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         headline:Genomic analysis identifies unique signatures predictive of brain, lung, and liver relapse
         description:The ability to predict metastatic potential could be of great clinical importance, however, it is uncertain if predicting metastasis to specific vital organs is feasible. As a first step in evaluating metastatic predictions, we analyzed multiple primary tumors and metastasis pairs and determined that >90% of 298 gene expression signatures were found to be similarly expressed between matched pairs of tumors and metastases; therefore, primary tumors may be a good predictor of metastatic propensity. Next, using a dataset of >1,000 human breast tumor gene expression microarrays we determined that HER2-enriched subtype tumors aggressively spread to the liver, while basal-like and claudin-low subtypes colonize the brain and lung. Correspondingly, brain and lung metastasis signatures, along with embryonic stem cell, tumor initiating cell, and hypoxia signatures, were also strongly expressed in the basal-like and claudin-low tumors. Interestingly, low “Differentiation Scores,” or high expression of the aforementioned signatures, further predicted for brain and lung metastases. In total, these data identify that depending upon the organ of relapse, a combination of gene expression signatures most accurately predicts metastatic behavior.
         datePublished:2011-06-14T00:00:00Z
         dateModified:2011-06-14T00:00:00Z
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            Gene expression
            Intrinsic subtype
            Metastasis
            Microarray
            Oncology
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      headline:Genomic analysis identifies unique signatures predictive of brain, lung, and liver relapse
      description:The ability to predict metastatic potential could be of great clinical importance, however, it is uncertain if predicting metastasis to specific vital organs is feasible. As a first step in evaluating metastatic predictions, we analyzed multiple primary tumors and metastasis pairs and determined that >90% of 298 gene expression signatures were found to be similarly expressed between matched pairs of tumors and metastases; therefore, primary tumors may be a good predictor of metastatic propensity. Next, using a dataset of >1,000 human breast tumor gene expression microarrays we determined that HER2-enriched subtype tumors aggressively spread to the liver, while basal-like and claudin-low subtypes colonize the brain and lung. Correspondingly, brain and lung metastasis signatures, along with embryonic stem cell, tumor initiating cell, and hypoxia signatures, were also strongly expressed in the basal-like and claudin-low tumors. Interestingly, low “Differentiation Scores,” or high expression of the aforementioned signatures, further predicted for brain and lung metastases. In total, these data identify that depending upon the organ of relapse, a combination of gene expression signatures most accurately predicts metastatic behavior.
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      dateModified:2011-06-14T00:00:00Z
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         Gene expression
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            name:University of North Carolina
            address:
               name:Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, USA
               type:PostalAddress
            type:Organization
            name:University of North Carolina
            address:
               name:Department of Genetics, University of North Carolina, Chapel Hill, USA
               type:PostalAddress
            type:Organization
            name:University of North Carolina
            address:
               name:Department of Pathology & Laboratory Medicine, University of North Carolina, Chapel Hill, USA
               type:PostalAddress
            type:Organization
      email:[email protected]
PostalAddress:
      name:Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, USA
      name:Department of Genetics, University of North Carolina, Chapel Hill, USA
      name:Department of Pathology & Laboratory Medicine, University of North Carolina, Chapel Hill, USA
      name:Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, USA
      name:Department of Genetics, University of North Carolina, Chapel Hill, USA
      name:Department of Pathology & Laboratory Medicine, University of North Carolina, Chapel Hill, USA
      name:Department of Medicine, Universitat Autonoma de Barcelona, Barcelona, Spain
      name:Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, USA
      name:Department of Genetics, University of North Carolina, Chapel Hill, USA
      name:Department of Pathology & Laboratory Medicine, University of North Carolina, Chapel Hill, USA
      name:Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, USA
      name:Department of Genetics, University of North Carolina, Chapel Hill, USA
      name:Department of Pathology & Laboratory Medicine, University of North Carolina, Chapel Hill, USA
      name:Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, USA
      name:Department of Genetics, University of North Carolina, Chapel Hill, USA
      name:Division of Hematology/Oncology, Department of Medicine, University of North Carolina, Chapel Hill, USA
      name:Division of Hematology/Oncology, Department of Medicine, University of North Carolina, Chapel Hill, USA
      name:Department of Neurosurgery, University of North Carolina, Chapel Hill, USA
      name:Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, USA
      name:Department of Genetics, University of North Carolina, Chapel Hill, USA
      name:Department of Pathology & Laboratory Medicine, University of North Carolina, Chapel Hill, USA

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