A hedgehog pathway-dependent gene signature is associated with poor clinical outcomes in Luminal A breast cancer.

Autor: Rudolph M; Division of Medical Oncology, The Ohio State University, Columbus, OH, USA.; The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA., Sizemore ST; Department of Radiation Oncology, The Ohio State University, Columbus, OH, USA.; The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA., Lu Y; Department of Pathology, Jinan University, Guangzhou, China., Teng KY; Department of Pathology, The Ohio State University, Columbus, OH, USA., Basree MM; University of Pikeville Kentucky College of Osteopathic Medicine, Pikeville, KY, USA., Reinbolt R; Department of Internal Medicine, The Ohio State University, Columbus, OH, USA.; The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA., Timmers CD; The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA., Leone G; Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.; Department of Biochemistry and Molecular Biology, Medical University of South Carolina, Charleston, SC, USA., Ostrowski MC; Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.; Department of Biochemistry and Molecular Biology, Medical University of South Carolina, Charleston, SC, USA., Majumder S; Department of Cancer Biology and Genetics, The Ohio State University, Columbus, OH, USA.; The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA., Ramaswamy B; Department of Internal Medicine, The Ohio State University, Columbus, OH, USA. Bhuvaneswari.ramaswamy@osumc.edu.; The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA. Bhuvaneswari.ramaswamy@osumc.edu.
Jazyk: angličtina
Zdroj: Breast cancer research and treatment [Breast Cancer Res Treat] 2018 Jun; Vol. 169 (3), pp. 457-467. Date of Electronic Publication: 2018 Feb 20.
DOI: 10.1007/s10549-018-4718-x
Abstrakt: Purpose: High expression of glioma-associated oncogene homolog-1 (GLI1) is associated with poor prognosis in estrogen receptor (ER) positive breast cancers. We sought to define a GLI1-dependent gene signature in ER-positive tumors that could further stratify patients at higher risk for disease recurrence and potentially lead to novel combination therapies.
Methods: We identified an inverse correlation between GLI1 expression and distant disease-free survival (DFS) using a dataset developed at MD Anderson Cancer Center (Hatzis dataset) containing clinical data from 508 breast cancer patients. Using a qPCR-based microarray platform, we identified genes differentially regulated by GLI1 in MCF7 cells and then determined if expression of these genes correlated with GLI1 expression in patient tumor samples. Statistical comparison between the groups was performed by ANOVA. Direct comparison of two groups was done by a two-tailed t test. Correlations between variables were done by Pearson's method.
Results: Expression of GLI1 and its target genes correlated significantly with worse distant DFS in breast cancer patients with Luminal A molecular subtype. Particularly, co-expression of GLI1 with EGFR and/or SNAI1, two of the identified GLI1 targets, was predictive of worse distant DFS in this subtype. Furthermore, patients with Luminal A tumors with a high GLI1 signature had a shorter distant DFS compared to the Luminal B subtype and the outcome for this group was comparable to patients with HER2-positive or basal-like tumors.
Conclusion: We have identified a novel GLI1 gene signature that is associated with worse clinical outcomes among the patients with Luminal A subtype of breast cancer.
Databáze: MEDLINE
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