Methylation-to-Expression Feature Models of Breast Cancer Accurately Predict Overall Survival, Distant-Recurrence Free Survival, and Pathologic Complete Response in Multiple Cohorts

Abstract Prognostic biomarkers serve a variety of purposes in cancer treatment and research, such as prediction of cancer progression, and treatment eligibility. Despite growing interest in multi-omic data integration for defining prognostic biomarkers, validated methods have been slow to emerge. Gi...

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Autores principales: Jeffrey A. Thompson, Brock C. Christensen, Carmen J. Marsit
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Lenguaje:EN
Publicado: Nature Portfolio 2018
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Acceso en línea:https://doaj.org/article/4595189a82f94bd59ee0359b5de48c2d
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spelling oai:doaj.org-article:4595189a82f94bd59ee0359b5de48c2d2021-12-02T15:09:02ZMethylation-to-Expression Feature Models of Breast Cancer Accurately Predict Overall Survival, Distant-Recurrence Free Survival, and Pathologic Complete Response in Multiple Cohorts10.1038/s41598-018-23494-02045-2322https://doaj.org/article/4595189a82f94bd59ee0359b5de48c2d2018-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-23494-0https://doaj.org/toc/2045-2322Abstract Prognostic biomarkers serve a variety of purposes in cancer treatment and research, such as prediction of cancer progression, and treatment eligibility. Despite growing interest in multi-omic data integration for defining prognostic biomarkers, validated methods have been slow to emerge. Given that breast cancer has been the focus of intense research, it is amenable to studying the benefits of multi-omic prognostic models due to the availability of datasets. Thus, we examined the efficacy of our methylation-to-expression feature model (M2EFM) approach to combining molecular and clinical predictors to create risk scores for overall survival, distant metastasis, and chemosensitivity in breast cancer. Gene expression, DNA methylation, and clinical variables were integrated via M2EFM to build models of overall survival using 1028 breast tumor samples and applied to validation cohorts of 61 and 327 samples. Models of distant recurrence-free survival and pathologic complete response were built using 306 samples and validated on 182 samples. Despite different populations and assays, M2EFM models validated with good accuracy (C-index or AUC ≥ 0.7) for all outcomes and had the most consistent performance compared to other methods. Finally, we demonstrated that M2EFM identifies functionally relevant genes, which could be useful in translating an M2EFM biomarker to the clinic.Jeffrey A. ThompsonBrock C. ChristensenCarmen J. MarsitNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-10 (2018)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jeffrey A. Thompson
Brock C. Christensen
Carmen J. Marsit
Methylation-to-Expression Feature Models of Breast Cancer Accurately Predict Overall Survival, Distant-Recurrence Free Survival, and Pathologic Complete Response in Multiple Cohorts
description Abstract Prognostic biomarkers serve a variety of purposes in cancer treatment and research, such as prediction of cancer progression, and treatment eligibility. Despite growing interest in multi-omic data integration for defining prognostic biomarkers, validated methods have been slow to emerge. Given that breast cancer has been the focus of intense research, it is amenable to studying the benefits of multi-omic prognostic models due to the availability of datasets. Thus, we examined the efficacy of our methylation-to-expression feature model (M2EFM) approach to combining molecular and clinical predictors to create risk scores for overall survival, distant metastasis, and chemosensitivity in breast cancer. Gene expression, DNA methylation, and clinical variables were integrated via M2EFM to build models of overall survival using 1028 breast tumor samples and applied to validation cohorts of 61 and 327 samples. Models of distant recurrence-free survival and pathologic complete response were built using 306 samples and validated on 182 samples. Despite different populations and assays, M2EFM models validated with good accuracy (C-index or AUC ≥ 0.7) for all outcomes and had the most consistent performance compared to other methods. Finally, we demonstrated that M2EFM identifies functionally relevant genes, which could be useful in translating an M2EFM biomarker to the clinic.
format article
author Jeffrey A. Thompson
Brock C. Christensen
Carmen J. Marsit
author_facet Jeffrey A. Thompson
Brock C. Christensen
Carmen J. Marsit
author_sort Jeffrey A. Thompson
title Methylation-to-Expression Feature Models of Breast Cancer Accurately Predict Overall Survival, Distant-Recurrence Free Survival, and Pathologic Complete Response in Multiple Cohorts
title_short Methylation-to-Expression Feature Models of Breast Cancer Accurately Predict Overall Survival, Distant-Recurrence Free Survival, and Pathologic Complete Response in Multiple Cohorts
title_full Methylation-to-Expression Feature Models of Breast Cancer Accurately Predict Overall Survival, Distant-Recurrence Free Survival, and Pathologic Complete Response in Multiple Cohorts
title_fullStr Methylation-to-Expression Feature Models of Breast Cancer Accurately Predict Overall Survival, Distant-Recurrence Free Survival, and Pathologic Complete Response in Multiple Cohorts
title_full_unstemmed Methylation-to-Expression Feature Models of Breast Cancer Accurately Predict Overall Survival, Distant-Recurrence Free Survival, and Pathologic Complete Response in Multiple Cohorts
title_sort methylation-to-expression feature models of breast cancer accurately predict overall survival, distant-recurrence free survival, and pathologic complete response in multiple cohorts
publisher Nature Portfolio
publishDate 2018
url https://doaj.org/article/4595189a82f94bd59ee0359b5de48c2d
work_keys_str_mv AT jeffreyathompson methylationtoexpressionfeaturemodelsofbreastcanceraccuratelypredictoverallsurvivaldistantrecurrencefreesurvivalandpathologiccompleteresponseinmultiplecohorts
AT brockcchristensen methylationtoexpressionfeaturemodelsofbreastcanceraccuratelypredictoverallsurvivaldistantrecurrencefreesurvivalandpathologiccompleteresponseinmultiplecohorts
AT carmenjmarsit methylationtoexpressionfeaturemodelsofbreastcanceraccuratelypredictoverallsurvivaldistantrecurrencefreesurvivalandpathologiccompleteresponseinmultiplecohorts
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