Evaluation of biological pathways involved in chemotherapy response in breast cancer.

Evaluation of biological pathways involved in chemotherapy response in breast cancer.
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评估乳腺癌化学疗法反应的生物途径。

DOI:
10.1186/bcr2088
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发表时间:
2008
影响因子:
7.4
通讯作者:
Pusztai, Lajos
Pusztai, Lajos
中科院分区:
医学1区
文献类型:
--
作者:
Tordai, Attila;Wang, Jing;Andre, Fabrice;Liedtke, Cornelia;Yan, Kai;Sotiriou, Christos;Hortobagyi, Gabriel N.;Symmans, W. Fraser;Pusztai, Lajos

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我们的目标是分别研究雌激素受体阳性(ER+)和ER阴性(ER-)乳腺肿瘤的生物学途径与化疗反应之间的关系。将包括852个预定义基因集的基因集富集分析应用于来自51个ER-和82个ER+乳腺肿瘤的基因表达数据,这些肿瘤均接受了术前紫杉醇、5-氟尿嘧啶、多柔比星和环磷酰胺化疗。27例(53%)ER-和7例(9%)ER+患者对治疗有病理学完全缓解(pCR)。在ER肿瘤中,增殖基因特征(假发现率[FDR] q = 0.1)、基因组分级指数(FDR q = 0.044)和E2 F3途径特征(FDR q = 0.22,P = 0.07)在pCR组中富集。在ER+肿瘤中,增殖特征(FDR q = 0.001)和基因组分级指数(FDR q = 0.015)在pCR病例中也显著富集。Ki 67表达作为增殖的单基因标记物,不提供与整个增殖标记相同的信息。ER相关基因集(FDR q = 0.03)和突变型p53基因签名(FDR q = 0.0019)在具有残留癌的ER+肿瘤中富集。增殖和基因组分级相关的基因特征与ER-和ER+乳腺肿瘤的化疗敏感性相关。参与E2 F3通路的基因与ER肿瘤的化疗敏感性相关。突变型p53特征和ER相关基因的表达仅与ER+乳腺肿瘤对化疗的敏感性降低相关。
Our goal was to examine the association between biological pathways and response to chemotherapy in estrogen receptor-positive (ER+) and ER-negative (ER-) breast tumors separately. Gene set enrichment analysis including 852 predefined gene sets was applied to gene expression data from 51 ER- and 82 ER+ breast tumors that were all treated with a preoperative paclitaxel, 5-fluoruracil, doxorubicin, and cyclophosphamide chemotherapy. Twenty-seven (53%) ER- and 7 (9%) ER+ patients had pathologic complete response (pCR) to therapy. Among the ER- tumors, a proliferation gene signature (false discovery rate [FDR] q = 0.1), the genomic grade index (FDR q = 0.044), and the E2F3 pathway signature (FDR q = 0.22, P = 0.07) were enriched in the pCR group. Among the ER+ tumors, the proliferation signature (FDR q = 0.001) and the genomic grade index (FDR q = 0.015) were also significantly enriched in cases with pCR. Ki67 expression, as single gene marker of proliferation, did not provide the same information as the entire proliferation signature. An ER-associated gene set (FDR q = 0.03) and a mutant p53 gene signature (FDR q = 0.0019) were enriched in ER+ tumors with residual cancer. Proliferation- and genomic grade-related gene signatures are associated with chemotherapy sensitivity in both ER- and ER+ breast tumors. Genes involved in the E2F3 pathway are associated with chemotherapy sensitivity among ER- tumors. The mutant p53 signature and expression of ER-related genes were associated with lower sensitivity to chemotherapy in ER+ breast tumors only.
DOI: 10.1016/s0140-6736(05)17947-1
发表时间: 2005-02-19
期刊: LANCET
影响因子: 168.9
作者:
Wang, YX;Klijn, JGM;Foekens, JA
通讯作者: Foekens, JA
DOI: 10.1200/jco.2003.01.136
发表时间: 2003-07-01
影响因子: 45.3
作者:
Kaufmann, M;von Minckwitz, G;Senn, HJ
通讯作者: Senn, HJ
DOI: 10.1111/1467-9868.00346
发表时间: 2002-01-01
影响因子: 5.8
作者:
Storey, JD
通讯作者: Storey, JD
DOI: 10.1016/j.ccr.2004.06.026
发表时间: 2004-08-01
期刊: CANCER CELL
影响因子: 50.3
作者:
Szakács, G;Annereau, JP;Gottesman, MM
通讯作者: Gottesman, MM
DOI: 10.1002/cncr.11435
发表时间: 2003-06-15
期刊: CANCER
影响因子: 6.2
作者:
Symmans, WF;Ayers, M;Pusztai, L
通讯作者: Pusztai, L