BIOMARKERS FOR RADIATION TREATMENT

Abstract

The methods described herein allow for the classification of patients into groups for receiving optimized radiation treatment based on patient specific biomarker signature. The biomarker signature includes markers that have been shown to correlate with TGF-B expression and to be associated with tumor aggressiveness, radioresistance and poor prognosis. The markers play a key role in the epithelial-mesenchymal transition. The methods described herein provide the dual benefits of anti-tumor efficacy plus normal tissue protection when combining TGF-B inhibitors with ionizing radiation to treat cancer patients.

Description

CROSS-REFERENCE TO RELATED PATENT APPLICATIONS

[0001] The present application is a divisional of, and claims the benefit and priority to U.S. Continuation application Ser. No. 15/913,633, filed Mar. 6, 2018 (now allowed), entitled, "BIOMARKERS FOR RADIATION TREATMENT," which claims the benefit and priority to U.S. application Ser. No. 14/777,209, filed Sep. 15, 2015, now U.S. Pat. No. 9,938,583, entitled "BIOMARKERS FOR RADIATION TREATMENT," which claims the benefit and priority of International Application No. PCT/US2014/029365, filed Mar. 14, 2014, entitled "BIOMARKERS FOR RADIATION TREATMENT," and which claims the benefit and priority under 35 U.S.C. .sctn. 119(e) to U.S. Provisional Application No. 61/800,011, filed Mar. 15, 2013, the entire contents of which are herein incorporated by reference for all purposes.

REFERENCE TO A "SEQUENCE LISTING" SUBMITTED AS ASCII TEXT FILE

[0002] The Sequence Listing written in file 088389-002920US-079276_SequenceListing.txt created on May 16, 2018, 126,732 bytes, machine format IBM-PC, MS-Windows operating system, in accordance with 37 C.F.R. .sctn..sctn. 1.821 to 1.825, is hereby incorporated by reference in its entirety for all purposes.

BACKGROUND OF THE INVENTION

[0003] No validated protein signature is available that has been proved to be sufficiently useful in the clinic to stratify patients into groups that may be treated differently with radiotherapy. Many factors determine the biology of tumors and as such impact prognosis and survival outcome of cancer patients. TGF-.beta. is a pleiotropic cytokine that is important in normal tissue homeostasis, regulates inflammation and immune responses, and controls proliferation and differentiation. TGF-.beta. appears to be key in promoting epithelial-mesenchymal-transition (EMT), a process that leads to increased motility and invasion. Due to these oncogenic properties of TGF-0, several TGF-.beta. signalling inhibitors are in preclinical and clinical trials to treat cancer. Radiotherapy is a corner stone of cancer therapy. There is substantial evidence that TGF-.beta. plays a key role in the response to ionizing radiation. TGF-.beta. is activated in irradiated tissues and plays a pivotal role in development of radiation induced fibrosis.

BRIEF SUMMARY OF THE INVENTION

[0004] The discourse provides biomarkers that are useful for diagnosing and treating tumors or cancer in a subject. The disclosure further provides methods of treating tumors in a subject having modified (i.e., increased or decreased) levels of one or more biomarkers described herein. In some embodiments, methods for treating tumors where the level of one or more biomarkers is increased and the level of another biomarker is decreased are described. The disclosure also provides methods of diagnosing or identifying subjects in need of treatment based on the expression levels of the biomarkers described herein. In some embodiments, the treatment comprises administering ionizing radiation to the subject.

[0005] In one embodiment, the treatment comprises administering an increased dose of ionizing radiation to the subject if the level of one or more biomarkers described herein is modified in the tumor environment, where the dose of ionizing radiation is increased as compared to the standard of care for a subject that does not have modified levels of the biomarker(s) in the tumor environment. Alternatively, the treatment can comprise administering the same or a similar dose of ionizing radiation as the standard of care in combination with a pharmaceutically effective amount of an anti-cancer agent. For example, in some embodiments, if the subject is already undergoing treatment with ionizing radiation, the amount of ionizing radiation administered to the tumor or subject is maintained at the current treatment dose and/or interval, and an anti-cancer agent is administered to the subject if the level of one or more biomarkers described herein is modified in the tumor environment.

[0006] In one aspect, the method comprises modifying the standard radiation treatment protocol if the level of a biomarker described herein is modified in the tumor environment. In some embodiments, the standard radiation treatment protocol is modified by increasing the dose of ionizing radiation administered to the tumor. In some embodiments, the standard radiation treatment protocol is modified by hypofractionation or hyperfractionation of the dose of ionizing radiation. In some embodiments, the standard radiation treatment protocol is modified by further administering an anti-cancer agent or TGF-beta inhibitor to the subject.

[0007] In some embodiments, the method comprises modifying the standard radiation treatment protocol if the level of a biomarker selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8 and CD68 is modified in the tumor environment. The level of a biomarker is modified if the level is increased or decreased compared to the level of the biomarker in a normal (i.e., non-diseased) or control tissue.

[0008] In some embodiments, the method comprises modifying the standard radiation treatment protocol if the level of CD68 is increased in the tumor environment. In some embodiments, the method comprises modifying the standard radiation treatment protocol if the level of CD44 is increased in the tumor environment. In some embodiments, the method comprises modifying the standard radiation treatment protocol if the level of CD44 is increased and the level of MFG-E8 is decreased in the tumor environment.

[0009] In some embodiments, the standard radiation treatment protocol is modified by increasing the dose of ionizing radiation administered to the tumor. In some embodiments, the standard radiation treatment protocol is modified by hypofractionation. In some embodiments, standard radiation treatment protocol is modified by hyperfractionation.

[0010] In some embodiments, the treatment further comprises administering an anti-cancer agent to the subject. In some embodiments, the anti-cancer agent is a chemotherapeutic agent, radiosensitizer, or immune modulator. In some embodiments, the treatment further comprises administering a TGF-beta inhibitor to the subject. In some embodiments, the TGF-beta inhibitor is an antibody or a small molecule that neutralizes or inhibits TGF-beta function. In some embodiments, the TGF-beta inhibitor inhibits the production of TGF-beta.

[0011] In one embodiment, the method comprises:

[0012] (i) administering an increased dose of radiation to the subject, where the dose of radiation is increased compared to the dose administered to a subject that does not have elevated levels of CD68 in the tumor environment; or

[0013] (ii) administering a dose of radiation to the subject that is similar to the dose administered to a subject that does not have elevated levels of CD68 in the tumor environment in combination with a pharmaceutically effective amount of an anti-cancer agent,

[0014] thereby treating the tumor in the subject.

[0015] In one embodiment, the method comprises:

[0016] (i) administering an increased dose of radiation to the subject, where the dose of radiation is increased compared to the dose administered to a subject that does not have elevated levels of CD44 in the tumor environment; or

[0017] (ii) administering a dose of radiation to the subject that is similar to the dose administered to a subject that does not have elevated levels of CD44 in the tumor environment in combination with a pharmaceutically effective amount of an anti-cancer agent,

[0018] thereby treating the tumor in the subject.

[0019] In some embodiments, the disclosure provides a method for treating a tumor in a subject having increased levels of one or more biomarkers and decreased levels of another biomarker described herein. For example, in one embodiment, a method for treating a tumor in a subject having increased levels of CD44 and decreased levels of MFG-E8 in the tumor environment is described, the method comprising:

[0020] (i) administering an increased dose of radiation to the subject, where the dose of radiation is increased compared to the dose administered to a subject that does not have elevated levels of CD44 and decreased levels of MFG-E8 in the tumor environment; or

[0021] (ii) administering a dose of radiation to the subject that is similar to the dose administered to a subject that does not have elevated levels of CD44 and decreased levels of MFG-E8 in the tumor environment in combination with a pharmaceutically effective amount of an anti-cancer agent,

[0022] thereby treating the tumor in the subject.

[0023] In some embodiments, the increased dose of radiation is administered in a hyperfractionated mode. In some embodiments, the increased dose of radiation is administered in a hypofractionated mode.

[0024] In some embodiments, the anti-cancer agent is a chemotherapeutic agent, radiosensitizer, or immune modulator. In some embodiments, the anti-cancer agent is an antibody that neutralizes or inhibits TGF-beta function. In one embodiment, the anti-cancer agent is a small molecule that neutralizes or inhibits TGF-beta function. In some embodiments, the anti-cancer agent inhibits the production of TGF-beta.

[0025] In another aspect, the disclosure provides a method for treating a tumor in a subject in need thereof, the method comprising:

[0026] (a) determining an expression level of two or more biomarkers in a tumor sample from the subject, wherein the two or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68;

[0027] (b) comparing the expression level of the two or more biomarkers to an expression level in a normal tissue sample; and

[0028] treating the tumor if the expression level of the two or more biomarkers is modified compared to the expression level in the normal tissue sample.

[0029] In another aspect, a method of identifying a subject as a candidate for treatment with ionizing radiation is disclosed, the method comprising:

[0030] (a) determining an expression level of two or more biomarkers in a tumor sample from the subject, wherein the one or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68; and

[0031] (b) comparing the expression level of the two or more biomarkers to an expression level in a normal tissue sample;

[0032] wherein an expression level of the two or more biomarkers in the tumor sample that is modified compared to the expression level in the normal tissue sample identifies the subject as a candidate for treatment with ionizing radiation.

[0033] In another aspect, a method of treating a subject having a tumor is disclosed, the method comprising:

[0034] administering ionizing radiation to a subject that has been selected as having an expression level of two or more biomarkers in a tumor sample that is modified relative to an expression level in a normal tissue sample;

[0035] wherein the two or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68;

[0036] thereby treating the tumor in the subject.

[0037] In another aspect, a method for selecting a treatment for a subject having a tumor is disclosed, the method comprising:

[0038] (a) determining an expression level of two or more biomarkers in a tumor sample from the subject, wherein the two or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68;

[0039] (b) comparing the expression level of the two or more biomarkers to an expression level in a normal tissue sample; and

[0040] selecting a treatment if the expression level of the two or more biomarkers is modified compared to the expression level in the normal tissue sample.

[0041] In the methods, the expression level of the two or more biomarkers is modified if the expression level of at least one of the biomarkers is increased, or if the expression level of at least one of the biomarkers is decreased, or if the expression level of at least one of the biomarkers is increased and the expression level of at least one of the biomarkers is decreased compared to the expression level in a normal tissue sample.

[0042] In the above aspects, the treatment comprises administering ionizing radiation to the tumor. In some embodiments, the treatment further comprises contacting the tumor with a radiosensitizer. In one embodiment, the treatment further comprises administering a compound that inhibits TGF-beta signaling to the subject.

[0043] In some embodiments, the tumor sample is a biopsy comprising tumor cells. In one embodiment, the tumor is a lung cancer tumor and the tumor sample comprises lung cancer cells. In some embodiments, the biomarker is a gene, an RNA, an extracellular matrix component, or a protein. In some embodiments, the expression level of the biomarker is determined by detecting the expression of an RNA and/or a protein. For example, the expression level can be detected by immunohistochemistry, ELISA, Western analysis, HPLC, proteomics, PCR, RT-PCR, Northern analysis, and/or nucleic acid or polypeptide microarrays.

[0044] In some embodiments, the normal tissue sample comprises non-tumor cells from the same tissue type as the tumor.

[0045] In some embodiments, the expression level of the two of more biomarkers is ranked or weighted. The expression level of each of CD44, MMP9, ALDH1A1, Vimentin, hyalurnan, beta-catenin, MFG-E8 and CD68 can be determined. In one embodiment, the expression level of at least one additional biomarker from the tumor sample is determined.

[0046] In some embodiments, an existing treatment and/or treatment plan is modified if the expression level of the two or more biomarkers is increased or decreased compared to the expression level of the same biomarker in the normal tissue sample. For example, the existing treatment and/or treatment plan can be modified to increase or decrease the effective dose of ionizing radiation administered to the tumor. The effective dose can be increased by increasing the amount of ionizing radiation administered to the tumor and/or contacting the tumor with a radiosensitizer.

[0047] In another aspect, a kit is provided, the kit comprising reagents capable of detecting the expression of a biomarker selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68.

[0048] In some embodiments, one or more of the steps of the methods described herein are carried out in vitro. For example, the expression level of the biomarkers described herein can be determined in vitro using immunohistochemistry techniques on tissue samples isolated from a subject. Thus, the step of determining the expression level of the biomarkers described herein does not require that the determining step be performed in vivo (i.e., in the subject). In certain embodiments, the expression level of the biomarkers described herein is ranked or weighted using software providing instructions to a computer.

[0049] In some aspects, the disclose provides a biomarker composition for use in a method for treating or diagnosing cancer or tumors. In some embodiments, a composition comprising a biomarker selected from CD44, MMP9, ALDH1A1, Vimentin, hyaluman, beta-catenin, MFG-E8 and/or CD68 for use in a method for treating tumors is provided. In some embodiments, the disclosure provides a biomarker in combination with ionizing radiation for use in a method for treating a tumor. For example, a composition comprising a biomarker selected from CD44, MMP9, ALDH1A1, Vimentin, hyalurnan, beta-catenin, MFG-E8 and/or CD68 in combination with ionizing radiation for use in a method for treating tumors in provided.

[0050] In some embodiments, the disclosure describes a composition comprising a biomarker selected from CD44, MMP9, ALDH1A1, Vimentin, hyalurnan, beta-catenin, MFG-E8 and/or CD68 for use in a method for treating tumors, the method comprising modifying the standard radiation treatment protocol if the level of a biomarker described herein is increased in the tumor environment. In some embodiments, the standard radiation treatment protocol is modified by increasing the dose of ionizing radiation administered to the tumor. In some embodiments, the standard radiation treatment protocol is modified by hypofractionation or hyperfractionation of the dose of ionizing radiation. In some embodiments, the standard radiation treatment protocol is modified by further administering an anti-cancer agent to the subject.

[0051] In some embodiments, the disclosure describes the use of a composition comprising a biomarker selected from CD44, MMP9, ALDH1A, Vimentin, hyalurnan, beta-catenin, MFG-E8 and/or CD68 in a method for treating a tumor, the method comprising

[0052] (i) administering an increased dose of radiation to the subject, where the dose of radiation is increased compared to the dose administered to a subject that does not have elevated levels of a biomarker selected from CD44, MMP9, ALDH1A, Vimentin, hyalurnan, beta-catenin, MFG-E8 and/or CD68 in the tumor environment; or

[0053] (ii) administering a dose of radiation to the subject that is similar to the dose administered to a subject that does not have elevated levels of a biomarker selected from CD44, MMP9, ALDH1A1, Vimentin, hyalurnan, beta-catenin, MFG-E8 and/or CD68 in the tumor environment in combination with a pharmaceutically effective amount of an anti-cancer agent.

[0054] In some embodiments, a composition comprising a biomarker selected from CD44, MMP9, ALDH1A1, Vimentin, hyalurnan, beta-catenin, MFG-E8 and/or CD68 for use in a diagnostic method practiced on the human or animal body is provided. In one embodiment, a composition comprising a biomarker selected from CD44, MMP9, ALDH1A1, Vimentin, hyalurnan, beta-catenin, MFG-E8 and/or CD68 for use in diagnosing or prognosing cancer or tumors is provided. For example, a composition comprising a biomarker selected from CD44, MMP9, ALDH1A, Vimentin, hyalurnan, beta-catenin, MFG-E8 and/or CD68 for use in diagnosing tumors is provided, the use comprising:

[0055] (a) determining an expression level of a biomarker in a biological or tissue sample from the subject, wherein the biomarker is selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68; and

[0056] (b) comparing the expression level of the biomarker(s) to an expression level in a normal biological or tissue sample; wherein an expression level of the biomarker(s) in the biological or tissue sample that is increased or decreased compared to the expression level in the normal biological or tissue sample provides a diagnosis that the subject suffers from a tumor. The use can also provide a prognosis regarding the course of disease, or can be used to identify a subject as a candidate for treatment with ionizing radiation.

Definitions

[0057] The term "treating" refers to administering a treatment to a tumor or the subject diagnosed with a tumor. Examples of treatments include ionizing radiation, a chemotherapeutic treatment, or a combination of both. The treatment can also include a radiosensitizer. The term also includes selecting a treatment or treatment plan, and providing treatment options to a healthcare provider or the subject.

[0058] The term "ionizing radiation" refers to radiation comprising particles having enough kinetic energy to discharge an electron from an atom or molecule, thereby producing an ion. The term includes both directly ionizing radiation, such as that caused by atomic particles such as alpha particles (helium nuclei), beta particles (electrons), and protons, and indirectly ionizing radiation, such as photons, including gamma rays and x-rays. Examples of ionizing radiation used in radiation therapy include high energy x-rays, electron beams, and proton beams.

[0059] The term "tumor environment" or "tumor micro-environment" refers to the immediate small-scale environment of an organism or part of an organism, especially as a distinct part of a larger environment, for example, the immediate small-scale environment of the tumor. The term includes not only the tumor cells themselves, but associated blood-vessels (including endothelial cells and smooth muscle cells), immune system cells and secreted cytokines, epithelial cells, fibroblasts, connective tissue, and/or extracellular matrix that is associated with or surrounds the tumor. The term also refers to the cellular and extracellular environment in which the tumor is located.

[0060] The term "standard of care" or "standard radiation treatment protocol" in radiation therapy generally refers to the ionizing radiation dose and administration interval that is generally accepted in the medical field as appropriate treatment for a given tumor, based on the tumor type, size, tissue location, and various other biological parameters. The standard of care or standard treatment protocol varies and is dependent on several factors. For example, for radiation therapy of lung cancer, the standard of care includes multiple fractions (e.g., approximately 30 fractions of low dose radiation, or approximately 60 Gy over 6 weeks) or a smaller number of fractions (e.g., 1-5 fractions) of biologically active doses (e.g., 54 GY in 3 fractions for peripheral tumors, or 48-60 Gy in 4-8 fractions for central tumors) administered to the tumor.

[0061] The term "similar dose of ionizing radiation" refers to a dose of ionizing radiation that is identical to, nearly the same, or substantially the same as the effective dose administered to a tumor in another subject, or administered to a tumor in the same subject undergoing an existing course of treatment. The term encompasses the normal and expected variation in ionizing radiation doses delivered by a medical technician skilled in the art of administering ionizing radiation to a tumor in a subject. For example, the term encompasses variation in the effective dose administered to a tumor of less than 10%, less than 5%, or less than 1%. The subject can be a human or non-human animal, such as a companion animal (e.g., cat, dog) or farm animal (e.g., cow, horse, etc.).

[0062] The term "small molecule" refers to an organic compound having a molecular weight of less than about 900 daltons, or less than about 500 daltons. The term includes drugs having desired pharmacological properties, and includes compounds that can be taken orally or by injection. The term includes organic compounds that modulate the activity of TGF-beta and/or other molecules associated with enhancing or inhibiting an immune response.

BRIEF DESCRIPTION OF THE DRAWINGS

[0063] FIG. 1 shows the distribution of ALDH1A1 in biopsy samples from lung cancer patients.

[0064] FIG. 2 shows the distribution of Beta-Cat in biopsy samples from lung cancer patients.

[0065] FIG. 3 shows the distribution of CD44 in biopsy samples from lung cancer patients.

[0066] FIG. 4 shows the distribution of CD68 in biopsy samples from lung cancer patients.

[0067] FIG. 5 shows the distribution of HA in biopsy samples from lung cancer patients.

[0068] FIG. 6 shows the distribution of MFG-E8 in biopsy samples from lung cancer patients.

[0069] FIG. 7 shows the distribution of MMP9 in biopsy samples from lung cancer patients.

[0070] FIG. 8 shows the distribution of VIM in biopsy samples from lung cancer patients.

[0071] FIG. 9 shows the ROC curve for the variables CD44 (Tot), MFG_E8 (Prop) and tumor type from a multivariate model to predict local tumor control.

[0072] FIG. 10 shows the values of CD44 (Tot) and MFG_E8 (Prop) that correspond to a positive and negative test result for predicting local tumor control failure for squamous tumors, as described in the Examples.

[0073] FIG. 11 shows the values of CD44 (Tot) and MFG_E8 (Prop) that correspond to a positive and negative test result for predicting local tumor control failure for adenocarcinoma tumors, as described in the Examples.

DETAILED DESCRIPTION OF THE INVENTION

[0074] The methods described herein allow for the classification of patients into groups for receiving optimized radiation treatment based on patient specific biomarker signature. The biomarker signature includes markers that have been shown to correlate with TGF-0 expression and to be associated with tumor aggressiveness, radioresistance and poor prognosis. The markers play a key role in the epithelial-mesenchymal transition. The methods described herein provide the dual benefits of anti-tumor efficacy+normal tissue protection when combining TGF-.beta. inhibitors with ionizing radiation to treat cancer patients.

I. Methods

[0075] The present disclosure describes methods for treating a tumor in a subject by determining the expression levels of signature biomarkers in a tumor sample, comparing the expression levels in the tumor sample to the expression levels in a normal tissue sample, and treating the tumor if the expression levels in the tumor sample are different from those in the normal tissue sample. In some embodiments, the treatment is ionizing radiation. Thus, the biomarkers provide so called "companion diagnostics" for radiation therapy to treat tumors. The signature biomarkers can also be used to select the appropriate treatment when ionizing radiation is combined with therapeutic tumor treatments such as chemotherapy. Many of the signature biomarkers disclosed herein are associated with the TGF-.beta. signalling pathway. Thus, in some embodiments, the therapeutic agent is an inhibitor of TGF-.beta. or an inhibitor of a component of the TGF-.beta. signalling pathway.

[0076] In one aspect, the method is for treating a tumor. The method comprises determining an expression level of two or more biomarkers in a tumor sample from the subject, wherein the two or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68. The expression levels of the two or more biomarkers in the tumor sample are compared to the expression levels of the two or more biomarkers in a normal tissue sample. If the expression levels of the two or more biomarkers in the tumor sample are different from the expression levels in the normal tissue sample, for example, increased or decreased relative to the normal tissue level, the tumor is treated.

[0077] Thus, in some embodiments, the method comprises (a) determining an expression level of two or more biomarkers in a tumor sample from the subject, wherein the two or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68; (b) comparing the expression level of the two or more biomarkers to an expression level in a normal tissue sample; and treating the tumor if the expression level of the two or more biomarkers is increased compared to the expression level in the normal tissue sample.

[0078] In some embodiments, the method comprises (a) determining an expression level of two or more biomarkers in a tumor sample from the subject, wherein the two or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, and MFG-E8, and CD68; (b) comparing the expression level of the two or more biomarkers to an expression level in a normal tissue sample; and treating the tumor if the expression level of the two or more biomarkers is decreased compared to the expression level in the normal tissue sample.

[0079] In some embodiments, the method comprises determining an expression level of two or more biomarkers in a tumor sample from the subject, wherein the two or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68; and treating the tumor if the expression level of the two or more biomarkers is increased compared to the expression level in a normal tissue sample. In some embodiments, the method comprises determining an expression level of two or more biomarkers in a tumor sample from the subject, wherein the two or more biomarkers are selected from the group consisting of CD44. MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin. MFG-E8, and CD68; and treating the tumor if the expression level of the two or more biomarkers is decreased compared to the expression level in a normal tissue sample.

[0080] In some embodiments, the treatment comprises administering ionizing radiation to the tumor. Thus, in some embodiments, the treatment comprises increasing the effective dose of ionizing radiation if the expression level of the two or more biomarkers is increased compared to the expression level in a normal tissue sample. In some embodiments, the treatment comprises decreasing the effective dose of ionizing radiation if the expression level of the two or more biomarkers is decreased compared to the expression level in a normal tissue sample.

[0081] In a second aspect, the disclosure describes a method for identifying a subject as a candidate for treatment with ionizing radiation. The method comprises determining an expression level of two or more biomarkers in a tumor sample from the subject, wherein the two or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluman, beta-catenin, MFG-E8, and CD68. As above, the expression levels of the two or more biomarkers in the tumor sample are compared to the expression levels of the two or more biomarkers in a normal tissue sample. If the expression levels of the two or more biomarkers in the tumor sample are different from the expression levels in the normal tissue sample, for example, increased or decreased relative to the normal tissue level, the subject is identified as a candidate for treatment with ionizing radiation.

[0082] In some embodiments, the expression level of the two or more biomarkers is increased compared to the expression level in the normal tissue sample, and the subject is identified as a candidate for a first treatment with ionizing radiation. In other embodiments, the expression level of the two or more biomarkers is decreased compared to the expression level in the normal tissue sample, and the subject is identified as a candidate for a second treatment with ionizing radiation. The first and second treatments can be the same or different. In some embodiments, the first treatment comprises increasing the effective dose of ionizing radiation. In some embodiments, the second treatment comprises decreasing the effective dose of ionizing radiation.

[0083] In a third aspect, a method is provided for treating a subject having a tumor. The method comprises administering ionizing radiation to a subject that has been selected as having an expression level of two or more biomarkers in a tumor sample that is increased or decreased relative to the expression level of the two or more biomarkers in a normal tissue sample. In some embodiments, the two or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluman, beta-catenin, MFG-E8, and CD68.

[0084] In some embodiments, the method comprises administering ionizing radiation to a subject that has been selected as having an expression level of two or more biomarkers in a tumor sample that is increased relative to the expression level of the two or more biomarkers in a normal tissue sample. In some embodiments, the method comprises administering ionizing radiation to a subject that has been selected as having an expression level of two or more biomarkers in a tumor sample that is decreased relative to the expression level of the two or more biomarkers in a normal tissue sample. In some embodiments, the dose of ionizing radiation administered to the subject is increased if the expression level of two or more biomarkers in a tumor sample is increased relative to the expression level of the two or more biomarkers in a normal tissue sample. In some embodiments, the dose of ionizing radiation administered to the subject is decreased if the expression level of two or more biomarkers in a tumor sample is decreased relative to the expression level of the two or more biomarkers in a normal tissue sample.

[0085] In a fourth aspect, a method is described for selecting a treatment for a subject having a tumor. The method comprises determining an expression level of two or more biomarkers in a tumor sample from the subject, wherein the two or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68. As above, the expression levels of the two or more biomarkers in the tumor sample are compared to the expression levels of the two or more biomarkers in a normal tissue sample. If the expression levels of the two or more biomarkers in the tumor sample are different from the expression levels in the normal tissue sample, for example, increased or decreased relative to the normal tissue level, a treatment is selected for the subject having the tumor.

[0086] In another aspect, the biomarkers described herein can also or further be used to determine the prognosis of disease during or after treatment. For example, the expression levels of the biomarkers before and after ionizing radiation therapy can be compared. In some embodiments, if the expression levels of the biomarkers after radiation therapy decrease, then the prognosis is favorable. In some embodiments, if the expression levels of the biomarkers after radiation therapy increase, then the prognosis is unfavorable.

[0087] In another aspect, the biomarkers described herein can also or further be used to assess the responsiveness of a patient to a cancer treatment. For example, the expression levels of the biomarkers before and after ionizing radiation therapy can be compared. The method comprises determining an expression level of two or more biomarkers in a tumor sample obtained from the subject, wherein the two or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluman, beta-catenin, MFG-E8, and CD68. In some embodiments, if the expression levels of the biomarkers after radiation therapy decrease, then the patient has responded favorably. In some embodiments, if the expression levels of the biomarkers after radiation therapy increase, then the patient response was unfavorable. This information can be used to guide further therapy. Favorable treatments may be repeated or further increased. Unfavorable treatments can be modified or dropped.

[0088] In another aspect, a kit is provided. The kit comprises reagents capable of detecting expression of the biomarkers described herein. In some embodiments, the kit comprises reagents capable of detecting nucleic acid (e.g., RNA) expression of the biomarkers. For example, the kit can comprise oligonucleotide primers that are capable amplifying a nucleic acid expressed by the biomarker genes described herein. In some embodiments, the kit further comprises an oligonucleotide probe that hybridizes to a biomarker nucleic acid or an amplified biomarker nucleic acid, or a complement thereof. Methods of amplifying and detecting nucleic acids are well known in the art, and can comprise PCR, RT-PCR real-time PCR, and quantitative real-time PCR, Northern analysis, sequencing of expressed nucleic acids, and hybridization of expressed and/or amplified nucleic acids to microarrays. In some embodiments, the kit comprises reagents that are capable of detecting proteins expression by the biomarkers described herein. In some embodiments, the reagents are antibodies that specifically bind to biomarker proteins. Methods of detecting protein expression are well known in the art, and include immunoassays, ELISA, Western analysis, and proteomic techniques.

[0089] In some embodiments of any of the above aspects and embodiments, the differences in the expression levels of each of the biomarkers in the tumor sample are increased or decreased by at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90% or more compared to the expression level in normal tissue. In some embodiments, the expression levels of each of the biomarkers in the tumor sample are increased or decreased by at least 1-fold, 2-fold, 3-fold, 4-fold, 5-fold, 6-fold, 7-fold, 8-fold, 9-fold, 10 fold or more relative to the expression level in normal tissue.

[0090] In some embodiments, the average and/or ranked expression level of all the biomarkers in the tumor sample is increased or decreased relative to the expression level in normal tissue. Thus, in some embodiments, the average and/or ranked expression level of all the biomarkers in the tumor sample is increased or decreased by at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90% or more compared to the expression level in normal tissue. In some embodiments, the expression levels in normal tissue are normalized to a control or baseline level. It will be understood that the expression level can also be compared to the expression level in the tumor sample before, after or during a treatment, course of treatment, or treatment plan. Thus, in some embodiments, the expression levels of each of the biomarkers in the tumor sample are increased or decreased by at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90% or more compared to the expression level in the tumor sample before, during or after treatment.

[0091] Further, with regard to any of the above aspects and embodiments, the two or more biomarkers can comprise both CD44 and MMP9; both ALDH1A1 and Vimentin; both hyalurnan and beta-catenin; both CD44 and ALDH1A1; both Vimentin and beta-catenin; both CD44 and hyalurnan; both CD44 and beta-catenin; both CD44 and MFG-E8 or both CD44 and CD68; both MMP9 and hyalurnan; both MMP9 and beta-catenin; both MMP9 and MFG-E8, or both MMP9 and CD68; both ALDH1A1 and hyaluman; both ALDH1A1 and beta-catenin; both ALDH1A1 and MFG-E8, or both ALDH1A1 and CD68; both Vimentin and MFG-E8; both hyalurnan and MFG-E8; both beta-catenin and MFG-E8, or both CD68 and MFG-E8.

[0092] Further, with regard to any of the above aspects and embodiments, the two or more biomarkers can comprise or consist of any combination of the biomarkers, for example any combination of three or more biomarkers, any combination of four or more biomarkers, any combination of five or more biomarkers, any combination of six or more biomarkers, and any combination of seven or more biomarkers. In one embodiment, the combination of biomarkers comprises or consists of CD44, MFG-E8, and CD68.

[0093] In another aspect, the expression level of at least one, two, three, four or more of the biomarkers described herein is determined.

[0094] In some embodiments, the treatment or selected treatment comprises administering ionizing radiation to the tumor. Thus, in some embodiments, the selected treatment comprises increasing the effective dose of ionizing radiation if the expression level of the two or more biomarkers is increased compared to the expression level in a normal tissue sample. In some embodiments, the selected treatment comprises decreasing the effective dose of ionizing radiation if the expression level of the two or more biomarkers is decreased compared to the expression level in a normal tissue sample. Exemplary radiotherapy treatments are further described herein. In all of the methods described herein, the treatment can further comprise contacting the tumor with a radiosensitizer. A radiosensitizer is any substance that makes tumor cells easier to kill with radiation therapy. Exemplary radiosensitizers include hypoxia radiosensitizers such as misonidazole, metronidazole, and trans-sodium crocetinate. Exemplary radiosensitizers also include DNA damage response inhibitors such as Poly (ADP) ribose polymerase (PARP) inhibitors. In all of the methods described herein, the treatment can further comprise contacting the tumor and/or the tumor environment with an immune modulator. Exemplary immune modulators include agents (antibodies or small molecules) involved in priming and activation of the immune systems, and include agents targeting CTLA4, B7 (B7-1 or B7-2), PD-L1/PD-L2, or PD-1, or agents targeting the binding interactions between CTLA4 and B7-1/B7-2, or PD-1 and PD-L1/PD-L2. Agents targeting CTLA4, B7 (B7-1 or B7-2), PD-L1/PD-L2, and PD-1 include antibodies that specifically bind these molecules, such as monoclonal antibodies. In some embodiments, the agent is an antibody that specifically binds to LAG 3, TIM1, TIM3, MFG-E8, IL-10, or Phosphatidylserine.

[0095] Small molecule immune modulators include drugs that enhance or inhibit an immune response, for example, an immune response against a tumor cell. Exemplary small molecule immune modulators include inhibitors of the enzyme Indolamine 2,3-dioxygenase, and inhibitors of alpha-v-beta-3 integrin and alpha-v-beta-5 integrin.

[0096] In some embodiments, the treatment further comprises administering a compound that inhibits TGF-beta signaling to the subject. Suitable compounds are described in more detail below.

[0097] The biomarkers used in the method will now be described.

[0098] A. Biomarkers

[0099] The biomarkers described herein correlate with TGF-.beta. expression, and can be used to stratify patients to receive individualized, tailored radiotherapy. The biomarker signature can also be used to monitor the efficacy of TGF-.beta. inhibitors in patients. The biomarker signature is associated with but not limited to the correlation with TGF-.beta. expression. The expression of the biomarkers is associated with radioresistance, aggressiveness and poor prognosis. The marker set includes, but is not limited to, CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, .beta.-catenin MFG-E8, and CD68.

[0100] MMP9: A clear correlation can be shown between MMP9, EMT and TGF-.beta.. MMP9 regulates TGF-.beta. and TGF-.beta. regulates MMP9 in multiple settings. MMP9 is localized in the extracellular matrix and tumor stroma, within infiltrated immune cells and in tumor cells. The different cellular locations of MMP9 appear to be correlated with different biological outcomes (more/less aggressive tumor, survival etc.).

[0101] Vimentin (VIM): Vimentin is upregulated when TGF-.beta. induces EMT in a variety of cell types, including lung. Vimentin is an intermediate filament protein that characterizes mesenchymal cells as opposed to epithelial cells.

[0102] Hyaluronan (HA): Hyaluronan is an abundant glycosaminoglycan component of the extracellular matrix. It is induced by TGF-.beta., increases MMP9 secretion (likely via CD44), promotes EMT/migration/metastasis, and contributes to chemoresistance and poor prognosis. These findings have been substantiated in a variety of tumor types, including NSCLC. An important receptor for HA is CD44 along with others. The HA-CD44 interaction promotes HER2 signalling and increases Src kinase activity. HA is detected by staining the tissues with a commercially available antibody against Hyaluronic acid, for example, an antibody available from Abcam.

[0103] ALDH1A1: Aldehyde dehydrogenase is a detoxifying enzyme known for its role in the oxidation of intracellular aldehydes, which play a role in stem cell differentiation. It is highly expressed in tumorigenic cell populations of various cancers and elevated protein expression has been shown in putative lung stem cell niches during malignant transformation. Expression of ALDH1A is positively correlated with stage and grade of lung tumors and related to poor prognosis in patients with early stage lung cancer.

[0104] MFG-E8: MFG-E8 is a macrophage-produced protein that promotes engulfment and clearance of apoptotic cells in tumors. Antibodies neutralizing MFG-E8 function have been shown in experimental models to enhance radiation and chemotherapy. It is likely then, that the levels of MFG-E8 in tumor specimens may have predictive value for efficacy of radiotherapy.

[0105] CD68: CD68 is a 110-kD transmembrane glycoprotein that is highly expressed by human monocytes and tissue macrophages. It is a member of the lysosomal/endosomal-associated membrane glycoprotein (LAMP) family. The protein primarily localizes to lysosomes and endosomes with a smaller fraction circulating to the cell surface. It is a type I integral membrane protein with a heavily glycosylated extracellular domain and binds to tissue- and organ-specific lectins or selectins. The protein is also a member of the scavenger receptor family. Scavenger receptors typically function to clear cellular debris, promote phagocytosis, and mediate the recruitment and activation of macrophages (See Entrez listing NCBI).

[0106] CD68 is expressed broadly on macrophages including both M1 and M2 subsets. Numerous studies have suggested that macrophages present in the tumor micro-environment can impact growth of tumor cells and some clinical studies have suggested that the macrophage content and location in the tumor and its micro-environment is predictive of clinical outcome in certain cancer patients.

[0107] M1 macrophages are referred to as pro-inflammatory macrophages and have the ability to activate type 1 T helper cells (Th1) and to promote an anti-tumor response. In contrast, M2 macrophages activate type 2 T helper cells (Th2) and promote an anti-inflammatory, tissue remodeling response and do not lead to an anti-tumor action. As CD68 is expressed on both M1 and M2 macrophages, its presence cannot, a priori, be used to predict anti-tumor responses or clinical outcome. Thus, the present application describes that CD68 is useful as a biomarker determined in a clinical setting.

[0108] Nuclear .beta.-catenin: .beta.-catenin is found associated with E-cadherin at the cell membrane and also in the nucleus, where it accumulates in tumor cells, stem cells or cells undergoing EMT.

[0109] The GenBank Accession Nos. for the biomarkers described herein are provided in the Table below.

TABLE-US-00001 TABLE 1 GenBank GenBank Biomarker Accession # Accession Name Abbreviation (protein) # (nucleotide) Hyaluronate CD44 NP_000601 NM_000610 receptor (SEQ ID (SEQ ID NO: 1) NO: 2) Matrix MMP9 CAC07541 AX011001 metalloproteinase (SEQ ID (SEQ ID NO: 3) NO: 4) Aldehyde ALDH1A1 AAP88039 AY338497 dehydrogenase (SEQ ID (SEQ ID 1A1 NO: 5) NO: 6) Vimentin VIM NP_003371 NM_003380 (SEQ ID (SEQ ID NO: 7) NO: 8) hyaluronan HA Not applicable .beta.-catenin Beta_Cat NP_001091680 NM_001098210 (SEQ ID (SEQ ID NO: 9) NO: 10) Milk fat globule- MFG-E8 NP_005919 NM_005928 EGF factor 8 (SEQ ID (SEQ ID protein NO: 11) NO: 12 CD68 CD68 NP_001242 NM_001251 (SEQ ID (SEQ ID NO: 13) NO: 14)

[0110] When the biomarkers described herein are referred to byname, it is understood that this includes molecules with similar functions and similar amino acid sequences. Thus, the protein biomarkers described herein include the prototype human protein, as well as homologs and polymorphic variations thereof. For example, the name "CD44 protein" includes the prototype protein (e.g., SEQ ID NO: 1), as well as homologs from other species and polymorphic variations thereof. Proteins such as CD44 and CD68 are defined as having similar functions if they have substantially the same biological activity or functional capacity as the wild type protein (e.g., at least 80% of either). Proteins such as CD44 and CD68 are defined as having similar amino acid sequences if they have at least 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99% sequence identity to the prototype protein. The sequence identity of a protein is determined using the BLASTP program with the defaults wordlength of 3, an expectation (E) of 10, and the BLOSUM62 scoring matrix (see Henikoff and Henikoff, Proc. Natl. Acad. Sci USA 89:10915-10919, 1992).

[0111] A conventional test to determine if a protein homolog or polymorphic variant is inclusive of a protein biomarker described herein is by specific binding to polyclonal antibodies generated against the prototype protein. For example, a CD44 protein includes proteins that bind to polyclonal antibodies generated against the protein of SEQ ID NO:1, and an CD68 protein includes proteins that bind to polyclonal antibodies generated against the prototype protein of SEQ ID NO:13.

[0112] Regarding polyclonal antibodies that specifically bind to a protein biomarker described herein, the test protein will bind under designated immunoassay conditions to the specified antibodies at least two times the background, and the specified antibodies do not substantially bind in a significant amount to other proteins present in the sample. For example, polyclonal antibodies raised to CD44, encoded in SEQ ID NO:1, splice variants, or portions thereof, can be selected to obtain only those polyclonal antibodies that are specifically immunoreactive with CD44 and not with other proteins, except for polymorphic variants of CD44. This selection may be achieved by subtracting out antibodies that cross-react with other members of the protein family, as appropriate. A variety of immunoassay formats may be used to select antibodies specifically immunoreactive with a particular protein. For example, solid-phase ELISA immunoassays are routinely used to select antibodies specifically immunoreactive with a protein (see. e.g., Harlow & Lane, Antibodies, A Laboratory Manual (1988) for a description of immunoassay formats and conditions that can be used to determine specific immunoreactivity). Typically, a specific or selective reaction will be at least twice background signal or noise and more typically more than 10 to 100 times background.

[0113] In some embodiments, the method comprises determining the expression level of two or more biomarkers in a tumor sample from the subject. In some embodiments, the biomarker is selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and/or CD68. In some embodiments, the expression level of two, three, four, five, six, seven, or eight of the biomarkers is determined. In some embodiments, the expression level of each of the biomarkers is determined. In some embodiments, the expression level of at least one additional biomarker is determined, wherein the additional biomarker is not in the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin. MFG-E8, and CD68. In some embodiments, the additional biomarker is TGF-.beta..

[0114] In some embodiments, the biomarker signature group consists of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68. In some embodiments, the biomarker signature group consists essentially of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68. In some embodiments, the biomarker signature group comprises CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8, and CD68.

[0115] It will be understood that the expression levels of each of the biomarkers in the tumor sample can increase or decrease relative to the expression level of the biomarker in a normal or control tissue sample. For example, the expression level of one biomarker can increase in the tumor sample compared to the expression level in a normal tissue, whereas the expression level of a second biomarker can decrease in the tumor sample compared to the expression level in a normal tissue. The expression level can also be based on the average, combination or sum of the all the biomarker expression levels in the tumor sample. For example, the expression level of each biomarker in the tumor sample can be ranked or weighted to produce a ranked value that is higher or lower than the normal tissue value (which can be a normalized value, for example, set to 1).

[0116] In some embodiments, biomarker expression is determined in a biological sample from the subject having a tumor. In some embodiments, the biological sample is a tumor sample. The tumor sample can be a biopsy comprising tumor cells from the tumor. In some embodiments, the biological sample comprises a bodily fluid, such as but not limited to blood, serum, plasma, or urine, and/or cells or tissues from the subject. In some embodiments, the biological sample is a formalin-fixed and paraffin embedded tissue or tumor sample. In some embodiments, the biological sample is a frozen tissue or tumor sample. Thus, in some embodiments, one or more steps of the methods described herein are carried out in vitro. For example, in some embodiments, biomarker expression is determined in vitro.

[0117] In some embodiments, the normal tissue sample comprises non-tumor cells from the same tissue type as the tumor. In some embodiments, the normal tissue sample is obtained from the same subject diagnosed with the tumor. A normal tissue sample can also be a control sample of the same tissue-type from a different subject. The expression level of the normal tissue sample can also be an average or mean value obtained from a population of normal tissue samples.

[0118] The level of expression of the biomarkers described herein can be determined using any method known in the art. For example, the level of expression can be determined by detecting the expression of a nucleic acid (e.g., RNA or mRNA) or protein encoded by a biomarker gene.

[0119] Exemplary methods for detecting expression levels of nucleic acids include without limitation Northern analysis, polymerase chain reaction (PCR), reverse transcription PCR (RT-PCR), real-time PCR, quantitative real-time PCR, and DNA microarrays.

[0120] Exemplary methods for detecting expression levels of proteins (e.g., polypeptides) include without limitation immunohistochemistry, ELISA, Western analysis, HPLC, and proteomics assays. In some embodiments, the protein expression level is determined by immunohistochemistry using the Allred method to assign a score (see, e.g., Allred, D. C., Connection 9:4-5, 2005, which is incorporated by reference herein). For example, formalin-fixed, paraffin embedded tissues are contacted with an antibody that specifically binds a biomarker described herein. The bound antibody is detected with a detectable label or secondary antibody coupled with a detectable label, such as a colorimetric label (e.g., an enzymatic substrate produce by HRP or AP). The antibody positive signal is scored by estimating the proportion of positive tumor cells and their average staining intensity. Both the proportion and intensity scores are combined into a total score that weighs both factors.

[0121] In some embodiments, the protein expression level is determined by digital pathology. Digital pathology methods include scanning images of tissues on a solid support, such as a glass slide. The glass slides are scanned into whole slide images using a scanning device. The scanned images are typically stored in an information management system for archival and retrieval. Image analysis tools can be used to obtain objective quantitative measurements from the digital slides. For example, the area and intensity of immunohistochemical staining can be analyzed using the appropriate image analysis tools. Digital pathology systems can include scanners, analytics (visualization software, information management systems and image analysis platforms), storage and communication (sharing services, software). Digital pathology systems are available from numerous commercial suppliers, for example. Aperio Technologies, Inc. (a subsidiary of Leica Microsystems GmbH), and Ventana Medical Systems, Inc. (now part of Roche). Expression levels can be quantified by commercial service providers, including Flagship Biosciences (CO), Pathology, Inc. (CA), Quest Diagnostics (NJ), and Premier Laboratory LLC(CO).

[0122] B. Treatments

[0123] The expression levels of the biomarkers can be used to determine or select a course of treatment in a subject diagnosed with a tumor. For example, in some embodiments, the treatment comprises administering ionizing radiation to the tumor in the subject. The ionizing radiation can also be administered to the entire subject or a portion thereof, especially if the tumor is dispersed or mobile. In some embodiments, the treatment further comprises contacting the tumor with a radiosensitizer. In some embodiments, the treatment further comprises administering a compound or biologic drug, such as an antibody, that inhibits TGF-beta signaling to the subject. Thus, in some embodiments, the treatment comprises administering a standard radiation treatment protocol in combination with a TGF-beta inhibitor.

[0124] The course of treatment can be selected based on the expression levels of the biomarkers. For example, the expression levels can be used to determine if radiation therapy is appropriate for the subject (i.e., for making a go/no go decision on radiotherapy). Further, if the expression levels of the biomarkers are increased relative to a normal or control value, then the effective radiation dose to the tumor can be increased, and/or the fractionation schedule modified accordingly. The radiation dose to the blood vessels feeding the tumor can also be increased.

[0125] In some embodiments, if the expression levels of the biomarkers are increased relative to a normal or control value, then the treatment can comprise administering ionizing radiation to the tumor. In some embodiments, if the expression levels of the biomarkers are decreased relative to a normal or control value, then the treatment can comprise decreasing the amount of ionizing radiation administered to the tumor.

[0126] The treatment can also comprise modifying an existing course of treatment. For example, in some embodiments, the existing course of treatment is modified to increase the effective dose of the ionizing radiation administered to the tumor. In some embodiments, the effective dose of ionizing radiation is increased by increasing the amount of ionizing radiation administered to the tumor and/or contacting the tumor with a radiosensitizer. In some embodiments, the existing course of treatment is modified to decrease the effective dose of the ionizing radiation administered to the tumor. In some embodiments, the treatment comprises modifying a standard radiation treatment protocol in combination with administering a TGF-beta inhibitor.

[0127] In some embodiments, the effective dose of ionizing radiation administered to the tumor is increased if the level of one or more biomarkers described herein is elevated in the tumor environment. For example, the effective dose of ionizing radiation is increased as compared to the standard of care for a subject that does not have elevated levels of the biomarker(s) in the tumor environment. This applies to subjects who are currently not undergoing radiation therapy as well as modifying an existing course of treatment for subjects undergoing radiation therapy. Tus, the effective dose of ionizing radiation can be increased from the current effective dose if the subject is already undergoing radiation therapy for a tumor. The radiation therapy can be modified to reduce the constraints on neighboring healthy tissue. For example, if the biomarker level in the tumor environment indicates more aggressive radiation therapy is required, the treatment plan can be modified so that the constraints on the border between healthy tissue and tumor tissue are decreased. his would result in a trade-off between damaging some healthy tissue in order to kill more of the tumor tissue.

[0128] In some embodiments, the treatment comprises a combination of radiation therapy and an anti-cancer agent (including a radiosensitizer). In some embodiments, the effective dose of ionizing radiation administered to the tumor is not changed (e.g., relative to the standard of care or relative to an existing course of treatment) when an anti-cancer agent is administered to the subject. For example, in some embodiments, the subject is administered an effective dose of ionizing radiation that is the same or similar to that administered to a subject that does not have elevated levels of one or more biomarkers described herein in the tumor environment, and the subject is further administered an anti-cancer agent. In some embodiments, the effective dose of ionizing radiation administered to the tumor is based on the standard of care for a subject that does not have elevated levels of the biomarker(s) in the tumor environment, and the subject is further administered an anti-cancer agent. In some embodiments involving an existing course of treatment, the effective dose of ionizing radiation is maintained at the current effective dose, and an anti-cancer agent is administered to the subject in combination with the ionizing radiation if the level of one or more biomarkers described herein is elevated in the tumor environment.

[0129] In some embodiments, the subject is administered an increased effective dose of ionizing radiation if the expression of CD44 or CD68 is elevated in the tumor environment. In some embodiments, the subject is administered an effective dose of ionizing radiation that is the same or similar to the effective dose administered to a subject that does not have elevated levels of CD44 or CD68 in the tumor environment (e.g., according to the current standard of care), in combination with a pharmaceutically effective amount of an anti-cancer agent, if the expression of CD44 or CD68 is elevated in the tumor environment. In some embodiments, the subject is administered an increased effective dose of ionizing radiation if the level of CD44 is increased and the level of MFG-E8 is decreased in the tumor environment. In some embodiments, the subject is administered an effective dose of ionizing radiation that is the same or similar to the effective dose administered to a subject that does not have increased levels of CD44 and decreased levels of MFG-E8 in the tumor environment (e.g., according to the current standard of care), in combination with a pharmaceutically effective amount of an anti-cancer agent, if the level of CD44 is increased and the level of MFG-E8 is decreased in the tumor environment. The above embodiments apply to subjects who are currently not undergoing radiation therapy as well as modifying an existing course of treatment for subjects undergoing radiation therapy.

[0130] In some embodiments, the treatment plan is developed and/or modified based on the expression levels of the biomarkers described herein.

[0131] The course of treatment can also be selected by using an algorithm that determines the expression level of the biomarkers in the tumor sample relative to the level in the normal sample. The algorithm can be a linear regression algorithm that includes the biomarker expression levels and coefficients (i.e., weights) for combining the expression levels. In some embodiments, the algorithm comprises a least squares fit to calculate the coefficients. If the algorithm determines that the expression level of the biomarkers in the tumor sample is increased or decreased relative to the normal sample, then the appropriate course of treatment can be assigned. In some embodiments, the algorithm is a nonparametric regression tree. In some embodiments, standard statistical methods were used to analyze the data to determine which biomarkers were most predictive of clinical survival or local tumor control failure.

[0132] In some embodiments, the method described herein is a computer implemented method. In some embodiments, the computer implemented method comprises a linear regression model that assigns a ranked or weighted value to the expression levels of the biomarkers described herein. In some embodiments, the disclosure provides a computer-readable medium, the medium providing instructions to cause a computer to perform a method described herein. For example, the medium can provide instructions to cause a computer to assign a ranked or weighted value to the expression levels of the biomarkers described herein.

[0133] C. Therapeutic Radiation Doses

[0134] The expression levels of the tumor biomarkers described herein can be used to optimize treatment of patients with radiotherapy. For example, the therapeutic dose of the radiation administered to the tumor or subject can be adjusted based on the expression levels of the biomarkers. As is well known in the art, the effective dose of ionizing radiation varies with the type of tumor and stage of cancer that needs to be treated. The effective dose can also vary based on other treatment modalities being administered to the patient, for example chemotherapeutic treatments and surgical treatments, and whether the radiation is administered pre- or post-surgery. In general, a curative therapeutic dose for a solid epithelial tumor ranges from about 60 to 80 gray (Gy), whereas a curative dose for a lymphoma is about 20 to 40 Gy. In general, preventative doses can be 45-60 Gy.

[0135] As is well known in the art, the therapeutic dose can be delivered in fractions. Fractionation refers to spreading out the total dose of radiation over time, for example, over days, weeks or months. The dose delivered in each fraction can be about 1.5-2 Gy per day. The treatment plan can include a fraction treatment one or more times per day, every other day, weekly, etc. depending on the treatment needs of each patient. For example, a hypofractionation schedule comprises dividing the total dose into several relatively large doses, and administering the doses at least one day apart. Exemplary hypofraction doses are 3 Gy to 20 Gy per fraction. An exemplary fractionation schedule that can be used to treat lung cancer is Continuous Hyperfractionated Accelerated Radiation therapy (CHART), which consists of three small fractions per day.

[0136] The biomarkers described herein are useful in developing and modifying treatment plans for patients diagnosed with a tumor or cancer. The treatment plan can include visualizing or measuring the tumor volume that needs to be irradiated, the optimal or effective dose of radiation administered to the tumor, and the maximum dose to prevent damage to nearby healthy tissue or organs at risk. Algorithms can used in treatment planning, and include dose calculation algorithms based on the particular radiotherapy technique parameters employed, e.g., gantry angle, MLC leaf positions, etc., and search algorithms which use various techniques to adjust system parameters between dose calculations to optimize the effectiveness of the treatment. Exemplary dose calculation algorithms include various Monte Carlo ("MC") techniques and pencil beam convolution ("PBC"). Exemplary search algorithms include various simulated annealing ("SA") techniques, algebraic inverse treatment planning ("AITP"), and simultaneous iterative inverse treatment planning ("SIITP"). Such techniques, and others, are well known in the art, and are included within the scope of this disclosure.

[0137] Treatment planning algorithms may be implemented as part of an integrated treatment planning software package which provides additional features and capabilities. For example, a dose calculation algorithm and search algorithm may be used to optimize a set of fluence maps at each gantry angle, with a separate leaf sequencer used to calculate the leaf movements needed to deliver them. Alternatively, a dose calculation algorithm and search algorithm may be used to directly optimize leaf movements and other machine parameters. The Eclipse.TM. Treatment Planning System offered by the assignee of the present invention includes such an integrated software program. Methods for optimizing treatment plans are described in U.S. Pat. No. 7,801,270, which is incorporated by reference herein.

[0138] In some embodiments, the biomarkers described herein can be used to monitor the progress of tumor control after radiation therapy. For example, the expression levels of the biomarkers before and after ionizing radiation therapy can be compared. In some embodiments, if the expression levels of biomarkers increase after radiotherapy, this suggests that the tumor is continuing to grow in size. Thus, the radiation treatment can be modified based on monitoring tumor growth using the biomarkers described herein.

[0139] The biomarkers described herein can be used with any radiation therapy technique known in the art. Radiation therapy techniques include external-beam radiotherapy ("EBRT") and Intensity Modulated Radiotherapy ("IMRT"), which can be administered by a radiotherapy system, such as a linear accelerator, equipped with a multileaf collimator ("MLC"). The use of multileaf collimators and IMRT allows the patient to be treated from multiple angles while varying the shape and dose of the radiation beam, thereby avoiding excess irradiation of nearby healthy tissue. Other exemplary radiation therapy techniques include stereotactic body radiotherapy (SBRT), volumetric modulated arc therapy, three-dimensional conformal radiotherapy ("3D conformal" or "3DCRT"), image-guided radiotherapy (IGRT). The radiation therapy techniques can also include Adaptive radiotherapy (ART), a form of IGRT that can revise the treatment during the course of radiotherapy in order to optimize the dose distribution depending on patient anatomy changes, and organ and tumour shape. Another radiation therapy technique is brachytherapy. In brachytherapy, a radioactive source is implanted within the body of the subject, such that the radioactive source is near the tumor. As used herein, the term radiotherapy should be broadly construed and is intended to include various techniques used to irradiate a patient, including use of photons (such as high energy x-rays and gamma rays), particles (such as electron and proton beams), and radiosurgical techniques. Further, any method of providing conformal radiation to a target volume is intended to be within the scope of the present disclosure.

[0140] D. Chemotherapeutic Agents

[0141] In some embodiments, the radiation therapy is administered in combination with one or more chemotherapeutic agents (i.e., anti-cancer agents). The chemotherapeutic agents include radiosensitizers, anti-tumor or anti-cancer agents, and/or inhibitors of TGF-beta signaling. In some embodiments, the radiation therapy is administered in combination with an immune system modulator.

[0142] 1. Radiosensitizers

[0143] In some embodiments, the chemotherapeutic agent is a radiosensitizer. Exemplary radiosensitizers include hypoxia radiosensitizers such as misonidazole, metronidazole, and trans-sodium crocetinate, a compound that helps to increase the diffusion of oxygen into hypoxic tumor tissue. The radiosensitizer can also be a DNA damage response inhibitor interfering with base excision repair (BER), nucleotide excision repair (NER), mismatch repair (MMR), recombinational repair comprising homologous recombination (HR) and non-homologous end-joining (NHEJ), and direct repair mechanisms. SSB repair mechanisms include BER, NER, or MMR pathways whilst DSB repair mechanisms consist of HR and NHEJ pathways. Radiation causes DNA breaks that if not repaired are lethal. Single strand breaks are repaired through a combination of BER, NER and MMR mechanisms using the intact DNA strand as a template. The predominant pathway of SSB repair is the BER utilizing a family of related enzymes termed poly-(ADP-ribose) polymerases (PARP). Thus, the radiosensitizer can include DNA damage response inhibitors such as Poly (ADP) ribose polymerase (PARP) inhibitors.

[0144] 2. Anti-Tumor Agents

[0145] In some embodiments, the chemotherapeutic agent is an anti-cancer agent. Examples of anti-cancer agents include hypoxic cytotoxins, such as tirapazamine. In some embodiments, the anti-cancer agent is a drug that is currently approved for treating cancer or tumors. In some embodiments, the anti-cancer agent is approved for treating lung cancer, for example, Cisplatin, Taxol, Paclitaxal, Abitrexate, Bevacizumab, Folex, Gemcitabine, or Iressa. In some embodiments, the anti-cancer agent targets a fusion protein, and includes agents such as Crizotinib.

[0146] 3. TGF-.beta. Inhibitors

[0147] There is substantial evidence that TGF-.beta. plays a crucial role in the response to ionizing radiation. TGF-.beta. is a pleiotropic cytokine that is important in normal tissue homeostatis, regulates inflammation and immune responses, and suppresses epithelial proliferation. TGF-.beta. is activated in irradiated tissues, presumably because the latent TGF-0 complex has a specific-redox-sensitive conformation activated by reactive oxygen species, which are generated by radiation. There is significant evidence for activated TGF-.beta. to contribute to metastasis, to drive function-compromising fibrosis, to promote tumor cell proliferation, and to suppress immune surveillance. Thus, in some embodiments, the chemotherapeutic agent is a TGF-.beta. inhibitor. There are four major classes of TGF-0 inhibitors, including ligand traps (e.g. 1D11 or Fresolimumab), antisense oligonucleotides (e.g., Trabedersen), small molecule receptor kinase inhibitors (e.g., LY2109761 or LY2157299), and peptide aptamers (e.g. Trx-SARA). Any suitable TGF-B inhibitor known in the art can be used in the methods, and is considered within the scope of the methods described herein. TGF-beta inhibitors also include agents that inhibit the production of activated TGF-beta.

[0148] 4. Immune Modulators

[0149] Examples of immune modulators include antibodies that bind molecules expressed on the surface of immune system cells, such as antigen presenting cells and T-cells. Immune modulators also include small molecules that inhibit or stimulate the immune system. One non-limiting example of a small molecule immune modulator is an inhibitor of the enzyme Indolamine 2,3-dioxygenase.

EXAMPLES

Example 1

[0150] This example describes the association between the biomarkers described herein and clinical outcomes (survival and local tumor control) for lung cancer patients treated with radiation.

[0151] Statistical Methods

[0152] In order to understand the characteristics of the population under investigation, descriptives of both demographics and biomarker levels (intensity, proportion, and total; abbreviated "Int," "Prop," and "Tot" throughout) were first examined. Biomarker levels were examined using Allred scoring system. The Allred scoring system allows for measurement of biomarker expression as monitored by immunohistochemistry. It takes into account the percentage/proportion of cells that stain by immunohistochemistry (on a scale of 0-5) and the intensity of that staining (on a scale of 0-3), leading to a possible total score of 8. Survival time was then modeled using cox proportional hazards models, defined as date of biopsy to date of death or last follow-up. Univariate models were examined first, followed by multivariate models to determine factors most predictive of survival. Multivariate models were built using stepwise regression, and were also further examined for possible effect modification. We also dichotomized each biomarker using two methods: 1) a cut point suggested by a nonparametric regression tree, where a cut point is found that "best" separates subjects by survival time, and 2) by a visual examination of where clear separation in the distributions exist. Lastly, we examined how predictive biomarkers and clinical characteristics were of local tumor control failure using logistic regression models. Statistical significance was set to level 0.05 for all analyses.

[0153] Results

[0154] A total of 133 deceased lung cancer patients were included in the analysis. The median survival time among all patients was 1.5 years. The majority of patients were white males; most underwent curative radiation therapy, were diagnosed at stage III, and were current smokers (Table 2). The expression pattern of biomarkers varied greatly: ALDH1A1, CD68, HA, and VIM tended to have low values, while Beta_Cat, CD44, MFG_E8 and MMP_9 tended to have high values (See FIGS. 1-8).

TABLE-US-00002 TABLE 2 Descriptive Patient Characteristics (N = 133) N (%) or N, Mean (SD), Variable Level [Min, Max] Gender Female 56 (42%) Male 77 (58%) Race Black 52 (40%) Non-Black 80 (60%) Radiation Therapy Curative 114 (86%) Curative/SBRT 5 (4%) SBRT 14 (10%) Treatment Group RT Alone 42 (33%) Chemo RT 86 (67%) Local Tumor Control Yes 100 (75%) No 33 (25%) Stage at Diagnosis I 25 (20%) II 18 (14%) III 77 (61%) IV 6 (5%) Smoking current smoker 73 (57%) not smoker 2 (2%) past smoker 51 (39%) unknown 3 (2%) Tumor Type Adenocarcinoma 23 (20%) Squamous 95 (80%) Age 133, 78 (11), [52, 98] Median Household Income <$15,000 6 (5%) .gtoreq.$15,000-<$30,000 33 (27%) .gtoreq.$30,000-<$50,000 42 (34%) .gtoreq.$50,000-<$75,000 28 (23%) .gtoreq.$75,000 13 (11%)

[0155] Univariate survival models indicated that the only patient characteristics exhibiting significant differences in risk were race, where blacks had nearly a 1.5 times greater risk of death than non-blacks (p-value=0.038, Table 3). Additionally, crude estimates of differences in survival by biomarker levels indicated that higher levels of CD68 were associated with a statistically significant higher risk of death. Namely, a one unit increase in CD68 Prop increased the risk of death by 49%, while a one unit increase in CD68 Tot increased the risk of death by 25% (p-value=0.008, p-value=0.02 for Prop and Tot, respectively). Further, a marginally significant protective effect was observed for MMP_9 (p-value=0.05, p-value=0.054 for Prop and Tot, respectively). Using the optimal cut point method for each biomarker based on regression trees, CD68 and VIM groups displayed association with survival, and there was some marginal significance of MFG_E8. Using cut points determined by visual examination, MFG_E8 groups were associated with survival. In these plots, CD68 (Prop and Tot) and VIM (Prop and Tot) both increased risk, while MFG_E8 decreased risk.

TABLE-US-00003 TABLE 3 Univariate Survival Estimates Hazard Ratio Comparison Overall Parameter Level (HR) (95% CI) p-value p-value Patient Characteristics Gender Male vs. Female 1.03 (0.72, 1.46) 0.88 Race Black vs. 1.47 (1.02, 2.1) 0.038 0.038 Non-Black Smoking not smoker vs. 2 (0.48, 8.25) 0.34 0.37 current smoker past smoker vs. 1.12 (0.78, 1.61) 0.54 current smoker unknown vs. 2.46 (0.76, 7.92) 0.13 current smoker Stage at Diagnosis II vs. I 1.07 (0.58, 1.96) 0.84 0.98 III vs. I 0.98 (0.62, 1.55) 0.93 IV vs. I 0.9 (0.37, 2.2) 0.82 Stage II or III Yes vs. No 1.16 (0.78, 1.74) 0.46 0.46 at Diagnosis Tumor Type Squamous vs. 1.15 (0.73, 1.82) 0.54 0.54 Adenocarcinoma Treatment Group chemo RT vs. RT 0.72 (0.49, 1.05) 0.088 0.088 Alone Local Tumor Control Yes vs. No 1.06 (0.72, 1.58) 0.76 0.76 Radiation Therapy Curative/SBRT vs. 0.55 (0.22, 1.36) 0.19 0.20 Curative SBRT vs. Curative 1.39 (0.8, 2.44) 0.25 Age 1 (0.99, 1.02) 0.56 Biomarkers ALDH1A1_Int 1 (0.78, 1.29) 1.00 ALDH1A1_Prop 0.98 (0.85, 1.14) 0.82 ALDH1A1_Tot 0.99 (0.9, 1.09) 0.90 Beta_Cat_Int 0.84 (0.66, 1.09) 0.19 Beta_Cat_Prop 0.95 (0.8, 1.13) 0.57 Beta_Cat_Tot 0.95 (0.85, 1.06) 0.32 CD44_Int 1.11 (0.9, 1.36) 0.33 CD44_Prop 1.06 (0.93, 1.2) 0.38 CD44_Tot 1.04 (0.96, 1.14) 0.32 CD68_Int 1.33 (0.89, 1.99) 0.16 CD68_Prop 1.49 (1.11, 1.99) 0.008 CD68_Tot 1.25 (1.04, 1.51) 0.02 HA_Int 0.94 (0.76, 1.17) 0.59 HA_Prop 0.93 (0.83, 1.04) 0.20 HA_Tot 0.96 (0.88, 1.04) 0.27 MFG_E8_Int 0.92 (0.74, 1.14) 0.44 MFG_E8_Prop 0.92 (0.83, 1.02) 0.10 MFG_E8_Tot 0.95 (0.88, 1.02) 0.15 MMP_9_Int 0.83 (0.62, 1.11) 0.21 MMP_9_Prop 0.8 (0.64, 1) 0.05 MMP_9_Tot 0.87 (0.76, 1) 0.054 VIM_Int 1.02 (0.83, 1.25) 0.87 VIM_Prop 1.02 (0.87, 1.19) 0.78 VIM_Tot 1.01 (0.92, 1.11) 0.81

[0156] Table 4 displays the results of a final multivariate model built using stepwise regression. All patient characteristics and 24 biomarker measurements were eligible for model inclusion. The significance level required to both enter the model and be retained in the model was 0.05. This model selection procedure only retained CD68 Prop and race in the model, indicating that these two covariates are most predictive of survival outcomes, among all covariates considered.

TABLE-US-00004 TABLE 4 Final Survival Model Parameter HR (95% CI) p-value CD68 1.61 (1.19, 2.18) 0.002 Prop black vs. 1.59 (1.05, 2.41) 0.028 non-black

[0157] It should be noted that since correlation within a biomarker is high (comparing the three different measures of Int, Prop and Tot), itis unlikely that multiple measurement types of the same biomarker would be retained in the model, due to information redundancy.

[0158] Predictive Ability of Biomarkers for Local Tumor Control

[0159] We also determined if biomarkers, along with clinical characteristics, were predictive of local tumor control failure. We use the Area Under the ROC (Receiver Operating Characteristics) Curve (AUC) as a measure of predictive ability, where the ROC curve is built from various probability cut points from a logistic regression model. An AUC of 0.5 indicates "no better than random chance" and an AUC of 1 indicates "perfect prediction". As seen in Table 5, Tumor Type. CD44, and MFG_E8 all had a significantly better than random chance prediction ability. CD44 and squamous tumors were risk factors for local tumor control failure, while MFG_E8 had a protective effect. To find amore predictive model of local tumor control failure, we then determined which combination of these three factors resulted in the highest AUC. The variables CD44 (Tot), MFG-E8 (Prop) and tumor type combined resulted in an AUC of 0.74 (p-value<0.001, 95% CI=(0.63, 0.85)). The ROC curve from this multivariate model can be seen in FIG. 9.

TABLE-US-00005 TABLE 5 Predictive Ability Of Biomarkers For Local Tumor Control Failure (Univariate) Odds Ratio Comparison Overall Area Under the Curve Parameter Level OR (95% CI) p-value p- value AUG (95% CI) p-value Patient Characteristics Gender Male vs. 1.16 (0.52, 2.59) 0.72 0.52 (0.42, 0.62) 0.72 Female Race Black vs. 1.18 (0.53, 2.63) 0.68 0.52 (0.42, 0.62) 0.69 Non-Black Age 0.98 (0.94, 1.01) 0.18 0.59 (0.47, 0.7) 0.14 Radiation Curative/ 0.7 (0.08, 6.51) 0.75 0.61 0.54 (0.47, 0.6) 0.26 Therapy SBRT vs. SBRT vs. 0.47 (0.1, 2.21) 0.34 Curative Treatment chemo RT 1.64 (0.67, 4.06) 0.28 0.55 (0.46, 0.64) 0.26 Group vs. RT Alone Stage II or Yes vs. No 1.07 (0.43, 2.68) 0.89 0.51 (0.42, 0.59) 0.89 III at Diagnosis Smoking* . . . . . Tumor Type Squamous 4.39 (0.96, 19.98) 0.056 0.59 (0.52, 0.65) 0.008 vs. Median . . . . . Household Income* Biomarkers ALDH1A1 1.48 (0.88, 2.49) 0.14 0.57 (0.46, 0.67) 0.21 Int ALDH1A1 1.27 (0.94, 1.73) 0.12 0.57 (0.47, 0.67) 0.18 Prop ALDH1A1 1.19 (0.97, 1.45) 0.09 0.57 (0.47, 0.68) 0.18 Tot Beta_Cat Int 0.65 (0.36, 1.2) 0.17 0.57 (0.46, 0.69) 0.20 Beta_Cat 0.85 (0.58, 1.26) 0.42 0.56 (0.45, 0.67) 0.30 Prop Beta_Cat Tot 0.85 (0.66, 1.11) 0.24 0.59 (0.47, 0.71) 0.13 CD44 Int 1.94 (1.08, 3.51) 0.027 0.62 (0.52, 0.72) 0.019 CD44 Prop 1.7 (1.11, 2.6) 0.014 0.65 (0.55, 0.76) 0.003 CD44 Tot 1.44 (1.08, 1.92) 0.012 0.66 (0.55, 0.76) 0.004 CD68 Int 1.93 (0.83, 4.49) 0.13 0.56 (0.47, 0.64) 0.18 CD68 Prop 1.16 (0.67, 2) 0.61 0.55 (0.47, 0.63) 0.22 CD68 Tot 1.16 (0.82, 1.66) 0.40 0.55 (0.47, 0.63) 0.23 HA Int 1.03 (0.65, 1.62) 0.91 0.51 (0.4, 0.63) 0.80 HA Prop 0.96 (0.74, 1.26) 0.79 0.5 (0.39, 0.61) 0.97 HA Tot 0.99 (0.83, 1.18) 0.89 0.5 (0.39, 0.61) 0.96 MFG_E8 Int 0.73 (0.47, 1.14) 0.17 0.58 (0.47, 0.7) 0.17 MFG_E8 0.77 (0.62, 0.97) 0.029 0.64 (0.52, 0.75) 0.019 Prop MFG_E8 Tot 0.85 (0.73, 1) 0.046 0.63 (0.52, 0.74) 0.023 MMP_9 Int 1.39 (0.73, 2.67) 0.32 0.56 (0.46, 0.66) 0.23 MMP_9 1.26 (0.69, 2.3) 0.46 0.57 (0.5, 0.65) 0.06 Prop MMP_9 Tot 1.2 (0.83, 1.73) 0.33 0.59 (0.49, 0.7) 0.07 VIM Int 1.15 (0.73, 1.81) 0.56 0.53 (0.43, 0.62) 0.58 VIM Prop 1.07 (0.76, 1.49) 0.71 0.52 (0.43, 0.61) 0.65 VIM Tot 1.05 (0.86, 1.28) 0.63 0.52 (0.43, 0.61) 0.65

[0160] We then chose a probability cut point on this ROC curve that exhibited both high sensitivity and specificity, to act as a"test" for local tumor control failure. We required that both sensitivity and specificity be at least 0.5, and gave more importance to high sensitivity by up-weighting it. This resulted in a probability cut point of 21%, which corresponded to a sensitivity of 82% and a specificity of 55%. The values of CD44 Tot and MFG_E8 Prop that correspond to a positive and negative test using this probability cut point, for each tumor type, can be seen in FIGS. 10 and 11.

[0161] Subgroup Analyses for Stage II and III Patients

[0162] As a sensitivity analysis, univariate survival estimates for patient characteristics and biomarker levels were also recalculated among stage II and III patients only (results not shown). In this analysis, the covariate that achieved statistical significance was race (p-value=0.018).

[0163] This Example demonstrates that, among 133 deceased lung cancer patients, CD68 expression was associated with increased risk of death, while MMP_9 expression was associated with decreased risk of death. Patient characteristics most predictive of survival outcomes were CD68 and race. CD44, MFG_E8, and tumor type were predictive of local tumor control failure.

[0164] It is understood that the examples and embodiments described herein are for illustrative purposes only and that various modifications or changes in light thereof will be suggested to persons skilled in the art and are to be included within the spirit and purview of this application and scope of the appended claims. All publications, patents, patent applications, and sequence accession numbers cited herein are hereby incorporated by reference in their entirety for all purposes.

Sequence CWU 1

1

141742PRTHomo sapiensCD44 antigen isoform 1 precursor, hematopoeitic cell E- and L-selectin ligand (HCELL), chondroitin sulfate proteoglycan 8 (CSPG8), GP90 lymphocyte homing/adhesion receptor (LHR), extracellular matrix receptor III (ECMR-III), Hermes antigen 1Met Asp Lys Phe Trp Trp His Ala Ala Trp Gly Leu Cys Leu Val Pro1 5 10 15Leu Ser Leu Ala Gln Ile Asp Leu Asn Ile Thr Cys Arg Phe Ala Gly 20 25 30Val Phe His Val Glu Lys Asn Gly Arg Tyr Ser Ile Ser Arg Thr Glu 35 40 45Ala Ala Asp Leu Cys Lys Ala Phe Asn Ser Thr Leu Pro Thr Met Ala 50 55 60Gln Met Glu Lys Ala Leu Ser Ile Gly Phe Glu Thr Cys Arg Tyr Gly65 70 75 80Phe Ile Glu Gly His Val Val Ile Pro Arg Ile His Pro Asn Ser Ile 85 90 95Cys Ala Ala Asn Asn Thr Gly Val Tyr Ile Leu Thr Ser Asn Thr Ser 100 105 110Gln Tyr Asp Thr Tyr Cys Phe Asn Ala Ser Ala Pro Pro Glu Glu Asp 115 120 125Cys Thr Ser Val Thr Asp Leu Pro Asn Ala Phe Asp Gly Pro Ile Thr 130 135 140Ile Thr Ile Val Asn Arg Asp Gly Thr Arg Tyr Val Gln Lys Gly Glu145 150 155 160Tyr Arg Thr Asn Pro Glu Asp Ile Tyr Pro Ser Asn Pro Thr Asp Asp 165 170 175Asp Val Ser Ser Gly Ser Ser Ser Glu Arg Ser Ser Thr Ser Gly Gly 180 185 190Tyr Ile Phe Tyr Thr Phe Ser Thr Val His Pro Ile Pro Asp Glu Asp 195 200 205Ser Pro Trp Ile Thr Asp Ser Thr Asp Arg Ile Pro Ala Thr Thr Leu 210 215 220Met Ser Thr Ser Ala Thr Ala Thr Glu Thr Ala Thr Lys Arg Gln Glu225 230 235 240Thr Trp Asp Trp Phe Ser Trp Leu Phe Leu Pro Ser Glu Ser Lys Asn 245 250 255His Leu His Thr Thr Thr Gln Met Ala Gly Thr Ser Ser Asn Thr Ile 260 265 270Ser Ala Gly Trp Glu Pro Asn Glu Glu Asn Glu Asp Glu Arg Asp Arg 275 280 285His Leu Ser Phe Ser Gly Ser Gly Ile Asp Asp Asp Glu Asp Phe Ile 290 295 300Ser Ser Thr Ile Ser Thr Thr Pro Arg Ala Phe Asp His Thr Lys Gln305 310 315 320Asn Gln Asp Trp Thr Gln Trp Asn Pro Ser His Ser Asn Pro Glu Val 325 330 335Leu Leu Gln Thr Thr Thr Arg Met Thr Asp Val Asp Arg Asn Gly Thr 340 345 350Thr Ala Tyr Glu Gly Asn Trp Asn Pro Glu Ala His Pro Pro Leu Ile 355 360 365His His Glu His His Glu Glu Glu Glu Thr Pro His Ser Thr Ser Thr 370 375 380Ile Gln Ala Thr Pro Ser Ser Thr Thr Glu Glu Thr Ala Thr Gln Lys385 390 395 400Glu Gln Trp Phe Gly Asn Arg Trp His Glu Gly Tyr Arg Gln Thr Pro 405 410 415Lys Glu Asp Ser His Ser Thr Thr Gly Thr Ala Ala Ala Ser Ala His 420 425 430Thr Ser His Pro Met Gln Gly Arg Thr Thr Pro Ser Pro Glu Asp Ser 435 440 445Ser Trp Thr Asp Phe Phe Asn Pro Ile Ser His Pro Met Gly Arg Gly 450 455 460His Gln Ala Gly Arg Arg Met Asp Met Asp Ser Ser His Ser Ile Thr465 470 475 480Leu Gln Pro Thr Ala Asn Pro Asn Thr Gly Leu Val Glu Asp Leu Asp 485 490 495Arg Thr Gly Pro Leu Ser Met Thr Thr Gln Gln Ser Asn Ser Gln Ser 500 505 510Phe Ser Thr Ser His Glu Gly Leu Glu Glu Asp Lys Asp His Pro Thr 515 520 525Thr Ser Thr Leu Thr Ser Ser Asn Arg Asn Asp Val Thr Gly Gly Arg 530 535 540Arg Asp Pro Asn His Ser Glu Gly Ser Thr Thr Leu Leu Glu Gly Tyr545 550 555 560Thr Ser His Tyr Pro His Thr Lys Glu Ser Arg Thr Phe Ile Pro Val 565 570 575Thr Ser Ala Lys Thr Gly Ser Phe Gly Val Thr Ala Val Thr Val Gly 580 585 590Asp Ser Asn Ser Asn Val Asn Arg Ser Leu Ser Gly Asp Gln Asp Thr 595 600 605Phe His Pro Ser Gly Gly Ser His Thr Thr His Gly Ser Glu Ser Asp 610 615 620Gly His Ser His Gly Ser Gln Glu Gly Gly Ala Asn Thr Thr Ser Gly625 630 635 640Pro Ile Arg Thr Pro Gln Ile Pro Glu Trp Leu Ile Ile Leu Ala Ser 645 650 655Leu Leu Ala Leu Ala Leu Ile Leu Ala Val Cys Ile Ala Val Asn Ser 660 665 670Arg Arg Arg Cys Gly Gln Lys Lys Lys Leu Val Ile Asn Ser Gly Asn 675 680 685Gly Ala Val Glu Asp Arg Lys Pro Ser Gly Leu Asn Gly Glu Ala Ser 690 695 700Lys Ser Gln Glu Met Val His Leu Val Asn Lys Glu Ser Ser Glu Thr705 710 715 720Pro Asp Gln Phe Met Thr Ala Asp Glu Thr Arg Asn Leu Gln Asn Val 725 730 735Asp Met Lys Ile Gly Val 74025748DNAHomo sapiensCD44 antigen transcript variant 1, hematopoeitic cell E- and L-selectin ligand (HCELL), chondroitin sulfate proteoglycan 8 (CSPG8), GP90 lymphocyte homing/adhesion receptor (LHR), extracellular matrix receptor III (ECMR-III), Hermes antigen 2gagaagaaag ccagtgcgtc tctgggcgca ggggccagtg gggctcggag gcacaggcac 60cccgcgacac tccaggttcc ccgacccacg tccctggcag ccccgattat ttacagcctc 120agcagagcac ggggcggggg cagaggggcc cgcccgggag ggctgctact tcttaaaacc 180tctgcgggct gcttagtcac agcccccctt gcttgggtgt gtccttcgct cgctccctcc 240ctccgtctta ggtcactgtt ttcaacctcg aataaaaact gcagccaact tccgaggcag 300cctcattgcc cagcggaccc cagcctctgc caggttcggt ccgccatcct cgtcccgtcc 360tccgccggcc cctgccccgc gcccagggat cctccagctc ctttcgcccg cgccctccgt 420tcgctccgga caccatggac aagttttggt ggcacgcagc ctggggactc tgcctcgtgc 480cgctgagcct ggcgcagatc gatttgaata taacctgccg ctttgcaggt gtattccacg 540tggagaaaaa tggtcgctac agcatctctc ggacggaggc cgctgacctc tgcaaggctt 600tcaatagcac cttgcccaca atggcccaga tggagaaagc tctgagcatc ggatttgaga 660cctgcaggta tgggttcata gaagggcacg tggtgattcc ccggatccac cccaactcca 720tctgtgcagc aaacaacaca ggggtgtaca tcctcacatc caacacctcc cagtatgaca 780catattgctt caatgcttca gctccacctg aagaagattg tacatcagtc acagacctgc 840ccaatgcctt tgatggacca attaccataa ctattgttaa ccgtgatggc acccgctatg 900tccagaaagg agaatacaga acgaatcctg aagacatcta ccccagcaac cctactgatg 960atgacgtgag cagcggctcc tccagtgaaa ggagcagcac ttcaggaggt tacatctttt 1020acaccttttc tactgtacac cccatcccag acgaagacag tccctggatc accgacagca 1080cagacagaat ccctgctacc actttgatga gcactagtgc tacagcaact gagacagcaa 1140ccaagaggca agaaacctgg gattggtttt catggttgtt tctaccatca gagtcaaaga 1200atcatcttca cacaacaaca caaatggctg gtacgtcttc aaataccatc tcagcaggct 1260gggagccaaa tgaagaaaat gaagatgaaa gagacagaca cctcagtttt tctggatcag 1320gcattgatga tgatgaagat tttatctcca gcaccatttc aaccacacca cgggcttttg 1380accacacaaa acagaaccag gactggaccc agtggaaccc aagccattca aatccggaag 1440tgctacttca gacaaccaca aggatgactg atgtagacag aaatggcacc actgcttatg 1500aaggaaactg gaacccagaa gcacaccctc ccctcattca ccatgagcat catgaggaag 1560aagagacccc acattctaca agcacaatcc aggcaactcc tagtagtaca acggaagaaa 1620cagctaccca gaaggaacag tggtttggca acagatggca tgagggatat cgccaaacac 1680ccaaagaaga ctcccattcg acaacaggga cagctgcagc ctcagctcat accagccatc 1740caatgcaagg aaggacaaca ccaagcccag aggacagttc ctggactgat ttcttcaacc 1800caatctcaca ccccatggga cgaggtcatc aagcaggaag aaggatggat atggactcca 1860gtcatagtat aacgcttcag cctactgcaa atccaaacac aggtttggtg gaagatttgg 1920acaggacagg acctctttca atgacaacgc agcagagtaa ttctcagagc ttctctacat 1980cacatgaagg cttggaagaa gataaagacc atccaacaac ttctactctg acatcaagca 2040ataggaatga tgtcacaggt ggaagaagag acccaaatca ttctgaaggc tcaactactt 2100tactggaagg ttatacctct cattacccac acacgaagga aagcaggacc ttcatcccag 2160tgacctcagc taagactggg tcctttggag ttactgcagt tactgttgga gattccaact 2220ctaatgtcaa tcgttcctta tcaggagacc aagacacatt ccaccccagt ggggggtccc 2280ataccactca tggatctgaa tcagatggac actcacatgg gagtcaagaa ggtggagcaa 2340acacaacctc tggtcctata aggacacccc aaattccaga atggctgatc atcttggcat 2400ccctcttggc cttggctttg attcttgcag tttgcattgc agtcaacagt cgaagaaggt 2460gtgggcagaa gaaaaagcta gtgatcaaca gtggcaatgg agctgtggag gacagaaagc 2520caagtggact caacggagag gccagcaagt ctcaggaaat ggtgcatttg gtgaacaagg 2580agtcgtcaga aactccagac cagtttatga cagctgatga gacaaggaac ctgcagaatg 2640tggacatgaa gattggggtg taacacctac accattatct tggaaagaaa caaccgttgg 2700aaacataacc attacaggga gctgggacac ttaacagatg caatgtgcta ctgattgttt 2760cattgcgaat cttttttagc ataaaatttt ctactctttt tgttttttgt gttttgttct 2820ttaaagtcag gtccaatttg taaaaacagc attgctttct gaaattaggg cccaattaat 2880aatcagcaag aatttgatcg ttccagttcc cacttggagg cctttcatcc ctcgggtgtg 2940ctatggatgg cttctaacaa aaactacaca tatgtattcc tgatcgccaa cctttccccc 3000accagctaag gacatttccc agggttaata gggcctggtc cctgggagga aatttgaatg 3060ggtccatttt gcccttccat agcctaatcc ctgggcattg ctttccactg aggttggggg 3120ttggggtgta ctagttacac atcttcaaca gaccccctct agaaattttt cagatgcttc 3180tgggagacac ccaaagggtg aagctattta tctgtagtaa actatttatc tgtgtttttg 3240aaatattaaa ccctggatca gtcctttgat cagtataatt ttttaaagtt actttgtcag 3300aggcacaaaa gggtttaaac tgattcataa taaatatctg tacttcttcg atcttcacct 3360tttgtgctgt gattcttcag tttctaaacc agcactgtct gggtccctac aatgtatcag 3420gaagagctga gaatggtaag gagactcttc taagtcttca tctcagagac cctgagttcc 3480cactcagacc cactcagcca aatctcatgg aagaccaagg agggcagcac tgtttttgtt 3540ttttgttttt tgtttttttt ttttgacact gtccaaaggt tttccatcct gtcctggaat 3600cagagttgga agctgaggag cttcagcctc ttttatggtt taatggccac ctgttctctc 3660ctgtgaaagg ctttgcaaag tcacattaag tttgcatgac ctgttatccc tggggcccta 3720tttcatagag gctggcccta ttagtgattt ccaaaaacaa tatggaagtg ccttttgatg 3780tcttacaata agagaagaag ccaatggaaa tgaaagagat tggcaaaggg gaaggatgat 3840gccatgtaga tcctgtttga catttttatg gctgtatttg taaacttaaa cacaccagtg 3900tctgttcttg atgcagttgc tatttaggat gagttaagtg cctggggagt ccctcaaaag 3960gttaaaggga ttcccatcat tggaatctta tcaccagata ggcaagttta tgaccaaaca 4020agagagtact ggctttatcc tctaacctca tattttctcc cacttggcaa gtcctttgtg 4080gcatttattc atcagtcagg gtgtccgatt ggtcctagaa cttccaaagg ctgcttgtca 4140tagaagccat tgcatctata aagcaacggc tcctgttaaa tggtatctcc tttctgaggc 4200tcctactaaa agtcatttgt tacctaaact tatgtgctta acaggcaatg cttctcagac 4260cacaaagcag aaagaagaag aaaagctcct gactaaatca gggctgggct tagacagagt 4320tgatctgtag aatatcttta aaggagagat gtcaactttc tgcactattc ccagcctctg 4380ctcctccctg tctaccctct cccctccctc tctccctcca cttcacccca caatcttgaa 4440aaacttcctt tctcttctgt gaacatcatt ggccagatcc attttcagtg gtctggattt 4500ctttttattt tcttttcaac ttgaaagaaa ctggacatta ggccactatg tgttgttact 4560gccactagtg ttcaagtgcc tcttgttttc ccagagattt cctgggtctg ccagaggccc 4620agacaggctc actcaagctc tttaactgaa aagcaacaag ccactccagg acaaggttca 4680aaatggttac aacagcctct acctgtcgcc ccagggagaa aggggtagtg atacaagtct 4740catagccaga gatggttttc cactccttct agatattccc aaaaagaggc tgagacagga 4800ggttattttc aattttattt tggaattaaa tacttttttc cctttattac tgttgtagtc 4860cctcacttgg atatacctct gttttcacga tagaaataag ggaggtctag agcttctatt 4920ccttggccat tgtcaacgga gagctggcca agtcttcaca aacccttgca acattgcctg 4980aagtttatgg aataagatgt attctcactc ccttgatctc aagggcgtaa ctctggaagc 5040acagcttgac tacacgtcat ttttaccaat gattttcagg tgacctgggc taagtcattt 5100aaactgggtc tttataaaag taaaaggcca acatttaatt attttgcaaa gcaacctaag 5160agctaaagat gtaatttttc ttgcaattgt aaatcttttg tgtctcctga agacttccct 5220taaaattagc tctgagtgaa aaatcaaaag agacaaaaga catcttcgaa tccatatttc 5280aagcctggta gaattggctt ttctagcaga acctttccaa aagttttata ttgagattca 5340taacaacacc aagaattgat tttgtagcca acattcattc aatactgtta tatcagagga 5400gtaggagaga ggaaacattt gacttatctg gaaaagcaaa atgtacttaa gaataagaat 5460aacatggtcc attcaccttt atgttataga tatgtctttg tgtaaatcat ttgttttgag 5520ttttcaaaga atagcccatt gttcattctt gtgctgtaca atgaccactg ttattgttac 5580tttgactttt cagagcacac ccttcctctg gtttttgtat atttattgat ggatcaataa 5640taatgaggaa agcatgatat gtatattgct gagttgaaag cacttattgg aaaatattaa 5700aaggctaaca ttaaaagact aaaggaaaca gaaaaaaaaa aaaaaaaa 57483707PRTHomo sapiensmatrix metalloproteinase 9 (MMP9, MMP-9) 3Met Ser Leu Trp Gln Pro Leu Val Leu Val Leu Leu Val Leu Gly Cys1 5 10 15Cys Phe Ala Ala Pro Arg Gln Arg Gln Ser Thr Leu Val Leu Phe Pro 20 25 30Gly Asp Leu Arg Thr Asn Leu Thr Asp Arg Gln Leu Ala Glu Glu Tyr 35 40 45Leu Tyr Arg Tyr Gly Tyr Thr Arg Val Ala Glu Met Arg Gly Glu Ser 50 55 60Lys Ser Leu Gly Pro Ala Leu Leu Leu Leu Gln Lys Gln Leu Ser Leu65 70 75 80Pro Glu Thr Gly Glu Leu Asp Ser Ala Thr Leu Lys Ala Met Arg Thr 85 90 95Pro Arg Cys Gly Val Pro Asp Leu Gly Arg Phe Gln Thr Phe Glu Gly 100 105 110Asp Leu Lys Trp His His His Asn Ile Thr Tyr Trp Ile Gln Asn Tyr 115 120 125Ser Glu Asp Leu Pro Arg Ala Val Ile Asp Asp Ala Phe Ala Arg Ala 130 135 140Phe Ala Leu Trp Ser Ala Val Thr Pro Leu Thr Phe Thr Arg Val Tyr145 150 155 160Ser Arg Asp Ala Asp Ile Val Ile Gln Phe Gly Val Ala Glu His Gly 165 170 175Asp Gly Tyr Pro Phe Asp Gly Lys Asp Gly Leu Leu Ala His Ala Phe 180 185 190Pro Pro Gly Pro Gly Ile Gln Gly Asp Ala His Phe Asp Asp Asp Glu 195 200 205Leu Trp Ser Leu Gly Lys Gly Val Val Val Pro Thr Arg Phe Gly Asn 210 215 220Ala Asp Gly Ala Ala Cys His Phe Pro Phe Ile Phe Glu Gly Arg Ser225 230 235 240Tyr Ser Ala Cys Thr Thr Asp Gly Arg Ser Asp Gly Leu Pro Trp Cys 245 250 255Ser Thr Thr Ala Asn Tyr Asp Thr Asp Asp Arg Phe Gly Phe Cys Pro 260 265 270Ser Glu Arg Leu Tyr Thr Arg Asp Gly Asn Ala Asp Gly Lys Pro Cys 275 280 285Gln Phe Pro Phe Ile Phe Gln Gly Gln Ser Tyr Ser Ala Cys Thr Thr 290 295 300Asp Gly Arg Ser Asp Gly Tyr Arg Trp Cys Ala Thr Thr Ala Asn Tyr305 310 315 320Asp Arg Asp Lys Leu Phe Gly Phe Cys Pro Thr Arg Ala Asp Ser Thr 325 330 335Val Met Gly Gly Asn Ser Ala Gly Glu Leu Cys Val Phe Pro Phe Thr 340 345 350Phe Leu Gly Lys Glu Tyr Ser Thr Cys Thr Ser Glu Gly Arg Gly Asp 355 360 365Gly Arg Leu Trp Cys Ala Thr Thr Ser Asn Phe Asp Ser Asp Lys Lys 370 375 380Trp Gly Phe Cys Pro Asp Gln Gly Tyr Ser Leu Phe Leu Val Ala Ala385 390 395 400His Glu Phe Gly His Ala Leu Gly Leu Asp His Ser Ser Val Pro Glu 405 410 415Ala Leu Met Tyr Pro Met Tyr Arg Phe Thr Glu Gly Pro Pro Leu His 420 425 430Lys Asp Asp Val Asn Gly Ile Arg His Leu Tyr Gly Pro Arg Pro Glu 435 440 445Pro Glu Pro Arg Pro Pro Thr Thr Thr Thr Pro Gln Pro Thr Ala Pro 450 455 460Pro Thr Val Cys Pro Thr Gly Pro Pro Thr Val His Pro Ser Glu Arg465 470 475 480Pro Thr Ala Gly Pro Thr Gly Pro Pro Ser Ala Gly Pro Thr Gly Pro 485 490 495Pro Thr Ala Gly Pro Ser Thr Ala Thr Thr Val Pro Leu Ser Pro Val 500 505 510Asp Asp Ala Cys Asn Val Asn Ile Phe Asp Ala Ile Ala Glu Ile Gly 515 520 525Asn Gln Leu Tyr Leu Phe Lys Asp Gly Lys Tyr Trp Arg Phe Ser Glu 530 535 540Gly Arg Gly Ser Arg Pro Gln Gly Pro Phe Leu Ile Ala Asp Lys Trp545 550 555 560Pro Ala Leu Pro Arg Lys Leu Asp Ser Val Phe Glu Glu Pro Leu Ser 565 570 575Lys Lys Leu Phe Phe Phe Ser Gly Arg Gln Val Trp Val Tyr Thr Gly 580 585 590Ala Ser Val Leu Gly Pro Arg Arg Leu Asp Lys Leu Gly Leu Gly Ala 595 600 605Asp Val Ala Gln Val Thr Gly Ala Leu Arg Ser Gly Arg Gly Lys Met 610 615 620Leu Leu Phe Ser Gly Arg Arg Leu Trp Arg Phe Asp Val Lys Ala Gln625 630 635 640Met Val Asp Pro Arg Ser Ala Ser Glu Val Asp Arg Met Phe Pro Gly 645 650 655Val Pro Leu Asp Thr His Asp Val Phe Gln Tyr Arg Glu Lys Ala Tyr 660 665 670Phe Cys Gln Asp Arg Phe Tyr Trp Arg Val Ser Ser Arg Ser Glu Leu 675 680 685Asn Gln Val Asp Gln Val Gly Tyr Val Thr Tyr Asp Ile Leu Gln Cys 690

695 700Pro Glu Asp70544506DNAHomo sapiensmatrix metalloproteinase 9 (MMP9, MMP-9) 4aagcttcaga gccaggcagt tctgggcttg aacactagtt ctgtggatta actcgctctg 60tgatcacagg caaattcctt aactctctga gccttagttt ccccctctga aaacaggagg 120gatactcatt aaacttacct tacaggtggt gaggatgaaa cgagaggctt atagagaact 180tattacggtg cttgacacag taaatctcaa aaaatgcatt attattatta tggttcagag 240gtaaagtgac ttgcccaagg tcacatagct ggaaaatgca gagccgggat ggaaatccag 300gacttcgtga cgcaaagcag atgttcattg gttagtgaac tttagaactt caacttttct 360gtaaaggaag ttaattatct ccatctcaca gtctcattta ttagataagc atataaaatg 420cctggcacat agtaggccct ttaaatacag cttattgggc cgggcgccat gctcatgccc 480gtaatcctag cactttggga ggccaggtgg gcagatcact tgagtcagaa gttcgaaacc 540agcctggtca acgtagtgaa accccatctc tactaaaaat acaaaaaatt tagccaggcg 600tggtggcgca cctataatac cagctactcg ggaggctgag gcaggagaat tgcttgaacc 660cgggaggcag atgttgcagt gagccgagat cacgccactg cactccagcc tgggtgacag 720agtgatacta ccccccccaa aaataaaata aaataaataa atacaacttt ttgagttgtt 780agcaggtttt tcccaaatag ggctttgaag aaggtgaata tagaccctgc ccgatgccgg 840ctggctagga agaaaggagt gagggaggct gctggtgtgg gaggcttggg agggaggctt 900ggcataagtg tgataattgg gcctggagat ttggctgcat ggaggcaggg ctggaggaac 960taagggctcc tatagattat ttccccatat cctgccgcaa tttgcagttg aagaatccta 1020agctgagaaa ggggaggcat ttactccagg ttacactgca gcttagagcc caataacctg 1080gtttggtgat tccaagttag aatcatggtc ttttggcagg gtctcgctct gttgcccagg 1140ctggagtgca gtgacataat catggctcac tgtatccttg accttctttc tgggctcaag 1200caatcctccc acctcggcct cccaaagtgc taagattaca ggaatgagcc accatacctg 1260gccctgaatc ttgggtcttg gccttagtaa ttaaaaccaa tcaccaccat ccgttgcgga 1320cttacaacct acagtgttct aaacatttta tatgtttgat ctcatttaat cctcacatca 1380atttagggac aaagagcccc ccaccccccg tttttttttt tacagctgag gaaacacttc 1440aaagtggtaa gacatttgcc cgaggtcctg aaggaagaga gtaaagccat gtctgctgtt 1500ttctagaggc tgctactgtc ccctttactg ccctgaagat tcagcctgcg gaagacaggg 1560ggttgcccca gtggaattcc ccagccttgc ctagcagagc ccattccttc cgcccccaga 1620tgaagcaggg agaggaagct gagtcaaaga aggctgtcag ggagggaaaa agaggacaga 1680gcctggagtg tggggagggg tttggggagg atatctgacc tgggaggggg tgttgcaaaa 1740ggccaaggat gggccagggg gatcattagt ttcagaaaga agtctcaggg agtcttccat 1800cactttccct tggctgacca ctggaggctt tcagaccaag ggatggggga tccctccagc 1860ttcatccccc tccctccctt tcatacagtt cccacaagct ctgcagtttg caaaacccta 1920cccctcccct gagggcctgc ggtttcctgc gggtctgggg tcttgcctga cttggcagtg 1980gagactgcgg gcagtggaga gaggaggagg tggtgtaagc cctttctcat gctggtgctg 2040ccacacacac acacacacac acacacacac acacacacac acaccctgac ccctgagtca 2100gcacttgcct gtcaaggagg ggtggggtca caggagcgcc tccttaaagc ccccacaaca 2160gcagctgcag tcagacacct ctgccctcac catgagcctc tggcagcccc tggtcctggt 2220gctcctggtg ctgggctgct gctttgctgc ccccagacag cgccagtcca cccttgtgct 2280cttccctgga gacctgagaa ccaatctcac cgacaggcag ctggcagagg aatacctgta 2340ccgctatggt tacactcggg tggcagagat gcgtggagag tcgaaatctc tggggcctgc 2400gctgctgctt ctccagaagc aactgtccct gcccgagacc ggtgagctgg atagcgccac 2460gctgaaggcc atgcgaaccc cacggtgcgg ggtcccagac ctgggcagat tccaaacctt 2520tgagggcgac ctcaagtggc accaccacaa catcacctat tggatccaaa actactcgga 2580agacttgccg cgggcggtga ttgacgacgc ctttgcccgc gccttcgcac tgtggagcgc 2640ggtgacgccg ctcaccttca ctcgcgtgta cagccgggac gcagacatcg tcatccagtt 2700tggtgtcgcg gagcacggag acgggtatcc cttcgacggg aaggacgggc tcctggcaca 2760cgcctttcct cctggccccg gcattcaggg agacgcccat ttcgacgatg acgagttgtg 2820gtccctgggc aagggcgtcg tggttccaac tcggtttgga aacgcagatg gcgcggcctg 2880ccacttcccc ttcatcttcg agggccgctc ctactctgcc tgcaccaccg acggtcgctc 2940cgacggcttg ccctggtgca gtaccacggc caactacgac accgacgacc ggtttggctt 3000ctgccccagc gagagactct acacccggga cggcaatgct gatgggaaac cctgccagtt 3060tccattcatc ttccaaggcc aatcctactc cgcctgcacc acggacggtc gctccgacgg 3120ctaccgctgg tgcgccacca ccgccaacta cgaccgggac aagctcttcg gcttctgccc 3180gacccgagct gactcgacgg tgatgggggg caactcggcg ggggagctgt gcgtcttccc 3240cttcactttc ctgggtaagg agtactcgac ctgtaccagc gagggccgcg gagatgggcg 3300cctctggtgc gctaccacct cgaactttga cagcgacaag aagtggggct tctgcccgga 3360ccaaggatac agtttgttcc tcgtggcggc gcatgagttc ggccacgcgc tgggcttaga 3420tcattcctca gtgccggagg cgctcatgta ccctatgtac cgcttcactg aggggccccc 3480cttgcataag gacgacgtga atggcatccg gcacctctat ggtcctcgcc ctgaacctga 3540gccacggcct ccaaccacca ccacaccgca gcccacggct cccccgacgg tctgccccac 3600cggacccccc actgtccacc cctcagagcg ccccacagct ggccccacag gtcccccctc 3660agctggcccc acaggtcccc ccactgctgg cccttctacg gccactactg tgcctttgag 3720tccggtggac gatgcctgca acgtgaacat cttcgacgcc atcgcggaga ttgggaacca 3780gctgtatttg ttcaaggatg ggaagtactg gcgattctct gagggcaggg ggagccggcc 3840gcagggcccc ttccttatcg ccgacaagtg gcccgcgctg ccccgcaagc tggactcggt 3900ctttgaggag ccgctctcca agaagctttt cttcttctct gggcgccagg tgtgggtgta 3960cacaggcgcg tcggtgctgg gcccgaggcg tctggacaag ctgggcctgg gagccgacgt 4020ggcccaggtg accggggccc tccggagtgg cagggggaag atgctgctgt tcagcgggcg 4080gcgcctctgg aggttcgacg tgaaggcgca gatggtggat ccccggagcg ccagcgaggt 4140ggaccggatg ttccccgggg tgcctttgga cacgcacgac gtcttccagt accgagagaa 4200agcctatttc tgccaggacc gcttctactg gcgcgtgagt tcccggagtg agttgaacca 4260ggtggaccaa gtgggctacg tgacctatga catcctgcag tgccctgagg actagggctc 4320ccgtcctgct ttgcagtgcc atgtaaatcc ccactgggac caaccctggg gaaggagcca 4380gtttgccgga tacaaactgg tattctgttc tggaggaaag ggaggagtgg aggtgggctg 4440ggccctctct tctcaccttt gttttttgtt ggagtgtttc taataaactt ggattctcta 4500accttt 45065501PRTHomo sapiensaldehyde dehydrogenase 1 family, member A1 (ALDH1A1) 5Met Ser Ser Ser Gly Thr Pro Asp Leu Pro Val Leu Leu Thr Asp Leu1 5 10 15Lys Ile Gln Tyr Thr Lys Ile Phe Ile Asn Asn Glu Trp His Asp Ser 20 25 30Val Ser Gly Lys Lys Phe Pro Val Phe Asn Pro Ala Thr Glu Glu Glu 35 40 45Leu Cys Gln Val Glu Glu Gly Asp Lys Glu Asp Val Asp Lys Ala Val 50 55 60Lys Ala Ala Arg Gln Ala Phe Gln Ile Gly Ser Pro Trp Arg Thr Met65 70 75 80Asp Ala Ser Glu Arg Gly Arg Leu Leu Tyr Lys Leu Ala Asp Leu Ile 85 90 95Glu Arg Asp Arg Leu Leu Leu Ala Thr Met Glu Ser Met Asn Gly Gly 100 105 110Lys Leu Tyr Ser Asn Ala Tyr Leu Asn Asp Leu Ala Gly Cys Ile Lys 115 120 125Thr Leu Arg Tyr Cys Ala Gly Trp Ala Asp Lys Ile Gln Gly Arg Thr 130 135 140Ile Pro Ile Asp Gly Asn Phe Phe Thr Tyr Thr Arg His Glu Pro Ile145 150 155 160Gly Val Cys Gly Gln Ile Ile Pro Trp Asn Phe Pro Leu Val Met Leu 165 170 175Ile Trp Lys Ile Gly Pro Ala Leu Ser Cys Gly Asn Thr Val Val Val 180 185 190Lys Pro Ala Glu Gln Thr Pro Leu Thr Ala Leu His Val Ala Ser Leu 195 200 205Ile Lys Glu Ala Gly Phe Pro Pro Gly Val Val Asn Ile Val Pro Gly 210 215 220Tyr Gly Pro Thr Ala Gly Ala Ala Ile Ser Ser His Met Asp Ile Asp225 230 235 240Lys Val Ala Phe Thr Gly Ser Thr Glu Val Gly Lys Leu Ile Lys Glu 245 250 255Ala Ala Gly Lys Ser Asn Leu Lys Arg Val Thr Leu Glu Leu Gly Gly 260 265 270Lys Ser Pro Cys Ile Val Leu Ala Asp Ala Asp Leu Asp Asn Ala Val 275 280 285Glu Phe Ala His His Gly Val Phe Tyr His Gln Gly Gln Cys Cys Ile 290 295 300Ala Ala Ser Arg Ile Phe Val Glu Glu Ser Ile Tyr Asp Glu Phe Val305 310 315 320Arg Arg Ser Val Glu Arg Ala Lys Lys Tyr Ile Leu Gly Asn Pro Leu 325 330 335Thr Pro Gly Val Thr Gln Gly Pro Gln Ile Asp Lys Glu Gln Tyr Asp 340 345 350Lys Ile Leu Asp Leu Ile Glu Ser Gly Lys Lys Glu Gly Ala Lys Leu 355 360 365Glu Cys Gly Gly Gly Pro Trp Gly Asn Lys Gly Tyr Phe Val Gln Pro 370 375 380Thr Val Phe Ser Asn Val Thr Asp Glu Met Arg Ile Ala Lys Glu Glu385 390 395 400Ile Phe Gly Pro Val Gln Gln Ile Met Lys Phe Lys Ser Leu Asp Asp 405 410 415Val Ile Lys Arg Ala Asn Asn Thr Phe Tyr Gly Leu Ser Ala Gly Val 420 425 430Phe Thr Lys Asp Ile Asp Lys Ala Ile Thr Ile Ser Ser Ala Leu Gln 435 440 445Ala Gly Thr Val Trp Val Asn Cys Tyr Gly Val Val Ser Ala Gln Cys 450 455 460Pro Phe Gly Gly Phe Lys Met Ser Gly Asn Gly Arg Glu Leu Gly Glu465 470 475 480Tyr Gly Phe His Glu Tyr Thr Glu Val Lys Thr Val Thr Val Lys Ile 485 490 495Ser Gln Lys Asn Ser 500655461DNAHomo sapiensaldehyde dehydrogenase 1 family, member A1 (ALDH1A1) genomic DNA 6taagaagtga gatgacaagc caagtatgtt atgaagcctt gagctttcat cgcctggaca 60tcaaataaac cagtatttga atccacaaac aactgtgact ctgggagaag aaagcagcaa 120aacacagctg tttgggcatg gccagagcgc cactctcaag ttatgtaaca gctgttgtgt 180aattgtgcat ttaactcaaa acacattttt gagagagaaa acaattagac tttccaaaaa 240gaaagaaaca gagaaatgtt gaaagaacac agaagtttct atctggtcat caaacataag 300acacggggga gtcaaaggca ttgggaatga tattgcctta gaatctaggg agttggcccg 360tgcaccaaat ctggcctgcc ttctgtcttt ttaaataaag ttctatagga aaacaactac 420acccattaat ttacctatca tctacagttt cttttaaata gagtcaagta aattatatca 480gaaaccatcc agcccagagg ctgaaaatat ttacagaaaa agttttgcaa attcttgtct 540tagatgaata aaaagttatg tttaaatgcc tgtaagggtg actattcact gagaaaacca 600aagcagttga tgcttgaacc catgtaggag ttctcttgtg gagaataggg tagaaatagt 660aaacagaaat aagagtccag gtttgggagt cagactggcc tgaaatgaaa ttctggtcct 720gcactaatag atctgtgacc ataagtaagc tactcaccct ctgtatgtct ctaaaatggg 780gatatgaaat gagggtagaa agggaaacaa gtgctgcacc tgatttgggc aaacaattca 840gaaattttta gtttccctat gtaagtccca tattcagggg aattggcaag tttcactaga 900aaaaaaaaaa ttggttgatt ctccacaatc agagcatcca gagtatttta tcttgttcct 960attgtaacgt ttgctagagc tacaatacaa taaagtattg tacttaaaat gggagtaaca 1020ctgtttaaaa aattgtcctt cagctaaaca ttaatttaag aacttgaatt gtttggaagc 1080cctgcttaaa tttagtcttt gtacactgcc tatgttgata aatacagaca acttccaaaa 1140ccaggattac tttcatttta aatgagtatt aatagatgat attgccatat ttctaattgt 1200ggtgattgtg tgtgacagtg tgttccgaat tccctaaaag tcctgctggc ttttctgttc 1260acatatagaa aataaagata atttagggct tctgagatca cagtaggtct acttacccag 1320cactgaaaat acacaagact gatacgatat tttaaaacta acttagggta gggtgtagat 1380aaagggcctt tcttccccaa acagcacctt gattttctgg gagatggact gatttcctga 1440aagccttgtc ctgaagacac ctggccaggg ttctctcctc accagcttct actgagaaca 1500agtgcccttt tagactcttt tcaatcctca aattctctga ttccaagtct gtcagagaac 1560agaaagttac atagtagcat taaaaagcat gagaagtcaa aaaaataata actggcctta 1620gtggccagag cagctgctgc atacacttat cacaggtttc ggctttgtaa attaattcat 1680ctgcaaatag tgcactgtct ccaggtacaa attcgatgct ggagcactgg tttcttaagg 1740atttaagttt aaagtcaaag gcttcctgcc ctaggtgtta caaataagta gtgtcgtttt 1800ctttttttgc tctgagtttg ttcatccaat cgtatccgag tatgcaaata aactttagcc 1860cgtgcagata aaaaaggaac aaataaagcc aagtgctcta tcagaaccaa attgctgagc 1920cagtcacctg tgttccagga gccgaatcag aaatgtcatc ctcaggcacg ccagacttac 1980ctgtcctact caccgatttg aagattcaat atactaaggt gagtaaaact tctattttct 2040gctttgactc gggtttgcaa aaactgcatt tatgtaaagc attaaaggtc aatttaagta 2100aacttgtgta aagagccctt tgcaaatata aaaataaaag gcatgcaaaa tgcaggtctc 2160agtttagtgt cctgatcaaa tatgatctaa atcatatcag acaatctttc ataaatttat 2220ttcttaaaat atttccaagc gaaaggaatt ctcttctgtg tgaaaggatt cttataccag 2280gattcagagg actttactaa gcacttctat taacttcact atagccggca tgtatgataa 2340gagagcaaaa tactcactag agaagcttac tggaaagaac caaacgagta ggaacaatag 2400aaagcaaaca aggagaaaga gagcatactg aaataacata actttccaat atgtttaata 2460aaatgagtgt taaaataggg ggacttaagt ctgataattg gattcgaaaa tcttcagatg 2520gacttgcatt attttgcata ttttggtggg aggaagaaaa gcattatttc ttcagccaag 2580tttgttgcca ttggagcaga tgtgtaattg ttaactgata aatatttaga gaaacaagag 2640caggagctag atccagactt taaaatccgc agctgggggg aactaggaaa tggatcctgc 2700ttgagtcgtt ctgagagtaa ctctgaactt tgcctgtttc acactgcttt cctgtcagat 2760cctagaactc caaaacaaac aaatgaataa aacacaatct aaccaaaatt acttgaagtt 2820atctttatgg tgtgatgcag aaagtatggt aagaaattaa ctcttgcaaa tcaagagaga 2880gccattttgc tgtctgaatt agccaacagg aaaaacaaag ggcattataa tttaatgata 2940aagtaaaagt ccccactgtt atatatttat ttcctcactt gtaaccatgg atggctttga 3000aatcccaagg tctgttgcat tttcattttc ataaagcaca acaaatgagg aagttgctca 3060gctgattggc tcttttcctc aggaaagtag cagcagagat cagattgtgc ctttaacatg 3120gttgaccagc agctatgaag tgtattttaa ggtattgtta tcacgaggtt ttgttaaaga 3180ggaaagattt tttccattta gttttactac aaatggtagc atgaaaaatg cagtaaatcc 3240ataccgtcaa acaatttaca tttggcaaag gtatgtccaa aaggttgcaa gagtccagtc 3300tccctcattt tcttattcca agtttgtcat tcacaagaaa tttcaattga aagtgggtac 3360atttaaaaat acatttcatg aagctcaaaa ttgtcgacaa tgctcagatt attgtattac 3420tattattaat gggatttttt ttttaataat actacctagg aagatatttt ggtagtctgg 3480atgcccctgt ctccccactc ctttggcttt gcagaagttt gcaaagtctt ccttgtgtgt 3540gtatttcaag gaagctctaa tgtaaataac cttcctgcta aattaagctt cacttagtag 3600tcattaacta agcatgtaag aagcggtact agacaaatga gatggtccta aaaatctaac 3660atacaagcac agacctaatg aacccttaac acagagagat gattttgaga ttgaaaccta 3720ttcacttcga agtcactgtg caacaactcc cctctaggga aagtgactga cctaagtgtc 3780caaaagaagg caagactcaa agagcaggcg ttttgctctg tgtttaagaa cttttctggg 3840taaaaatact ccaaacaagt cagtgaattt tgatttctcg tgcatcttct atataaatct 3900gttctgctca gatagcattt tattgtttaa tttattggtt acagcgtttt cacacttggg 3960aggacgccag ttatgtatgt aattaaatct aaatgggtga actttttcaa atgccttcgc 4020attttttgtt tactatgtcc cagtgaagaa ttggattgaa tttgctcttg caagaggagt 4080taaaaaaaaa atgatggtta ttaactataa aaagttccct ggttacaaac caagtaagca 4140aggagtttat agtgtctgag gaattatctt ctattaccag cccctaaagt cttgtgttat 4200ttttctgtta ctattctaat gtcctttttt attattatta tagctagaag tatattggtt 4260gttaggacaa gttggagaga acagacaggg ttgagtaaaa aaaaaaatat tacaactacg 4320atagaaaagc tacatactct caagcttggg actgcttttc acccaaacaa aagaatttat 4380tgatgcatat gtttttatga cttattttct agtacagtct gattatttct ttgttggggt 4440agattaaaga gagatcagag tttaagaaat gctttctaaa attatacaaa agcttttgga 4500atttaaaacc tcaaaaacat cgctataaat tcactaatat gaactcatat cccatcctta 4560tcctcattac tcctctttcc aactctaaat gaaccccaca ttttccattt tattgagcct 4620ttaaatgaag agattctttg aaagttatgt gatcattggg caagctacat tacttctctc 4680tgcctcggtt ttcttatgtt taaaatgggg atgataaagg cacgtatttt ctaaggtcga 4740tgaaagtatt aaacgaactt aatgcgtaca aagcccttga aataatgcct ggacatggga 4800aatgatttaa cgttagtgat cctagtccta tttttctgaa tcctttccag tttttccaga 4860attttccctt ttacccaacc tttcctagac ctgtttccta caagtatgcc tcacgtcttc 4920tcctagcttt tctgtcactc ttttttgtac agtcatgtcc catctgacaa agattgcatc 4980agagtgaagt tccaagggtc ttccaagatt tcagggatca aaaattttct cctacaggat 5040tcggtaactt tgtttgccat tctctcttca caatactgtt gttttacctt ttcttttttc 5100tttttttttt tttataaaag ggaaatagga aattcaagaa gacaagcatt ctcagacaga 5160attcaaacgc caaaatgttt aacttaatta gtaagcttca cttattaaac catggtttgt 5220tcatgctaca aaagaccttc atcagctaat gacattttac tcatacatac acacacacac 5280acacacacac gcacacacac acacaataaa taattatagg taaaatttat tgtgcttact 5340ctgccatgac tgtttaagtt cttgacaatg attttattta ctcctcataa taaccctatg 5400aggaggttac tattcctgtt tcacagttca gggaactgag gaacagagcg gctatgtaac 5460ttactaaagt tacacagcaa gtaagtgaca aagctacact gccaatgctg gcagtttgag 5520ctaacacact agcaagagac ttgtctaagg tcaattccac tactctggga cactgacttg 5580ccagaatcct cttgtatcct tcttcatcct gactttcatt tgcccattgc tgattaccat 5640ggtctttcca gctgctgctc agctgttccc aggccaataa gagaaagttt gcagccaact 5700tagaaaaaga gaacaatagg gaaattgaaa ggaaataggt tttctgcttt gactgaaaat 5760gtgacgtttg ggctaggaga ggctatgagg cagaggactt tgacatggat gtgaaatgtc 5820tgtgtgaact acatttcttc aactcctatg gaatcgattt tggttagagt aggagattgc 5880tttcctagat ttctggtttt gtttaaccct tctgggttaa agagatattt tcaatggaga 5940agagttatga atcattgaat aatacgtccc aggcacgatt tgaagtgctt cttttccccc 6000atgattatct ctttaaattc ttacaacaaa caaattcagc tacatgaact tccaaatacc 6060tcctttgtcc cctttgcttg tttctccctt ttgcttttcg tttctcccat atttcccttc 6120ctcttattta acaaggcctt gaatgagtgc cctatgctag ttctcatgat ataagagggc 6180taatatgatt cacgtctcat gcagcctctg ttcctggaag gtgtgtggaa tagtgtgggg 6240cagaaaataa gagaatgctt taatcagaaa ttaggataaa tgtttaaagc aaaataactg 6300aaagctgaga gaatatgagt agaagagctt ttgatgagga tttttgggaa ggtgctttaa 6360aggtaagcct gagggatgta gagaataagg tggccaagag tagggaagaa caaagatcca 6420gaggtcttac cacatgcaaa gaccccgagg acaagagcat gttatgctca aagaactatc 6480caaaggctaa tctggctgga gtaaagtgaa taagggagag aatggatgag atgaaactga 6540agtacaggct ggggccagat cggctggcgg attttgagga agatcactga gaggtgctta 6600aaacaggaaa ggacttatgt tcaacgcaaa gctgattgtg ctgtgatgct gctttcactt 6660gggaaatgtt tttaacttcc ttccaactga agcaatattt tgtttgcttt gggcttggaa 6720gcaggtgaaa aaaatagctg actggctgca aggtgcagtg actgaacaag ctaaacctgg 6780cttcaatttc cagctattct atgtatttaa ttatatgacc ttggccaagc ttctcatccc 6840ctggagcttc agttcctctg tctgtgaatt gggaatgaga atgactacct tggaaagtgg 6900ctgtgagaat taagtgaggt aatttgtgga atgtggctgg cacttattaa ctacttagtc 6960ctttctctcc ttgattctct ttcccaagat gactcctaga attatatgat cattctgttc 7020tcaatgtaag ttatatttat attgcttatc acagctcaaa actgatttca tatatttctc 7080tcatttgagg tgcatcatta accactgaga ggagctagaa aagatgttag cagagtccca 7140tttcaaagct gaggagcccg agctcagaga tcatgactga cttaaggtca catagctctt 7200aaaatgcaaa

agtagaataa actggattct aaatcttttt atcttggatc tgatgctttc 7260ccacatgata tccttttttc cttaaatatc aaaaccagta gtactagaat ctcactcaag 7320aaaacctaat caagaaaaaa atctgaagta aataacacat atcctaagag aagagggtat 7380tatccccctt tcccaattag ctctaacaac tgttttcaca cctattactg catttttatc 7440attcattcct tactgtggtt gaaagaatag atctaggctg aagtctgaga ttctgtgttc 7500ttaacagtct ttcagctttt gctgatgcta ccaaaatgtc tgttgaccag cagcaagggt 7560ctaaaagttt taggtgagtg agccttataa cttcaatgca gcaaccacct tccagttact 7620tcacaataga gcttccagtt tcttccagaa actagcactc agccacatca gaaactttcc 7680tttcagaaag tgccagagct aagcagaaac atgatgatgg ctacaaacca gtgacagaac 7740caatcattga ttttaatagt gggagataat catttactaa tatttagaat gctcatctct 7800gaggactgct gtcttggcaa gttgttttgt tttctggcac ctgcctgact gtaagaaaat 7860ggaattaaca attctaaagt aaagaacaca tgtcctaaga gagggtattg tccccatttc 7920ataagggctc tcagtacaac tctttatata actttgtaac agggacttta acctattgaa 7980tttgtcacta catacttgcc agaatgaggg aaacactctt agagaatatg aaaaataact 8040catttgaaga ccaacccaaa gtaaaggtaa tgactctgaa atggcatgga taatctatag 8100gatgatatgt tgcaaatcag cataaaataa atctcacaga aatacagaca tcaaacagag 8160atatctgaaa atagcaatta tctggcttgg gatggtggtg tgggggggtg cactttggtt 8220tgatttatca tgatgctatt ataactatag ccaggggata tattatatgt ttacaaagtg 8280taagtgacaa catagaacca tgttcaaaag aatttgagca aggattgctt cacaaaccct 8340tacttagaat ccaataaatc agaaaagtaa atctgtgtaa tactggtttt cctgacgctg 8400acatgttttg ggtgtataga tgtatatagc aaaagtatcc acaaacttag aagcattgct 8460tgagaaggat gtgaagtgtt gctaatattg ggttttctga tattatctct acctgattca 8520ttgtaacgtt tgacttacta atggaaattt gttcactggg gaatttgcac aaatctcaca 8580tctctaaaaa ctttgcctga accgttccct cccccaaccc tggtcccatt tccactgact 8640atttccactg ctctatcgat acttttttag atgtcaaagg aatacaaata actactgaat 8700tatgctttat atttggcatt cttttagaag gaagagggct tacatgcgag caattctatt 8760actaggtctt gatactgcta aaaatgggca gaactttcta tcgcttctac atcttaactc 8820tgatacagaa aatatatgat gtacagaagt tgctgacaag ttttgttatc atctctagga 8880cacagtgatg gagtggctca aaacaaatgc tgtggcatct tttctctttc cctgacacaa 8940ttgaaaaggc tgatggggtt ttgcaaacaa caagaaaaaa gagtatatac tcacgttact 9000aaagtcagac tatcatttaa agcaaatgaa aggaaaattt tatttctcct attttttgtt 9060ttcgtcattc tgtcattttg ttttcattca tttgatgaca gttaaaaatt ttctttccct 9120ttgttatttc ctccttaatt tccttttaca ttttctaact ttgagtctca acattttgct 9180ttcctgcctc agggttaggg tgcaaagcag ttgccagaga tccagctttg attcttttaa 9240atgtttaaca ccccacctga cttttgttca gtctctcctc ctcattattc atctccgatc 9300tcatactccc tgactcccag cggcctttag tactttggta ggttcctaag ctgagaaaag 9360gttgacacat ttacagcaca caccagtctc cacaggttca caccaccacc catgcagcct 9420atgctgtgac tcagttctca agtttgaaaa ttcacatgga tgacattaaa tggggactct 9480catcaccctc cctctcgttt ggaaaatctt aaaagaaatt ctttgtgcat tgaaaatgtg 9540atctcttaaa atctctctcc caccaagaaa gtattgcctt cctttacaga ctctagggct 9600gctggcccag ttgctgccct gccgagataa tattaattta aggcactctg agtatctttt 9660gcaaggagtc aggggctccc cactttagcc cacagactcc aaaatctcat atcagcagat 9720aaggcaaata gggctttatt ttgccactag tcaaaactag ctttatccaa gccagaaata 9780ttttgagaaa attatgctta tttatttaga actgtagatt tatacacaat acattaagac 9840ataataactt ttactctgga aaggcaattt ttttcacaat tatgactaat tcttggacac 9900cagttgaatc caggaaatgg ctacttgttt atcaaaggta aaatgatgca tttcttaaaa 9960tgtggcatat ctaaaatctg aagtgtaaaa atccatttct aagttgcctc aacatttcta 10020ttgattgctt ccccatatag aaagtacttg aagtccaaga gtatgcatag gcatttataa 10080tttccaatca atatttcaaa cagaaggttg atgtctactt tacatatata ttattcaaaa 10140gtcacctaag tccaaaattc ataattagaa ttgagttaat atataatggt tacatagaac 10200ccaagaatat tttactttta tagtatcatc tcttttcctc taagctggct aaaggcaaaa 10260aacaaatgga aaataatatt gtcaccatta tagaacatta aacaagccta atgtaaattt 10320tataattatt ataacaaaca ttcattagcc tagacttctc catataacca ttaatataac 10380tataggaaca gtgattatac aaaaacgttt ggtcacacag ttagctggaa ggcaaatgcc 10440caatgtaaag ctcctataat taaaacagaa aaaaaatgta tttgaggtag gccctatgaa 10500taaattatct gtagctaagg ggaagaaaaa gactgggcaa tacctggcct tctaaccatc 10560taggtcatca cattacctat gccaaattcc cttttcatgc tgaaacgcct ctgtttgtgg 10620gagaatggca taattcataa tttgtagact gcactgttac atcactctcc ttcaaaagcc 10680tgtgacctta tgataggatt atgaaattag tctcaaggct aatttcttgg actctggttg 10740gtctacttca aatctacttg ggatacttta aaatcagtat tcctaaacat ccatttgatc 10800tggtctctct ccctttttat atccagaata gagcctaaac ttctttctct ggggatcagg 10860atctgccaca aattgacttt attttcaatg tcaggcctta tctgtgactt atgtccactg 10920caactccatt ctgttgggag ctgctctgtt tactgtgtta caaacctcca aagatttgtc 10980cctcccttta ctcttttttt ttccttcttt ccaccaatcc agttccatcc ttcaaagaag 11040cattctttca gcctatgccc ctctacacca tttattgaca acaccgctgc tttggccatt 11100ttgctccaca gtctttaatt ctgtactggc ggctcttgat atgaatacat tctcctctta 11160gattataagc ccctgagagc agaggccatg gctaactcat ctctcatttt tccacaataa 11220ctgccagact atgtctcaag tatttactca ttattggaca aacacttttc tgataaagca 11280aaagttacta atcatgatta tataaatgtc aacacaagtt caaacacaag ttgggctcac 11340agtgtcctcc tgtcttaaag gttaaaactg aataatgcag aacagtgctg gtaatttggg 11400gtcctctaca gctgatctct tcagttgcct gcaggctgcc agataaacat gtgttattac 11460ttcaggttaa tgctcattta caaaacattc actggcttta atctaaagtg gcagttttat 11520gtacagctta gatgcaaatt ctgatcatgg aactagatgg tacatacata ctgtaataat 11580tcttttacaa aaaagtgtgt aaagagagta aaataagcta taatatattg agagcatatt 11640attgagaact tgaaaccaca gattatcaca gacctaagga taagaggact cgggcgagaa 11700ctagaaagtc cgaccacagg cctagcaaaa tgtaattgat tctgtatgtt gttttatttt 11760atttttaatg aaattacatt gtagaagggt gaaattctgg atctctgcca aaatgaaatc 11820tgtgttccct tagtttacag gtacaaaatc taaggtggta atacaatctt taggcagaga 11880gaaggcagaa ttcccaagtg aataaatctg atgcaggttt tgaaagactg atttaaaagt 11940ctacggcagg tatcgcaata tctttagttt tttgtttgga attttatggg ctgatatgta 12000gatatctaac attaacacaa agcagaacat aagtaattta tcagtaggat actaacatgt 12060tatgttggaa agaagaaaaa agagattaaa ttcaattgga gcaactagtc aaatcttcat 12120gaggagatga cgcagtaagc tagaatttga agtaaaaata gaagaaaata gtggaactct 12180agtctaaaga acagtgtgaa taaaagcatg ctgcaaaaaa cagcatggtg tttgaggcag 12240tagaatgagg ctggaacaaa gggtaaactg agggaatggt agagcaaaag actggaaaag 12300catgttggag caagatcgtg aaccacctcc agtgccatgt taagcagtct gacaatagag 12360gatcactaaa gtattctgag gagggctgta gacagaatct gaggaagatt atgatgacaa 12420ggtgaaaatt aaattttaat taggcagagg tagggggcaa agagaacagg gaaagctttt 12480ttatacttgt atagaacaaa gtgatacaaa agggtaccta gggattattt gtgtcattaa 12540cagaagaagg aaagtgtgtg agagataggg ctgggggaca gtgtgcatga gcaagcttca 12600gaactttggg gtgagagcag cataaagcta gagatgacag tgagctgagt tcgggacaag 12660ttgattaagt tctttcccag ccatcccttg agaagaaaaa tactaagctg taagggcata 12720aatggaaaca ctctaagaat aattatggga ttctgtaaaa tgtatttctg atagctagag 12780tgttgattca ctctaagaga cattgggcaa atcagcactt tcgtctgaat ttatttttcc 12840tcaagttgat ctaagagcct aatgtttttt cccaaaagat aatacaatga attttatggt 12900cttcatctgt attcagttaa tcttgtttct gtaatctgat agggtttctt gatacttctt 12960ccatctttct catttcccca tatatgtatt tttgcacatc tagtctcttc atctgaacag 13020ctttgggccc cttttccctt tatttaggca tgcccatgtg ttttaccatc aatttcaggc 13080tagtactaca attcctttga atgcttctaa ctatacagga taattttctt gtatggaaat 13140aatgctgttt tcttgtatgg aaaattatac tggcatgaat gggcaaacaa gacggcttat 13200cctcttcccc attttgtagg aaatcacaag tgtcatagag tattcatttg cagaacgtta 13260tagatcttat ccatgagtag ctgatggatt atagatcttt gattcaatta agttagttat 13320tcaagaattt tttactgagg ctaaaattgc ttgagggctg ttggacactg aagatagact 13380ggaaaaccat acacagccct tgatggaagg cagacactta aaaatgacta tttaaaaagt 13440gacaaattgt ccaatggaag tatagaggag accagggaag tatattttgt ctaaataata 13500aatcacagaa tatagaatga attatattca ggcatttagg gatatatagt aatatacatt 13560ttattactct gatagaattt taagctatgc tagtgatcac cggggaattt ttaataaata 13620agtaatttgc atttagcata gtagctaatt taaaccttgg aggagtgttt cattacattc 13680tccctcgggg ttgaactatt aataacttat ctttagatat ccagtaagaa gggatgtctg 13740aattaggata tatgttataa tccagcacat atgtcacctt cctttactcc ctgtgttagc 13800tacctctgat tcaaaataga ataaactagt ccatcttgtc ataagtctaa cagaaagtta 13860tatactatcc aagactgtat ttatgattgt tttcatattt caaataatta gaaatgtgaa 13920agctggctcc tcaagaaaag acaaattcag tgacatgaaa gttgaaactg agatgtttta 13980aatgacatac tgatgctttt aagtatttct attttatagt acacacagac aaaatttcat 14040attttttagt gcttactgtt tctttagttg catgtctatt tctcatagtt accattaaga 14100aatcttgttc ctgattttgt ctgaagacaa cgaaattacc aggtaatctt ttgaaaagga 14160gaataaaacc atatgctttt aaaaagccaa tgaaacaatg tgactagcta attttctcta 14220agtgaactcc ttttagaatc ctttagcaaa attctttttt taactttaaa acattaaagg 14280attagaaaat agtctcttat gattccaaat caccagtagc cgaaaatgag gatgttcaga 14340atttaaagtg gaaaatagaa gcaatcatta ataaagacca agcccacaaa agcctttgct 14400ttgcctcaaa ttcatggcca tttcaggtaa aagcattgtt ttctagattg ttttctccag 14460tatgtatttt ctagtgttga actgattgca taccttaaac ttaaaagcat tatgtacttc 14520attttagtac atgtctatgc atgtgaacac aaaatgtctc aaacagccag aaagttttga 14580gaggtgaaga gatgtgcatc atttaggcat ggtgaaatgc tttagtttaa gtttatgaaa 14640acttccaaaa ttttctgcat atttaagcgc cttgtatgta ttttctcttc atctctacag 14700atcttcataa acaatgaatg gcatgattca gtgagtggca agaaatttcc tgtctttaat 14760cctgcaactg aggaggagct ctgccaggta gaagaaggag ataaggtgag tttctgaaca 14820ctagtttcat tttatgccag gtttcttggt tttttgccat tctgagctcc tgaaccccat 14880tgcaagctcc aaaagacatg ccatgaaaat atggtttctg gggcagctta ggaaaattgt 14940ctaagttgtc cttgttacca aaaaaaaaaa aaatgctctg tagttatgta ataatgataa 15000acctgtgctt ctgggtgtca tggtgatttt ttttcacatc attttccttt attttcaatt 15060gaaatagtat atagatttat tttacagact atataagaag ggattgatca taggttataa 15120agtagagaaa tcttcagctg ggcgctgtgg ctcacacctg taatcccagc actttgtgag 15180accaaggcag ttggatcact tgaggtcacg agttcgagac cagcctggcc aacatgggga 15240aacaccgtct ctactaaaaa tacaaaaatt agccaggcat ggtggcacat gcctctaatc 15300ccagctactc aggaggctga ggcaggagaa ttgctttagc ccgtgaggca gaggttgcag 15360tgagccgaga tcataccact gcactccagc caaaaaaaaa aagaaaagga aaaaggagag 15420aaatgcttta ttcatatgaa attgttcttt ttatgttgct agataaaact aaaagttatt 15480atagaacttt tagaacaata tattactaag ttattttatt aaaaatcact gcattaatat 15540tattattcaa cacctgtaaa aattatatta tagaataact taaattgact aacaaattac 15600aagcgttgtt attttccagc taataataga aacaacaaaa accagttttt atttagtgaa 15660aattgttctc aagttctaaa tgctatcttc atttaaaact taaagcaacc ctatagggca 15720ggtactattt tgagtcattt ttacaaataa tgatgagatg gcagagtaga aaggctgagt 15780aatttactca aggtgacatt gctaataagt aataacctca acattaaaat gctgttcctc 15840tgacactata acctgtgcct agtagggcta ctgcttcact ttgtgattat tatgaaagta 15900agatagggtt ggccgggcgc agtggctctc acctgtaatc ccagcacttt gggaggccga 15960ggcgggcaga tgatctgagg tcaggagttt gagaccaacc tgaccaacat ggtgaaaccc 16020cacctctact aaaaatacaa aaattagctg ggcatggtgg tgggttcctg taatcccagc 16080tactggggag gctgacgcag gataattgct tgaacccggg ggtcagaggt tgcagtgagc 16140caagatagtg ccattgcact ccagcctggg caacaagagt gaagctccat taaaaaaaaa 16200aaattaaata gtctttctta ttatgaaagt aagatatccc agcactttgg gaggctgagg 16260cgggcagatc acaaggtcaa gagattgaga ccattctggc caacatggtg aaacctcgtc 16320tctactgaaa atacaaaaat tagctgggca tggtggcgca tgcctgtaat ttcagctact 16380cgggaggctg aggtaggaga atcacttgaa cccgggaggc agagcttgca gtgagccgag 16440atcgcatcat tgcagtccag ctgggtgaca agagcgaaac tccgtctcaa aaaataaaaa 16500ataaaaaatt agatagcata atattaaata aactttttat tctcctcctg ggtgaggaga 16560gtaaaaaact tcagaatatt tttctgaaca cgtaagtgtt tctaagtcta atttgaaatg 16620atttttctgc tctttagttg cccaggggtt gccaagtttt aaatttctgt aaagaagtaa 16680tgttttattt tattttatta ttattattat tgctgcagga aaagactact gggaaattaa 16740agtcagcaac acccaaggat aatattattc atgacaatgt gttttagtta attatagcga 16800tcacatgttc ctgccagtct cctgcccagt cttttccatt actttagccc cagtaaatga 16860gatcacaaat ctcaacgtac tgggccatgc agatacttat tccaagatag tgacacacct 16920gagggggccc ttttagattt aggagaggcc cttggttcag atttcagtac gatgaaaaca 16980agtaagaccg aagtctcaag ccacaggagt acggagttca accatagggg ttaacaattt 17040gagaagtaga aacaaaataa aatgatgaca aatgtcactg gctttcagat tcagatttac 17100tctttatact gaagagttca ccaaagcata aattctccat tctgcttctc actgtctgtg 17160ggaaaaagtg cacaaacaaa ggtcctttat aatattactc aacctttgtt tatggcctct 17220ttcccaggcc accgcattaa cttaagagtt tcaacttcgt catgcccagt gtccatcccc 17280aacaattgct tgctagtcac tgcctctgta catgtccaca gtgtagtcct caggacctag 17340ttcaagtcac catctatagt aagagcgtag attttcaatg tttgtactta accttctttg 17400agattctgtt ctttttcatg taaaatgagg agatagaaaa tgcttgagga gttaaatata 17460tagagctctt caacggtgcc aggcatatcc taaagcttca gtcatgcccg ggttttatac 17520ttatttaaag ccttctctaa ccttctcaag cagacttact ctcttctgtg tggttatagg 17580acattgtatt tgcctgtatt ataacctttg tattatacag ctataggtta atttgtctga 17640gacaatatgc ttcttgcaga gatcaacact gcatctctca tttatatcct tggtttctgg 17700atatagtata tcctataagt atgctatact atattcgata gatatactat actatagata 17760tagtatattc tataaatcta tgaagtagtc ttctttttca tcaagtgttg aatttccata 17820cattccacat tcctcacctt aggaatttag tactaacctg actattggct atggcagaca 17880ttctcaaaat ttagcctgtc tcagaatgtc caggaaggct tgttaaaaca cagatagctg 17940agccccacct tcccctagat ttcactgcaa taatcttaga atgggacctg aaaattttca 18000ttttttatca attctttggt aatgctgatg ttgttggttg ggaaggaggt gagggaatgc 18060atcttgaacc accgaactaa agtgttaagc tgttaagttg tatctcctct caagcgttaa 18120catttaacag gggtcaaaga gttttgacac ctaagaaagt tagtgattga aaactgtact 18180gtggtgatca ctctgcacct ctctgaaatg ctaccaaacc aaaattgggc atagaaatac 18240tgatcatccc tggcaaggtc tataggagcc ccagaagcct gtgccctata agccattccc 18300agaaataaga gagaaattta ttcttcacct ttcaaagaag aatgaacgcc ttttatcaga 18360gacttcagga gatccacaca ccaccacctc aaatgttcct ctagttgctt gagtggctct 18420agcaggcctg ggaaggtgag aaaagcaata aagggcaagg acagagtgag cccttgagag 18480ctacatactt tctctctcca ttcaagagga aggccagatc tgtttgcagt ttgcaactaa 18540caaacagaaa aatattattg atgttttaat tctggagcct tgaacatcga cctttgccac 18600tgggattaat tttattagga aaacaaatct ctatgcccaa agttccagtt gaaaccttgt 18660caggcagtct gaggactttt cttagtgaag tttgtgggat ttacctcctt cctaaagtat 18720agtaagggaa agctaatgat catactggaa gacttagaaa tgtttgccac tgatttgctc 18780tgtgcttctt gacaattact attgcttacc caagagatca aggatgctca ttaacatcta 18840cccaagcttc aaatcaggtc acaatgccaa ctgagttggc tggtcaactg gttactaaaa 18900ctaaaatgtt gatggtataa actgttcatg gtaaaccagt ttgaacatct agcactctta 18960tcatcacatt cttttttgaa ttattttaaa acatattttt aaataattat tgctcttccc 19020acaattttgc cgacaaatgt atagtaaact ccgacattgc ttagtgaaag gtacaaatct 19080agtaaattac atagtcacag taaacctaat atgctgtatc tgactcttta gataatgagc 19140caagaggttt tagggattta atttgtaagt agaatggggc taacaatggg ctatataccg 19200cctttcaacg gtattataaa gaaaagagga agggcaagaa caaatggagg ttacaaagca 19260aagtacagat gtgggtggga actgttttct tttcacttca gtggttcttt taggctatat 19320tgactaatcc tgaaaactgc ttttaatact aaggcatgac ctaacaaata attggtgggg 19380ataaaagtaa atgtccgtta aagtaagtgc ctttgacatg tgtaaaagta aaactggtct 19440gataactatt ttctccatct ctgaatgaat ttaatatgga aatgtaccat ctgggagtga 19500tggaagagtt cagtccttcc ttaactgtgc tttaggaggc atttgatatc tcatcatcat 19560ttgaactgtc tttttacatt cagcttgtgg cccttacttc aaaaaaaagg agcattttca 19620gtgctataag caaaattgtt attgatggtg gcaaatctga gttaatgtac caaattgttt 19680tctgtttaat taaaaaatta tatccctgaa aattccagtt ctgaaataaa aatttaaaaa 19740atgctagtcc tggaattaag aaaacaataa ctgttatgtc taacagtttt tgaataatgt 19800ataagttttg ttgtatcatg gaatctatta aaatatgatt tattatgtaa atgccaatgt 19860agttaaatta attatgtaag gcacccctta tataaaatca gtacaacatg atgagtttat 19920aaaacaggta accaaattat tcaaaattta tttattgccc attgtagacc cagaattgta 19980agaaatatta cagtttacaa aacaaatagc agtatatatt tgttgcaaag gaggtcatta 20040ttagggcagc cttacagaga tgtaagaact agattttgta gtcagatgtg ggatcaaagg 20100ttgattctac tgtctgctag atttcatatc catgagccat agtctattca tttataaacc 20160aaggctcatg atacttaata gtaatagtaa ctatggggct ttaaagaact ttccttagtg 20220cctggagctt agtaggctct tagctagtag ccatcatcaa gctggactag tctggcaagg 20280ttttaggtag attgatattt gagctgggtc ttaaagtata tataggattt agaaagtaag 20340ggagtatact ggtataatat tctaggcaag gagaactaca gacacaaaag taagaaggag 20400ttgggtcaga tagagtagaa aaaatgtaaa cactaagttt ggataggtga gatgtggtct 20460gaaaatcctg ggccttgaaa accagggagg actttgacct tgagattgta gatgaaaggg 20520aacaggtgta aacatttgaa agacaaagtg ataagataaa attatttgca gaagattagc 20580ctggtgatag tagccaagat agtttgagga gagaagagaa tgaacttgag acagcattga 20640caatatgaaa taatagggcc taaaattgtt cagagcagtg aaaactgaaa ggaaggatta 20700aaatacatta gaacttgcta ggtgcagcaa tacacaccta taatccctgt gtgcctgtaa 20760tcccaccacg ttggaaggca aaggcagcca ggttgcttga acccaggaat tttagaccag 20820ctttgacaac atggcaaaac cccatctcta caaaaaaatt aggcagacgg tggctcatgc 20880ctgcaatcat agcacttcgg aaggtcaagg tgagaggatc acttgagccc aggggtttga 20940gaccagcctg gacaacatag caagacctca tctttactaa aaataaacaa ttagatgggc 21000atggtgatgc actcctgtag tcccagctac tccagaggct gaggtgggag gatcacctga 21060ggctcgtcag gaggtctagg ctttggtgag ccatgtttgt gccactgcac accagcctag 21120gcaacagagt gaatctccct ctattgagag agggagaaat tgctgagagt tatattaaaa 21180tttaaagttt taactgctag gacaacagta acaattgcca ccattgaata atacataatg 21240ttctaacata gaaaatgttt aaatgttatc ttattaatct tcattacaac cctgtgaggt 21300aacatacccc aatttctttt ttcttttgtc ttgctttttc tttttttttt tttttttttt 21360tgttttgaga tgagggtctt actctatcac ccaggctgga gtgcagtggt gcaatctcag 21420ctcactgcaa cctgcacctc tcaggttcaa acgatcctcc cacttcagcc tcctgggtag 21480ctgggactac aggcacacgc caccacacca agcaacatac cttgatttta aagaaaagaa 21540agctgaacct tagagaagtc atgccacaac atatttcatg gtttataata atgttttggg 21600atagtgattt gattgtatgt ctctcccatt tgattgaata ttccaaaagg acaatcttct 21660tacttcactc tgctgtcttt agcggaggga tgatgagaat gctgcagagt cgaatattta 21720tcaaaccttt agctagaggg atgaatggtt agatgcctca aggtttacac agctaatgaa 21780gaggaatcag aattcaaatc tgggttgttt tcatatcaaa ctatatatta actaacatta 21840ctgtatttct gcatctgcaa gattacatat aagatgtgag aaaagggggc gcatgatcca 21900aaggacataa tcataagaac atctttattt atagcagcat tctttaggga tgtgctttcc 21960atatgggaga gttacttatc ttgaagccag ttctccgtat ccctttggga ggccaagatc 22020cctatgatag cccatatttg gctaagacca atagcaggac actgaacaga aagatccaaa 22080tgaaagctgt gtcatacaga tctgtttaaa cacagaccag catgtatttt ataagctctg 22140gtatccacag atcatgctga caatctcaga tttttgtggt ttgctttttc tttttttcaa 22200acagtgctct gtaaatttag gaaaaagtta gaacgtgtgg catgaaacaa tgtctaaata 22260taagcaatca

atgtgattaa ctgaatgccg caaatatgca ctgtatatgt atttctcagg 22320aaaggcaggc aataaataca tatattttgt atatatcatc attctctgaa aagttagaca 22380gtgagatata tcagtgtgtg atgtattaca ctgaaagaat ctttgcttgt agtcagtaaa 22440tattattact taatcagacc agattgtgct tctaaaatat ctctcttgcc ccagatcata 22500ttattttggt gataaatact agaagaatag tttttttgta ttttaattca cagacttgta 22560agtgtgggtc ttcttgattg aatatagcct aaggaggagg atgttaattt gaggtccatt 22620tgaggggaag atatctcctt agatgggatt tagcttaatt gtgtacaatt ttttaaaaaa 22680atctagggtc attacttttt ctctccccca attcttaaag ggaattgtgt ctcctgcaaa 22740atattgcaac ctactggcct gtgatatagc cactatttgt ggagctatac aattccatgt 22800agtggccagt tctatgtaca aaagaacact ggaatgatat attcctttat ggtgtttgca 22860gtagtagtag gtatgttctg taagagctca gaagaggtct gaacagggat ctgcagggga 22920gtggagtggt cagggcaata tttgtaactg aggtgaattg caaaagaacc agagaatata 22980tctggtgtag aaaaacacaa cagagaaaga aattgagtga aggcactatg agagtgaagg 23040acaggaggct acactgaatg tggagtcact ttactctttg acttttactt gaattaatgt 23100agttttaagc catgcatctt taataagaaa ctgacttctt tatcggatta gggatttaaa 23160aggatctctt tgtacccagt tgggaaatga gaggttgtca catgcacatc ctactctatt 23220agttccacta tttccatgcc ctgttccctc tgcacaagag gaatgagcac atgtttctaa 23280ggtttattct tcaacagcaa agcaaagttc ttattcaccc ttcaataggc tcttcatgaa 23340agtggacagg ctgttgagtc accagagacc aaggaagata ttcattattt tggatcttga 23400gcttgacctg gaattcctgt aacccagtca ctaagaaagt ataatgtgtg gtaaacagca 23460aagattctac aatcagatgg gctcccttta aaactcagtt cagccacttt tagttattaa 23520ccttgagcaa agctcccgtc tctctttgct ttagtttctt catctgtaaa acagggaaca 23580tatttgtgcc ataaaattaa tgagaattaa atgagctaat aggtataaag tcatcagaac 23640attacttgaa acagggcaag cactcagatg atagcaacta ttaaaatcat aaaacactta 23700tattctagga aatccagcat gtgctaggta cgtggagctc atcatgtaaa gattattcag 23760caggagtaat tccaacatac agtagttgaa tgtgcgcaat gtgttagact ttgggataat 23820ggagacacag tgcctgctta tgaggcacta cagtctattt tacagggtta ttggcattaa 23880atttgcttgc ctaatatgtt tagcttactg aattgaattc ctgttgactt acaggaggat 23940gttgacaagg cagtgaaggc cgcaagacag gcttttcaga ttggatcccc gtggcgtact 24000atggatgctt ccgagagggg gcgactatta tacaagttgg ctgatttaat cgaaagagat 24060cgtctgctgc tggcggtgag tattatccaa gctggatggg tagctagagc tctcaaaagc 24120attcagcgtt tgaaatggca agttgttttg attttaggga tcactatatg ctctctacaa 24180acaaaatgaa aacatttttt gtcccaatga ataggcccct taacattgaa ctattctcaa 24240atagtaatct gcatttcaat tctggatgat gttaatttct gctcccataa tagattctac 24300ggtctaaact ttagcaaacc caagttaaac caaattttag aaatttcttt accttaaaac 24360ttctcagagg tttcaataag atcacatgaa gtttgagtct cctagaatga tatattaggt 24420ttattcaagc atttgaccac tgagctcttt tgatggaaaa actcaagttt gttaagggtg 24480cccaaaatat ttctctaaaa taaatcttat ttctcattag tctagctcgc taagatattt 24540aataaatggc tacttttttt cttcctgaaa tgtgtctgtt cacaagggtc ataattaaat 24600gatgttcttt ttacagatga aagaggcaaa aaataaaaaa aaatccaatt attaatgtgg 24660tttatcaaaa tcatgttttt atgaatacta tttttgtttg tttatgtttt agcagttaga 24720tgagtcagag cataatatag ttgggggagg gtatttcctt gtttctgttg tctcaattgg 24780gcattatgat gaagccaatt taacataaac caataccaag atcaggtttc aagcaaattt 24840catctttaga atctgaaagt ggcagtaaca aagaagtcta catttttaaa aaatcaacat 24900tagcatgtat ggttaatagc aagtatggtt aatcaaagga ccatttatta ctcaaatatt 24960caacataatt tgaaatacac aaaaattcag aacgagcagc tatgtgcaat aaaactatag 25020taataaaaat gacctgtagg aagaaagcag aaaatgctaa aacttggctt ttctcaatta 25080tctgatttgt tgactgcctg tcagcataag atcctataga gagaaaagta caggcataca 25140aaagtcacat ttggttaaat tttgacatga tagagagtgt agtacagaaa caaatagctt 25200taacagttca tcacctgtgc atttctgcca ggtaaccacc ccagcagaat attagatctc 25260aaagagctta aggtcctgct taagaagaga agccaaaggg gagataggtc atcttataat 25320ggttagggca catgactaga aaatgttgaa ctttacctga ccattaaaac ggcaattatg 25380acaataatgg caacactggt agtttcctaa ttaaaattct gctgaaggaa attcatggat 25440gaaaaatcca ggcattactt aagtttgtgt gagtagactg tgtatatcca gatggaatgt 25500aaaaattaaa aatgattact gagccatcat taatagtcac tgacactaag ttgtcaccca 25560cagttgatta caaaataaga gaaaccttgt tggaattctg ataggactta gaagactagg 25620tttcattctc agatgttatg tgtatatcaa attgtgaccg attcctagaa agctggttag 25680caggagaaca tcaaaatgag atagaaagag cactggggtt tagaaatcag aatctcacta 25740ccctttgtgc ccagatcttg ctatttgacc taaaggaagt cattttaact cttaaaaagt 25800ggaggttaga caagatgaca agatttcttc tatttcaaaa attccctagc acatgattgc 25860tgaaaatatt tactacatat ttttaatcta aaacttttat ggaattttag atttggtgtt 25920tgacatgttt ttcagacaat ggagtcaatg aatggtggaa aactctattc caatgcatat 25980ctgaatgatt tagcaggctg catcaaaaca ttgcgctact gtgcaggttg ggctgacaag 26040atccagggcc gtacaatacc aattggtaag tatctttgag aaaccactaa tggtgaggat 26100aggagcgagg agtttactat agagctgaat aatttcaaac tctccctttt aaagatgtca 26160accaaataag gcaaaattat tttcctcttg actttgagac aacacagttt tcaacttaga 26220agttctatta aaattcataa aaggtctttt aaagttgttt cagcataatc atgaagataa 26280cattatagat attttagaaa atgtcaaagt aagaacattc ctttggcagt aattactgat 26340ctgaggcaat tgcctctcta aggtcccaaa ctttttaaag ctgacctctg aaattattta 26400tttgggtttt attccaatac tgacatttat atcctttctg taatgtaatt atttaagcct 26460ctttacatgt tccagtataa gtcagttatg gtcatctgtg cctggtcaaa ctcagtgtag 26520ttagaccaga ctaatcaaac aagccagttc acacggactc gtttcaaata tcttcaaagc 26580aagatgggac tgtgtttgca gcctaagtta agggtttgtg tgtgtgaatc tgtacgtatg 26640tgttatttta gtggggtatg cacataatgg agtagaaata ctaaagatat ttcatgtgaa 26700acatgaaaac acacacattt aggaaacagt atgggtggaa tttaattcag gcaaacctat 26760gaactttagg aatacaatac cctccaggac tggccctgat gtgcacttcc aatccaattg 26820gagcatgcag gaggtcagaa gtgatagcag aaagttgaga ggagagtaag acctcggtgg 26880tactaagaaa tgtggctact ttagaactgt cctactttac tccgggacaa aatgggagaa 26940gtcacttaaa acacaaatag atcttgatga agagagtcct tgctgaaacc aggaagcttc 27000tgtgggaact agaacagaat tgaatgtaaa gcataatgta tctctctgga tgaccacatt 27060aaacttcggg gcacataaat tggtcaaatt tagattgaaa ataaatgtct tatactcctg 27120tcattttctt catgtattta gagaatttgc tattattgtt tggtaggcaa ataaaataca 27180ttttagaaca agtcagtagg aaaggcttat tactcatagg gagattttct ttttaattct 27240actgttttta attttactat ttctaaaaat tatattataa cttttaaaaa gaattctctt 27300attggtagaa ctttgagcta ccagaaacaa attggaatgt ggttcttctc ttcgccagag 27360acctcctact tcctttctcg tccctttttt ataacactta gagaataaag ataattttca 27420aatcaggcct cctagaagat gaaaggtgga attaattatc tttcagattt ttgccaattt 27480tgcctctttg atttcaccta actcaatttt atggttccta tcatttcgaa ttactatttt 27540agggcttcac ttaccatttt gggaatagtt ggagatatag atggtctcga tctcttgacc 27600tcgtgatctg cctgcctcgg cctcccaaag tgctgggatt acaggcgtga gccaccacac 27660ctggccagat atatgttttt aaaattattg tctacacctt tctctcacat caccaaccac 27720cattttgtga atgtcaaata catttgttta tatatgattg tgtgtgtttt atttttcaga 27780tggaaatttt tttacatata caagacatga acctattggt gtatgtggcc aaatcattcc 27840tgtaagcttt tctcctatat aattctcaat tttaaaaaga agagttctta ttctatctaa 27900tgatgaagct ttctctaaaa cagatggatg cttatgtatt tgttaaatgt ggagtaaatg 27960taagatttgt tgaacttggt ctccctgtga ctaaacttct tgcatatgaa ttaggtagtc 28020cgaaaaccta tctatattct ggcatatctc ttgagaatgt tttaatacta catcatccat 28080aaatgttaac cctttactct atgggttgtt ttattaaaag ttgtattatg tactctttat 28140aagagccaag ctttacatgt atatggcaag gtgctctcca ctgcacatct gcaggatagc 28200attttggtgg aatgtagtgg ggcctactat tctccaacgc actttctcat tgagacatct 28260catcatgcag aacagtagct cccagagtgt tcaactcatg acacacattt tttaatcaaa 28320atggaaaaaa gaataccaga ggcatttgaa gcactgcatg gaatatattt tacctttaga 28380taagaggctc agatcctcca tattactctt agaggaaagt agccttttta agaggattgt 28440gaagattttt taagcccaac aaacaggaca ctatctaaat gattttattt taactgacat 28500gctttaaaag gccaaacaaa aaaatggtag cgaagtcctt atgtgaagaa atggtcaaga 28560cttatctttg gctccaatga gattgaaata tattcatatc aatattttag tgaaattgct 28620tattaattca aaagtcccaa taaatcgata aaaactatat aattatgaac actgataata 28680gctgatatgt actacttgtc tatgctagac cagtcattgt gttgagcccc tggccctctt 28740tcttggttaa tgctcaagac agccttctga ggcagagagg actattatca gcactcacag 28800attatgaaat cagatacaga gagcacgtaa cctgtgtgag ttcacatggc tggtcagtga 28860ttgagctgag atttgaaccc aagtacttgg cctctggacc ctggacatct ttgtctttag 28920caaggtattt ttcctggaaa taaaagctac taaataatat tattgggtaa ataattacaa 28980taaatgactt atggagaagg agagtaatca tcctttttaa acatttttag ataacttaca 29040gtgtgctcca taataagcca aaccatgcag tgattttttt tttcctggta gaaaaagaac 29100tcaacagtac ttgattaaat tttgaggttc tctcctattt ccttctcata tctcatatct 29160ggtttattca gagcgtttta gcatttacta gttgctttta gcaatgaagt ataatatgcc 29220agatgatttc acaaaactac gcaattatta cataacatct acagggggtg tataatatgg 29280aagttggatt agcaaatatg ccttttgcaa tacaaagaat ctattgttac atattgcttt 29340ctagtggaat ttcccgttgg ttatgctcat ttggaagata gggcctgcac tgagctgtgg 29400aaacacagtg gttgtcaaac cagcagagca aactcctctc actgctctcc acgtggcatc 29460tttaataaaa gaggtaagtc tcccgaaatc aaaatatgct caagaactca agaatcctaa 29520attacaatag gaagacctca tttgttgcta ctataaagta cattatttac agatggctcc 29580tgtccagtgg ggggaataca tttagcatga cggctggctg caatttctgg cagtcacccc 29640aaattcatct ctgcccaaat gcagacagga agccaaacac aaaggtttgg tgtcaaacag 29700tcaacttggg atcacatttt tgcttctttg tccaactctc atgaacataa attcatgttg 29760aaattaatgt agcattcttt caaatgttga aacattaagt tggtttgtac ctgccactga 29820tggcctagtg ttttctgcaa aattgtgtaa actaatctat gtaaggttga aagggcctct 29880atgccaatat gcttgtttgt aatattgggc cacattattt ccaaacactt ttcaatctac 29940tcatgagtgg atatgtttat attcagtttt ctattatgag ttcctctgca tttatcttcc 30000tgttcaaaaa cagtaaaaga acatgtaaaa cattttcatc agctatctag attgtgttaa 30060tatacttgca aacaattcat tgtccttttt tcttcatctt accaaatctt aaaaaataaa 30120tgttaatcac tagaaactta aagttacaaa actgaactta tcttttaaag atattattta 30180ttgaaattaa aaacagggaa aagagatgtc aaaatgaaac atttcgatgc aaataacatg 30240aaattgtaat gtgcccaact cagttcccat gccttcacct gaattcttta atgaagattg 30300aaatcaacct gtgatgttga atcatgaatg ggatgacagt atttacttaa caatttacta 30360agtaatgcca atgggaattt gcaactcagc agttatgccc tcaacaatca acaacagcta 30420ggaactaaaa aatgttagat cccttcagct tcttattttt gctgatggga ataataaaca 30480tgttacttac tttctacata agtaacttac caaacacttt tttacataca atctttttga 30540gttagcatta tgaaatttga aagagccatc actggagcaa tgattcatag agtatggact 30600taccctgaca agaaattgtc ctttaataat gcaacccttg aagttattct cttatgtgtg 30660cttagaaatg acataataag actaaagaat agagccagtt gggtgaatta tttttttcta 30720gagcatctca taaggttggc attaagagac aatctcaatc ccctactctc ctcctttttg 30780aattaaattc ttatactgta acttttaaac tttttatctt ttaggcaggg tttcctcctg 30840gagtagtgaa tattgttcct ggttatgggc ctacagcagg ggcagccatt tcttctcaca 30900tggatataga caaagtagcc ttcacaggat caacagaggt aatattattt actcagggca 30960aaagttaaga atgtctgcat tgccagctat gaagtatgtt ttatgtaact atttttgagc 31020caacaatttt aaaacaaaaa ctctttttaa tgatttgtta cttattttag ccttcaaaca 31080tatggataga atataagcag atgtagtttg aatgacatga tgcacctatt ttaaatcaga 31140atgagagtaa actattttta gtatgttcat tactttctct gacgagaaat atggctgctg 31200agaccttgtc atattattag gaagatttat aatagaaaat taggccatag tgatttgtat 31260gaatgaatat gattttatcc tataggttat gaaaattaaa tagtagagtc tcaccctttg 31320caccttattt ggggttgtct ttctcctgga cactgtgaaa gagagccaga aactcagctt 31380ccctcagtgg tacctagact aacttttctg cctctctggc ttgaacttga ccatcctaaa 31440ggttaaagaa aaagacccca accacaaagg agaagtggcg ggcaggaggg agagcagact 31500agaaggtgaa gtttgggaaa atagatcccc atttattgat gatgttctat cctaagcaaa 31560agaaagtggt ggaagcatac tgtaccatgc aaaaaaaatt attgagtcat tctattaaat 31620tacgtgactt tgttagatgc tcagtgcaaa aatgttattc attggtacac agtatagaca 31680gtgaagagtg agcttcactc catcttagaa agctgctgac aacaagagac caggcagggt 31740gtgataaggt actaaggcat gtacaaaatg ctgtaaaaaa ggttcacaag aaggaatgat 31800gatgtccaaa tgggtactag aactagctct gggttttgag gaattgttac ttttttaact 31860tcctggaagt tgagaagcaa aaaagacatt ccagatagtg tggtgagcat aatttgatta 31920ttttataatc ttaattattt actccagaat aaaggcaaat ttacatagca aaaagaaatg 31980gtggaaaatc aaactttatt tttcttggtc tttttaaaat gaagtaaata aatatatata 32040tgtcttcttt gtttttcaca gacgtagagt aaaaaaagtt tgcattctgc aactccctaa 32100ttgagatagg gaaaagcaaa ccccacagtc aagatttatt gtagacagaa caagtgggaa 32160tgttcaagat atggcaatac atttaaaaat ggtgacacca caggttgaaa tcataccaga 32220ggaataaagg tgaaaattcc tcagcctaga attctagacc ctccccaata gggaatccat 32280gtacctgttg aggtctgtcc aacccatggc cagggatggc tttgaatgta gcccgacaca 32340tttttttttc attctcatca gctatcttta ctgttagtgt attttttgtg tggcccaaga 32400caattcttct tcccatgtag cccagggaag ccaaaagatt gaacaaccct ggtctagatc 32460ctatgcctac tccttctcca ggtcatctgg accaggagct actgtttgct gatctcatct 32520tcagcatcag tttgtcttcg ctcatccatg atcccctata acattggggg agcactttac 32580ctacttaaaa aaatccctgg agattaaaag tctagaaaat atcttggttt aaattctgac 32640tctacccctc ctagcagtgt gtctttaaaa agttaagtag ccttactaaa tttgagtttc 32700ttcatttgta aaatggagat gagatcaaat ttactgagtt gtacagaata caattaaatg 32760agctaatgag tagtaaaaca tttatcaccc tactgagcgc tcagtacatg ccatatttcc 32820tctttcctcc catacttttt aatttcgcac actagtttac acaatgtgag aaaaaagctt 32880cctgtcccaa tatttctttt tctccatctc tgccactctg ccccatctct tcctgattat 32940tccatgtatc ttttcattcc cccaggcttt tagttcatcc ttggccataa cctactctaa 33000acttgctccc acacgttccc tctctggctt tctccttgcc tctacagtcc caggagcaga 33060gcagcctaaa ttttaaaaca ccccatctga gttcccattg tccaccacat ataataacag 33120tgcatgccta ttgccttatg tgtctctctc tcttgctgat tatcctcaaa gacagtctta 33180ttcattgtta tctccagaaa ccatcacagt aagaaattct aaataagtat taaagaatta 33240aatgtgatat cacactctgg ggactgtggt ggggtcgggg gaggggggag ggatagcatt 33300gggagatata cctaatgcta gatgacacat tagtgggtgc agcgcaccag catggcacat 33360gtatacatat gtaactaacc tgcacaatgt gcacatgtac cctaaaactt agagtataat 33420taaaaaaaaa aaaatgaaaa aaaaaaaaaa aaagaattaa atgtgaataa cacgatttta 33480ggagccacaa aacccatcct actttcaact cctgaaactt agttccatac tccctggaac 33540ttctttctgg attttctttt agcttcacat ttgttgcttg gcagatatta aggaacttga 33600taaatgtcat gaaagaggca aacaatagac tgtatccttt gtgttcattg tagcaaagac 33660cctccattct aacaacactt taggcaaggt aagaattttt tttttttttt ttttttgaga 33720ggagtcgtgc actgtcaccc aggctggagt gcagtggcgt gatcttggct caagctccac 33780ctccgtggtt catgccattc tcctgcctca gcctcccgag tagctgggac tacaggcgcc 33840caccaccacg cccagctaat tttttgtact tttagtagag ttggggtttc accgtgttag 33900ccaggatggt ctcgatctct tgacctcatg atctgcccgc ctcagcctcc cagagtgctg 33960ggattacagg cgtgagccac cgcaatatcc cattagattc atataaaata gaactctacc 34020cacattatgc aagacataat aagctagacc attttcatgg gcatttgcta cttctgctcc 34080acatggcaat gccacagtat catggaatac actgtttagc catagtctta atagttctta 34140tcttttcttc attgcatact cctttgagaa aaatgataaa cgtttacttt tctccaaata 34200agggaatgaa atcatgagac aaaaattaat gtctctttgt tttgacttta gctagacttt 34260tgggaaaact caagcctttt atttgccatc taaacttgtg ctaagcaaaa gtgtagactt 34320tctttctcat tcatacttct aaccattctt catcctagtt cttttgacgt ttgtagcttt 34380tacaaaaata tatttgattt tattaccttc tccaaggcaa aagttatcta ctttaatgga 34440gttacttccg taaacctaaa ttaaacaaat aaaaaaaatt cagaaagaat ttagagaaat 34500caaagggtga caggtaagta aattttttat ctacaaaatt aaaaactcct taacatctta 34560aatgaaaatt cagtttctga aagtggtcat aagaagtgtg ttatagaatg gcatataaga 34620gaaatttcag acaggatttc cctagtgcaa atctcctttt aatttatttt ttattaatct 34680tttaggggtt tgatttagaa acataaaata tttaaatagg aggaaaacat tagcatatta 34740atgccctatt ctgtaattca cagtagcagt tagttcagta accacataaa atctaaacat 34800acactcacga aacatctatt tctctcttgt tcagttggga tagaaacttt ttattaaaat 34860ctgacatgca gagtaaaaaa aagaaaccta gaaaataaaa gaagcaaaat agtgaattgc 34920ctttaaaaaa gaaaggcaaa gaacatgttg gtggattaag gctgccatac aaataataaa 34980aaagaaataa ttgtagaacc agccaagttt ttagagatag aaaaaccaga aacaactata 35040gtaaataatc ttgatgggaa gtgatccaca aaggaaaaaa taattgaaaa caaagtcttc 35100ctctgaaaag ggcaaactag cattaaagaa gaaaccagaa ctgtaggatt ccagctaact 35160gaagtagctg cacagatccc atttctttca tccagttcca ctgttcaaag gtgtgtgtgt 35220tgggtgggaa gacagagaaa gaaagagata gagagacgac tgtcaatccg caattaaatg 35280agccttctgt catagatact aatgaggaga ggtatgcagt gatacgttat tgttactgct 35340accacagagt taacaatcta tttgggaaat gtatttctat acaaataata caatctggat 35400cagactctga aggagacttc atgaggtttt ttgggagact agaaaaagaa atggtcctgt 35460catttcttct agcatctgac ctagtgtcat cagagaagga tttaaggaga agctaagata 35520tgagctggac ccctaagaaa aatagaactt gaaggcagtc caggttgggg tggacaaata 35580atgagaagaa ggatgagatt caagaggtag tgaatatgtc agtttgactg gatagagtta 35640tctggatgcc agaagaggga taaaaaatga aatagctaag ttgcgactgg gtcatgataa 35700gtctgatcaa tctgtagaaa gatgatattc tgattaaaat taaaaataac ctccgtagcc 35760atcaatatca cttatccgtg ttctatatct ctgctttctt gctgatgaaa aatcagcatt 35820tttctgattc cttttatgtc tgtatgcttg gatgagggag ctttacatat ctaaaagtgc 35880cagatcttta aaaatgccat ttgccagaga atcacttgaa cccgggaggc ggaggttgca 35940gtgagccgag attgcgccac tgcactccag cccagtcgac agtgtgagac ttcgtctcaa 36000aaaaaaaagc catttggtgt ttctcccaaa tgaaatttta ctgtggcaca aacatcacat 36060aaatttagaa tgctaaagca acctgtgttc atgagagcag ggtaagcctc ctcctttgta 36120atgctccctt tcaggttggc aagttgatca aagaagctgc cgggaaaagc aatctgaaga 36180gggtgaccct ggagcttgga ggaaagagcc cttgcattgt gttagctgat gccgactgtg 36240agtagaaacc actttgttaa cttttcgtcc ttcatcgttt ttggtgtctg ataatgccaa 36300aagtgaactt gaactttaca aaaaaaaaaa aaaaaaaaaa aaagcatttg cttctaacat 36360caaagtgtaa agagtccaaa attactcttg aaaatctctt aaatcatcct aaagttataa 36420cacatagata atagacacaa tttcttcctc gtttagaata gattgctatt tcctcagctg 36480aaccctagat gatgtaaaca ttttgcattt aaatgccatg gtgtattttt taaattccat 36540atctgtgatt attagcattt cattgagcta atgagatact ccagaatggg acttggattg 36600agaccaactg aggagacagc agtttcacat ttgccctctc ccttcactct gggtcataca 36660ctcattaaat gaaatgatca gaagaaaatt atacctaata tttaaatatt ttttcctagc 36720aagtatagtg gagtttatgt acattaaacc tacaaatttg atataacccc actatataat 36780attttaggtt cattctgatt atattaccaa gtagaatttc ccaattattt cctaaataga 36840agttaattag cagaaatgca tggtcaaaca ttcttttttc tttcacaact gcattatctg 36900ttagaggctg taaatacaaa tggttcatgg aattagccta tgttgctgtt ttgatcttaa 36960ttgaagtatt ttagaacaca ctaccttatg aaatattcta taaacatgaa agatttctaa 37020ttttactaag actgtctata aactgcttct gctacaactt aagcagatgt aattagttca 37080caaaataaat aataatcata cccagttgct ataacattga attgaatctt cagcatttag 37140aaaattaaaa tgcaaagaaa attttattct tgtttagagt ctactaagga agcaacctat 37200ttcttccttt taatgcacat tttatcgcct aaaataaata agagtttata ggcacatatg 37260aaataatacg gtatacttta gatagatttt gaaaatgtct ttgatggaat aaaatcataa 37320ggtgagtgag

tgattctgag tattagtgtt ttttgttact ttttagttgt ttttgtttta 37380ttttgttttt ctttcccaca aagatcacat ttcctgttga gtagagtatt taagaatctt 37440ttgaaattat ttaattcgat agacatgtca ggtttttttt attatctgtt taaaatctgg 37500ggcctgaaag aaataatcac aatcatctaa ttatataatt ggagatattt atataaatca 37560tttccaaaga gatttggtct catgatcaaa tctacattct tggtgatgtc catattaaag 37620ttgtaatagt aaccactatt ttttcagatt ctgtatgttt ctattttttc catggtaaat 37680gcaggatcag aaagattaat ttgccacctg gctggtagga ggtaaactat actgagccca 37740tgtctgacta cacaactcat aatttttctt tatctccatg ttgcctctga gaaacatata 37800aaatatataa tttttataaa atatatcttt aatgtgaatg tcttcttcgc agtggacaat 37860gctgttgaat ttgcacacca tggggtattc taccaccagg gccagtgttg tatagccgca 37920tccaggattt ttgtggaaga atcaatttat gatgagtttg ttcgaaggag tgttgagcgg 37980gctaagaagt atatccttgg aaatcctctg accccaggag tcactcaagg ccctcaggta 38040agtataaaat agaaaggata gcattttcag ggcacaggaa taaagtatcc tctttagacc 38100tagattttat tgagtaagat tacttcccat ctgcacacct tcctaggtga caatgctgtg 38160ccagtttggt gtttaaaagc aatctaactc ccagtgagaa tgaaatcatc ctgtttttgt 38220gttgcccagt tttcatgtct agaaacagtt taccggccat gctgagaatt aaagacatga 38280ggaaaaataa caaatgttct acatttttgg ctttcctcaa tctgcacacc tcttgattcc 38340tatatacagt tctctgtcca ctttgaaatt cttatacatt cctaccattt tttcctcctg 38400aatccttcat ctccacagcc atcccacagt tataaccagc actcccctaa atcctctgca 38460agtcatcggt tactctgacc ccctaatcgt agcatggggt cctaaaatgt cctgagtttc 38520ctttgcggca aacttcgtat ttcagttgtt aaagcccaat tattccccta ggcactcagt 38580tttctttgta gactttatta tcagtaaagg tctctctctc tcttatccaa agatcatctt 38640tccctcttcc ttgcatagtt ctctgttcat tgtttgttta agcttctgga tctttggttg 38700tgaatttctt cctgcccttt gggtcttgtt ctagagcagt gattctaaac tggggcaatt 38760ttgctcccct caccccgggg acatttggca atgtctaggg atattttaag ttgtcactac 38820cttggtgaga agcggtggct ctacaggcat ctagtgagta gaggccagag atgctgctaa 38880acatcttgca gtgaccagga cagccccatg acaaagaatt atctggccca aaatgccaac 38940aggacaactg ccgagaaatc ctgctctgga gtctagacat taagcttaga ggctctgttc 39000tttcacaata aaggttttac actgatgcgt gctgtcaatt tgaaaccaaa cgctattctt 39060gactcattca ctaagccaaa agtaaattca attaactaaa agttagtgaa cgttgctatc 39120agctaaaact tgagatgggt acctggcaat gccaaaaaga acaaagagga cttgatcccg 39180gacctcatgg agtttacagt ccaagtaagt tggacagtct tggattttcc tgttcatctc 39240aagacatcca agtaggaaaa tcttaggact taggcagtgt aacatattga aatctaaagg 39300ccctaaaata agcggcaagt gaggtaatac tttgttttat cttaatccca ttatattttg 39360tatttgtctt tgagtttaat gagtacttaa aagtagttgc cctttttttc atatttggta 39420tatggatgcc aagagatata ttcaaatcag ttttgacttg gtctcccatt tcaaaaaaga 39480atggaattct atgttttttt gttgtgatta tttatctatc taactaaaag tgaagcactt 39540ttcttatttt gttgatggat tgatggatga ttgattgata gatctgaaga gaggagagaa 39600tacctaagat acctaatgcc taattgttgg gcagtacttt cctccattag gacatcttca 39660caattcaacc aaagactcaa aaattgagct ggaatacctc attgatttta agataaggaa 39720gttaaaatag acttaaaaat tcctatttgt aagattctaa agtaaataat ccagtgatct 39780agaatttagt ttctataaat gaatagaatc cagtgatctg attaatataa gaatttagtt 39840tctataagtg aatagatttt tatcacaagt tccattgagt cagtaggata agtaggtatg 39900ttagaatttg gagaaacaaa agactaaaaa gccctgggct cctttaccat taaatattca 39960tctattgtta ggagaaaaaa cttacgcaaa ggggatactc actcactaag ctttagccta 40020ttgcctcatc caggggtggt tgagtgaact gaggctttta aatacaatga tggaatcttc 40080ctcattaaat ataacatcaa aaaggttata gaaaaaataa tggtcaaaac gatttgtttt 40140aggggaaaaa attaaagttt aaaaaaattt gaacattaca aattatttgg gggttagagc 40200aattacaaaa tatatatata tatatacttt gcatatttgt attatatctg tggattcatg 40260tgtgtatctt tttcatattt caagtgattt tcctatttga ctttatagaa aaaatatata 40320ttgtcttaaa cttggaaaaa ttagtatttt catttgaaac agaaattgtg atagccacat 40380aaacgatact aaaattatca cagagtagca ccttataata gtgtggaaag atggactttg 40440gagttacagt tatataggat ttaaactgga tttaaaatcc agcctccctg aaactattgt 40500cttatgtgta gaatgtgcat agaaacctca atcttgaaga ataattctgc agtgcaattg 40560gataatctat aaaatgtatc catcagagtg cttggtccac atgctcaaat gtctagtaaa 40620taaataaaaa ttacatgctt ccatttatac ccatggtgac aattatcata cagatcaatt 40680acttctatat ctattcattg cttttgttga tacatggttt ctgaataatt tgagaacatg 40740taagtgcttt ttcccaattc atcttcttta acccattaag cctaaggaat caaagaattt 40800acccattcaa acaccttaaa atgtttcctt tgagactgtt accatatcat gacctaccta 40860atacatttca tagactagcc cataggccaa tggcccatca catgaaagag ccccagctac 40920atcctagcat tattggacag tcccaggtgt ccagaaagaa ggtcaagttt atatatggtc 40980agcctgatgc cttctgaaga aggtctgtat ttgtggtgaa tcaaaattag ccagacaaaa 41040ctgaccagtc tctaagtaga gcctaatttt ttgtttgtag tcccaagctc caccacagtg 41100ttcctcaatc tttcccgtgc ccggggattc agtagatctg aggtggggtc aaagaagcac 41160atttggctac caagtgatgc cacaactgct ggttgtagga ccacattgtc ggtagcaagg 41220cactgaaata caaaggcctg tagttttata agttagcgac catctaagtt ttccaacaaa 41280taaggctttt cagccctttt ctccagtatg tatgcaggga tttgattggc actggttatt 41340caacgtggtc acagacagga aaacatgact tgggaaatac atcttgaaat aaaaaccaga 41400tatcatgatg ttgagggcat agtcagatta atatgttcca ataagacaga aagctttatg 41460tggagtgaca tggacccttg actatttatt gagaaactag aataccttac ccaggcagaa 41520tttatctcac cccacccctt agtctgctac tattcaacct atgtagtaat ttaaatattt 41580cttcttaaca ctattttttt cttaatctgc tggaaatgaa ggaatatttt ccttctggga 41640tattatatta aatattgcac taaagactgt tgagcaacat tgtaccaaat attgtgccaa 41700attttagaaa atagtttcta gtttcaaata gtgcttaatc tagttagata tgggggctga 41760gctgtattca gttagaaata actttatgga agctttttct tggctttgga agataaagaa 41820gatttgcaga gtcagagaag agtaagagaa agtgaaacat aaaacttttc aagtagtggg 41880aagttaaacc tacaagagct tccaccctcc aacccatctt agctcctaga tctcctgttt 41940ttcctttaat ccttaacccc tgctacacct gagataggca gccctcaccg gttacttgga 42000atccaagagt cacccagtta ttcaatgtca caaaatagaa attgagacaa aaattagccc 42060cagatttcag tgcttgaaga ggtacgtgtt cctggtgttc acaaccagaa ctccaaactc 42120atttattttc cttataaaaa tagtgtttaa ataaagacga tttaagttct gtaatacttg 42180gcacatagtt agatgtggct catttaatga agcaggatgg tgacattcag gacaggccag 42240aaattggaag cagatttact gactgcccca gtgggaccag aactgggaag ggtgcgcaga 42300ctatggtcag aatgggatat ccaagggcat cggacaggtc agagtgggtg attcagaaat 42360ggggagatca aacagaggct cgggagtctt ctaagaacag tcttaaagca tctgcttccc 42420aacagatcta attaaactca gtatcaaagt tctgtttttc tcttttccct cctttcattt 42480cagccgggac aatagtttcc aggtaaatgt atttagatta acaggcattt cttccagagt 42540gaataaatga tgattgtcat ttatgtgttt tttatgtgtt tgcagtgctg aatgctttcc 42600tatataacta taaaacaaat gttaaataca aatatctgtc ttcaagagat tttcccctaa 42660aagtcatgag aagaaaatat atccaaagaa tgaatctgaa cctctgttag ctgtttcgat 42720tcaatatttg gtttaattgc aatattttag cattttgaag cccttgttaa caggcccagc 42780aatgtgttat ctttacaagt gactactttt tttcttttca tgtgatattt ttcaaataga 42840ttgacaagga acaatatgat aaaatacttg acctcattga gagtgggaag aaagaagggg 42900ccaaactgga atgtggagga ggcccgtggg ggaataaagg ctactttgtc cagcccacag 42960tgttctctaa tgttacagat gagatgcgca ttgccaaaga ggaggtaaat ggcttcattc 43020tgttctgttc tttttgttgc catgttttgt ctgtttgtgt gtatacaaag tgtcacttta 43080aaattcccag ctctttggaa catctttccc tctaaacctt actctttatt ctgttcttga 43140tagaggttta agttatttgt gatagatact aaaaagtagt aagggatcca tggggccagc 43200cacaaatgtt cagccaacac agatctggat gcttaacaat tttcaggtgc tgccttcaca 43260gctttaaaac aatggaaaag aatcctgtca tttgcagcaa caacctggaa aatttatgct 43320ccatgaaata tgacaggcat aaaaagacaa ataccgcagg atctcacttt tatgtgggat 43380ctcaaagagt agaactcata gaagcagaga ttggaatggt ggttaccagg ggcttggggg 43440agtggaggat gagggttggg aaatgttggt caaaggattc aaactttcaa ttaggaggag 43500taagttcaag agagctatcg taaatatcct gactgtaatt aataacaatg tattgtatac 43560ttgaatattg ctaagagagt caattttaag tgttctcacc acaaaagaga taaatatata 43620ggttctactt tctggttcca cctttgccct atagactctt tctatataac agccatccat 43680gtatttgaaa acagcattca tcccctctat cactccctac cttctatgtg ctcttagtcc 43740tatttgtttc agctgttaga cttcctgatt ttgtatattg cagttaagtg tttggtgagt 43800gtatatatgt gtgtctgtat acatatataa tgtgtatata cattatatat atgctcacca 43860agtatttaac tacaatatac aaaattagaa aaaaaatgag ctgtcattct tgcatatctt 43920gattaatacc agataagacg tggaaaaaaa tcttcaatta aggaaacatt tattgtgttc 43980ctataatata ttaatatata gtagaacagc tagcttgcta cttcaaagta ggagcctgga 44040gctatgtgct gtgttcaatt aaaattatgt aaaatatgaa cacatttatt agagtagctg 44100ctgtgtatat ggttcctatg ttcaaatagg attagattta taacgttaag attcacactc 44160aacctctatt gaacagcagc ccctcccttc taacatttaa atcagtggtg aacaccagaa 44220aactctttgt catttctgat ttttgtcttc cttcattcag atttcccaga aaattctggt 44280aatttcagga atctttatct gatcttaata aatattttat tgaaatgcag gagcttaatt 44340ttaaagagaa aatccagttg tctttctttt acctgaggct gagatacagg gtgaattgag 44400tttgggctgc agtaaccagg aacttagtga aagcaaaaga gtactttacg ttagaataag 44460caaattgtga tttttgtttt ctgtcctgca attatagcca ttaccaatga actcatgctt 44520tgattagaat aggatggttt agaatgtata agctcttgca gtaaggaaca attctgtttg 44580atatatttaa gttgcctaag attttgctac agagtagact aaaagttcgt gatgtttacc 44640taacttggct aattatgaaa agtaattagt aactattcta ctgagtacag tagaatagtt 44700aatattttac caatggcata caggtattta aagcattatt attatcaatc attgcctatt 44760catttatcca gcagattatc attgcctatt catttatcca gtagattgct ttctgggact 44820tgttactatg tgtagtgact tggaagataa gaaaaactag agagtgaatt taaaatattc 44880ccaagtgaaa aagaaattct gaagttaatg atttgttgca caatcataag ttcttgaaag 44940cttaattcca acatctagaa acttaatatt gccttaatta tttgtaccct ttcttcttcc 45000aaaggaaatt taacacctga ccattatctg ttttcaccta ccatttttgc agttacctat 45060ttggattctc acacataggt ttgagatgag aagaaaaatc ttaatcaatt taggatagcg 45120tgtaggaaaa aaaatctacg atatcattta aaatatttca ttttaaccta ttatttttac 45180ttatttattt cttgtggtat agatttttgg accagtgcag caaatcatga agtttaaatc 45240tttagatgac gtgatcaaaa gagcaaacaa tactttctat ggcttatcag caggagtgtt 45300taccaaagac attgataaag ccataacaat ctcctctgct ctgcaggcag gaacagtgtg 45360gtaagtccaa cctaaggaat gtagcctttt cagtaataac cacattaaca gattactacc 45420ttgaactttt tcagacttgg atttttcatt tggaattacc tatccttcta gaaaagcagt 45480tgctgccttg aaaaacaaac aaaaggctgg gtgcggtggc tcatgcctgt aatcccagca 45540ctttgggagg ctgaggtggg tggatcagct gactgaggtc aggagtttga gaccagcctg 45600gccaacatgg tgaaacgcca tgtctactaa aaatacaaaa attagatggg tgtgatgcct 45660gtaatcccag ctacatggag gatgaggcag gagaattgct tgagcctggg aggcggaggt 45720tgcagtgagc cgagatcatg ccattgcact ctagcctcag caacaagagc aaaactccgt 45780ctcaaaaaaa aaaaaaaaaa aaaaaagctg tattggaaga actttaggga ggatattttc 45840tttaacttta tctagcttct tgaaattgct taccaaaaat attgtattga tgtttgatta 45900atacaatata agaattgcca agtaatttct gagcacgtgg tactatgctg tatacaggga 45960ggtaaaagag taagaacaat atttacttgg tacccttgtg tatgcagata ttcttatatc 46020ggccttctta ctctaggatt attagagata attgaagtta tttttgaaag attgaatttt 46080gaagataccc tccctctccc atttttgacc tagtttatat ctcttatttt tatactttaa 46140tcaagaggat ataaacatga agtctgtgcc tctcaaactg ttgcattctg tactcagctg 46200tcagtctcta gactatgtct ttggtcactt tggtcccatt agcctaattt tggcccctca 46260gtcctggaaa aagcacaaga ttattttcct tcccaacact aagtcacacc tagatcagac 46320ctatgcaata ttctctttct ttctttcttt ctttctttct ttctttcttt ctttctttct 46380ttctttcttt ctttctttct ttctttcttc tttcttttct ttctttcttt ctttctttct 46440ttctttcttt ctttcgtctc tctctctctc tttctctttc tctcttttct tttctttctt 46500cttttttttt tttttttttt tttttttgag ctggagtctc actctgtcac ccaggctgga 46560gtgcaatggt gcgatcttgg atcactgcaa cctctgcctc ctgggttcaa gtgattctcc 46620tgcctcagcc tcccaactag ctgggactac aggcatgtac caccaagccc agctaatctt 46680tgtattttgt ttttttcttt ttttagtaga gacagggttt caccatgttg gccggactgg 46740tctcgaactc ctgacctcaa gtgatccatc cgccttggcc tcccaaggtg ctgggattac 46800aggcctgagc caccatgctg gcctggacct atacaatatt ctaaggctgt ggttctcagc 46860cctggctgtt cattagaatc atctcggggg ctttaaaaat gtataaactg atttggggca 46920ggggagggta tacattaaca caaattatat cagtgtatag tttaaatttc tcctccaaag 46980cccatgtggc aatttaaatg ccattgtaac agcaatagga agtgggccta atgggagact 47040cttaaataaa attcagcaag ttcttcttga atagtcggta tagctagtga tgaatataga 47100atttgcctat gataaaagca ttaataaaat tcagcatagt tactgtgtgt atgtatatta 47160tcgccactta ctgaagatat ttataccaag tactacaaca agaatactat tcacgcaatc 47220ttacgcatac cttgaaacaa tcctattaaa tattatcatc cccactttac acatgaggaa 47280acgcttgcag aagacagata acattttgaa ctcaaagttt ttgccaagtg aacatttctc 47340agttccctgt taattcacag taaaatagtt tcatttctag ttgacagtaa aatgagcaaa 47400tttactctct gcacttttta acaaagacaa atttcagttt tgtattttcg actagcagaa 47460tgttccatgc ttgtttgatg aagcttgtta tgacatcacc ccactgaggg tcttgggaat 47520ccctgatcag gaatttcctc tattatgaaa aacagagggg accatcttgt tactacatat 47580cctagaagat aataattttc tggcattgtc ccagacctaa tagctgcttg gtgttttcag 47640gaaaattatt gaactccaga gttgcaggaa gtttactcat aatttcaaag tagtatttga 47700ttttgcaatt taaagggcaa ttaaacaaag ctgagacaat actgcctttt gtaagtgtaa 47760atttattaaa ggaattatcc ctccaggatg agagacatag ttaagaactt tatggtccag 47820tgagaatgtg gaacttcggg aactgggata gtgttttaac aaagaaaaca tctgaatatt 47880atctcaggat aaaagtaatg accaaacctt caaagtataa tacaatttat ctggaagcca 47940ccctggtttt ttgtttgttt gtttggttgg ttttctaaat ttgttttgta gaggcaaggg 48000tttgctatgt tgcccaggct ggtctcaaac tcttgggctc aagtgatcct cctgcctcag 48060tctccagcta ctaacccagg ctctggaagc cacatttttg tccacttatt aaaatagcat 48120gaagggagag aaaagtataa acataaatct cctttaaaaa gtgtttttct cttgcgtata 48180atgagaatca ggtaaataat tagattttgc taacttttgg ccaccagcaa atttaaagct 48240aaacaaattg tttatggtct gcaaaactgc attctaattt tccccatcta gatcttctat 48300tgtaattttt tgttggattc taattactac tattcatgta attatgtttg tttatataag 48360catctttaaa cactttatga aatatgacag ggaataaatt ataattaaac ccaactcctg 48420ccaaggcctc tgtttaagca atttatttaa ccaattaatg ggaaaaaaaa ttaactgagt 48480aatatgatac atattacaat tgcaaaagaa aattgattct agcctgttaa gtacagaaac 48540atcaagagaa ttacaagctg atccatatat aagcagtaat gaatactgat ccaacaaatt 48600ctagcttcta gcaaaccata tctttccccc tacagcatag tgactattct atcttttata 48660aattcagact accacttctc agggacacaa tgtacgacca aaatggctat ccatatatat 48720agttgcacta ttctatttgt ttctaggtag tgtgtatcca tatatgtctg cattctaatt 48780tatagtgcta ctttttttta tcaagatgag tatgttataa tgaaattaat ggagtttgta 48840aggagctttc caaatttcta aaactgccaa aaaggatttt tttttcacac cttaagtatt 48900gtctataatg cacttttctt ttccttcagg gtgaattgct atggcgtggt aagtgcccag 48960tgcccctttg gtggattcaa gatgtctgga aatggaagag aactgtaaga ttaacgttct 49020attaagataa atatttattt ttatgaaaat gattttcatt cccagggaat taactcatag 49080ttttcacctt acataaaacc tgcctctgtt ctttcctgga gattcatagc accaaatagc 49140ttattaaatg tgggatgtac tccataagtg caaaaggtga ttgcagaaca gcaacataat 49200ttactaaatt cctactatat tttagggact atattaagca acttacattg gtgattgtaa 49260tactgcttgc ttttagaatt gcttgctata tatatgaatg taatccattt gggaaacatt 49320tccagaaaag aggtggaaac tatgcattgg tgattgcaag aaaggtgcaa atgtaaacac 49380tctagttatt tgaataaacc atttaaataa gtaaattagg tgacttatgt aaaggaaatt 49440tcagtgtaag aggaatgatt cccatttgtt gagatattat tgatgtagac tttaacattt 49500tttattacca taagaagtta tttttagtat taaaacttaa acctaaaagg aaatttgagg 49560aaaacatgtt ttatagtagt gactagatta agaatattta tatataaatg catttatgaa 49620atttcaattg cttttgaaac tagggtatat agacttttta agtatgcaca tatatatgta 49680aatacagaaa gtagtggcaa tatgcttagt tgattttgtt taggcaagtt tagtcatttt 49740atttcttaaa acttttttac atgtattaat gtaaacattt atgaagaaaa aagaaataga 49800aaccttatag tatcaaacac agatcgtaaa cttgctcatt ttgtaattag gaagtgaaaa 49860tgtgcctttc tcaatctcta aatgtattaa atggttgagt accgtactct aacaaatcag 49920caaaattaca aggaaacaaa tatctctgaa gagtcagtga aatgggagaa ttataaaatg 49980accagtctac tttctcaata tgctttcatt tattaagcac ttgctatgtg taaggtccta 50040ggaaccccag agacatgaca ccatgttcca tgctctacat agctgtggtg gcaggacatg 50100caaaataacc tacatacact atgaaataag tagtaataca ctgggattcc atatcctatg 50160gaggtagaga agcaattaaa gtaccgagca aagtattgaa gaaaacctag acactaccag 50220agtataagag tcaggatggc atctctctaa ccatcactat tttcatctgt cagacaaggc 50280caaggattgt gagtgtggat aagagtggaa gaagaaaata gatcttttaa cctctattcc 50340atgcttaaga ttctatagtt ctgaccccac tggaaatcca gtggttgaaa acttaatggc 50400agtttataga gaagaaaact tctcctaaca gaagagatga aacttcctct agggcagaaa 50460gcaagtgtag gatatcagtt agtagagaag agggctttct tgcatggaac attacatgtg 50520gtatgttgag gggctagtga attttgttga ttggtgtgga tttatgggga tgaaaaatat 50580gatttcagag taacatatga tacagattaa gaagtcctgc atttaagaaa tttgacttag 50640attttattag tggagtagtg aaaagccatg gatatattta ggatgttgct gaagtagaac 50700aaaaagttag cccatcaaaa atgcatggcg tagctgagaa aacattactg gagtctgacc 50760agctgaattt gattcctaat tctgccactt gctagccatg caccccagtt caagctacct 50820aacttctgag cctctacttt ctcatatttg gtggagatgt tcacattcct cttaagatgg 50880aatgagagtt cttgtgggag ttaaatgaca tactgaatat taaatcccta gccacataac 50940tgtcacaaag tgtaaattca acaaatgggt ttcttccttc cctagtttct tctctttcta 51000ttactggaga atctcttggc aaaactaatt actttgtaca aaaagtaaga acaaaggtta 51060gattactctg aagggcagtt ggttcgtttc tggcctggtt atctaacaac acatttcact 51120gagaacatta aagataaaat aatcaaaagg aatgcaagac taaagtagac caaacatgtc 51180aatttcgttg aacataattt ggtcagactt taaggtgaag gcataaagaa atcaaataag 51240agaaggactg aaaacaggaa tcaaccatca gtaatttcct aaaaatctag aacatgagta 51300tagataattt ctttcaaata caaaggaaaa agttgtgggt tttttttttt ttacttcaaa 51360aattcaacta gagaatgcta cagttaaagt gtacctgaaa ccaaatttgg tgaatttaat 51420aaccaagtca tttgctgcaa gatgttccaa gagttacaag ttattactca ggcgataacc 51480tcaaatgact cccaagagtt aaattataaa ttttcctcaa caatagagag aattgatcag 51540ttgagaacag agtcctcaaa gagcgaaaaa tggtgttatg cagaccccag tgtgtttgaa 51600ggtgatacag agtatgcaaa tcttgatttt gcatctctga tcatagtgtt ggctctggga 51660ttagttaaaa gacagaaatt cctccctttg tgtaactgta ctgtttcact taggttaacg 51720taggtccttt aagactttgc tagtatgcca ttttaaactt gattggctct tagcccctcc 51780caccatattt ttttcctcct gtcccataga aaagggagca aggaagtgta aactaatggt 51840cgtatagtga gaacacaaat gaattttttt tcttgatatt taccaagtgt gttcagcaaa 51900cagttcttct gtgcctactt aattagtgcc agtcttaatc ctgggtacag agaggaaatc 51960agatgtaatg tggtactagt gccttttttt tttttacagt gtggaccctg gacaagaagc 52020ataggttgat atcacttgca agtttattac caatgccaac tcaggcttca ctcgagacct 52080gctaattcag aatcagtatt tgaataaggt cccaggtgat ttgtacattg aagattttag 52140aagtatacaa acagtaactc acagacatag taagatgaag agaaatccaa acagatgttt 52200ggggctatgt cgtagatata gtataggcat aggaatccta aggagcagga catatttcag 52260cctgaatatg acaaaaatcc cacttattac tctcctgaga gcttcaagtg cctatatgac 52320ccaaaataca atggaaagcc tattggcgaa agtcatgggt tgattgatct aaccctgaga 52380taaaatactt

attaaaatat tatcttttaa tgggtttcag acaactgagg ctaagccctt 52440taattacttt aaggaccatg ctcactgaag cttttaaaag gtattttcaa aagcttaatt 52500gcccaagaaa ataatcagtg taagagtatt aggttaccca gcagaaaatg atgtcttcta 52560catacctgtc tacatcacaa gaagggaggg gtaaaaaagg atcaagatct tattcttctg 52620taagcctaca tgtgcatgag tgttatgatt ttgagactac tcttatatac atgtaatttg 52680atcctcttat caaaacaata tagagaataa ctgagcccaa tctttttagt catctcttca 52740acaaggggta aatcagtcag tttctaaaac tggtgggagg tctccataaa cctgataaca 52800agatcccaaa atccaaactg attgactgag ttaattcctg atcatttggg ttgaacttaa 52860gagttataca agaaaatggt aggggacgag gaggttgtat aaaggggaaa aaacaacaac 52920tgcaaaaagc ccaagagcct gaatttagac caatctatca tcttcctcct cttaaaaaga 52980aaacaattta aaagttttaa ataaaaaata aaggtcatgt ttttgttttg ccaagaatca 53040aaagattttg ctgaaactac tgctgcaaaa tattttgttt caagccatct tagggcacct 53100cagactaaaa atgaaaccat gatcaatttc tatcccctta ccacttctat gacaatcaca 53160catggtaaat acaagctctg ctctagtact acaataaaac tgtagaacta gagtagacct 53220tgtagtgatc atatattact acttctcctc ttgtcctatg tccatcttat ttcaatctaa 53280actagaaatg acaaaattct tgttgggtcg aattgtcttt tgagtagttt tagagctttt 53340tgttttcatt tctccaagat gatcttgttg catctgcagt tcgagttttt aaaatcaagt 53400agaataatgt caaaagggga caatttatgt gagaaatcaa ctgacagtac atgattattt 53460aaaatgaaag ttttaaagaa aattttcccc acaagggaat ctgtgtaaga ccagaaatct 53520tatgattggc tagctactat ataaaatgct ctgtacacaa gaaatatttt ctattgtccc 53580tagccagtaa aacaagaaca aactcgtacc aaacatgaac tacagtatat ttatactgct 53640gtgctaaatg gtgtttgtgg gtatgttttt cttctctcta ggggagagta cggtttccat 53700gaatatacag aggtcaaaac agtcacagtg aaaatctctc agaagaactc ataaagaaaa 53760tacaagagtg gagagaagct cttcaatagc taagcatctc cttacagtca ctaatatagt 53820agattttaaa gacaaaattt ttcttttctt gattttttta aacataagct aaatcatatt 53880agtattaata ctacccatag aaaacttgac atgtagcttc ttctgaaaga attatttgcc 53940ttctgaaatg tgacccccaa gtcctatcct aaataaaaaa agacaaattc ggatgtatga 54000tctctctagc tttgtcatag ttatgtgatt ttcctttgta gctacttttg caggataata 54060attttataga aaaggaacag ttgcatttag cttctttccc ttagtgactc ttgaagtact 54120taacatacac gttaactgca gagtaaattg ctctgttccc agtagttata aagtccttgg 54180actgttttga aaagtttcct aggatgtcat gtctgcttgt caaaagaaat aatccctgta 54240atatttagct gtaaactgaa tataaagctt aataaaaaca accttgcatg attcttgtta 54300cttttgaatt tttttaagta caagttttgg ttacagtgat ttcttcttgt cacttaaaaa 54360cagtgttaaa ctgagcataa aggtacattt aaaagtaaaa gtctaatcca cctattctca 54420aataggtaaa gaaacatgct gtattttcca aaagaattct caaaatcagt ggattttatc 54480tgaaatagat ggcctcagtc cttcagtaag caattattga gttcctacaa agttttgggt 54540atgtgttaag tgttgtagaa aagaggtgaa taatgaatgg tccattatct gaagatcttt 54600aatttagtgg ttaataaaga cacaatccct gcaccacaga aaggaggggt cataaaaaaa 54660atgaggattt tagaaacttg tagtgacttg cagaagtggt catgatgaag gctaactgag 54720ggaatcagga atggcctcag gtaggaaatt tgactgaata taaaccttaa taatgggcaa 54780atttgcaatg aataaagggg aaagaggttc tacaaaattt atcaggacat gttccattga 54840aaaaacattc ggaaaaattc tatacaatat attttcctct cttggaattt cagattgcac 54900atcggcagca tattataggt ttcgagaagt cctgcaacct tcttagtttt aatagagccc 54960cccctttttt tttccaaatt agcagagact ttgtctcctc tccctcacct cctcagttac 55020caccaattaa cattaagaaa cccatgctgg gctgaataca gtggctcact cctgtaatcc 55080tagcactttg ggaggccaca gcaggtggat ctgttgagcc caggagtttg agaccagcct 55140gggcaatggg caaaatccca cctttattta aaaaaaaaaa ttagccaggc ataggggcac 55200aaacctgtgg tcccatctac atgagaggct gaggcaggag gatggcttga acctgggagg 55260tcgaggctgc agtgagccat gatcatacta ctgcactcta gcctgggtga cagagtggga 55320ccctgtttca aaaataaaaa taaaaataaa aacccttgct gtcctatgca atgagggaac 55380ccttagagtt ctaaggagag atctgggaat caaaagagag cagctgaaaa aaatgtcctc 55440cacatgaaac tacaccaagc t 554617466PRTHomo sapiensvimentin (VIM), epidiymis luminal protein 113 (HEL113), CTRCT30 7Met Ser Thr Arg Ser Val Ser Ser Ser Ser Tyr Arg Arg Met Phe Gly1 5 10 15Gly Pro Gly Thr Ala Ser Arg Pro Ser Ser Ser Arg Ser Tyr Val Thr 20 25 30Thr Ser Thr Arg Thr Tyr Ser Leu Gly Ser Ala Leu Arg Pro Ser Thr 35 40 45Ser Arg Ser Leu Tyr Ala Ser Ser Pro Gly Gly Val Tyr Ala Thr Arg 50 55 60Ser Ser Ala Val Arg Leu Arg Ser Ser Val Pro Gly Val Arg Leu Leu65 70 75 80Gln Asp Ser Val Asp Phe Ser Leu Ala Asp Ala Ile Asn Thr Glu Phe 85 90 95Lys Asn Thr Arg Thr Asn Glu Lys Val Glu Leu Gln Glu Leu Asn Asp 100 105 110Arg Phe Ala Asn Tyr Ile Asp Lys Val Arg Phe Leu Glu Gln Gln Asn 115 120 125Lys Ile Leu Leu Ala Glu Leu Glu Gln Leu Lys Gly Gln Gly Lys Ser 130 135 140Arg Leu Gly Asp Leu Tyr Glu Glu Glu Met Arg Glu Leu Arg Arg Gln145 150 155 160Val Asp Gln Leu Thr Asn Asp Lys Ala Arg Val Glu Val Glu Arg Asp 165 170 175Asn Leu Ala Glu Asp Ile Met Arg Leu Arg Glu Lys Leu Gln Glu Glu 180 185 190Met Leu Gln Arg Glu Glu Ala Glu Asn Thr Leu Gln Ser Phe Arg Gln 195 200 205Asp Val Asp Asn Ala Ser Leu Ala Arg Leu Asp Leu Glu Arg Lys Val 210 215 220Glu Ser Leu Gln Glu Glu Ile Ala Phe Leu Lys Lys Leu His Glu Glu225 230 235 240Glu Ile Gln Glu Leu Gln Ala Gln Ile Gln Glu Gln His Val Gln Ile 245 250 255Asp Val Asp Val Ser Lys Pro Asp Leu Thr Ala Ala Leu Arg Asp Val 260 265 270Arg Gln Gln Tyr Glu Ser Val Ala Ala Lys Asn Leu Gln Glu Ala Glu 275 280 285Glu Trp Tyr Lys Ser Lys Phe Ala Asp Leu Ser Glu Ala Ala Asn Arg 290 295 300Asn Asn Asp Ala Leu Arg Gln Ala Lys Gln Glu Ser Thr Glu Tyr Arg305 310 315 320Arg Gln Val Gln Ser Leu Thr Cys Glu Val Asp Ala Leu Lys Gly Thr 325 330 335Asn Glu Ser Leu Glu Arg Gln Met Arg Glu Met Glu Glu Asn Phe Ala 340 345 350Val Glu Ala Ala Asn Tyr Gln Asp Thr Ile Gly Arg Leu Gln Asp Glu 355 360 365Ile Gln Asn Met Lys Glu Glu Met Ala Arg His Leu Arg Glu Tyr Gln 370 375 380Asp Leu Leu Asn Val Lys Met Ala Leu Asp Ile Glu Ile Ala Thr Tyr385 390 395 400Arg Lys Leu Leu Glu Gly Glu Glu Ser Arg Ile Ser Leu Pro Leu Pro 405 410 415Asn Phe Ser Ser Leu Asn Leu Arg Glu Thr Asn Leu Asp Ser Leu Pro 420 425 430Leu Val Asp Thr His Ser Lys Arg Thr Leu Leu Ile Lys Thr Val Glu 435 440 445Thr Arg Asp Gly Gln Val Ile Asn Glu Thr Ser Gln His His Asp Asp 450 455 460Leu Glu46582151DNAHomo sapiensvimentin (VIM), epidiymis luminal protein 113 (HEL113), CTRCT30 8gcctctccaa aggctgcaga agtttcttgc taacaaaaag tccgcacatt cgagcaaaga 60caggctttag cgagttatta aaaacttagg ggcgctcttg tcccccacag ggcccgaccg 120cacacagcaa ggcgatggcc cagctgtaag ttggtagcac tgagaactag cagcgcgcgc 180ggagcccgct gagacttgaa tcaatctggt ctaacggttt cccctaaacc gctaggagcc 240ctcaatcggc gggacagcag ggcgcgtcct ctgccactct cgctccgagg tccccgcgcc 300agagacgcag ccgcgctccc accacccaca cccaccgcgc cctcgttcgc ctcttctccg 360ggagccagtc cgcgccaccg ccgccgccca ggccatcgcc accctccgca gccatgtcca 420ccaggtccgt gtcctcgtcc tcctaccgca ggatgttcgg cggcccgggc accgcgagcc 480ggccgagctc cagccggagc tacgtgacta cgtccacccg cacctacagc ctgggcagcg 540cgctgcgccc cagcaccagc cgcagcctct acgcctcgtc cccgggcggc gtgtatgcca 600cgcgctcctc tgccgtgcgc ctgcggagca gcgtgcccgg ggtgcggctc ctgcaggact 660cggtggactt ctcgctggcc gacgccatca acaccgagtt caagaacacc cgcaccaacg 720agaaggtgga gctgcaggag ctgaatgacc gcttcgccaa ctacatcgac aaggtgcgct 780tcctggagca gcagaataag atcctgctgg ccgagctcga gcagctcaag ggccaaggca 840agtcgcgcct gggggacctc tacgaggagg agatgcggga gctgcgccgg caggtggacc 900agctaaccaa cgacaaagcc cgcgtcgagg tggagcgcga caacctggcc gaggacatca 960tgcgcctccg ggagaaattg caggaggaga tgcttcagag agaggaagcc gaaaacaccc 1020tgcaatcttt cagacaggat gttgacaatg cgtctctggc acgtcttgac cttgaacgca 1080aagtggaatc tttgcaagaa gagattgcct ttttgaagaa actccacgaa gaggaaatcc 1140aggagctgca ggctcagatt caggaacagc atgtccaaat cgatgtggat gtttccaagc 1200ctgacctcac ggctgccctg cgtgacgtac gtcagcaata tgaaagtgtg gctgccaaga 1260acctgcagga ggcagaagaa tggtacaaat ccaagtttgc tgacctctct gaggctgcca 1320accggaacaa tgacgccctg cgccaggcaa agcaggagtc cactgagtac cggagacagg 1380tgcagtccct cacctgtgaa gtggatgccc ttaaaggaac caatgagtcc ctggaacgcc 1440agatgcgtga aatggaagag aactttgccg ttgaagctgc taactaccaa gacactattg 1500gccgcctgca ggatgagatt cagaatatga aggaggaaat ggctcgtcac cttcgtgaat 1560accaagacct gctcaatgtt aagatggccc ttgacattga gattgccacc tacaggaagc 1620tgctggaagg cgaggagagc aggatttctc tgcctcttcc aaacttttcc tccctgaacc 1680tgagggaaac taatctggat tcactccctc tggttgatac ccactcaaaa aggacacttc 1740tgattaagac ggttgaaact agagatggac aggttatcaa cgaaacttct cagcatcacg 1800atgaccttga ataaaaattg cacacactca gtgcagcaat atattaccag caagaataaa 1860aaagaaatcc atatcttaaa gaaacagctt tcaagtgcct ttctgcagtt tttcaggagc 1920gcaagataga tttggaatag gaataagctc tagttcttaa caaccgacac tcctacaaga 1980tttagaaaaa agtttacaac ataatctagt ttacagaaaa atcttgtgct agaatacttt 2040ttaaaaggta ttttgaatac cattaaaact gctttttttt ttccagcaag tatccaacca 2100acttggttct gcttcaataa atctttggaa aaactcaaaa aaaaaaaaaa a 21519781PRTHomo sapiensbeta-catenin (CTNNB), catenin beta-1 (CTNNB1), cadherin-associated protein, armadillo homolog, MRD19 9Met Ala Thr Gln Ala Asp Leu Met Glu Leu Asp Met Ala Met Glu Pro1 5 10 15Asp Arg Lys Ala Ala Val Ser His Trp Gln Gln Gln Ser Tyr Leu Asp 20 25 30Ser Gly Ile His Ser Gly Ala Thr Thr Thr Ala Pro Ser Leu Ser Gly 35 40 45Lys Gly Asn Pro Glu Glu Glu Asp Val Asp Thr Ser Gln Val Leu Tyr 50 55 60Glu Trp Glu Gln Gly Phe Ser Gln Ser Phe Thr Gln Glu Gln Val Ala65 70 75 80Asp Ile Asp Gly Gln Tyr Ala Met Thr Arg Ala Gln Arg Val Arg Ala 85 90 95Ala Met Phe Pro Glu Thr Leu Asp Glu Gly Met Gln Ile Pro Ser Thr 100 105 110Gln Phe Asp Ala Ala His Pro Thr Asn Val Gln Arg Leu Ala Glu Pro 115 120 125Ser Gln Met Leu Lys His Ala Val Val Asn Leu Ile Asn Tyr Gln Asp 130 135 140Asp Ala Glu Leu Ala Thr Arg Ala Ile Pro Glu Leu Thr Lys Leu Leu145 150 155 160Asn Asp Glu Asp Gln Val Val Val Asn Lys Ala Ala Val Met Val His 165 170 175Gln Leu Ser Lys Lys Glu Ala Ser Arg His Ala Ile Met Arg Ser Pro 180 185 190Gln Met Val Ser Ala Ile Val Arg Thr Met Gln Asn Thr Asn Asp Val 195 200 205Glu Thr Ala Arg Cys Thr Ala Gly Thr Leu His Asn Leu Ser His His 210 215 220Arg Glu Gly Leu Leu Ala Ile Phe Lys Ser Gly Gly Ile Pro Ala Leu225 230 235 240Val Lys Met Leu Gly Ser Pro Val Asp Ser Val Leu Phe Tyr Ala Ile 245 250 255Thr Thr Leu His Asn Leu Leu Leu His Gln Glu Gly Ala Lys Met Ala 260 265 270Val Arg Leu Ala Gly Gly Leu Gln Lys Met Val Ala Leu Leu Asn Lys 275 280 285Thr Asn Val Lys Phe Leu Ala Ile Thr Thr Asp Cys Leu Gln Ile Leu 290 295 300Ala Tyr Gly Asn Gln Glu Ser Lys Leu Ile Ile Leu Ala Ser Gly Gly305 310 315 320Pro Gln Ala Leu Val Asn Ile Met Arg Thr Tyr Thr Tyr Glu Lys Leu 325 330 335Leu Trp Thr Thr Ser Arg Val Leu Lys Val Leu Ser Val Cys Ser Ser 340 345 350Asn Lys Pro Ala Ile Val Glu Ala Gly Gly Met Gln Ala Leu Gly Leu 355 360 365His Leu Thr Asp Pro Ser Gln Arg Leu Val Gln Asn Cys Leu Trp Thr 370 375 380Leu Arg Asn Leu Ser Asp Ala Ala Thr Lys Gln Glu Gly Met Glu Gly385 390 395 400Leu Leu Gly Thr Leu Val Gln Leu Leu Gly Ser Asp Asp Ile Asn Val 405 410 415Val Thr Cys Ala Ala Gly Ile Leu Ser Asn Leu Thr Cys Asn Asn Tyr 420 425 430Lys Asn Lys Met Met Val Cys Gln Val Gly Gly Ile Glu Ala Leu Val 435 440 445Arg Thr Val Leu Arg Ala Gly Asp Arg Glu Asp Ile Thr Glu Pro Ala 450 455 460Ile Cys Ala Leu Arg His Leu Thr Ser Arg His Gln Glu Ala Glu Met465 470 475 480Ala Gln Asn Ala Val Arg Leu His Tyr Gly Leu Pro Val Val Val Lys 485 490 495Leu Leu His Pro Pro Ser His Trp Pro Leu Ile Lys Ala Thr Val Gly 500 505 510Leu Ile Arg Asn Leu Ala Leu Cys Pro Ala Asn His Ala Pro Leu Arg 515 520 525Glu Gln Gly Ala Ile Pro Arg Leu Val Gln Leu Leu Val Arg Ala His 530 535 540Gln Asp Thr Gln Arg Arg Thr Ser Met Gly Gly Thr Gln Gln Gln Phe545 550 555 560Val Glu Gly Val Arg Met Glu Glu Ile Val Glu Gly Cys Thr Gly Ala 565 570 575Leu His Ile Leu Ala Arg Asp Val His Asn Arg Ile Val Ile Arg Gly 580 585 590Leu Asn Thr Ile Pro Leu Phe Val Gln Leu Leu Tyr Ser Pro Ile Glu 595 600 605Asn Ile Gln Arg Val Ala Ala Gly Val Leu Cys Glu Leu Ala Gln Asp 610 615 620Lys Glu Ala Ala Glu Ala Ile Glu Ala Glu Gly Ala Thr Ala Pro Leu625 630 635 640Thr Glu Leu Leu His Ser Arg Asn Glu Gly Val Ala Thr Tyr Ala Ala 645 650 655Ala Val Leu Phe Arg Met Ser Glu Asp Lys Pro Gln Asp Tyr Lys Lys 660 665 670Arg Leu Ser Val Glu Leu Thr Ser Ser Leu Phe Arg Thr Glu Pro Met 675 680 685Ala Trp Asn Glu Thr Ala Asp Leu Gly Leu Asp Ile Gly Ala Gln Gly 690 695 700Glu Pro Leu Gly Tyr Arg Gln Asp Asp Pro Ser Tyr Arg Ser Phe His705 710 715 720Ser Gly Gly Tyr Gly Gln Asp Ala Leu Gly Met Asp Pro Met Met Glu 725 730 735His Glu Met Gly Gly His His Pro Gly Ala Asp Tyr Pro Val Asp Gly 740 745 750Leu Pro Asp Leu Gly His Ala Gln Asp Leu Met Asp Gly Leu Pro Pro 755 760 765Gly Asp Ser Asn Gln Leu Ala Trp Phe Asp Thr Asp Leu 770 775 780103256DNAHomo sapiensbeta-catenin (CTNNB), catenin beta-1 (CTNNB1) transcript variant 3, cadherin-associated protein, armadillo homolog, MRD19 10aggatacagc ggcttctgcg cgacttataa gagctccttg tgcggcgcca ttttaagcct 60ctcggtctgt ggcagcagcg ttggcccggc cccgggagcg gagagcgagg ggaggcggag 120acggaggaag gtctgaggag cagcttcagt ccccgccgag ccgccaccgc aggtcgagga 180cggtcggact cccgcggcgg gaggagcctg ttcccctgag ggtatttgaa gtataccata 240caactgtttt gaaaatccag cgtggacaat ggctactcaa gctgatttga tggagttgga 300catggccatg gaaccagaca gaaaagcggc tgttagtcac tggcagcaac agtcttacct 360ggactctgga atccattctg gtgccactac cacagctcct tctctgagtg gtaaaggcaa 420tcctgaggaa gaggatgtgg atacctccca agtcctgtat gagtgggaac agggattttc 480tcagtccttc actcaagaac aagtagctga tattgatgga cagtatgcaa tgactcgagc 540tcagagggta cgagctgcta tgttccctga gacattagat gagggcatgc agatcccatc 600tacacagttt gatgctgctc atcccactaa tgtccagcgt ttggctgaac catcacagat 660gctgaaacat gcagttgtaa acttgattaa ctatcaagat gatgcagaac ttgccacacg 720tgcaatccct gaactgacaa aactgctaaa tgacgaggac caggtggtgg ttaataaggc 780tgcagttatg gtccatcagc tttctaaaaa ggaagcttcc agacacgcta tcatgcgttc 840tcctcagatg gtgtctgcta ttgtacgtac catgcagaat acaaatgatg tagaaacagc 900tcgttgtacc gctgggacct tgcataacct ttcccatcat cgtgagggct tactggccat 960ctttaagtct ggaggcattc ctgccctggt gaaaatgctt ggttcaccag tggattctgt 1020gttgttttat gccattacaa ctctccacaa ccttttatta catcaagaag gagctaaaat 1080ggcagtgcgt ttagctggtg ggctgcagaa aatggttgcc ttgctcaaca aaacaaatgt 1140taaattcttg gctattacga cagactgcct tcaaatttta gcttatggca accaagaaag 1200caagctcatc atactggcta gtggtggacc ccaagcttta gtaaatataa tgaggaccta 1260tacttacgaa aaactactgt ggaccacaag cagagtgctg aaggtgctat ctgtctgctc 1320tagtaataag ccggctattg tagaagctgg tggaatgcaa gctttaggac ttcacctgac 1380agatccaagt caacgtcttg ttcagaactg tctttggact ctcaggaatc tttcagatgc 1440tgcaactaaa caggaaggga tggaaggtct ccttgggact cttgttcagc ttctgggttc 1500agatgatata aatgtggtca cctgtgcagc tggaattctt tctaacctca cttgcaataa 1560ttataagaac aagatgatgg tctgccaagt gggtggtata gaggctcttg tgcgtactgt 1620ccttcgggct ggtgacaggg aagacatcac tgagcctgcc atctgtgctc ttcgtcatct 1680gaccagccga caccaagaag cagagatggc ccagaatgca gttcgccttc actatggact 1740accagttgtg gttaagctct tacacccacc atcccactgg cctctgataa aggctactgt

1800tggattgatt cgaaatcttg ccctttgtcc cgcaaatcat gcacctttgc gtgagcaggg 1860tgccattcca cgactagttc agttgcttgt tcgtgcacat caggataccc agcgccgtac 1920gtccatgggt gggacacagc agcaatttgt ggagggggtc cgcatggaag aaatagttga 1980aggttgtacc ggagcccttc acatcctagc tcgggatgtt cacaaccgaa ttgttatcag 2040aggactaaat accattccat tgtttgtgca gctgctttat tctcccattg aaaacatcca 2100aagagtagct gcaggggtcc tctgtgaact tgctcaggac aaggaagctg cagaagctat 2160tgaagctgag ggagccacag ctcctctgac agagttactt cactctagga atgaaggtgt 2220ggcgacatat gcagctgctg ttttgttccg aatgtctgag gacaagccac aagattacaa 2280gaaacggctt tcagttgagc tgaccagctc tctcttcaga acagagccaa tggcttggaa 2340tgagactgct gatcttggac ttgatattgg tgcccaggga gaaccccttg gatatcgcca 2400ggatgatcct agctatcgtt cttttcactc tggtggatat ggccaggatg ccttgggtat 2460ggaccccatg atggaacatg agatgggtgg ccaccaccct ggtgctgact atccagttga 2520tgggctgcca gatctggggc atgcccagga cctcatggat gggctgcctc caggtgacag 2580caatcagctg gcctggtttg atactgacct gtaaatcatc ctttaggagt aacaatacaa 2640atggattttg ggagtgactc aagaagtgaa gaatgcacaa gaatggatca caagatggaa 2700tttatcaaac cctagccttg cttgttaaat tttttttttt ttttttttaa gaatatctgt 2760aatggtactg actttgcttg ctttgaagta gctctttttt tttttttttt tttttttttg 2820cagtaactgt tttttaagtc tctcgtagtg ttaagttata gtgaatactg ctacagcaat 2880ttctaatttt taagaattga gtaatggtgt agaacactaa ttcataatca ctctaattaa 2940ttgtaatctg aataaagtgt aacaattgtg tagccttttt gtataaaata gacaaataga 3000aaatggtcca attagtttcc tttttaatat gcttaaaata agcaggtgga tctatttcat 3060gtttttgatc aaaaactatt tgggatatgt atgggtaggg taaatcagta agaggtgtta 3120tttggaacct tgttttggac agtttaccag ttgcctttta tcccaaagtt gttgtaacct 3180gctgtgatac gatgcttcaa gagaaaatgc ggttataaaa aatggttcag aattaaactt 3240ttaattcatt cgattg 325611387PRTHomo sapiensmilk fat globule-EGF factor 8 protein (MFGE8, MFG-E8), lactadherin isoform a preprotein, sperm associated antigen 10 (SPAG10), O-acetyl disialogangliocide synthase (OAcGD3S), medin, sperm surface protein hP47, breast epithelial antigen BA46 11Met Pro Arg Pro Arg Leu Leu Ala Ala Leu Cys Gly Ala Leu Leu Cys1 5 10 15Ala Pro Ser Leu Leu Val Ala Leu Asp Ile Cys Ser Lys Asn Pro Cys 20 25 30His Asn Gly Gly Leu Cys Glu Glu Ile Ser Gln Glu Val Arg Gly Asp 35 40 45Val Phe Pro Ser Tyr Thr Cys Thr Cys Leu Lys Gly Tyr Ala Gly Asn 50 55 60His Cys Glu Thr Lys Cys Val Glu Pro Leu Gly Leu Glu Asn Gly Asn65 70 75 80Ile Ala Asn Ser Gln Ile Ala Ala Ser Ser Val Arg Val Thr Phe Leu 85 90 95Gly Leu Gln His Trp Val Pro Glu Leu Ala Arg Leu Asn Arg Ala Gly 100 105 110Met Val Asn Ala Trp Thr Pro Ser Ser Asn Asp Asp Asn Pro Trp Ile 115 120 125Gln Val Asn Leu Leu Arg Arg Met Trp Val Thr Gly Val Val Thr Gln 130 135 140Gly Ala Ser Arg Leu Ala Ser His Glu Tyr Leu Lys Ala Phe Lys Val145 150 155 160Ala Tyr Ser Leu Asn Gly His Glu Phe Asp Phe Ile His Asp Val Asn 165 170 175Lys Lys His Lys Glu Phe Val Gly Asn Trp Asn Lys Asn Ala Val His 180 185 190Val Asn Leu Phe Glu Thr Pro Val Glu Ala Gln Tyr Val Arg Leu Tyr 195 200 205Pro Thr Ser Cys His Thr Ala Cys Thr Leu Arg Phe Glu Leu Leu Gly 210 215 220Cys Glu Leu Asn Gly Cys Ala Asn Pro Leu Gly Leu Lys Asn Asn Ser225 230 235 240Ile Pro Asp Lys Gln Ile Thr Ala Ser Ser Ser Tyr Lys Thr Trp Gly 245 250 255Leu His Leu Phe Ser Trp Asn Pro Ser Tyr Ala Arg Leu Asp Lys Gln 260 265 270Gly Asn Phe Asn Ala Trp Val Ala Gly Ser Tyr Gly Asn Asp Gln Trp 275 280 285Leu Gln Val Asp Leu Gly Ser Ser Lys Glu Val Thr Gly Ile Ile Thr 290 295 300Gln Gly Ala Arg Asn Phe Gly Ser Val Gln Phe Val Ala Ser Tyr Lys305 310 315 320Val Ala Tyr Ser Asn Asp Ser Ala Asn Trp Thr Glu Tyr Gln Asp Pro 325 330 335Arg Thr Gly Ser Ser Lys Ile Phe Pro Gly Asn Trp Asp Asn His Ser 340 345 350His Lys Lys Asn Leu Phe Glu Thr Pro Ile Leu Ala Arg Tyr Val Arg 355 360 365Ile Leu Pro Val Ala Trp His Asn Arg Ile Ala Leu Arg Leu Glu Leu 370 375 380Leu Gly Cys385122005DNAHomo sapiensmilk fat globule-EGF factor 8 protein (MFGE8, MFG-E8), lactadherin transcript variant 1, sperm associated antigen 10 (SPAG10), O-acetyl disialogangliocide synthase (OAcGD3S), medin, sperm surface protein hP47, breast epithelial antigen BA46 12agtgggaggt gctgagccgc ctgatttatt ccggtcccag aggagaaggc gccagaaccc 60cgcggggtct gagcagccca gcgtgcccat tccagcgccc gcgtccccgc agcatgccgc 120gcccccgcct gctggccgcg ctgtgcggcg cgctgctctg cgcccccagc ctcctcgtcg 180ccctggatat ctgttccaaa aacccctgcc acaacggtgg tttatgcgag gagatttccc 240aagaagtgcg aggagatgtc ttcccctcgt acacctgcac gtgccttaag ggctacgcgg 300gcaaccactg tgagacgaaa tgtgtcgagc cactgggcct ggagaatggg aacattgcca 360actcacagat cgccgcctcg tctgtgcgtg tgaccttctt gggtttgcag cattgggtcc 420cggagctggc ccgcctgaac cgcgcaggca tggtcaatgc ctggacaccc agcagcaatg 480acgataaccc ctggatccag gtgaacctgc tgcggaggat gtgggtaaca ggtgtggtga 540cgcagggtgc cagccgcttg gccagtcatg agtacctgaa ggccttcaag gtggcctaca 600gccttaatgg acacgaattc gatttcatcc atgatgttaa taaaaaacac aaggagtttg 660tgggtaactg gaacaaaaac gcggtgcatg tcaacctgtt tgagacccct gtggaggctc 720agtacgtgag attgtacccc acgagctgcc acacggcctg cactctgcgc tttgagctac 780tgggctgtga gctgaacgga tgcgccaatc ccctgggcct gaagaataac agcatccctg 840acaagcagat cacggcctcc agcagctaca agacctgggg cttgcatctc ttcagctgga 900acccctccta tgcacggctg gacaagcagg gcaacttcaa cgcctgggtt gcggggagct 960acggtaacga tcagtggctg caggtggacc tgggctcctc gaaggaggtg acaggcatca 1020tcacccaggg ggcccgtaac tttggctctg tccagtttgt ggcatcctac aaggttgcct 1080acagtaatga cagtgcgaac tggactgagt accaggaccc caggactggc agcagtaaga 1140tcttccctgg caactgggac aaccactccc acaagaagaa cttgtttgag acgcccatcc 1200tggctcgcta tgtgcgcatc ctgcctgtag cctggcacaa ccgcatcgcc ctgcgcctgg 1260agctgctggg ctgttagtgg ccacctgcca cccccaggtc ttcctgcttt ccatgggccc 1320gctgcctctt ggcttctcag cccctttaaa tcaccatagg gctggggact ggggaagggg 1380agggtgttca gaggcagcac caccacacag tcacccctcc ctccctcttt cccaccctcc 1440acctctcacg ggccctgccc cagcccctaa gccccgtccc ctaaccccca gtcctcactg 1500tcctgttttc ttaggcactg agggatctga gtaggtctgg gatggacagg aaagggcaaa 1560gtagggcgtg tggtttccct gcccctgtcc ggaccgccga tcccaggtgc gtgtgtctct 1620gtctctccta gcccctctct cacacatcac attcccatgg tggcctcaag aaaggcccgg 1680aagcgccagg ctggagataa cagcctcttg cccgtcggcc ctgcgtcggc cctggggtac 1740catgtggcca caactgctgt ggccccctgt ccccaagaca cttccccttg tctccctggt 1800tgcctctctt gccccttgtc ctgaagccca gcgacacaga agggggtggg gcgggtctat 1860ggggagaaag ggagcgaggt cagaggaggg catgggttgg cagggtgggc gtttggggcc 1920ctctatgctg gcttttcacc ccagaggaca caggcagctt ccaaaatata tttatcttct 1980tcacgggaaa aaaaaaaaaa aaaaa 200513354PRTHomo sapiensmacrophage antigen CD68, microsialin isoform A precursor, lysosomal/endosomal-associated membrane glycoprotein 4 (LAMP4), scavenger receptor class D, member 1 (SCARD1), GP110 13Met Arg Leu Ala Val Leu Phe Ser Gly Ala Leu Leu Gly Leu Leu Ala1 5 10 15Ala Gln Gly Thr Gly Asn Asp Cys Pro His Lys Lys Ser Ala Thr Leu 20 25 30Leu Pro Ser Phe Thr Val Thr Pro Thr Val Thr Glu Ser Thr Gly Thr 35 40 45Thr Ser His Arg Thr Thr Lys Ser His Lys Thr Thr Thr His Arg Thr 50 55 60Thr Thr Thr Gly Thr Thr Ser His Gly Pro Thr Thr Ala Thr His Asn65 70 75 80Pro Thr Thr Thr Ser His Gly Asn Val Thr Val His Pro Thr Ser Asn 85 90 95Ser Thr Ala Thr Ser Gln Gly Pro Ser Thr Ala Thr His Ser Pro Ala 100 105 110Thr Thr Ser His Gly Asn Ala Thr Val His Pro Thr Ser Asn Ser Thr 115 120 125Ala Thr Ser Pro Gly Phe Thr Ser Ser Ala His Pro Glu Pro Pro Pro 130 135 140Pro Ser Pro Ser Pro Ser Pro Thr Ser Lys Glu Thr Ile Gly Asp Tyr145 150 155 160Thr Trp Thr Asn Gly Ser Gln Pro Cys Val His Leu Gln Ala Gln Ile 165 170 175Gln Ile Arg Val Met Tyr Thr Thr Gln Gly Gly Gly Glu Ala Trp Gly 180 185 190Ile Ser Val Leu Asn Pro Asn Lys Thr Lys Val Gln Gly Ser Cys Glu 195 200 205Gly Ala His Pro His Leu Leu Leu Ser Phe Pro Tyr Gly His Leu Ser 210 215 220Phe Gly Phe Met Gln Asp Leu Gln Gln Lys Val Val Tyr Leu Ser Tyr225 230 235 240Met Ala Val Glu Tyr Asn Val Ser Phe Pro His Ala Ala Gln Trp Thr 245 250 255Phe Ser Ala Gln Asn Ala Ser Leu Arg Asp Leu Gln Ala Pro Leu Gly 260 265 270Gln Ser Phe Ser Cys Ser Asn Ser Ser Ile Ile Leu Ser Pro Ala Val 275 280 285His Leu Asp Leu Leu Ser Leu Arg Leu Gln Ala Ala Gln Leu Pro His 290 295 300Thr Gly Val Phe Gly Gln Ser Phe Ser Cys Pro Ser Asp Arg Ser Ile305 310 315 320Leu Leu Pro Leu Ile Ile Gly Leu Ile Leu Leu Gly Leu Leu Ala Leu 325 330 335Val Leu Ile Ala Phe Cys Ile Ile Arg Arg Arg Pro Ser Ala Tyr Gln 340 345 350Ala Leu141872DNAHomo sapiensmacrophage antigen CD68, microsialin transcript variant 1, lysosomal/endosomal-associated membrane glycoprotein 4 (LAMP4), scavenger receptor class D, member 1 (SCARD1), GP110 14ttaattacaa aaactaatga ctaagagaga ggtggctaga gctgaggccc ctgagtcagg 60ctgtgggtgg gatcatctcc agtacaggaa gtgagacttt catttcctcc tttccaagag 120agggctgagg gagcagggtt gagcaactgg tgcagacagc ctagctggac tttgggtgag 180gcggttcagc catgaggctg gctgtgcttt tctcgggggc cctgctgggg ctactggcag 240cccaggggac agggaatgac tgtcctcaca aaaaatcagc tactttgctg ccatccttca 300cggtgacacc cacggttaca gagagcactg gaacaaccag ccacaggact accaagagcc 360acaaaaccac cactcacagg acaaccacca caggcaccac cagccacgga cccacgactg 420ccactcacaa ccccaccacc accagccatg gaaacgtcac agttcatcca acaagcaata 480gcactgccac cagccaggga ccctcaactg ccactcacag tcctgccacc actagtcatg 540gaaatgccac ggttcatcca acaagcaaca gcactgccac cagcccagga ttcaccagtt 600ctgcccaccc agaaccacct ccaccctctc cgagtcctag cccaacctcc aaggagacca 660ttggagacta cacgtggacc aatggttccc agccctgtgt ccacctccaa gcccagattc 720agattcgagt catgtacaca acccagggtg gaggagaggc ctggggcatc tctgtactga 780accccaacaa aaccaaggtc cagggaagct gtgagggtgc ccatccccac ctgcttctct 840cattccccta tggacacctc agctttggat tcatgcagga cctccagcag aaggttgtct 900acctgagcta catggcggtg gagtacaatg tgtccttccc ccacgcagca cagtggacat 960tctcggctca gaatgcatcc cttcgagatc tccaagcacc cctggggcag agcttcagtt 1020gcagcaactc gagcatcatt ctttcaccag ctgtccacct cgacctgctc tccctgaggc 1080tccaggctgc tcagctgccc cacacagggg tctttgggca aagtttctcc tgccccagtg 1140accggtccat cttgctgcct ctcatcatcg gcctgatcct tcttggcctc ctcgccctgg 1200tgcttattgc tttctgcatc atccggagac gcccatccgc ctaccaggcc ctctgagcat 1260ttgcttcaaa ccccagggca ctgagggggt tggggtgtgg tgggggggta cccttatttc 1320ctcgacacgc aactggctca aagacaatgt tattttcctt ccctttcttg aagaacaaaa 1380agaaagccgg gcatgacggc tcatgcctgt aatcccagca ctttgggagg ctgaggcagg 1440tggatcactg gaggtcagga gtttgagacc agcctggcca acatggtgaa accctgtctc 1500tactaaaaat acaattagcc aggtgtggcg gcgtaatccc agctggcctg taatcccagc 1560tacttgggag gctgaggcag aactgcttga acccaggagg tggaggttgc agtgagccgt 1620catcgcgcca ctaagccaag atcgcgccac tgcactccag cctgggcgac agagccagac 1680tgtctcaaat aaataaatat gagataatgc agtcgggaga agggagggag agaattttat 1740taaatgtgac gaactgcccc cccccccccc ccagcaggag agcagcaaaa tttatgcaaa 1800tctttgacgg ggttttcctt gtcctgccag gattaaaagc catgagtttc ttgtcaaaaa 1860aaaaaaaaaa aa 1872

Claims

1. A method of identifying a subject as a candidate for treatment with ionizing radiation, comprising: (a) determining an expression level of two or more biomarkers in a tumor sample from the subject, wherein the one or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluman, beta-catenin, MFG-E8 and CD68; and (b) comparing the expression level of the two or more biomarkers to an expression level in a normal tissue sample; wherein an expression level of the two or more biomarkers in the tumor sample that is modified compared to the expression level in the normal tissue sample identifies the subject as a candidate for treatment with ionizing radiation.

2. The method of claim 1, wherein the expression level of the two of more biomarkers is ranked or weighted.

3. The method of claim 1, wherein the expression level of biomarkers CD44 and CD68 is increased in the tumor environment.

4. The method of claim 1, wherein the tumor sample is a biopsy comprising tumor cells.

5. The method of claim 1, wherein the normal tissue sample comprises non-tumor cells from the same tissue type as the tumor.

6. The method of claim 1, wherein the biomarker is a gene, an RNA, or a protein and the expression level is determined by detecting the expression of an RNA and/or a protein.

7. The method of claim 6, wherein the detecting is selected from the group consisting of immunohistochemistry, ELISA, Western analysis, HPLC, proteomics, PCR, RT-PCR, Northern analysis, and nucleic acid or polypeptide microarrays.

8. The method of claim 1, further comprising treating the subject with ionizing radiation if the expression level of the two or more biomarkers in the tumor sample is modified compared to the expression level in the normal tissue sample.

9. The method of claim 8, wherein the treatment further comprises contacting the tumor with a radiosensitizer.

10. The method of claim 8, wherein the treatment further comprises administering a compound that inhibits TGF-beta signaling to the subject.

11. The method of claim 10, wherein the TGF-beta inhibitor is an antibody or a small molecule that neutralizes or inhibits TGF-beta function, or the TGF-beta inhibitor inhibits the production of TGF-beta.

12. A method for selecting a treatment for a subject having a tumor, comprising: (a) determining an expression level of two or more biomarkers in a tumor sample from the subject, wherein the two or more biomarkers are selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8 and CD68; (b) comparing the expression level of the two or more biomarkers to an expression level in a normal tissue sample; and selecting a treatment if the expression level of the two or more biomarkers is modified compared to the expression level in the normal tissue sample.

13. The method of claim 12, wherein the expression level of biomarkers CD44 and CD68 is increased in the tumor environment.

14. The method of claim 12, wherein the tumor sample is a biopsy comprising tumor cells.

15. The method of claim 12, wherein the normal tissue sample comprises non-tumor cells from the same tissue type as the tumor.

16. The method of claim 12, wherein the treatment comprises administering ionizing radiation to the tumor.

17. The method of claim 16, wherein the treatment further comprises contacting the tumor with a radiosensitizer.

18. The method of claim 16, wherein the treatment further comprises administering a compound that inhibits TGF-beta signaling to the subject.

19. The method of claim 18, wherein the TGF-beta inhibitor is an antibody or a small molecule that neutralizes or inhibits TGF-beta function, or the TGF-beta inhibitor inhibits the production of TGF-beta.

20. A kit comprising reagents capable of detecting expression of a biomarker selected from the group consisting of CD44, MMP9, ALDH1A1, Vimentin, hyaluronan, beta-catenin, MFG-E8 and CD68.