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Status |
Public on Nov 24, 2008 |
Title |
Gene Expression and Comparative Genomic Hybridization of Ductal Carcinoma In Situ of the Breast |
Organism |
Homo sapiens |
Experiment type |
Expression profiling by array Genome variation profiling by array
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Summary |
Background The dramatic increase in incidence of ductal carcinoma in situ (DCIS) associated with mammographic screening for breast cancer has given emphasis to the challenges of managing this important clinical entity. Unlike invasive breast cancer, there is no established histopathologic grading system for DCIS, nor are there biological markers of prognosis to guide clinical management. The aim of this study is to use molecular profiling to identify robust and clinically applicable indicators of DCIS malignant potential. Methods Areas of intraduct carcinoma, atypical ductal hyperplasia and benign epithelium were isolated from 46 well-characterised invasive breast cancers by laser capture microdissection. Microarray based gene expression profiling was used to identify genes differentially expressed between DCIS associated with grade 1 and grade 3 invasive carcinoma (‘grade associated genes’). The expression profile of these genes was then determined in all samples and used to define ‘molecular grade’ categories. The genomic basis of gene expression derived categories was examined by array-based comparative genomic hybridisation (CGH). Results DCIS samples could be divided into two subgroups, designated low and high molecular grade (MG) on the basis of expression at 173 grade associated oligonucleotide probes. The low MG subgroup included 21 DCIS samples of low (n=10) and intermediate (n=11) nuclear grade as well as all samples of ADH (n=4) and benign epithelium (n=7). The high MG subgroup included 27 DCIS samples of intermediate (n=7) and high (n=19) nuclear grade. Array CGH revealed distinct differences in the character and degree of genomic aberration associated with MG and the clinical significance of MG was verified by a strong correlation with survival in two independent invasive breast cancer gene expression datasets (n=295 and n=186). MG categories were strongly associated with histopathologic and biomarker features of DCIS. Using a classification tree model, DCIS MG could be accurately predicted in 44/46 (95.7%) of samples using a combination of nuclear grade and Ki67 score. Conclusions Molecular profiling indicates a binary grading scheme for DCIS that is both biologically relevant and clinically informative. The low and high MG DCIS classification could be recapitulated by a novel combination of routinely accessible features. This practical approach has potential to immediately improve clinical evaluation and management of DCIS. Keywords: Paired gene expression and CGH
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Overall design |
Paired CGH and Gene Expression on DCIS of the breast
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Contributor(s) |
Davis SR, Webster LR, Balleine R, Salisbury EL, Walker RL, Byth K, Clarke CL, Meltzer PS |
Citation(s) |
19088042 |
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Submission date |
May 23, 2007 |
Last update date |
May 02, 2013 |
Contact name |
Sean Davis |
E-mail(s) |
sdavis2@mail.nih.gov
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Phone |
301-435-2652
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Organization name |
National Cancer Institute
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Lab |
Genetics Branch
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Street address |
37 Convent Drive, Room 6138
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City |
Bethesda |
State/province |
MD |
ZIP/Postal code |
20892 |
Country |
USA |
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Platforms (1) |
GPL5326 |
NCI Qiagen Homo sapiens 36K v3 cgh expression |
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Samples (111)
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GSM193822 |
Case 1, HG DCIS, Grade 3, CGH experiment |
GSM193823 |
Case 1.1, IG DCIS, Grade 3, CGH experiment |
GSM193824 |
Case 3, DCIS, Grade NA, CGH experiment |
GSM193825 |
Case 4, DCIS, Grade 1, CGH experiment |
GSM193826 |
Case 5, DCIS, Grade 2, CGH experiment |
GSM193827 |
Case 6, DCIS, Grade 1, CGH experiment |
GSM193828 |
Case 7, DCIS, Grade 3, CGH experiment |
GSM193829 |
Case 8, DCIS, Grade 2, CGH experiment |
GSM193830 |
Case 9, DCIS, Grade 3, CGH experiment |
GSM193831 |
Case 10, DCIS, Grade 1, CGH experiment |
GSM193832 |
Case 10.1, ADH, Grade 1, CGH experiment |
GSM193833 |
Case 11, DCIS, Grade NA, CGH experiment |
GSM193834 |
Case 12, DCIS, Grade 1, CGH experiment |
GSM193835 |
Case 13, DCIS, Grade 2, CGH experiment |
GSM193836 |
Case 14, DCIS, Grade 2, CGH experiment |
GSM193837 |
Case 15, DCIS, Grade 2, CGH experiment |
GSM193838 |
Case 16, DCIS, Grade 1, CGH experiment |
GSM193839 |
Case 17, DCIS, Grade 2, CGH experiment |
GSM193840 |
Case 18, DCIS, Grade 2, CGH experiment |
GSM193841 |
Case 18.1, ADH, Grade 2, CGH experiment |
GSM193842 |
Case 19, DCIS, Grade 2, CGH experiment |
GSM193843 |
Case 20, DCIS, Grade 2, CGH experiment |
GSM193844 |
Case 21, DCIS, Grade 3, CGH experiment |
GSM193845 |
Case 22, DCIS, Grade 1, CGH experiment |
GSM193846 |
Case 23, DCIS, Grade 2, CGH experiment |
GSM193847 |
Case 24, DCIS, Grade 1, CGH experiment |
GSM193848 |
Case 25, DCIS, Grade 1, CGH experiment |
GSM193849 |
Case 26, DCIS, Grade 2, CGH experiment |
GSM193850 |
Case 27, DCIS, Grade 1, CGH experiment |
GSM193851 |
Case 28, DCIS, Grade 2, CGH experiment |
GSM193852 |
Case 28.1, ADH, Grade 2, CGH experiment |
GSM193853 |
Case 29, DCIS, Grade 3, CGH experiment |
GSM193854 |
Case 30, DCIS, Grade 3, CGH experiment |
GSM193855 |
Case 31, DCIS, Grade 3, CGH experiment |
GSM193856 |
Case 32, DCIS, Grade 1, CGH experiment |
GSM193857 |
Case 34, DCIS, Grade 1, CGH experiment |
GSM193858 |
Case 35, DCIS, Grade 2, CGH experiment |
GSM193859 |
Case 37, IG DCIS, Grade 1, CGH experiment |
GSM193860 |
Case 37.1, LG DCIS, Grade 1, CGH experiment |
GSM193861 |
Case 38, DCIS, Grade NA, CGH experiment |
GSM193862 |
Case 39, DCIS, Grade 3, CGH experiment |
GSM193863 |
Case 40, DCIS, Grade 2, CGH experiment |
GSM193864 |
Case 41, DCIS, Grade 2, CGH experiment |
GSM193865 |
Case 42, DCIS, Grade 3, CGH experiment |
GSM193866 |
Case 43, DCIS, Grade 1, CGH experiment |
GSM193867 |
Case 44, DCIS, Grade 2, CGH experiment |
GSM193868 |
Case 45, DCIS, Grade 2, CGH experiment |
GSM193869 |
Case 46, LCIS, Grade 3, CGH experiment |
GSM193870 |
Case 48, DCIS, Grade 2, CGH experiment |
GSM193871 |
Case 50, DCIS, Grade 2, CGH experiment |
GSM193872 |
Case 1, HG DCIS, Grade 3, Gene Expression experiment |
GSM193873 |
Case 1.1, IG DCIS, Grade 3, Gene Expression experiment |
GSM193874 |
Case 2, DCIS, Grade 1, Gene Expression experiment |
GSM193875 |
Case 2.1, LCIS, Grade 1, Gene Expression experiment |
GSM193876 |
Case 2.2, ADH, Grade 1, Gene Expression experiment |
GSM193877 |
Case 3, DCIS, Grade NA, Gene Expression experiment |
GSM193878 |
Case 3.1, Normal, Grade NA, Gene Expression experiment |
GSM193879 |
Case 4, DCIS, Grade 1, Gene Expression experiment |
GSM193880 |
Case 5, DCIS, Grade 2, Gene Expression experiment |
GSM193881 |
Case 5.1, Normal, Grade 2, Gene Expression experiment |
GSM193882 |
Case 6, DCIS, Grade 1, Gene Expression experiment |
GSM193883 |
Case 7, DCIS, Grade 3, Gene Expression experiment |
GSM193884 |
Case 8, DCIS, Grade 2, Gene Expression experiment |
GSM193885 |
Case 8.1, Normal, Grade 2, Gene Expression experiment |
GSM193886 |
Case 9, DCIS, Grade 3, Gene Expression experiment |
GSM193887 |
Case 9.1, Normal, Grade 3, Gene Expression experiment |
GSM193888 |
Case 9.2, PDWA, Grade 3, Gene Expression experiment |
GSM193889 |
Case 10, DCIS, Grade 1, Gene Expression experiment |
GSM193890 |
Case 10.1, ADH, Grade 1, Gene Expression experiment |
GSM193891 |
Case 11, DCIS, Grade NA, Gene Expression experiment |
GSM193892 |
Case 12, DCIS, Grade 1, Gene Expression experiment |
GSM193893 |
Case 13, DCIS, Grade 2, Gene Expression experiment |
GSM193894 |
Case 14, DCIS, Grade 2, Gene Expression experiment |
GSM193895 |
Case 15, DCIS, Grade 2, Gene Expression experiment |
GSM193896 |
Case 16, DCIS, Grade 1, Gene Expression experiment |
GSM193897 |
Case 17, DCIS, Grade 2, Gene Expression experiment |
GSM193898 |
Case 18, DCIS, Grade 2, Gene Expression experiment |
GSM193899 |
Case 18.1, ADH, Grade 2, Gene Expression experiment |
GSM193900 |
Case 19, DCIS, Grade 2, Gene Expression experiment |
GSM193901 |
Case 20, DCIS, Grade 2, Gene Expression experiment |
GSM193902 |
Case 20.1, Normal, Grade 2, Gene Expression experiment |
GSM193903 |
Case 21, DCIS, Grade 3, Gene Expression experiment |
GSM193904 |
Case 22, DCIS, Grade 1, Gene Expression experiment |
GSM193905 |
Case 23, DCIS, Grade 2, Gene Expression experiment |
GSM193906 |
Case 24, DCIS, Grade 1, Gene Expression experiment |
GSM193907 |
Case 25, DCIS, Grade 1, Gene Expression experiment |
GSM193908 |
Case 26, DCIS, Grade 2, Gene Expression experiment |
GSM193909 |
Case 27, DCIS, Grade 1, Gene Expression experiment |
GSM193910 |
Case 28, DCIS, Grade 2, Gene Expression experiment |
GSM193911 |
Case 28.1, ADH, Grade 2, Gene Expression experiment |
GSM193912 |
Case 29, DCIS, Grade 3, Gene Expression experiment |
GSM193913 |
Case 29.1, Normal, Grade 3, Gene Expression experiment |
GSM193914 |
Case 30, DCIS, Grade 3, Gene Expression experiment |
GSM193915 |
Case 31, DCIS, Grade 3, Gene Expression experiment |
GSM193916 |
Case 32, DCIS, Grade 1, Gene Expression experiment |
GSM193917 |
Case 34, DCIS, Grade 1, Gene Expression experiment |
GSM193918 |
Case 35, DCIS, Grade 2, Gene Expression experiment |
GSM193919 |
Case 37, IG DCIS, Grade 1, Gene Expression experiment |
GSM193920 |
Case 37.1, LG DCIS, Grade 1, Gene Expression experiment |
GSM193921 |
Case 38, DCIS, Grade NA, Gene Expression experiment |
GSM193922 |
Case 39, DCIS, Grade 3, Gene Expression experiment |
GSM193923 |
Case 40, DCIS, Grade 2, Gene Expression experiment |
GSM193924 |
Case 41, DCIS, Grade 2, Gene Expression experiment |
GSM193925 |
Case 42, DCIS, Grade 3, Gene Expression experiment |
GSM193926 |
Case 43, DCIS, Grade 1, Gene Expression experiment |
GSM193927 |
Case 44, DCIS, Grade 2, Gene Expression experiment |
GSM193928 |
Case 45, DCIS, Grade 2, Gene Expression experiment |
GSM193929 |
Case 45.1, Normal, Grade 2, Gene Expression experiment |
GSM193930 |
Case 46, LCIS, Grade 3, Gene Expression experiment |
GSM193931 |
Case 48, DCIS, Grade 2, Gene Expression experiment |
GSM193932 |
Case 50, DCIS, Grade 2, Gene Expression experiment |
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Relations |
BioProject |
PRJNA99915 |
Supplementary file |
Size |
Download |
File type/resource |
GSE7882_RAW.tar |
63.0 Mb |
(http)(custom) |
TAR (of TXT) |
Processed data included within Sample table |
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