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Erschienen in: Breast Cancer Research and Treatment 1/2012

01.08.2012 | Brief Report

Feature extraction via composite scoring and voting in breast cancer

verfasst von: Martin Koch, Markus Hanl, Michael Wiese

Erschienen in: Breast Cancer Research and Treatment | Ausgabe 1/2012

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Abstract

Identification and characterization of tumor subtypes using gene expression profiles of triple negative breast cancer patients. Microarray data of four breast cancer studies were pooled and evaluated. Molecular subtype classification was performed using random forest and a novel algorithm for feature extraction via composite scoring and voting. Biological and clinical properties were evaluated via GSEA, functional annotation clustering and clinical endpoint analysis. The subtype signatures are highly predictive for distant metastasis free survival of tamoxifen-treated patients. Consensus clustering and the novel algorithm proposed three triple negative subtypes. One subtype shows low E2F4 gene expression and is predictive for survival of ER negative breast cancer patients. The other two subtypes share commonalities with luminal B tumors. Classification of breast cancer expression profiles may reveal novel tumor subtypes, possessing clinical impact. Furthermore, subtype characterizing gene signatures might hold potential for novel strategies in cancer therapy.
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Literatur
1.
Zurück zum Zitat Golub TR, Slonim DK, Tamayo P, Huard C, Gaasenbeek M, Mesirov JP, Coller H, Loh ML, Downing JR, Caligiuri MA, Bloomfield CD, Lander ES (1999) Molecular classification of cancer: class discovery and class prediction by gene expression monitoring. Science 286:531–537PubMedCrossRef Golub TR, Slonim DK, Tamayo P, Huard C, Gaasenbeek M, Mesirov JP, Coller H, Loh ML, Downing JR, Caligiuri MA, Bloomfield CD, Lander ES (1999) Molecular classification of cancer: class discovery and class prediction by gene expression monitoring. Science 286:531–537PubMedCrossRef
2.
Zurück zum Zitat Rhodes DR, Kalyana-sundaram S, Mahavisno V, Barrette TR, Ghosh D (2005) Mining for regulatory programs in the cancer transcriptome. Nat Genet 37:579–583. doi:10.1038/ng1578 PubMedCrossRef Rhodes DR, Kalyana-sundaram S, Mahavisno V, Barrette TR, Ghosh D (2005) Mining for regulatory programs in the cancer transcriptome. Nat Genet 37:579–583. doi:10.​1038/​ng1578 PubMedCrossRef
3.
Zurück zum Zitat Schachtner R, Lutter D, Knollmüller P, Tomé a M, Theis FJ, Schmitz G, Stetter M, Vilda PG, Lang EW, Biophysics C (2008) Knowledge-based gene expression classification via matrix factorization. Bioinformatics 24:1688–1697. doi:10.1093/bioinformatics/btn245 PubMedCrossRef Schachtner R, Lutter D, Knollmüller P, Tomé a M, Theis FJ, Schmitz G, Stetter M, Vilda PG, Lang EW, Biophysics C (2008) Knowledge-based gene expression classification via matrix factorization. Bioinformatics 24:1688–1697. doi:10.​1093/​bioinformatics/​btn245 PubMedCrossRef
4.
Zurück zum Zitat Zhang Y, Sieuwerts AM, McGreevy M, Casey G, Cufer T, Paradiso A, Harbeck N, Span PN, Hicks DG, Crowe J, Tubbs RR, Budd GT, Lyons J, Sweep FC, Schmitt M, Schittulli F, Golouh R, Talantov D, Wang Y, Foekens JA (2009) The 76-gene signature defines high-risk patients that benefit from adjuvant tamoxifen therapy. Breast Cancer Res Treat 116:303–309. doi:10.1007/s10549-008-0183-2 PubMedCrossRef Zhang Y, Sieuwerts AM, McGreevy M, Casey G, Cufer T, Paradiso A, Harbeck N, Span PN, Hicks DG, Crowe J, Tubbs RR, Budd GT, Lyons J, Sweep FC, Schmitt M, Schittulli F, Golouh R, Talantov D, Wang Y, Foekens JA (2009) The 76-gene signature defines high-risk patients that benefit from adjuvant tamoxifen therapy. Breast Cancer Res Treat 116:303–309. doi:10.​1007/​s10549-008-0183-2 PubMedCrossRef
5.
Zurück zum Zitat Minn AJ, Gupta GP, Siegel PM, Bos PD, Shu W, Giri DD, Viale A, Olshen AB, Gerald WL, Massague J (2005) Genes that mediate breast cancer metastasis to lung. Nature 436:518–524. doi:10.1038/nature03799 PubMedCrossRef Minn AJ, Gupta GP, Siegel PM, Bos PD, Shu W, Giri DD, Viale A, Olshen AB, Gerald WL, Massague J (2005) Genes that mediate breast cancer metastasis to lung. Nature 436:518–524. doi:10.​1038/​nature03799 PubMedCrossRef
6.
Zurück zum Zitat Finak G, Sadekova S, Pepin F, Hallett M, Meterissian S, Halwani F, Khetani K, Souleimanova M, Zabolotny B, Omeroglu A, Park M (2006) Gene expression signatures of morphologically normal breast tissue identify basal-like tumors. Breast Cancer Res 8:R58. doi:10.1186/bcr1608 PubMedCrossRef Finak G, Sadekova S, Pepin F, Hallett M, Meterissian S, Halwani F, Khetani K, Souleimanova M, Zabolotny B, Omeroglu A, Park M (2006) Gene expression signatures of morphologically normal breast tissue identify basal-like tumors. Breast Cancer Res 8:R58. doi:10.​1186/​bcr1608 PubMedCrossRef
9.
Zurück zum Zitat Pawitan Y, Bjöhle J, Amler L et al (2005) Gene expression profiling spares early breast cancer patients from adjuvant therapy: derived and validated in two population-based cohorts. Breast Cancer Res 7:R953–R964. doi:10.1186/bcr1325 PubMedCrossRef Pawitan Y, Bjöhle J, Amler L et al (2005) Gene expression profiling spares early breast cancer patients from adjuvant therapy: derived and validated in two population-based cohorts. Breast Cancer Res 7:R953–R964. doi:10.​1186/​bcr1325 PubMedCrossRef
11.
Zurück zum Zitat Staudacher L, Cottu PH, Dieras V, Vincent-Salomon A, Guilhaume MN, Escalup L, Dorval T, Beuzeboc P, Mignot L, Pierga JY (2011) Platinum-based chemotherapy in metastatic triple-negative breast cancer: the Institute Curie experience. Ann Oncol 22:848–856. doi:10.1093/annonc/mdq461 PubMedCrossRef Staudacher L, Cottu PH, Dieras V, Vincent-Salomon A, Guilhaume MN, Escalup L, Dorval T, Beuzeboc P, Mignot L, Pierga JY (2011) Platinum-based chemotherapy in metastatic triple-negative breast cancer: the Institute Curie experience. Ann Oncol 22:848–856. doi:10.​1093/​annonc/​mdq461 PubMedCrossRef
12.
Zurück zum Zitat Kreike B, van Kouwenhove M, Horlings H, Weigelt B, Peterse H, Bartelink H, van de Vijver MJ (2007) Gene expression profiling and histopathological characterization of triple-negative/basal-like breast carcinomas. Breast Cancer Res 9:R65. doi:10.1186/bcr1771 PubMedCrossRef Kreike B, van Kouwenhove M, Horlings H, Weigelt B, Peterse H, Bartelink H, van de Vijver MJ (2007) Gene expression profiling and histopathological characterization of triple-negative/basal-like breast carcinomas. Breast Cancer Res 9:R65. doi:10.​1186/​bcr1771 PubMedCrossRef
13.
Zurück zum Zitat Lehmann BD, Bauer JA, Chen X, Sanders ME, Chakravarthy AB, Shyr Y, Pietenpol JA (2011) Identification of human triple-negative breast cancer subtypes and preclinical models for selection of targeted therapies. J Clin Invest 121:2750–2767. doi:10.1172/JCI45014DS1 PubMedCrossRef Lehmann BD, Bauer JA, Chen X, Sanders ME, Chakravarthy AB, Shyr Y, Pietenpol JA (2011) Identification of human triple-negative breast cancer subtypes and preclinical models for selection of targeted therapies. J Clin Invest 121:2750–2767. doi:10.​1172/​JCI45014DS1 PubMedCrossRef
14.
Zurück zum Zitat Ramaswamy S, Tamayo P, Rifkin R, Mukherjee S, Yeang CH, Angelo M, Ladd C, Reich M, Latulippe E, Mesirov JP, Poggio T, Gerald W, Loda M, Lander ES, Golub TR (2001) Multiclass cancer diagnosis using tumor gene expression signatures. Proc Natl Acad Sci USA 98:15149–15154. doi:10.1073/pnas.211566398 PubMedCrossRef Ramaswamy S, Tamayo P, Rifkin R, Mukherjee S, Yeang CH, Angelo M, Ladd C, Reich M, Latulippe E, Mesirov JP, Poggio T, Gerald W, Loda M, Lander ES, Golub TR (2001) Multiclass cancer diagnosis using tumor gene expression signatures. Proc Natl Acad Sci USA 98:15149–15154. doi:10.​1073/​pnas.​211566398 PubMedCrossRef
17.
Zurück zum Zitat Loi S, Haibe-Kains B, Desmedt C, Wirapati P, Lallemand F, Tutt AM, Gillet C, Ellis P, Ryder K, Reid JF, Daidone MG, Pierotti MA, Berns EM, Jansen MP, Foekens JA, Delorenzi M, Bontempi G, Piccart MJ, Sotiriou C (2008) Predicting prognosis using molecular profiling in estrogen receptor-positive breast cancer treated with tamoxifen. BMC Genomics 9:239. doi:10.1186/1471-2164-9-239 PubMedCrossRef Loi S, Haibe-Kains B, Desmedt C, Wirapati P, Lallemand F, Tutt AM, Gillet C, Ellis P, Ryder K, Reid JF, Daidone MG, Pierotti MA, Berns EM, Jansen MP, Foekens JA, Delorenzi M, Bontempi G, Piccart MJ, Sotiriou C (2008) Predicting prognosis using molecular profiling in estrogen receptor-positive breast cancer treated with tamoxifen. BMC Genomics 9:239. doi:10.​1186/​1471-2164-9-239 PubMedCrossRef
18.
Zurück zum Zitat Haibe-Kains B, Desmedt C, Loi S, Culhane AC, Bontempi G, Quackenbush J, Sotiriou C (2012) A three-gene model to robustly identify breast cancer molecular subtypes. J Natl Cancer Inst 104:311–325. doi:10.1093/jnci/djr545 PubMedCrossRef Haibe-Kains B, Desmedt C, Loi S, Culhane AC, Bontempi G, Quackenbush J, Sotiriou C (2012) A three-gene model to robustly identify breast cancer molecular subtypes. J Natl Cancer Inst 104:311–325. doi:10.​1093/​jnci/​djr545 PubMedCrossRef
20.
Zurück zum Zitat Popovici V, Chen W, Gallas BG, Hatzis C, Shi W, Samuelson FW, Nikolsky Y, Tsyganova M, Ishkin A, Nikolskaya T, Hess KR, Valero V, Booser D, Delorenzi M, Hortobagyi GN, Shi L, Symmans WF, Pusztai L (2010) Effect of training-sample size and classification difficulty on the accuracy of genomic predictors. Breast Cancer Res 12:R5. doi:10.1186/bcr2468 PubMedCrossRef Popovici V, Chen W, Gallas BG, Hatzis C, Shi W, Samuelson FW, Nikolsky Y, Tsyganova M, Ishkin A, Nikolskaya T, Hess KR, Valero V, Booser D, Delorenzi M, Hortobagyi GN, Shi L, Symmans WF, Pusztai L (2010) Effect of training-sample size and classification difficulty on the accuracy of genomic predictors. Breast Cancer Res 12:R5. doi:10.​1186/​bcr2468 PubMedCrossRef
22.
Zurück zum Zitat Monti S, Tamayo P, Mesirov J, Golub T (2003) Consensus clustering: a resampling-based method for class discovery and visualization of gene expression microarray data. Mach Learn 52:91–118CrossRef Monti S, Tamayo P, Mesirov J, Golub T (2003) Consensus clustering: a resampling-based method for class discovery and visualization of gene expression microarray data. Mach Learn 52:91–118CrossRef
23.
27.
Zurück zum Zitat Li Y, Zou L, Li Q, Haibe-Kains B, Tian R, Desmedt C, Sotiriou C, Szallasi Z, Iglehart JD, Richardson AL, Wang ZC (2010) Amplification of LAPTM4B and YWHAZ contributes to chemotherapy resistance and recurrence of breast cancer. Nat Med 16:214–218. doi:10.1038/nm.2090 PubMedCrossRef Li Y, Zou L, Li Q, Haibe-Kains B, Tian R, Desmedt C, Sotiriou C, Szallasi Z, Iglehart JD, Richardson AL, Wang ZC (2010) Amplification of LAPTM4B and YWHAZ contributes to chemotherapy resistance and recurrence of breast cancer. Nat Med 16:214–218. doi:10.​1038/​nm.​2090 PubMedCrossRef
28.
Zurück zum Zitat Shi L, Campbell G, Jones WD et al (2010) The MicroArray Quality Control (MAQC)-II study of common practices for the development and validation of microarray-based predictive models. Nat Biotechnol 28:827–838. doi:10.1038/nbt.1665 PubMedCrossRef Shi L, Campbell G, Jones WD et al (2010) The MicroArray Quality Control (MAQC)-II study of common practices for the development and validation of microarray-based predictive models. Nat Biotechnol 28:827–838. doi:10.​1038/​nbt.​1665 PubMedCrossRef
29.
Zurück zum Zitat Neve RM, Chin K, Fridlyand J, Yeh J, Baehner FL, Fevr T, Clark L, Bayani N, Coppe J-P, Tong F, Speed T, Spellman PT, DeVries S, Lapuk A, Wang NJ, Kuo W-L, Stilwell JL, Pinkel D, Albertson DG, Waldman FM, McCormick F, Dickson RB, Johnson MD, Lippman M, Ethier S, Gazdar A, Gray JW (2006) A collection of breast cancer cell lines for the study of functionally distinct cancer subtypes. Cancer Cell 10:515–527. doi:10.1016/j.ccr.2006.10.008 PubMedCrossRef Neve RM, Chin K, Fridlyand J, Yeh J, Baehner FL, Fevr T, Clark L, Bayani N, Coppe J-P, Tong F, Speed T, Spellman PT, DeVries S, Lapuk A, Wang NJ, Kuo W-L, Stilwell JL, Pinkel D, Albertson DG, Waldman FM, McCormick F, Dickson RB, Johnson MD, Lippman M, Ethier S, Gazdar A, Gray JW (2006) A collection of breast cancer cell lines for the study of functionally distinct cancer subtypes. Cancer Cell 10:515–527. doi:10.​1016/​j.​ccr.​2006.​10.​008 PubMedCrossRef
30.
Zurück zum Zitat Watanabe T, Komuro Y, Kiyomatsu T, Kanazawa T, Kazama Y, Tanaka J, Tanaka T, Yamamoto Y, Shirane M, Muto T, Nagawa H (2006) Prediction of sensitivity of rectal cancer cells in response to preoperative radiotherapy by DNA microarray analysis of gene expression profiles. Cancer Res 66:3370–3374. doi:10.1158/0008-5472.CAN-05-3834 PubMedCrossRef Watanabe T, Komuro Y, Kiyomatsu T, Kanazawa T, Kazama Y, Tanaka J, Tanaka T, Yamamoto Y, Shirane M, Muto T, Nagawa H (2006) Prediction of sensitivity of rectal cancer cells in response to preoperative radiotherapy by DNA microarray analysis of gene expression profiles. Cancer Res 66:3370–3374. doi:10.​1158/​0008-5472.​CAN-05-3834 PubMedCrossRef
31.
Zurück zum Zitat Desmedt C, Piette F, Loi S, Wang Y, Lallemand F, Haibe-Kains B, Viale G, Delorenzi M, Zhang Y, d’Assignies MS, Bergh J, Lidereau R, Ellis P, Harris AL, Klijn JG, Foekens JA, Cardoso F, Piccart MJ, Buyse M, Sotiriou C, Consortium T C (2007) Strong time dependence of the 76-gene prognostic signature for node-negative breast cancer patients in the TRANSBIG multicenter independent validation series. Clin Cancer Res 13:3207–3214. doi:10.1158/1078-0432.CCR-06-2765 PubMedCrossRef Desmedt C, Piette F, Loi S, Wang Y, Lallemand F, Haibe-Kains B, Viale G, Delorenzi M, Zhang Y, d’Assignies MS, Bergh J, Lidereau R, Ellis P, Harris AL, Klijn JG, Foekens JA, Cardoso F, Piccart MJ, Buyse M, Sotiriou C, Consortium T C (2007) Strong time dependence of the 76-gene prognostic signature for node-negative breast cancer patients in the TRANSBIG multicenter independent validation series. Clin Cancer Res 13:3207–3214. doi:10.​1158/​1078-0432.​CCR-06-2765 PubMedCrossRef
35.
Zurück zum Zitat Vapnik VN (1999) An overview of statistical learning theory. IEEE Trans Neural Netw 10:988–999PubMedCrossRef Vapnik VN (1999) An overview of statistical learning theory. IEEE Trans Neural Netw 10:988–999PubMedCrossRef
36.
Zurück zum Zitat Guyon I, Weston J, Barnhil S, Vapnik VN (2002) Gene selection for cancer classification using support vector machine. Mach Learn 46:389–422CrossRef Guyon I, Weston J, Barnhil S, Vapnik VN (2002) Gene selection for cancer classification using support vector machine. Mach Learn 46:389–422CrossRef
38.
Zurück zum Zitat Friedman JH (2001) Greedy function approximation: a gradient boosting machine. IMS 1999 Reitz Lecture Friedman JH (2001) Greedy function approximation: a gradient boosting machine. IMS 1999 Reitz Lecture
39.
Zurück zum Zitat Smyth GK (2004) Linear models and empirical bayes methods for assessing differential expression in microarray experiments. Stat Appl Genet Mol Biol 3:Article3. doi:10.2202/1544-6115.1027 Smyth GK (2004) Linear models and empirical bayes methods for assessing differential expression in microarray experiments. Stat Appl Genet Mol Biol 3:Article3. doi:10.​2202/​1544-6115.​1027
40.
Zurück zum Zitat Brier G (1950) Verification of forcasts expressed in terms of probability. Mon Weather Rev 78:1–3CrossRef Brier G (1950) Verification of forcasts expressed in terms of probability. Mon Weather Rev 78:1–3CrossRef
42.
Zurück zum Zitat Mayer EL, Baurain JF, Sparano J, Strauss L, Campone M, Fumoleau P, Rugo H, Awada A, Sy O, Llombart-Cussac A (2011) A phase 2 trial of dasatinib in patients with advanced HER2-positive and/or hormone receptor-positive breast cancer. Clin Cancer Res 17:6897–6904. doi:10.1158/1078-0432.CCR-11-0070 PubMedCrossRef Mayer EL, Baurain JF, Sparano J, Strauss L, Campone M, Fumoleau P, Rugo H, Awada A, Sy O, Llombart-Cussac A (2011) A phase 2 trial of dasatinib in patients with advanced HER2-positive and/or hormone receptor-positive breast cancer. Clin Cancer Res 17:6897–6904. doi:10.​1158/​1078-0432.​CCR-11-0070 PubMedCrossRef
43.
Zurück zum Zitat Silver DP, Richardson AL, Eklund AC, Wang ZC, Szallasi Z, Li Q, Juul N, Leong CO, Calogrias D, Buraimoh A, Fatima A, Gelman RS, Ryan PD, Tung NM, De Nicolo A, Ganesan S, Miron A, Colin C, Sgroi DC, Ellisen LW, Winer EP, Garber JE (2010) Efficacy of neoadjuvant cisplatin in triple-negative breast cancer. J Clin Oncol 28:1145–1153. doi:10.1200/JCO.2009.22.4725 PubMedCrossRef Silver DP, Richardson AL, Eklund AC, Wang ZC, Szallasi Z, Li Q, Juul N, Leong CO, Calogrias D, Buraimoh A, Fatima A, Gelman RS, Ryan PD, Tung NM, De Nicolo A, Ganesan S, Miron A, Colin C, Sgroi DC, Ellisen LW, Winer EP, Garber JE (2010) Efficacy of neoadjuvant cisplatin in triple-negative breast cancer. J Clin Oncol 28:1145–1153. doi:10.​1200/​JCO.​2009.​22.​4725 PubMedCrossRef
44.
Zurück zum Zitat Huang DW, Sherman BT, Tan Q, Collins JR, Alvord WG, Roayaei J, Stephens R, Baseler MW, Lane HC, Lempicki RA (2007) The DAVID gene functional classification tool: a novel biological module-centric algorithm to functionally analyze large gene lists. Genome Biol 8:R183. doi:10.1186/gb-2007-8-9-r183 CrossRef Huang DW, Sherman BT, Tan Q, Collins JR, Alvord WG, Roayaei J, Stephens R, Baseler MW, Lane HC, Lempicki RA (2007) The DAVID gene functional classification tool: a novel biological module-centric algorithm to functionally analyze large gene lists. Genome Biol 8:R183. doi:10.​1186/​gb-2007-8-9-r183 CrossRef
45.
Zurück zum Zitat Li J, Wang CY (2008) TBL1–TBLR1 and beta-catenin recruit each other to Wnt target-gene promoter for transcription activation and oncogenesis. Nat Cell Biol 10:160–169. doi:10.1038/ncb1684 PubMedCrossRef Li J, Wang CY (2008) TBL1–TBLR1 and beta-catenin recruit each other to Wnt target-gene promoter for transcription activation and oncogenesis. Nat Cell Biol 10:160–169. doi:10.​1038/​ncb1684 PubMedCrossRef
46.
Zurück zum Zitat Wang H, Shao N, Ding QM, Cui J-q, Reddy ESP, Rao VN (1997) BRCA1 proteins are transported to the nucleus in the absence of serum and splice variants BRCA1a, BRCA1b are tyrosine phosphoproteins that associate with E2F, cyclins and cyclin dependent kinases. Oncogene 15:143–157PubMedCrossRef Wang H, Shao N, Ding QM, Cui J-q, Reddy ESP, Rao VN (1997) BRCA1 proteins are transported to the nucleus in the absence of serum and splice variants BRCA1a, BRCA1b are tyrosine phosphoproteins that associate with E2F, cyclins and cyclin dependent kinases. Oncogene 15:143–157PubMedCrossRef
48.
Zurück zum Zitat Byrski T, Huzarski T, Dent R, Gronwald J, Zuziak D, Cybulski C, Kladny J, Gorski B, Lubinski J, Narod SA (2009) Response to neoadjuvant therapy with cisplatin in BRCA1-positive breast cancer patients. Breast Cancer Res Treat 115:359–363. doi:10.1007/s10549-008-0128-9 PubMedCrossRef Byrski T, Huzarski T, Dent R, Gronwald J, Zuziak D, Cybulski C, Kladny J, Gorski B, Lubinski J, Narod SA (2009) Response to neoadjuvant therapy with cisplatin in BRCA1-positive breast cancer patients. Breast Cancer Res Treat 115:359–363. doi:10.​1007/​s10549-008-0128-9 PubMedCrossRef
Metadaten
Titel
Feature extraction via composite scoring and voting in breast cancer
verfasst von
Martin Koch
Markus Hanl
Michael Wiese
Publikationsdatum
01.08.2012
Verlag
Springer US
Erschienen in
Breast Cancer Research and Treatment / Ausgabe 1/2012
Print ISSN: 0167-6806
Elektronische ISSN: 1573-7217
DOI
https://doi.org/10.1007/s10549-012-2177-3

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