08and really nice work and and and a
- 27:11good advertisement for the functional
- 27:12genomics core 'cause it looks like some
- 27:15really impressive data we have maybe
- 27:17two or three minutes for questions.
- 27:19If you wouldn't mind just putting him in
- 27:21the chat while people are doing that,
- 27:24can I just ask you a quick question
- 27:27about the the PP6C study?
- 27:31Is it worth you think going back
- 27:34and trying to redo your your.
- 27:36Knock down screen in a background
- 27:40of the the PPP mutant contacts
- 27:44to see if there's other.
- 27:46Targets that could restore
- 27:49sensitivity to the inhibitors.
- 27:51Yeah, I I do believe so.
- 27:52And actually one of the things that
- 27:55we have planned is is such a screen.
- 27:57So the screen that we did before
- 27:59was a focus SH RNA library and what
- 28:01we're gearing up to do is a genome
- 28:04wide CRISPR screen where we compare
- 28:06wildtype cells with the PPP 60
- 28:08knockout cells in the presence or
- 28:10absence of the of the MEK inhibitor,
- 28:13and so we're hoping to get out
- 28:15of that are basically.
- 28:16We should get genetic modifiers
- 28:18that affect the growth of the PPP 60
- 28:21knockout cells and one of the hopes
- 28:23is that we'll identify potentially
- 28:26other signaling outputs of PP6C
- 28:28that are important for growth and
- 28:29maybe drug sensitivity as well.
- 28:32You know, it seems like it makes that
- 28:35make sense in just one other question.
- 28:38I got a little,
- 28:39maybe I misunderstood in terms of the.
- 28:42The prevalence of these mutations
- 28:44in the in the in that phosphatase,
- 28:48and they I I thought you had said
- 28:50that they were relatively common.
- 28:54It's it's 7 to 9% depending on
- 28:57the study, so they're they're.
- 28:59They're not as common it it's.
- 29:01It's actually interesting
- 29:01if you look at the data,
- 29:02they're sort of the I guess
- 29:04the fifth most common,
- 29:04you know after the big guys and Ranson.
- 29:07If one and I think P 53
- 29:09they they're their next
- 29:11and do they get enriched? Have you do?
- 29:13Are there any databases of MEK resistant
- 29:16MEK inhibitor resistant samples that
- 29:18you can look to see whether it's
- 29:20enrichment for that mutation? Yeah,
- 29:21that hasn't really come out of those studies.
- 29:23A lot of those studies have been.
- 29:26Looking at sort of individual
- 29:29patients and you know people
- 29:31have made patients right.
- 29:32Zena graphs and things
- 29:33like that and and done.
- 29:34You know whole exome saying there's no.
- 29:38I mean because they're not
- 29:40particularly common that it really
- 29:42has not come up as a bonafide
- 29:44clinical resistance mechanism.
- 29:47OK, alright thank. Thank you again.
- 29:50Really nice work so why don't we
- 29:53move on to our next presenter?
- 29:56Is Doctor Grace Kang,
- 29:59who's an assistant professor in
- 30:01Department of Psychiatry and a
- 30:04member of our cancer Prevention
- 30:06and Control research program.
- 30:08She did her graduate work in clinical
- 30:11psychology at Saint Johns and in postdoc
- 30:14in adolescent addictions in the in the Yale.
- 30:18A school of Medicine's
- 30:19division of substance abuse.
- 30:21Her current research interests
- 30:23include understanding, substance use,
- 30:25health disparities among youth,
- 30:27and the use of social media for
- 30:29tobacco marketing and and novel
- 30:31tobacco use behaviors among youth,
- 30:32and I think she'll be talking
- 30:35about that today.
- 30:36Her title is leveraging social media
- 30:39analysis to inform tobacco prevention.
- 30:42Dr Kang thank you for for joining us.
- 30:52And I think you're on mute.
- 30:57OK, can you hear me now?
- 30:59Yep perfect OK great thanks.
- 31:02And you could hear you could
- 31:03see my slice here, right?
- 31:04Yeah, OK, awesome, thank you.
- 31:06Well, thank you so much
- 31:08for having me here today.
- 31:10We're gonna really switch gears
- 31:12and talk about social media
- 31:14and youth tobacco prevention,
- 31:16so I will give a brief outline of what
- 31:20we'll what I will talk about today.
- 31:25So I'll first given out overview
- 31:26of why we should care about East
- 31:29figure prevention in the context
- 31:30of tobacco prevention and and,
- 31:32and then the importance of leveraging
- 31:34social media to understand Easter
- 31:37youth behaviors and promotion and and
- 31:39then talk about limitations on current
- 31:41methods to analyze social media and
- 31:44then introduce how advances in new
- 31:46computational methods could be used to.
- 31:50To overcome some of these limitations,
- 31:52and then I'm going to talk about
- 31:54two specific studies in our group
- 31:56using YouTube data to understand E,
- 31:58cigarette content and social media.
- 32:03So cigarette smoking is a leading
- 32:05cause of preventable cause of death,
- 32:07disease, disability and death in
- 32:08the United States and we also know
- 32:11that smoking causes cancer's of
- 32:12a variety of charts in the body.
- 32:15However, cigarette is just one type
- 32:17of tobacco product in the market.
- 32:19There are other types of tobacco
- 32:21products such as cigars,
- 32:22smokeless tobacco, E cigarettes,
- 32:23just to name a few, that Berry in harm.
- 32:27And here what you see is this is
- 32:30a graph from CDC and this shows.
- 32:32Different tobacco products and use
- 32:34rates across the decade and what you
- 32:37see is overall this decrease in tobacco
- 32:39use right and but this dotted green
- 32:42line here is increasing E cigarette
- 32:44use over the years since 2014,
- 32:46E cigarettes have been the most commonly
- 32:49used tobacco product use among youth
- 32:51and in 2020 more than 4.5 million of
- 32:54the US youth are are using E cigarettes.
- 32:58And so when you take E
- 32:59cigarettes into consideration,
- 33:00the overall tobacco use rates.
- 33:02Is increasing among US youth?
- 33:07So for those who are not that
- 33:09familiar with E cigarette,
- 33:10I'll just provide an overview
- 33:12of what a E cigarette is.
- 33:14There are many different types
- 33:15of E cigarettes on the market.
- 33:17These devices are not regulated,
- 33:19so there is a rapid innovation such
- 33:22different product characteristics and E
- 33:24cigarette devices have evolved overtime.
- 33:26It first started out with Cigalikes,
- 33:28which is a which resembles cigarettes.
- 33:31And then evolve into second
- 33:33generation on devices like vape pens,
- 33:35which resembles like a pen.
- 33:37Third generations are these mods which
- 33:41vary in how they're it could be really
- 33:44customized in very different ways,
- 33:46and it could also excel large
- 33:49amounts of excelled aerosol,
- 33:52and then there is this pod mods here
- 33:54that sort of varies and how it looks.
- 33:57The most notable device you
- 33:59may have heard of is Jewel.
- 34:01They recently got popular because.
- 34:03They use nicotine salt instead of freebase.
- 34:05So Freebase nicotine is manipulated
- 34:07so that it has more of the
- 34:09harshness or kick the smokers likes.
- 34:12The nicotine salt is manipulated by
- 34:14lower the pH level so that it's not
- 34:17as harsh and allows for higher levels
- 34:19of nicotine and so the the problem
- 34:21with using nicotine salt is that
- 34:24because it's easier to to debate,
- 34:27you know higher levels of nicotine could
- 34:30be included in this products and therefore.
- 34:33You know the initiation among youth
- 34:35could could be a risk because
- 34:37of his high level of nicotine.
- 34:39So once Jewel started really hitting
- 34:41the market and getting really popular,
- 34:44this fifth generation of devices
- 34:46started entering the market and
- 34:48these are disposable pod devices.
- 34:50They're meant to be single use
- 34:51sometimes with multiple packs.
- 34:53They're small, they're discrete,
- 34:54they look like jewel they contain.
- 34:56They also contain they contain salt,
- 34:58so which has high levels of nicotine
- 35:00and it comes in multiple flavors.
- 35:02And there's a widely and importantly,
- 35:04they're cheap,
- 35:05so you might see a lot of these products on.
- 35:08Come in in your gas stations and
- 35:10other store convenience stores.
- 35:14So how do you cigarettes work?
- 35:15You know, even though these
- 35:17cigarettes vary in how they look,
- 35:19so the anatomy is is the same.
- 35:22So it has a component that
- 35:25holds that you liquid.
- 35:27It has a heating element.
- 35:29Any of the power power source in the
- 35:31form of batteries and is a mouthpiece
- 35:34in which the user could use to inhale
- 35:37the aerosol from from the of the
- 35:39vape and in some in some devices,
- 35:42just inhaling could activate the device.
- 35:44So what's in E liquid is made
- 35:48up of nicotine flavorings.
- 35:49The base is made up of proper link
- 35:51like coal and vegetable glycerin,
- 35:53as well as other additives.
- 35:54So in terms of nicotine,
- 35:56that's that's the main drug.
- 35:58So it stimulates the,
- 35:59stimulates the central nervous system.
- 36:01It raises blood pressure,
- 36:03respiration, heart heart rate,
- 36:04and releases a feeling of pleasure.
- 36:07And the the E cigarette that
- 36:09comes in Freebase comes in zero
- 36:12to 36 milligrams per milliliter.
- 36:14The nicotine salt on their
- 36:16marketed as percentage.
- 36:17So so for example,
- 36:19Jewel come as come as 5%,
- 36:22which is equivalent to about
- 36:2459 milligrams per milliliter.
- 36:25And you know the the issue with
- 36:27labeling is also very important,
- 36:29because you know 5% of anything
- 36:31just sounds little right.
- 36:33But if you actually look at the
- 36:35milligram per milliliter is actually
- 36:37very high level of nicotine.
- 36:38And this is what makes the
- 36:40nicotine is what makes addictive.
- 36:41There are zero level of eliquids
- 36:44and E cigarettes available.
- 36:46However,
- 36:47I should say that that's
- 36:49not that's not very common.
- 36:51These E cigarettes come in
- 36:52many different flavors.
- 36:53There's more than 7000 flavors.
- 36:56You know it comes in the typical
- 36:58like menthol tobacco flavor,
- 36:59but what's really popular or you know,
- 37:01fruit candy store that desert
- 37:03kind of flavors.
- 37:04And also there's also a lot of names
- 37:07that does not allude to actual,
- 37:10you know food,
- 37:11but like obscure names like
- 37:13you know Unicorn milk,
- 37:15or you know vampire blood
- 37:17or things like that.
- 37:18That gets people's attention.
- 37:21It is made up of chemicals.
- 37:24And the people in glycol,
- 37:25vegetable glycerin and the
- 37:27combination of the two is used.
- 37:29The ratio of the two is to create
- 37:32either more aerosol or less aerosol
- 37:34is used to intensify flavors or or
- 37:37a lower the intensity of flavors and
- 37:40nicotine or other chemicals added
- 37:42such as other water and other chemicals.
- 37:44So in addition to you know
- 37:47nicotine flavor flavorings,
- 37:48PG,
- 37:48VG,
- 37:48and other chemicals E cigarette aerosol
- 37:51have known or are shown to have
- 37:54heavy metals volatile organic compounds,
- 37:55and fine and ultrafine particles
- 37:57that can be inhaled deeply into the
- 37:59lungs by both by users as well as bystanders.
- 38:02The long term effects of this
- 38:05vaping is currently unknown.
- 38:07So why?
- 38:08Why should we care right about E cigarettes?
- 38:11So nicotine use among youth increases
- 38:14the risk of lifelong tobacco addiction.
- 38:17And it could also increase the risk
- 38:20for future addiction to other drugs as well.
- 38:22This is this E sticker.
- 38:24Use is considered an epidemic
- 38:26in the United States,
- 38:28so it's NIH, including NCIS.
- 38:31Research priority priority is to
- 38:33prevent you thicker E cigarette use.
- 38:35In fact SCI has RFA specifically
- 38:38focus on preventing E cigarette use
- 38:42among youth and has a collaborative.
- 38:45A grant that's interested in
- 38:48in particularly interested in E
- 38:50cigarette preventing E cigarette use,
- 38:52and then lastly they also have
- 38:55invested considerable resources into
- 38:59developingsmokefree.gov,
- 38:59which has resources to help
- 39:01youth to quit E cigarette use.
- 39:04So we're thinking of how
- 39:05to prevent E cigarette use.
- 39:07We've got to consider a lot of factors right,
- 39:09so there are social,
- 39:11environmental, cognitive,
- 39:12and genetic influences that plays
- 39:14a role in in youth tobacco use.
- 39:17But we also know is that tobacco promotion,
- 39:19marketing, advertising is causally
- 39:21related to youth tobacco use and
- 39:23this has been well established
- 39:25and has been talked about in
- 39:27in in surgeon general reports.
- 39:29So I'm going to focus on social media
- 39:32because now with the advent of social media,
- 39:34tobacco promotion really faces a unique
- 39:37challenge because social media is fast,
- 39:40it's cheap,
- 39:40you could reach a lot of people at a quick
- 39:44speed and it doesn't have sufficient to.
- 39:46To to control its content.
- 39:50So it might not be that surprising
- 39:52to you to hear that you know social
- 39:55media is popular among youth.
- 39:5690% of youth have used social media,
- 39:5975% have at least one active social
- 40:01media profile and 93% report visiting
- 40:04on social media site at least daily.
- 40:07When it comes to understanding how E
- 40:10cigarettes are promoted to youth is
- 40:12so important to understand how it's
- 40:14promoted so pro E cigarette content.
- 40:16Is on social media through paid ads
- 40:19through influencers promoting the
- 40:21products and on post from a share
- 40:24by their peers and other people?
- 40:26And recent studies have or are finding
- 40:28that use of social media among youth
- 40:31is associated with E cigarette use?
- 40:34So while there are many different
- 40:35types of social media platforms in
- 40:37our in our group or I'm going to
- 40:39present research findings specific
- 40:41to YouTube and I'm and I'm sure
- 40:43all of you have used YouTube so
- 40:45you're familiar with it.
- 40:46YouTube is free online streaming service.
- 40:50Is used by 1.9 billion users,
- 40:52which is a third of all Internet users
- 40:54and people spend about a billion hours a
- 40:57day watching watching online YouTube videos.
- 40:59So the the data on the right.
- 41:02The graph here shows this is data from 2018,
- 41:05so it's a bit old,
- 41:06but it shows that among teens YouTube
- 41:09is still popular and actually
- 41:11there's a recent data that's done.
- 41:14I think this year last year that showed
- 41:16that You Tube is still popular among
- 41:19youth despite newer platforms entering.
- 41:21That's popular among youth.
- 41:22We could also see that among those people
- 41:25who use they they're using YouTube often.
- 41:31So E cigarettes have been
- 41:34identified on YouTube.
- 41:35And people have examined.
- 41:37Researchers have examined E cigarette
- 41:39content on YouTube to inform prevention.
- 41:41They have identified certain
- 41:42themes that appear in this video,
- 41:43such as bait tricks that appeal to you and
- 41:47as well as unorthodox or modify users.
- 41:50So how people might hack these devices
- 41:52and use for unintended purposes,
- 41:54people are examine Instagram videos
- 41:57to understand whether there's health
- 41:59warning labels associated with them,
- 42:00as well as how do these videos explain
- 42:04health effects of E cigarettes?
- 42:06And nicotine use as well as
- 42:09the marketing content.
- 42:10These are just some examples of what's
- 42:13been examined on YouTube videos.
- 42:15However, there is a lot of
- 42:16limitation in current methods,
- 42:18so all of these prior studies
- 42:19have used human coding,
- 42:21which means that you know we
- 42:22have humans going in and and and
- 42:24watching a video to identify these
- 42:25themes and really limit the number
- 42:27of videos that could be examined.
- 42:29So in these studies they examine
- 42:31about 50 to 350 videos,
- 42:32but in our previous study we
- 42:34examined big trip videos on YouTube.
- 42:36We found that there is like 156,000
- 42:39videos just on vape tricks along and
- 42:41other studies have found that 2200
- 42:43new E cigarette videos are being.
- 42:45Upload every month.
- 42:47So,
- 42:47advances in computational methods
- 42:49can enhance the methods used to
- 42:51analyze social media data to
- 42:53inform tobacco regulatory science.
- 42:57So the other issue with social
- 42:59media is that social media custom
- 43:02tailors the content to users.
- 43:04So we know that there is a lot of E
- 43:07cigarette content and this I should
- 43:09say this algorithm of how social media
- 43:13content tailors the users is proprietary
- 43:15and we really don't know what kind
- 43:18of content user being exposed to,
- 43:20so understanding the types of content
- 43:22that you would mute or exposed to is
- 43:25really important to inform regulations
- 43:27as well as how to create prevention
- 43:30strategies such as counter marketing.
- 43:33And no study has yet.
- 43:35Try to mimic youth conducting the
- 43:37search and then apply machine learning
- 43:38to understand all the data retrieved.
- 43:44So. So advanced computational
- 43:47methods can be applied to overcome
- 43:50these limitations and and gaps,
- 43:52or another limitation is getting more.
- 43:54How do we get these data or videos
- 43:59rapidly so some platforms provide
- 44:01access via application programming
- 44:03interfaces APIs while other platforms
- 44:05require more involved coding to
- 44:07build data scrapers and API's could
- 44:10potentially deliver thousands or
- 44:12even millions of posts per day.
- 44:14And additionally computational methods.
- 44:16Can be used to understand topics
- 44:19related to tobacco prevention
- 44:20using large social media datasets.
- 44:22So now I will sort of switch gear to
- 44:25talk about two studies that we've
- 44:28used to analyze YouTube content
- 44:29on E cigarettes and these studies
- 44:32use unsupervised machine learning
- 44:33rule based classification,
- 44:35network analysis as well as
- 44:38supervised machine learning.
- 44:39The study one we wanted to understand
- 44:42whether E cigarette content
- 44:43on YouTube differs by U2 youth
- 44:46demographic characteristics.
- 44:47To understand whether you think content
- 44:49is being tailored to certain views.
- 44:51To do this,
- 44:52we create a 16 fictitious viewer
- 44:55profiles and these viewer
- 44:57profiles were separated by age.
- 44:59So 16 year olds and 24 year olds by
- 45:02gender as well as race ethnicity.
- 45:04We may profile for white,
- 45:05black,
- 45:05Hispanic youth and we used factory
- 45:08reset Android phone with Orbot
- 45:10app to delete all personalization
- 45:12based on search results.
- 45:13And these are the search results
- 45:15are words that we use related
- 45:17to E cigarettes and we conducted
- 45:19this search inmate 720.
- 45:20And we obtain 140 videos which
- 45:22is equivalent to about 7 pages
- 45:25of 20 videos per page for each
- 45:27search word and fix your profile.
- 45:30And so after we remove all the
- 45:33duplicates we had 4201 non duplicate
- 45:35videos in our search result.
- 45:38The first we wanted to understand,
- 45:40you know we had to develop a cool bug
- 45:43to understand what we're examining.
- 45:45So what we're interested in examining
- 45:47was like what are the videos being
- 45:49related to E cigarettes, right?
- 45:50So were they product reviews,
- 45:52vape tricks, health information?
- 45:54You know?
- 45:55What were these videos talking about?
- 45:58And then we want to know who are the
- 45:59people who are uploading these videos,
- 46:01where they private users,
- 46:03retailers and we want to know what
- 46:05types of E cigarette products are
- 46:07being featured or the eliquids
- 46:09box mod pods and so on.
- 46:11We also want to see if there were
- 46:13actually selling these products
- 46:15to youth and so we buy we look to
- 46:17see whether this external links
- 46:19for purchasing and discount codes.
- 46:22So once we quoted this book, I'll catbug.
- 46:24We're two independent reviewers
- 46:26randomly review the finalizer themes,
- 46:28and then we establish integrative
- 46:31reliability.
- 46:32And then after that one quarter
- 46:34labeled 1000 videos,
- 46:36which was used to train supervised
- 46:38machine learning algorithms for study one,
- 46:41I'm going to focus on video themes
- 46:43because our goal was to understand
- 46:44whether the video theme content
- 46:46was different among users.
- 46:48However,
- 46:48the methods are the same for both studies.
- 46:52So using network analysis we plotted
- 46:54exposure similarities as a network of
- 46:56demographic attributes and videos.
- 46:58So what you see here is a graph of male,
- 47:00female and by different age groups and
- 47:02the thickness of this purple line indicate
- 47:05the normal number of common videos.
- 47:07So what we see that both 24 year old
- 47:10profiles have the most most videos
- 47:13in common and then it's 24 year
- 47:16old male and 16 year old female.
- 47:18And we also use K means clustering,
- 47:20which is a powerful unsupervised machine
- 47:23learning algorithm that finds similarity
- 47:25between items and grouped them into
- 47:27clusters without the human input.
- 47:29And then we used human data.
- 47:33A human labeled data as an input to
- 47:36graph convolutional network for machine
- 47:39based classification of the 4201 videos,
- 47:42titles and descriptions.
- 47:44And we found that just north of high
- 47:47accuracy and using GCN we were able to
- 47:51identify what the video themes were.
- 47:55So 49% of the videos were product reviews,
- 47:5926.9 videos.
- 48:00Or informational or or modifying
- 48:01so these are videos that teaches
- 48:04people how to use an E cigarette or
- 48:06how to modify or hack in E cigarette
- 48:0815% or health information.
- 48:10Videos about E cigarettes and 9% were
- 48:14just like other types of videos.
- 48:19And so after performing clustering
- 48:21classification, we calculate the
- 48:23percentage of each video type in
- 48:25each category by demographic groups.
- 48:28So what we find here is that.
- 48:32The green color is the product of you,
- 48:34so these are videos that talk about you
- 48:36know like give product reviews on the
- 48:38product and we find that the product
- 48:39reviews represented by the green color
- 48:41is more common among 24 year old profiles.
- 48:45Health health is represented by
- 48:47Orange is similar or cross a little
- 48:50bit more common among males.
- 48:53And what you what's interesting
- 48:54here is that the lighter bluish
- 48:56purplish color here is informational
- 48:58videos where how to use an Instagram
- 49:01or how to modify an Instagram.
- 49:03And that's a lot more common
- 49:05among underage female group.
- 49:07And other other videos are more common,
- 49:10represented by the darker purple
- 49:12here for male 16 year olds,
- 49:14which is concerning because these
- 49:16videos had content like you know
- 49:18related to cannabis vaping and
- 49:20other vape tricks and so on.
- 49:22So there is concerning content
- 49:24that shows that more tailored
- 49:26towards younger younger youth.
- 49:28So our results show that demographic
- 49:31attributes does factor into
- 49:33YouTube algorithmic systems.
- 49:35In the context of esseker
- 49:37related queries on YouTube,
- 49:38we found that the similarities between
- 49:41exposure for male and female 24 year
- 49:43olds and actually higher than than
- 49:46the connection between other pairs.
- 49:47We also found that underage
- 49:49users work more exposed to more
- 49:51instructional videos on E cigarettes,
- 49:53while all the age groups were
- 49:55most exposed to product reviews.
- 49:57So all of this is concerning because.
- 50:00We because this shows that underage profiles,
- 50:04right so 16 year olds are able to or
- 50:06are exposed to E cigarette content
- 50:09despite YouTube having policies
- 50:12about prohibiting Easter great
- 50:14content to their underage viewers,
- 50:16such as product reviews.
- 50:20So now I'll talk about our second study.
- 50:24So we identify we have four areas
- 50:26of interest, which is, you know,
- 50:27what are the video themes?
- 50:28Who are the people uploading these videos?
- 50:31You know what types of E cigarette
- 50:32products are being featured and is
- 50:34their presence of sales and discounts.
- 50:36So what we want to do is we you know we
- 50:38could use human coders to identify them,
- 50:40but we wanted to know can we use
- 50:43supervised machine learning to
- 50:44identify these key areas that could
- 50:47inform E cigarette prevention?
- 50:49So what is machine learning?
- 50:51Machine learning is powerful and it could
- 50:52be used to examine a large data set.
- 50:54So in this case large,
- 50:55many videos machine learning
- 50:57has been used to examine social
- 50:59media content around tobacco use.
- 51:01However,
- 51:02no studies have examined YouTube
- 51:04videos using machine learning.
- 51:06So this is a quick overview of
- 51:09what a machine learning does,
- 51:11so using an algorithm to it uses
- 51:15an algorithm to predict something.
- 51:16So in this case,
- 51:17if we're interested in it saying you know,
- 51:19can we use machine learning to to to
- 51:21identify if a video featuring an E
- 51:24cigarette first we need to teach the
- 51:26algorithm what an E cigarette is, right?
- 51:28So we we teach it, if it's jewel,
- 51:30if it's east, sick, if it's vape,
- 51:32then it's considered an E cigarette
- 51:34and this is A and this is,
- 51:35this data set is now.
- 51:37Used to train the machine learning
- 51:40algorithm and the algorithm learns
- 51:42from this example data set and later
- 51:45uses a different data set to predict
- 51:47whether they could identify an E cigarette.
- 51:50So if it correctly identify
- 51:51that there is an issue,
- 51:53regret that he's a successful model.
- 51:55If it fails to identify where
- 51:57if an E cigarette exists,
- 51:59when it doesn't,
- 52:00then we reach train this machine
- 52:02article rhythm until we could
- 52:04achieve a successful classification.
- 52:09So in our study, this is a model
- 52:11performance of our machine learning
- 52:13models for each of the four categories,
- 52:15F1 score is a measure of test accuracy.
- 52:18It's calculated from the
- 52:19precision and recall of a test.
- 52:23And this is a like a pretty good
- 52:25score considering the complexity of
- 52:27the themes that we were identifying.
- 52:31So what do we find?
- 52:32So this is a little more detailed
- 52:35look into video themes that we use
- 52:37in this case study versus our study.
- 52:40One that's what we have more themes here,
- 52:42and we also similarly identify the
- 52:44product views were the most common.
- 52:45And if you see a picture image here,
- 52:47this is an example of what a
- 52:49product review look like, right?
- 52:50This is Jewel starter Kit
- 52:52unboxing and review.
- 52:53And we also found that 72nd highest
- 52:56video theme was modified video that
- 52:59teaches people how to modify and
- 53:01informational videos on how to use
- 53:03health information was 11% other
- 53:06themes that were still ysaguirre.
- 53:099% of marijuana related things
- 53:11was 6% and other irrelevant theme
- 53:14which is like non E cigarette
- 53:16theme for five percent 5.6% and
- 53:18vape chicks was one point 1%.
- 53:23So product type, so this is so this
- 53:24is all the different types of products
- 53:27that we identified through machine
- 53:29learning and and what this actually
- 53:31shows is that there are a variety of
- 53:34different types of E cigarette products
- 53:36that are being featured on on YouTube.
- 53:39So who are the people who
- 53:41are uploading these videos?
- 53:4354% were weighed enthusiasm,
- 53:44so who are big enthusiasts?
- 53:46These are independent users who post
- 53:49almost exclusively about bathing.
- 53:51So when you go to the channel page to see
- 53:53what kind of videos they've uploaded,
- 53:54it was mostly related to vaping,
- 53:56but they were not directly
- 53:58connected to vaping company,
- 54:00so we cannot verify that
- 54:01their influences or not.
- 54:03So these are some examples of like
- 54:05account of people who've a person.
- 54:08Vape enthusiasts of channel page.
- 54:10As you could see,
- 54:11all the contents related to vaping.
- 54:13This is problematic because when
- 54:15it comes to regulating content,
- 54:17you cannot regulate private users, right?
- 54:21You can't tell the regular
- 54:22person to say you know.
- 54:23Don't post things about vaping.
- 54:25However,
- 54:25you could regulate influencers
- 54:27who get paid by the industry to
- 54:29post their products and the the.
- 54:31The difficulty with vape enthusiasts
- 54:33is that there's no way to tell
- 54:35who are vape enthusiast,
- 54:36who are influencers and her regular users.
- 54:4021% are stores,
- 54:4112% is other sources and six point 4% of
- 54:45medical community and 6% of private users.
- 54:52So 59% of video did not have any
- 54:54discount or links 34% of the videos
- 54:58had external links for purchasing
- 55:00and 5% or have other discount methods
- 55:03and one point 7% had discount.
- 55:04So this is a screenshot of of of
- 55:08instructional videos like beginning
- 55:10beginners vaping tip that also had
- 55:13a link that you could purchase
- 55:15as well as a coupon code.
- 55:17For purchasing,
- 55:18So what do we find in this study?
- 55:22We found that I complicated things
- 55:25relevant to E cigarettes could be
- 55:28identified using machine learning and
- 55:30fictitious youth viewer profiles on YouTube.
- 55:32We identified videos that violated
- 55:35YouTube tobacco policy restricting
- 55:37promotional content to underage minors,
- 55:39such as product reviews and purchasing links.
- 55:42Again, there was a high level
- 55:43of industry presence and such
- 55:45as faith enthusiast at stores.
- 55:49So overall conclusions, you know.
- 55:51Mixed methods such as qualitative
- 55:54analysis using human labellers and
- 55:56computational methods can really reveal
- 55:58E cigarette use content to inform youth,
- 56:01tobacco prevention and social media has
- 56:04really a really rich data and has a good.
- 56:09You know you could have a really good
- 56:12understanding of youth behaviors as well as
- 56:14promotion and sales that youth can access.
- 56:16And again, this is our current
- 56:18occurring a lot on YouTube as well
- 56:20as on other social media platforms.
- 56:22And to prevent youth E cigarette uptake,
- 56:25regulation of social media,
- 56:27a promotion that occurs in
- 56:29social media is really needed.
- 56:32So you know this is one example of
- 56:34how social media could be leveraged
- 56:36using qualitative and computation
- 56:38method to understand certain
- 56:39behaviors that could prevent KENS.
- 56:42Has cancer prevention
- 56:43implications like tobacco use?
- 56:45But certainly this this type of methods could
- 56:48be used to understand other behaviors that
- 56:51has direct implications to preventing cancer,
- 56:54such as, you know,
- 56:55physical activity,
- 56:56diet, obesity as well.
- 56:59So I'd like to acknowledge our funding
- 57:02stores as well as Yale Tobacco Center
- 57:04of the Study on Tobacco Regulation,
- 57:07tobacco product of Youth in addiction and
- 57:11also our team in University, Texas Austin,
- 57:14who is leading the computational methods.
- 57:19So thank you for your attention.
- 57:22Thanks Doctor Kang that
- 57:24that was that was great.
- 57:26And it's open for questions,
- 57:29please put him in the chat.
- 57:30I know we only have a few minutes,
- 57:31but maybe we could stay
- 57:33over for a minute or two.
- 57:35If people have questions.
- 57:39Have you? Reached out to YouTube and showed
- 57:45them your data and asked whether they,
- 57:47I mean it does sound like there's
- 57:50clear you have clear evidence that
- 57:52their policies are being violated.
- 57:54Presumably they have the computational
- 57:56firepower to be able to do similar things.
- 58:00Is it something that they may
- 58:02be convinced to look into?
- 58:04Yeah, that's a great question.
- 58:05You know, I have a paper cut
- 58:07currently under review that's
- 58:09looking at all of the self imposed.
- 58:11Social media policy.
- 58:12Across all the all the social media platforms
- 58:15on tobacco and and not surprisingly,
- 58:17you know all of the social media
- 58:19platforms that do have these policies.
- 58:22They're not being enforced,
- 58:23so so hopefully you know this will
- 58:25bring some more greater attention.
- 58:27Aside from You Tube.
- 58:28But just looking at all the social media
- 58:31platforms and what more could be done.
- 58:33Yeah, and I think could get,
- 58:35you know,
- 58:35I think 1 translational component
- 58:37is that we publish in peer review
- 58:39journals and a lot of this information
- 58:41don't get out into the bigger world
- 58:43and I think just doing some of
- 58:44that legwork might be important in
- 58:46getting some of these attention
- 58:47for two social media platforms.
- 58:51It's important work.
- 58:54So it's it's a few minutes
- 58:55after the hour doesn't look like
- 58:57there's any more questions.
- 58:58So again, thank you to both
- 59:00the the presenters for very
- 59:02interesting discussion and.
- 59:04We'll see you at the next grand rounds.
- 59:06Thank thank you.
- 59:09Thank you.