Evaluation of multiple transcriptomic gene risk signatures in male breast cancer

Abstract Male breast cancer (BCa) is a rare disease accounting for less than 1% of all breast cancers and 1% of all cancers in males. The clinical management is largely extrapolated from female BCa. Several multigene assays are increasingly used to guide clinical treatment decisions in female BCa, h...

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Autores principales: Jane Bayani, Coralie Poncet, Cheryl Crozier, Anouk Neven, Tammy Piper, Carrie Cunningham, Monika Sobol, Stefan Aebi, Kim Benstead, Oliver Bogler, Lissandra Dal Lago, Judith Fraser, Florentine Hilbers, Ingrid Hedenfalk, Larissa Korde, Barbro Linderholm, John Martens, Lavinia Middleton, Melissa Murray, Catherine Kelly, Cecilia Nilsson, Monika Nowaczyk, Stephanie Peeters, Aleksandra Peric, Peggy Porter, Carolien Schröder, Isabel T. Rubio, Kathryn J. Ruddy, Christi van Asperen, Danielle Van Den Weyngaert, Carolien van Deurzen, Elise van Leeuwen-Stok, Joanna Vermeij, Eric Winer, Sharon H. Giordano, Fatima Cardoso, John M. S. Bartlett
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/39b74ac02205476a9300ff36cbb33d6d
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spelling oai:doaj.org-article:39b74ac02205476a9300ff36cbb33d6d2021-12-02T16:24:23ZEvaluation of multiple transcriptomic gene risk signatures in male breast cancer10.1038/s41523-021-00301-02374-4677https://doaj.org/article/39b74ac02205476a9300ff36cbb33d6d2021-07-01T00:00:00Zhttps://doi.org/10.1038/s41523-021-00301-0https://doaj.org/toc/2374-4677Abstract Male breast cancer (BCa) is a rare disease accounting for less than 1% of all breast cancers and 1% of all cancers in males. The clinical management is largely extrapolated from female BCa. Several multigene assays are increasingly used to guide clinical treatment decisions in female BCa, however, there are limited data on the utility of these tests in male BCa. Here we present the gene expression results of 381 M0, ER+ve, HER2-ve male BCa patients enrolled in the Part 1 (retrospective analysis) of the International Male Breast Cancer Program. Using a custom NanoString™ panel comprised of the genes from the commercial risk tests Prosigna®, OncotypeDX®, and MammaPrint®, risk scores and intrinsic subtyping data were generated to recapitulate the commercial tests as described by us previously. We also examined the prognostic value of other risk scores such as the Genomic Grade Index (GGI), IHC4-mRNA and our prognostic 95-gene signature. In this sample set of male BCa, we demonstrated prognostic utility on univariate analysis. Across all signatures, patients whose samples were identified as low-risk experienced better outcomes than intermediate-risk, with those classed as high risk experiencing the poorest outcomes. As seen with female BCa, the concordance between tests was poor, with C-index values ranging from 40.3% to 78.2% and Kappa values ranging from 0.17 to 0.58. To our knowledge, this is the largest study of male breast cancers assayed to generate risk scores of the current commercial and academic risk tests demonstrating comparable clinical utility to female BCa.Jane BayaniCoralie PoncetCheryl CrozierAnouk NevenTammy PiperCarrie CunninghamMonika SobolStefan AebiKim BensteadOliver BoglerLissandra Dal LagoJudith FraserFlorentine HilbersIngrid HedenfalkLarissa KordeBarbro LinderholmJohn MartensLavinia MiddletonMelissa MurrayCatherine KellyCecilia NilssonMonika NowaczykStephanie PeetersAleksandra PericPeggy PorterCarolien SchröderIsabel T. RubioKathryn J. RuddyChristi van AsperenDanielle Van Den WeyngaertCarolien van DeurzenElise van Leeuwen-StokJoanna VermeijEric WinerSharon H. GiordanoFatima CardosoJohn M. S. BartlettNature PortfolioarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Breast Cancer, Vol 7, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Jane Bayani
Coralie Poncet
Cheryl Crozier
Anouk Neven
Tammy Piper
Carrie Cunningham
Monika Sobol
Stefan Aebi
Kim Benstead
Oliver Bogler
Lissandra Dal Lago
Judith Fraser
Florentine Hilbers
Ingrid Hedenfalk
Larissa Korde
Barbro Linderholm
John Martens
Lavinia Middleton
Melissa Murray
Catherine Kelly
Cecilia Nilsson
Monika Nowaczyk
Stephanie Peeters
Aleksandra Peric
Peggy Porter
Carolien Schröder
Isabel T. Rubio
Kathryn J. Ruddy
Christi van Asperen
Danielle Van Den Weyngaert
Carolien van Deurzen
Elise van Leeuwen-Stok
Joanna Vermeij
Eric Winer
Sharon H. Giordano
Fatima Cardoso
John M. S. Bartlett
Evaluation of multiple transcriptomic gene risk signatures in male breast cancer
description Abstract Male breast cancer (BCa) is a rare disease accounting for less than 1% of all breast cancers and 1% of all cancers in males. The clinical management is largely extrapolated from female BCa. Several multigene assays are increasingly used to guide clinical treatment decisions in female BCa, however, there are limited data on the utility of these tests in male BCa. Here we present the gene expression results of 381 M0, ER+ve, HER2-ve male BCa patients enrolled in the Part 1 (retrospective analysis) of the International Male Breast Cancer Program. Using a custom NanoString™ panel comprised of the genes from the commercial risk tests Prosigna®, OncotypeDX®, and MammaPrint®, risk scores and intrinsic subtyping data were generated to recapitulate the commercial tests as described by us previously. We also examined the prognostic value of other risk scores such as the Genomic Grade Index (GGI), IHC4-mRNA and our prognostic 95-gene signature. In this sample set of male BCa, we demonstrated prognostic utility on univariate analysis. Across all signatures, patients whose samples were identified as low-risk experienced better outcomes than intermediate-risk, with those classed as high risk experiencing the poorest outcomes. As seen with female BCa, the concordance between tests was poor, with C-index values ranging from 40.3% to 78.2% and Kappa values ranging from 0.17 to 0.58. To our knowledge, this is the largest study of male breast cancers assayed to generate risk scores of the current commercial and academic risk tests demonstrating comparable clinical utility to female BCa.
format article
author Jane Bayani
Coralie Poncet
Cheryl Crozier
Anouk Neven
Tammy Piper
Carrie Cunningham
Monika Sobol
Stefan Aebi
Kim Benstead
Oliver Bogler
Lissandra Dal Lago
Judith Fraser
Florentine Hilbers
Ingrid Hedenfalk
Larissa Korde
Barbro Linderholm
John Martens
Lavinia Middleton
Melissa Murray
Catherine Kelly
Cecilia Nilsson
Monika Nowaczyk
Stephanie Peeters
Aleksandra Peric
Peggy Porter
Carolien Schröder
Isabel T. Rubio
Kathryn J. Ruddy
Christi van Asperen
Danielle Van Den Weyngaert
Carolien van Deurzen
Elise van Leeuwen-Stok
Joanna Vermeij
Eric Winer
Sharon H. Giordano
Fatima Cardoso
John M. S. Bartlett
author_facet Jane Bayani
Coralie Poncet
Cheryl Crozier
Anouk Neven
Tammy Piper
Carrie Cunningham
Monika Sobol
Stefan Aebi
Kim Benstead
Oliver Bogler
Lissandra Dal Lago
Judith Fraser
Florentine Hilbers
Ingrid Hedenfalk
Larissa Korde
Barbro Linderholm
John Martens
Lavinia Middleton
Melissa Murray
Catherine Kelly
Cecilia Nilsson
Monika Nowaczyk
Stephanie Peeters
Aleksandra Peric
Peggy Porter
Carolien Schröder
Isabel T. Rubio
Kathryn J. Ruddy
Christi van Asperen
Danielle Van Den Weyngaert
Carolien van Deurzen
Elise van Leeuwen-Stok
Joanna Vermeij
Eric Winer
Sharon H. Giordano
Fatima Cardoso
John M. S. Bartlett
author_sort Jane Bayani
title Evaluation of multiple transcriptomic gene risk signatures in male breast cancer
title_short Evaluation of multiple transcriptomic gene risk signatures in male breast cancer
title_full Evaluation of multiple transcriptomic gene risk signatures in male breast cancer
title_fullStr Evaluation of multiple transcriptomic gene risk signatures in male breast cancer
title_full_unstemmed Evaluation of multiple transcriptomic gene risk signatures in male breast cancer
title_sort evaluation of multiple transcriptomic gene risk signatures in male breast cancer
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/39b74ac02205476a9300ff36cbb33d6d
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