Prognostic gene expression signature for high-grade serous ovarian cancer
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Prognostic gene expression signature for high-grade serous ovarian cancer. / Millstein, J; Budden, T; Goode, E L; Anglesio, M S; Talhouk, A; Intermaggio, M P; Leong, H S; Chen, S; Elatre, W; Gilks, B; Nazeran, T; Volchek, M; Bentley, R C; Wang, C; Chiu, D S; Kommoss, S; Leung, S C Y; Senz, J; Lum, A; Chow, V; Sudderuddin, H; Mackenzie, R; George, J; Fereday, S; Hendley, J; Traficante, N; Steed, H; Koziak, J M; Köbel, M; McNeish, I A; Goranova, T; Ennis, D; Macintyre, G; Silva De Silva, D; Ramón Y Cajal, T; García-Donas, J; Hernando Polo, S; Rodriguez, G C; Cushing-Haugen, K L; Harris, H R; Greene, C S; Zelaya, R A; Behrens, S; Fortner, R T; Sinn, P; Herpel, E; Lester, J; Lubiński, J; Oszurek, O; Tołoczko, A; Cybulski, C; Menkiszak, J; Pearce, C L; Pike, M C; Tseng, C; Alsop, J; Rhenius, V; Song, H; Jimenez-Linan, M; Piskorz, A M; Gentry-Maharaj, A; Karpinskyj, C; Widschwendter, M; Singh, N; Kennedy, C J; Sharma, R; Harnett, P R; Gao, B; Johnatty, S E; Sayer, R; Boros, J; Winham, S J; Keeney, G L; Kaufmann, S H; Larson, M C; Luk, H; Hernandez, B Y; Thompson, P J; Wilkens, L R; Carney, M E; Trabert, B; Lissowska, J; Brinton, L; Sherman, M E; Bodelon, C; Hinsley, S; Lewsley, L A; Glasspool, R; Banerjee, S N; Stronach, E A; Haluska, P; Ray-Coquard, I; Mahner, S; Winterhoff, B; Slamon, D; Levine, D A; Kelemen, L E; Benitez, J; Chang-Claude, J; Gronwald, J; Wu, A H; Menon, U; Goodman, M T; Schildkraut, J M; Wentzensen, N; Brown, R; Berchuck, A; Chenevix-Trench, G; deFazio, A; Gayther, S A; García, M J; Henderson, M J; Rossing, M A; Beeghly-Fadiel, A; Fasching, P A; Orsulic, S; Karlan, B Y; Konecny, G E; Huntsman, D G; Bowtell, D D; Brenton, J D; Doherty, J A; Pharoah, P D P; Ramus, S J; AOCS study group.
in: ANN ONCOL, Jahrgang 31, Nr. 9, 09.2020, S. 1240-1250.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Prognostic gene expression signature for high-grade serous ovarian cancer
AU - Millstein, J
AU - Budden, T
AU - Goode, E L
AU - Anglesio, M S
AU - Talhouk, A
AU - Intermaggio, M P
AU - Leong, H S
AU - Chen, S
AU - Elatre, W
AU - Gilks, B
AU - Nazeran, T
AU - Volchek, M
AU - Bentley, R C
AU - Wang, C
AU - Chiu, D S
AU - Kommoss, S
AU - Leung, S C Y
AU - Senz, J
AU - Lum, A
AU - Chow, V
AU - Sudderuddin, H
AU - Mackenzie, R
AU - George, J
AU - Fereday, S
AU - Hendley, J
AU - Traficante, N
AU - Steed, H
AU - Koziak, J M
AU - Köbel, M
AU - McNeish, I A
AU - Goranova, T
AU - Ennis, D
AU - Macintyre, G
AU - Silva De Silva, D
AU - Ramón Y Cajal, T
AU - García-Donas, J
AU - Hernando Polo, S
AU - Rodriguez, G C
AU - Cushing-Haugen, K L
AU - Harris, H R
AU - Greene, C S
AU - Zelaya, R A
AU - Behrens, S
AU - Fortner, R T
AU - Sinn, P
AU - Herpel, E
AU - Lester, J
AU - Lubiński, J
AU - Oszurek, O
AU - Tołoczko, A
AU - Cybulski, C
AU - Menkiszak, J
AU - Pearce, C L
AU - Pike, M C
AU - Tseng, C
AU - Alsop, J
AU - Rhenius, V
AU - Song, H
AU - Jimenez-Linan, M
AU - Piskorz, A M
AU - Gentry-Maharaj, A
AU - Karpinskyj, C
AU - Widschwendter, M
AU - Singh, N
AU - Kennedy, C J
AU - Sharma, R
AU - Harnett, P R
AU - Gao, B
AU - Johnatty, S E
AU - Sayer, R
AU - Boros, J
AU - Winham, S J
AU - Keeney, G L
AU - Kaufmann, S H
AU - Larson, M C
AU - Luk, H
AU - Hernandez, B Y
AU - Thompson, P J
AU - Wilkens, L R
AU - Carney, M E
AU - Trabert, B
AU - Lissowska, J
AU - Brinton, L
AU - Sherman, M E
AU - Bodelon, C
AU - Hinsley, S
AU - Lewsley, L A
AU - Glasspool, R
AU - Banerjee, S N
AU - Stronach, E A
AU - Haluska, P
AU - Ray-Coquard, I
AU - Mahner, S
AU - Winterhoff, B
AU - Slamon, D
AU - Levine, D A
AU - Kelemen, L E
AU - Benitez, J
AU - Chang-Claude, J
AU - Gronwald, J
AU - Wu, A H
AU - Menon, U
AU - Goodman, M T
AU - Schildkraut, J M
AU - Wentzensen, N
AU - Brown, R
AU - Berchuck, A
AU - Chenevix-Trench, G
AU - deFazio, A
AU - Gayther, S A
AU - García, M J
AU - Henderson, M J
AU - Rossing, M A
AU - Beeghly-Fadiel, A
AU - Fasching, P A
AU - Orsulic, S
AU - Karlan, B Y
AU - Konecny, G E
AU - Huntsman, D G
AU - Bowtell, D D
AU - Brenton, J D
AU - Doherty, J A
AU - Pharoah, P D P
AU - Ramus, S J
AU - AOCS study group
N1 - Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
PY - 2020/9
Y1 - 2020/9
N2 - BACKGROUND: Median overall survival (OS) for women with high-grade serous ovarian cancer (HGSOC) is ∼4 years, yet survival varies widely between patients. There are no well-established, gene expression signatures associated with prognosis. The aim of this study was to develop a robust prognostic signature for OS in patients with HGSOC.PATIENTS AND METHODS: Expression of 513 genes, selected from a meta-analysis of 1455 tumours and other candidates, was measured using NanoString technology from formalin-fixed paraffin-embedded tumour tissue collected from 3769 women with HGSOC from multiple studies. Elastic net regularization for survival analysis was applied to develop a prognostic model for 5-year OS, trained on 2702 tumours from 15 studies and evaluated on an independent set of 1067 tumours from six studies.RESULTS: Expression levels of 276 genes were associated with OS (false discovery rate < 0.05) in covariate-adjusted single-gene analyses. The top five genes were TAP1, ZFHX4, CXCL9, FBN1 and PTGER3 (P < 0.001). The best performing prognostic signature included 101 genes enriched in pathways with treatment implications. Each gain of one standard deviation in the gene expression score conferred a greater than twofold increase in risk of death [hazard ratio (HR) 2.35, 95% confidence interval (CI) 2.02-2.71; P < 0.001]. Median survival [HR (95% CI)] by gene expression score quintile was 9.5 (8.3 to -), 5.4 (4.6-7.0), 3.8 (3.3-4.6), 3.2 (2.9-3.7) and 2.3 (2.1-2.6) years.CONCLUSION: The OTTA-SPOT (Ovarian Tumor Tissue Analysis consortium - Stratified Prognosis of Ovarian Tumours) gene expression signature may improve risk stratification in clinical trials by identifying patients who are least likely to achieve 5-year survival. The identified novel genes associated with the outcome may also yield opportunities for the development of targeted therapeutic approaches.
AB - BACKGROUND: Median overall survival (OS) for women with high-grade serous ovarian cancer (HGSOC) is ∼4 years, yet survival varies widely between patients. There are no well-established, gene expression signatures associated with prognosis. The aim of this study was to develop a robust prognostic signature for OS in patients with HGSOC.PATIENTS AND METHODS: Expression of 513 genes, selected from a meta-analysis of 1455 tumours and other candidates, was measured using NanoString technology from formalin-fixed paraffin-embedded tumour tissue collected from 3769 women with HGSOC from multiple studies. Elastic net regularization for survival analysis was applied to develop a prognostic model for 5-year OS, trained on 2702 tumours from 15 studies and evaluated on an independent set of 1067 tumours from six studies.RESULTS: Expression levels of 276 genes were associated with OS (false discovery rate < 0.05) in covariate-adjusted single-gene analyses. The top five genes were TAP1, ZFHX4, CXCL9, FBN1 and PTGER3 (P < 0.001). The best performing prognostic signature included 101 genes enriched in pathways with treatment implications. Each gain of one standard deviation in the gene expression score conferred a greater than twofold increase in risk of death [hazard ratio (HR) 2.35, 95% confidence interval (CI) 2.02-2.71; P < 0.001]. Median survival [HR (95% CI)] by gene expression score quintile was 9.5 (8.3 to -), 5.4 (4.6-7.0), 3.8 (3.3-4.6), 3.2 (2.9-3.7) and 2.3 (2.1-2.6) years.CONCLUSION: The OTTA-SPOT (Ovarian Tumor Tissue Analysis consortium - Stratified Prognosis of Ovarian Tumours) gene expression signature may improve risk stratification in clinical trials by identifying patients who are least likely to achieve 5-year survival. The identified novel genes associated with the outcome may also yield opportunities for the development of targeted therapeutic approaches.
U2 - 10.1016/j.annonc.2020.05.019
DO - 10.1016/j.annonc.2020.05.019
M3 - SCORING: Journal article
C2 - 32473302
VL - 31
SP - 1240
EP - 1250
JO - ANN ONCOL
JF - ANN ONCOL
SN - 0923-7534
IS - 9
ER -