Gene expression profiling in breast cancer - Design of a pooled database to address open questions

M. Knauer*, E. Wenzl, E. J.T. Rutgers, S. C. Linn, L. J. Van't Veer

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Scopus)

Abstract

Background: The Netherlands Cancer Institute used DNA microarray analyses to identify a 70-gene expression profile strongly predictive of a short interval to distant metastases in breast cancer. For patients with small tumors, the signature is not yet adequately validated. Furthermore, 95% of estrogen-receptor or triple-negative tumors are assigned to poor prognosis by the profile. Methods: A pooled database was constructed containing clinical, pathological and microarray data of 1696 patients. The database will be used to study the performance of the 70-gene profile in patients with small-sized T1 tumors. In addition, patients with triple-negative tumors will be identified and whole genome microarray analysis will be performed of these tumors to develop a new prognostic gene expression profile for this subgroup. Results and conclusions: If the 70-gene profile is accurate for small tumors, patients at risk may be assigned to adjuvant treatment. A new prognostic classifier for triple-negative tumors may help to identify women, in whom adjuvant treatment may safely be omitted.

Original languageEnglish
Pages (from-to)221-227
Number of pages7
JournalEuropean Surgery - Acta Chirurgica Austriaca
Volume41
Issue number5
DOIs
Publication statusPublished - Oct 2009
Externally publishedYes

Keywords

  • Breast cancer
  • Database
  • Gene expression profiling
  • Prognostic marker
  • Triple-negative
  • Tumor size

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