Early detection of breast cancer based on gene-expression patterns in peripheral blood cells

Existing methods to detect breast cancer in asymptomatic patients have limitations, and there is a need to develop more accurate and convenient methods. In this study, we investigated whether early detection of breast cancer is possible by analyzing gene-expression patterns in peripheral blood cells...

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Veröffentlicht in:Breast cancer research : BCR 2005-01, Vol.7 (5), p.R634-R644, Article R634
Hauptverfasser: Sharma, Praveen, Sahni, Narinder S, Tibshirani, Robert, Skaane, Per, Urdal, Petter, Berghagen, Hege, Jensen, Marianne, Kristiansen, Lena, Moen, Cecilie, Sharma, Pradeep, Zaka, Alia, Arnes, Jarle, Sauer, Torill, Akslen, Lars A, Schlichting, Ellen, Børresen-Dale, Anne-Lise, Lönneborg, Anders
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container_end_page R644
container_issue 5
container_start_page R634
container_title Breast cancer research : BCR
container_volume 7
creator Sharma, Praveen
Sahni, Narinder S
Tibshirani, Robert
Skaane, Per
Urdal, Petter
Berghagen, Hege
Jensen, Marianne
Kristiansen, Lena
Moen, Cecilie
Sharma, Pradeep
Zaka, Alia
Arnes, Jarle
Sauer, Torill
Akslen, Lars A
Schlichting, Ellen
Børresen-Dale, Anne-Lise
Lönneborg, Anders
description Existing methods to detect breast cancer in asymptomatic patients have limitations, and there is a need to develop more accurate and convenient methods. In this study, we investigated whether early detection of breast cancer is possible by analyzing gene-expression patterns in peripheral blood cells. Using macroarrays and nearest-shrunken-centroid method, we analyzed the expression pattern of 1,368 genes in peripheral blood cells of 24 women with breast cancer and 32 women with no signs of this disease. The results were validated using a standard leave-one-out cross-validation approach. We identified a set of 37 genes that correctly predicted the diagnostic class in at least 82% of the samples. The majority of these genes had a decreased expression in samples from breast cancer patients, and predominantly encoded proteins implicated in ribosome production and translation control. In contrast, the expression of some defense-related genes was increased in samples from breast cancer patients. The results show that a blood-based gene-expression test can be developed to detect breast cancer early in asymptomatic patients. Additional studies with a large sample size, from women both with and without the disease, are warranted to confirm or refute this finding.
doi_str_mv 10.1186/bcr1203
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subjects Analysis of Variance
Blood cells
Blood Cells - pathology
Breast cancer
Breast Neoplasms - blood
Breast Neoplasms - genetics
Breast Neoplasms - pathology
Diagnosis
DNA microarrays
DNA, Complementary - genetics
DNA, Neoplasm - genetics
False Negative Reactions
False Positive Reactions
Female
Gene expression
Gene Expression Regulation, Neoplastic
Genetic aspects
Humans
Nucleic Acid Hybridization
Oligonucleotide Array Sequence Analysis
Reference Values
Reproducibility of Results
title Early detection of breast cancer based on gene-expression patterns in peripheral blood cells
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