Molecular biomarkers screened by next-generation RNA sequencing for non-sentinel lymph node status prediction in breast cancer patients with metastatic sentinel lymph nodes

Non-sentinel lymph node (NSLN) status prediction with molecular biomarkers may make some sentinel lymph node (SLN) positive breast cancer patients avoid the axillary lymph node dissection, but the available markers remain limited. SLN positive patients with and without NSLN invasion were selected, a...

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Veröffentlicht in:World journal of surgical oncology 2015-08, Vol.13 (1), p.258-258, Article 258
Hauptverfasser: Liang, Feng, Qu, Hongzhu, Lin, Qiang, Yang, Yadong, Ruan, Xiuyan, Zhang, Bo, Liu, Yi, Yu, Chengze, Zhang, Hongyan, Fang, Xiangdong, Hao, Xiaopeng
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container_title World journal of surgical oncology
container_volume 13
creator Liang, Feng
Qu, Hongzhu
Lin, Qiang
Yang, Yadong
Ruan, Xiuyan
Zhang, Bo
Liu, Yi
Yu, Chengze
Zhang, Hongyan
Fang, Xiangdong
Hao, Xiaopeng
description Non-sentinel lymph node (NSLN) status prediction with molecular biomarkers may make some sentinel lymph node (SLN) positive breast cancer patients avoid the axillary lymph node dissection, but the available markers remain limited. SLN positive patients with and without NSLN invasion were selected, and genes differentially expressed or fused in SLN metastasis were screened by next-generation RNA sequencing. Six candidates (all ER/PR+, HER2-, Ki-67
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SLN positive patients with and without NSLN invasion were selected, and genes differentially expressed or fused in SLN metastasis were screened by next-generation RNA sequencing. Six candidates (all ER/PR+, HER2-, Ki-67 &lt;20%) with metastatic SLNs selected from 305 patients were equally categorized as NSLN negative and positive. We identified 103 specifically expressed genes in the NSLN negative group and 47 in the NSLN positive group. Among them, FABP1 (negative group) and CYP2A13 (positive group) were the only 2 protein-encoding genes with expression levels in the 8th to 10th deciles. Using a false discovery rate threshold of &lt;0.05, 62 up-regulated genes and 98 down-regulated genes were discovered in the NSLN positive group. Furthermore, 10 gene fusions were identified in this group with the most frequently fused gene being IGLL5. The biomarkers screened in present study may broaden our understanding of the mechanisms of breast cancer metastasis to the lymph nodes and contribute to the axillary surgery selection for SLN positive patients.</description><identifier>ISSN: 1477-7819</identifier><identifier>EISSN: 1477-7819</identifier><identifier>DOI: 10.1186/s12957-015-0642-2</identifier><identifier>PMID: 26311227</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Biological markers ; Biomarkers, Tumor - genetics ; Breast cancer ; Breast Neoplasms - genetics ; Breast Neoplasms - pathology ; Breast Neoplasms - surgery ; Cancer ; Cancer patients ; Carcinoma, Ductal, Breast - genetics ; Carcinoma, Ductal, Breast - secondary ; Carcinoma, Ductal, Breast - surgery ; Development and progression ; Diagnosis ; Female ; Follow-Up Studies ; Genes ; Genetic aspects ; High-Throughput Nucleotide Sequencing - methods ; Humans ; Lymph Nodes - pathology ; Lymph Nodes - surgery ; Lymphatic Metastasis ; Metastasis ; Neoplasm Grading ; Neoplasm Staging ; Oncology, Experimental ; Physiological aspects ; Prognosis ; Risk factors ; RNA ; RNA sequencing ; Sentinel Lymph Node Biopsy ; Sequence Analysis, RNA - methods</subject><ispartof>World journal of surgical oncology, 2015-08, Vol.13 (1), p.258-258, Article 258</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2015</rights><rights>Liang et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-d63fde8b1cc88d2ee5815cf1691b50c71ac1cefabe59bc1b7a44fa2ee20a31603</citedby><cites>FETCH-LOGICAL-c525t-d63fde8b1cc88d2ee5815cf1691b50c71ac1cefabe59bc1b7a44fa2ee20a31603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4551378/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4551378/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26311227$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liang, Feng</creatorcontrib><creatorcontrib>Qu, Hongzhu</creatorcontrib><creatorcontrib>Lin, Qiang</creatorcontrib><creatorcontrib>Yang, Yadong</creatorcontrib><creatorcontrib>Ruan, Xiuyan</creatorcontrib><creatorcontrib>Zhang, Bo</creatorcontrib><creatorcontrib>Liu, Yi</creatorcontrib><creatorcontrib>Yu, Chengze</creatorcontrib><creatorcontrib>Zhang, Hongyan</creatorcontrib><creatorcontrib>Fang, Xiangdong</creatorcontrib><creatorcontrib>Hao, Xiaopeng</creatorcontrib><title>Molecular biomarkers screened by next-generation RNA sequencing for non-sentinel lymph node status prediction in breast cancer patients with metastatic sentinel lymph nodes</title><title>World journal of surgical oncology</title><addtitle>World J Surg Oncol</addtitle><description>Non-sentinel lymph node (NSLN) status prediction with molecular biomarkers may make some sentinel lymph node (SLN) positive breast cancer patients avoid the axillary lymph node dissection, but the available markers remain limited. SLN positive patients with and without NSLN invasion were selected, and genes differentially expressed or fused in SLN metastasis were screened by next-generation RNA sequencing. Six candidates (all ER/PR+, HER2-, Ki-67 &lt;20%) with metastatic SLNs selected from 305 patients were equally categorized as NSLN negative and positive. We identified 103 specifically expressed genes in the NSLN negative group and 47 in the NSLN positive group. Among them, FABP1 (negative group) and CYP2A13 (positive group) were the only 2 protein-encoding genes with expression levels in the 8th to 10th deciles. Using a false discovery rate threshold of &lt;0.05, 62 up-regulated genes and 98 down-regulated genes were discovered in the NSLN positive group. Furthermore, 10 gene fusions were identified in this group with the most frequently fused gene being IGLL5. The biomarkers screened in present study may broaden our understanding of the mechanisms of breast cancer metastasis to the lymph nodes and contribute to the axillary surgery selection for SLN positive patients.</description><subject>Biological markers</subject><subject>Biomarkers, Tumor - genetics</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - genetics</subject><subject>Breast Neoplasms - pathology</subject><subject>Breast Neoplasms - surgery</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Carcinoma, Ductal, Breast - genetics</subject><subject>Carcinoma, Ductal, Breast - secondary</subject><subject>Carcinoma, Ductal, Breast - surgery</subject><subject>Development and progression</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Genes</subject><subject>Genetic aspects</subject><subject>High-Throughput Nucleotide Sequencing - methods</subject><subject>Humans</subject><subject>Lymph Nodes - pathology</subject><subject>Lymph Nodes - surgery</subject><subject>Lymphatic Metastasis</subject><subject>Metastasis</subject><subject>Neoplasm Grading</subject><subject>Neoplasm Staging</subject><subject>Oncology, Experimental</subject><subject>Physiological aspects</subject><subject>Prognosis</subject><subject>Risk factors</subject><subject>RNA</subject><subject>RNA sequencing</subject><subject>Sentinel Lymph Node Biopsy</subject><subject>Sequence Analysis, RNA - methods</subject><issn>1477-7819</issn><issn>1477-7819</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNptkl2P1CAUhhujcdfVH-CNITEx3nTl0FI6NyaTjV_JqonRa0Lp6ZSVwghUnf_kj5Q66zpjNlzw9bwvcHiL4jHQc4C2eRGBrbgoKfCSNjUr2Z3iFGohStHC6u7B-KR4EOMVpayqeHW_OGFNBcCYOC1-vfcW9WxVIJ3xkwpfMUQSdUB02JNuRxz-TOUmz4JKxjvy6cOaRPw2o9PGbcjgA3HelRFdMg4tsbtpO-alHklMKs2RbAP2Rv8RG0e6gComopXTGMg2m2ZlJD9MGsmESS0io8ktfvFhcW9QNuKj6_6s-PL61eeLt-XlxzfvLtaXpeaMp7JvqqHHtgOt27ZniLwFrgdoVtBxqgUoDRoH1SFfdRo6oep6UJljVFXQ0OqseLn33c7dhL3OVwnKym0wuUA76ZWRxzvOjHLjv8uac6hEmw2eXxsEnysVk5xM1GitcujnKEHQdkUpZ5DRp_-hV34OLj8vUy0VwADEP2qjLErjBp_P1YupXPMaOK2atsnU-S1Ubj1ORnuHg8nrR4JnB4IRlU1j9HZe_ioeg7AHdfAxBhxuigFULlmU-yzKnEW5ZFGyrHlyWMUbxd_wVb8BOFfeHA</recordid><startdate>20150828</startdate><enddate>20150828</enddate><creator>Liang, Feng</creator><creator>Qu, Hongzhu</creator><creator>Lin, Qiang</creator><creator>Yang, Yadong</creator><creator>Ruan, Xiuyan</creator><creator>Zhang, Bo</creator><creator>Liu, Yi</creator><creator>Yu, Chengze</creator><creator>Zhang, Hongyan</creator><creator>Fang, Xiangdong</creator><creator>Hao, Xiaopeng</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150828</creationdate><title>Molecular biomarkers screened by next-generation RNA sequencing for non-sentinel lymph node status prediction in breast cancer patients with metastatic sentinel lymph nodes</title><author>Liang, Feng ; 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SLN positive patients with and without NSLN invasion were selected, and genes differentially expressed or fused in SLN metastasis were screened by next-generation RNA sequencing. Six candidates (all ER/PR+, HER2-, Ki-67 &lt;20%) with metastatic SLNs selected from 305 patients were equally categorized as NSLN negative and positive. We identified 103 specifically expressed genes in the NSLN negative group and 47 in the NSLN positive group. Among them, FABP1 (negative group) and CYP2A13 (positive group) were the only 2 protein-encoding genes with expression levels in the 8th to 10th deciles. Using a false discovery rate threshold of &lt;0.05, 62 up-regulated genes and 98 down-regulated genes were discovered in the NSLN positive group. Furthermore, 10 gene fusions were identified in this group with the most frequently fused gene being IGLL5. The biomarkers screened in present study may broaden our understanding of the mechanisms of breast cancer metastasis to the lymph nodes and contribute to the axillary surgery selection for SLN positive patients.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26311227</pmid><doi>10.1186/s12957-015-0642-2</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Biological markers
Biomarkers, Tumor - genetics
Breast cancer
Breast Neoplasms - genetics
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Cancer
Cancer patients
Carcinoma, Ductal, Breast - genetics
Carcinoma, Ductal, Breast - secondary
Carcinoma, Ductal, Breast - surgery
Development and progression
Diagnosis
Female
Follow-Up Studies
Genes
Genetic aspects
High-Throughput Nucleotide Sequencing - methods
Humans
Lymph Nodes - pathology
Lymph Nodes - surgery
Lymphatic Metastasis
Metastasis
Neoplasm Grading
Neoplasm Staging
Oncology, Experimental
Physiological aspects
Prognosis
Risk factors
RNA
RNA sequencing
Sentinel Lymph Node Biopsy
Sequence Analysis, RNA - methods
title Molecular biomarkers screened by next-generation RNA sequencing for non-sentinel lymph node status prediction in breast cancer patients with metastatic sentinel lymph nodes
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