A key genomic subtype associated with lymphovascular invasion in invasive breast cancer.


Journal

British journal of cancer
ISSN: 1532-1827
Titre abrégé: Br J Cancer
Pays: England
ID NLM: 0370635

Informations de publication

Date de publication:
06 2019
Historique:
received: 30 11 2018
accepted: 02 05 2019
revised: 24 04 2019
pubmed: 23 5 2019
medline: 19 3 2020
entrez: 23 5 2019
Statut: ppublish

Résumé

Lymphovascular invasion (LVI) is associated with the development of metastasis in invasive breast cancer (BC). However, the complex molecular mechanisms of LVI, which overlap with other oncogenic pathways, remain unclear. This study, using available large transcriptomic datasets, aims to identify genes associated with LVI in early-stage BC patients. Gene expression data from the Molecular Taxonomy of Breast Cancer International Consortium (METABRIC) cohort (n = 1565) was used as a discovery dataset, and The Cancer Genome Atlas (TCGA; n = 854) cohort was used as a validation dataset. Key genes were identified on the basis of differential mRNA expression with respect to LVI status as characterised by histological review. The relationships among LVI-associated genomic subtype, clinicopathological features and patient outcomes were explored. A 99-gene set was identified that demonstrated significantly different expression between LVI-positive and LVI-negative cases. Clustering analysis with this gene set further divided cases into two molecular subtypes (subtypes 1 and 2), which were significantly associated with pathology-determined LVI status in both cohorts. The 10-year overall survival of subtype 2 was significantly worse than that of subtype 1. This study demonstrates that LVI in BC is associated with a specific transcriptomic profile with potential prognostic value.

Sections du résumé

BACKGROUND
Lymphovascular invasion (LVI) is associated with the development of metastasis in invasive breast cancer (BC). However, the complex molecular mechanisms of LVI, which overlap with other oncogenic pathways, remain unclear. This study, using available large transcriptomic datasets, aims to identify genes associated with LVI in early-stage BC patients.
METHODS
Gene expression data from the Molecular Taxonomy of Breast Cancer International Consortium (METABRIC) cohort (n = 1565) was used as a discovery dataset, and The Cancer Genome Atlas (TCGA; n = 854) cohort was used as a validation dataset. Key genes were identified on the basis of differential mRNA expression with respect to LVI status as characterised by histological review. The relationships among LVI-associated genomic subtype, clinicopathological features and patient outcomes were explored.
RESULTS
A 99-gene set was identified that demonstrated significantly different expression between LVI-positive and LVI-negative cases. Clustering analysis with this gene set further divided cases into two molecular subtypes (subtypes 1 and 2), which were significantly associated with pathology-determined LVI status in both cohorts. The 10-year overall survival of subtype 2 was significantly worse than that of subtype 1.
CONCLUSION
This study demonstrates that LVI in BC is associated with a specific transcriptomic profile with potential prognostic value.

Identifiants

pubmed: 31114020
doi: 10.1038/s41416-019-0486-6
pii: 10.1038/s41416-019-0486-6
pmc: PMC6738092
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1129-1136

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Auteurs

Sasagu Kurozumi (S)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.
Department of General Surgical Science, Gunma University Graduate School of Medicine, Gunma, Japan.

Chitra Joseph (C)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.

Sultan Sonbul (S)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.

Sami Alsaeed (S)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.

Yousif Kariri (Y)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.

Abrar Aljohani (A)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.

Sara Raafat (S)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.

Mansour Alsaleem (M)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.

Angela Ogden (A)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.

Simon J Johnston (SJ)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.

Mohammed A Aleskandarany (MA)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.
Faculty of Medicine, Menoufyia University, Shebin al Kawm, Egypt.

Takaaki Fujii (T)

Department of General Surgical Science, Gunma University Graduate School of Medicine, Gunma, Japan.

Ken Shirabe (K)

Department of General Surgical Science, Gunma University Graduate School of Medicine, Gunma, Japan.

Carlos Caldas (C)

Cancer Research UK Cambridge Institute and Department of Oncology, University of Cambridge, Cambridge, UK.

Ibraheem Ashankyty (I)

Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.

Leslie Dalton (L)

Department of Histopathology, St. David's South Austin Medical Center, Austin, TX, USA.

Ian O Ellis (IO)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.

Christine Desmedt (C)

Laboratory for Translational Breast Cancer Research, Department of Oncology, KU Leuven, Leuven, Belgium.

Andrew R Green (AR)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK.

Nigel P Mongan (NP)

Biology and Translational Research, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.
Department of Pharmacology, Weill Cornell Medicine, New York, NY, USA.

Emad A Rakha (EA)

Nottingham Breast Cancer Research Centre, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, UK. Emad.Rakha@nottingham.ac.uk.
Faculty of Medicine, Menoufyia University, Shebin al Kawm, Egypt. Emad.Rakha@nottingham.ac.uk.

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