Prediction of breast cancer prognosis by gene expression profile of TP53 status

TP53 mutations are a poor prognostic factor in breast cancers. The present study sets out to identify the gene set that determines the expression signature of the TP53 status (TP53 signature) and to correlate it with clinical outcome. Using comprehensive expression analysis and DNA sequencing of the...

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Veröffentlicht in:Cancer science 2008-02, Vol.99 (2), p.324-332
Hauptverfasser: Takahashi, Shin, Moriya, Takuya, Ishida, Takanori, Shibata, Hiroyuki, Sasano, Hironobu, Ohuchi, Noriaki, Ishioka, Chikashi
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container_end_page 332
container_issue 2
container_start_page 324
container_title Cancer science
container_volume 99
creator Takahashi, Shin
Moriya, Takuya
Ishida, Takanori
Shibata, Hiroyuki
Sasano, Hironobu
Ohuchi, Noriaki
Ishioka, Chikashi
description TP53 mutations are a poor prognostic factor in breast cancers. The present study sets out to identify the gene set that determines the expression signature of the TP53 status (TP53 signature) and to correlate it with clinical outcome. Using comprehensive expression analysis and DNA sequencing of the TP53 gene in 38 Japanese breast cancer patients, a gene set from differentially expressed genes was isolated, depending on the TP53 status. As independent external datasets, two published datasets were introduced for validation of TP53 status predictions (251 Swedish samples) and survival analysis (both the Swedish and 295 Dutch samples). Thirty‐three gene sets were identified from microarray analysis. Predictive accuracy of the TP53 status by gene expression profiling was 83.3% in the test set (n = 12). TP53 signature has the ability to predict recurrence‐free survival (RFS) of 29 stage I and stage II Japanese breast cancers (log rank, P = 0.032), and RFS, overall survival of two independently published datasets (log rank, both P 
doi_str_mv 10.1111/j.1349-7006.2007.00691.x
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The present study sets out to identify the gene set that determines the expression signature of the TP53 status (TP53 signature) and to correlate it with clinical outcome. Using comprehensive expression analysis and DNA sequencing of the TP53 gene in 38 Japanese breast cancer patients, a gene set from differentially expressed genes was isolated, depending on the TP53 status. As independent external datasets, two published datasets were introduced for validation of TP53 status predictions (251 Swedish samples) and survival analysis (both the Swedish and 295 Dutch samples). Thirty‐three gene sets were identified from microarray analysis. Predictive accuracy of the TP53 status by gene expression profiling was 83.3% in the test set (n = 12). TP53 signature has the ability to predict recurrence‐free survival (RFS) of 29 stage I and stage II Japanese breast cancers (log rank, P = 0.032), and RFS, overall survival of two independently published datasets (log rank, both P &lt; 0.0001). Multivariate analysis has shown that the TP53 signature an independent and significant prognostic factor with a hazard ratio (HR) for recurrence and survival in two external datasets (P &lt; 0.0001). The TP53 signature is also a strong prognostic factor in the subgroups: estrogen‐receptor positive, lymph node positive and negative, intermediate/high risk in St. Gallen criteria, and high risk in National Cancer Institute (NCI) criteria (log rank, P &lt; 0.0001). TP53 signature is a reliable and independent predictor of the outcome of disease in operated breast cancer. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>Mammary gland diseases</topic><topic>Medical sciences</topic><topic>Oligonucleotide Array Sequence Analysis</topic><topic>Original</topic><topic>Prognosis</topic><topic>Regression Analysis</topic><topic>Survival Analysis</topic><topic>Tumor Suppressor Protein p53 - genetics</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takahashi, Shin</creatorcontrib><creatorcontrib>Moriya, Takuya</creatorcontrib><creatorcontrib>Ishida, Takanori</creatorcontrib><creatorcontrib>Shibata, Hiroyuki</creatorcontrib><creatorcontrib>Sasano, Hironobu</creatorcontrib><creatorcontrib>Ohuchi, Noriaki</creatorcontrib><creatorcontrib>Ishioka, Chikashi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Takahashi, Shin</au><au>Moriya, Takuya</au><au>Ishida, Takanori</au><au>Shibata, Hiroyuki</au><au>Sasano, Hironobu</au><au>Ohuchi, Noriaki</au><au>Ishioka, Chikashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prediction of breast cancer prognosis by gene expression profile of TP53 status</atitle><jtitle>Cancer science</jtitle><addtitle>Cancer Sci</addtitle><date>2008-02</date><risdate>2008</risdate><volume>99</volume><issue>2</issue><spage>324</spage><epage>332</epage><pages>324-332</pages><issn>1347-9032</issn><issn>1349-7006</issn><eissn>1349-7006</eissn><abstract>TP53 mutations are a poor prognostic factor in breast cancers. The present study sets out to identify the gene set that determines the expression signature of the TP53 status (TP53 signature) and to correlate it with clinical outcome. Using comprehensive expression analysis and DNA sequencing of the TP53 gene in 38 Japanese breast cancer patients, a gene set from differentially expressed genes was isolated, depending on the TP53 status. As independent external datasets, two published datasets were introduced for validation of TP53 status predictions (251 Swedish samples) and survival analysis (both the Swedish and 295 Dutch samples). Thirty‐three gene sets were identified from microarray analysis. Predictive accuracy of the TP53 status by gene expression profiling was 83.3% in the test set (n = 12). TP53 signature has the ability to predict recurrence‐free survival (RFS) of 29 stage I and stage II Japanese breast cancers (log rank, P = 0.032), and RFS, overall survival of two independently published datasets (log rank, both P &lt; 0.0001). Multivariate analysis has shown that the TP53 signature an independent and significant prognostic factor with a hazard ratio (HR) for recurrence and survival in two external datasets (P &lt; 0.0001). The TP53 signature is also a strong prognostic factor in the subgroups: estrogen‐receptor positive, lymph node positive and negative, intermediate/high risk in St. Gallen criteria, and high risk in National Cancer Institute (NCI) criteria (log rank, P &lt; 0.0001). TP53 signature is a reliable and independent predictor of the outcome of disease in operated breast cancer. (Cancer Sci 2008; 99: 324–332)</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>18271932</pmid><doi>10.1111/j.1349-7006.2007.00691.x</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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1349-7006
1349-7006
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source Wiley Online Library Open Access
subjects Biological and medical sciences
Breast Neoplasms - diagnosis
Breast Neoplasms - genetics
Female
Gene Expression Profiling
Genetic Markers
Gynecology. Andrology. Obstetrics
Humans
Mammary gland diseases
Medical sciences
Oligonucleotide Array Sequence Analysis
Original
Prognosis
Regression Analysis
Survival Analysis
Tumor Suppressor Protein p53 - genetics
Tumors
title Prediction of breast cancer prognosis by gene expression profile of TP53 status
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