Gene expression patterns as marker for 5-year postoperative prognosis of primary breast cancers

To establish the novel prognostic markers for breast cancer, gene expression profile was examined genome-wide. We used cDNA microarray consisting of 18,432 human genes to compare genome-wide expression profiles of eight primary breast cancers, four from patients who died of breast cancer within 5 ye...

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Veröffentlicht in:Journal of cancer research and clinical oncology 2004-09, Vol.130 (9), p.537-545
Hauptverfasser: Onda, Masamitsu, Emi, Mitsuru, Nagai, Hisaki, Nagahata, Takemitsu, Tsumagari, Kouji, Fujimoto, Takashi, Akiyama, Futoshi, Sakamoto, Goi, Makita, Masujirou, Kasumi, Fujio, Miki, Yoshio, Tanaka, Toshihiro, Tsunoda, Tatsuhiko, Nakamura, Yusuke
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container_end_page 545
container_issue 9
container_start_page 537
container_title Journal of cancer research and clinical oncology
container_volume 130
creator Onda, Masamitsu
Emi, Mitsuru
Nagai, Hisaki
Nagahata, Takemitsu
Tsumagari, Kouji
Fujimoto, Takashi
Akiyama, Futoshi
Sakamoto, Goi
Makita, Masujirou
Kasumi, Fujio
Miki, Yoshio
Tanaka, Toshihiro
Tsunoda, Tatsuhiko
Nakamura, Yusuke
description To establish the novel prognostic markers for breast cancer, gene expression profile was examined genome-wide. We used cDNA microarray consisting of 18,432 human genes to compare genome-wide expression profiles of eight primary breast cancers, four from patients who died of breast cancer within 5 years after surgery (5D group) and four who survived disease-free for more than 5 years (5S group). We identified 21 genes whose expression was greater in tumors from the 5D group than in 5S tumors, and 23 with higher expression in the 5S group than in the 5D group. We established a Prognostic Index (PI) for prediction of postoperative prognosis, based on the aberrant expression profiles of ten of those genes. Among 20 additional cases chosen blindly, ten presented with high prognostic scores (>7, good) according to the PI; the remaining ten cases revealed scores
doi_str_mv 10.1007/s00432-004-0574-7
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We used cDNA microarray consisting of 18,432 human genes to compare genome-wide expression profiles of eight primary breast cancers, four from patients who died of breast cancer within 5 years after surgery (5D group) and four who survived disease-free for more than 5 years (5S group). We identified 21 genes whose expression was greater in tumors from the 5D group than in 5S tumors, and 23 with higher expression in the 5S group than in the 5D group. We established a Prognostic Index (PI) for prediction of postoperative prognosis, based on the aberrant expression profiles of ten of those genes. Among 20 additional cases chosen blindly, ten presented with high prognostic scores (&gt;7, good) according to the PI; the remaining ten cases revealed scores &lt;7 (poor). The PI predicted the actual 5-year clinical outcomes of these 20 cases with 100% accuracy. Our PI system is reliable in clinical settings for predicting postoperative risk for breast cancer. 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subjects Adult
Aged
Biomarkers, Tumor - analysis
Breast cancer
Breast Neoplasms - chemistry
Breast Neoplasms - genetics
Breast Neoplasms - mortality
Breast Neoplasms - surgery
Clinical outcomes
Female
Gene expression
Gene Expression Regulation, Neoplastic
Genetic Markers
Humans
Middle Aged
Oligonucleotide Array Sequence Analysis
Oncology
Predictive Value of Tests
Prognosis
Reverse Transcriptase Polymerase Chain Reaction
Survival Analysis
Up-Regulation
title Gene expression patterns as marker for 5-year postoperative prognosis of primary breast cancers
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