P1-06-13: An Amplicon-Driven Aromatase Inhibitor Response (ADAIR) Signature Provides an Orthogonal Risk Classifier for ER+ Breast Cancer.
Notice bibliographique
Résumé
Abstract Background: Many gene signatures have been proposed to predict outcomes for estrogen receptor positive (ER+) breast cancer; most are solely based on mRNA expression data without integration of genomic aberrations that are the primary drivers of disease. We coupled gene expression and copy number variation data to improve the current generation of prognostic algorithms. Methods: mRNA expression based discovery was conducted in 167 patients with low (<10%) or high (>10%) levels of Ki67 after neoadjuvant aromatase inhibition. Genes that were significant in SAM analysis (q ≤0.05) were used if significantly correlated (P≤0.05) with copy number gains detected by aCGH. Interrogation for association with relapse-free survival (RFS) (P≤0.05) in a large public microarray dataset produced an Amplicon-Driven Aromatase Inhibitor Response (ADAIR) signature. Each gene was subject to rigorous independent validation in public microarray datasets and by NanoString on archival tumor RNA accrued from patients treated with adjuvant tamoxifen (UBC-TAM) that were previously profiled for PAM50 subtyping and risk of relapse (ROR) analysis. To determine underlying biology, pathway and transcriptional factor (TF) network analyses were conducted. Results: A 54-gene ADAIR signature of 27 FR(favorable response) and 27 UR(unfavorable response) genes was chosen based on statistical and genomic information. 80% of the ADAIR genes were univariately prognostic for RFS in UBC-TAM. The multigene-based ADAIR risk classifier of endocrine sensitive, intermediate and insensitive categories were prognostic for relapse in the combined public data (p=2.72e-08) and UBC-TAM (p= 1.51e-08). Multivariable survival analysis showed that ADAIR was independently prognostic from standard clinical variables. The ADAIR risk classifier was highly concordant with the PAM50-gene based intrinsic subtype and ROR using subtype information (ROR-S) in all datasets in the analysis (for ROR-S, p=3.50E-44 in combined public data and p=2.16E-47 in UBC-TAM). ADAIR significantly stratified the patients in the medium ROR subtype risk group (p= 0.007 in public cohort, p=0.005 in TAM), suggesting clinical utility. Pathway analysis indicated that the FR gene signature was enriched for cell survival genes, while UR genes were largely cell cycle related. Two major TFs, E2F1 and GABPB1 were predicted to regulate 22 and 13 signature genes. Amplification/overexpression of E2F1 regulated genes characterizes the UR signature. In contrast, the FR signature downregulates the transcriptional repressor GABPB1, resulting in upregulated NFKB1 possibly mediating a survival response. Conclusions: These data suggest that current gene expression signatures can be improved upon through the inclusion of genes whose over-expression is linked to the gene copy number gains typical of the ER+ breast cancer genome. Functionally, tumors sensitive to estrogen deprivation are associated with genes that promote cell survival, whereas resistant tumors are associated with genes that drive estrogen independent cell cycle progression. This study underscores the profound differences in the transcriptome of estrogen-dependent and independent breast cancer beyond the patterns identified by the established classifiers. Citation Information: Cancer Res 2011;71(24 Suppl):Abstract nr P1-06-13.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».