Differences in single gene expression patterns and signaling pathways between Black and White patients in high grade endometrioid endometrial cancer independent of BMI

Autor: Janina Pearce, Caitlin Durr, Xufeng Qu, Jinze Liu, Leslie Randall, Devin Miller, Sadia Sayeed, Victoria Bae-Jump, Stephanie Sullivan
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Gynecologic Oncology Reports, Vol 52, Iss , Pp 101360- (2024)
Druh dokumentu: article
ISSN: 2352-5789
DOI: 10.1016/j.gore.2024.101360
Popis: Objective: Endometrial cancer (EC) incidence and mortality are increasing with striking racial disparities. Race and obesity are known risk factors for EC, however, their relationship and impact on tumor biology in higher grade endometrioid EC are unclear. The objective of this pilot study was to identify gene- and pathway-level changes in tumors from Black patients compared to White, both in general and in the context of dichotomized BMI. Methods: A single institution retrospective convenience sample was obtained for grade 2 or 3 endometrioid EC, equally distributed amongst Black and White patients. Tumor samples were analyzed with the Tempus Laboratories xT NGS-based genome profiling test. DESeq2 was applied to identify differentially expressed genes, and then subjected to ingenuity pathway analysis (IPA). Continuous variables were analyzed using unpaired t-tests, and categorical using Chi-squared and Fisher exact tests. Results: 39 representative cases were identified and analyzed from 2006 to 2021. Baseline clinicopathologic characteristics were similar. 157 genes were differentially expressed in tumors from Black patients compared to White regardless of BMI. IPA identified 81 significantly different pathways between Black and White patients with a BMI
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