Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.

Lung adenocarcinoma (AD) represents a predominant type of lung cancer demonstrating significant morphologic and molecular heterogeneity. We sought to understand this heterogeneity by utilizing gene expression analyses of 432 AD samples and examining associations between 27 known cancer-related pathw...

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Autores principales: Christopher M Bryant, Daniel L Albertus, Sinae Kim, Guoan Chen, Christian Brambilla, Mickael Guedj, Chinatsu Arima, William D Travis, Yasushi Yatabe, Takashi Takahashi, Elisabeth Brambilla, David G Beer
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Publicado: Public Library of Science (PLoS) 2010
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Acceso en línea:https://doaj.org/article/ba78ce948c7a4f06b2e20da12c7ea872
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spelling oai:doaj.org-article:ba78ce948c7a4f06b2e20da12c7ea8722021-12-02T20:19:52ZClinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.1932-620310.1371/journal.pone.0011712https://doaj.org/article/ba78ce948c7a4f06b2e20da12c7ea8722010-07-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/20661423/?tool=EBIhttps://doaj.org/toc/1932-6203Lung adenocarcinoma (AD) represents a predominant type of lung cancer demonstrating significant morphologic and molecular heterogeneity. We sought to understand this heterogeneity by utilizing gene expression analyses of 432 AD samples and examining associations between 27 known cancer-related pathways and the AD subtype, clinical characteristics and patient survival. Unsupervised clustering of AD and gene expression enrichment analysis reveals that cell proliferation is the most important pathway separating tumors into subgroups. Further, AD with increased cell proliferation demonstrate significantly poorer outcome and an increased solid AD subtype component. Additionally, we find that tumors with any solid component have decreased survival as compared to tumors without a solid component. These results lead to the potential to use a relatively simple pathological examination of a tumor in order to determine its aggressiveness and the patient's prognosis. Additional results suggest the ability to use a similar approach to determine a patient's sensitivity to targeted treatment. We then demonstrated the consistency of these findings using two independent AD cohorts from Asia (N = 87) and Europe (N = 89) using the identical analytic procedures.Christopher M BryantDaniel L AlbertusSinae KimGuoan ChenChristian BrambillaMickael GuedjChinatsu ArimaWilliam D TravisYasushi YatabeTakashi TakahashiElisabeth BrambillaDavid G BeerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 5, Iss 7, p e11712 (2010)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Christopher M Bryant
Daniel L Albertus
Sinae Kim
Guoan Chen
Christian Brambilla
Mickael Guedj
Chinatsu Arima
William D Travis
Yasushi Yatabe
Takashi Takahashi
Elisabeth Brambilla
David G Beer
Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
description Lung adenocarcinoma (AD) represents a predominant type of lung cancer demonstrating significant morphologic and molecular heterogeneity. We sought to understand this heterogeneity by utilizing gene expression analyses of 432 AD samples and examining associations between 27 known cancer-related pathways and the AD subtype, clinical characteristics and patient survival. Unsupervised clustering of AD and gene expression enrichment analysis reveals that cell proliferation is the most important pathway separating tumors into subgroups. Further, AD with increased cell proliferation demonstrate significantly poorer outcome and an increased solid AD subtype component. Additionally, we find that tumors with any solid component have decreased survival as compared to tumors without a solid component. These results lead to the potential to use a relatively simple pathological examination of a tumor in order to determine its aggressiveness and the patient's prognosis. Additional results suggest the ability to use a similar approach to determine a patient's sensitivity to targeted treatment. We then demonstrated the consistency of these findings using two independent AD cohorts from Asia (N = 87) and Europe (N = 89) using the identical analytic procedures.
format article
author Christopher M Bryant
Daniel L Albertus
Sinae Kim
Guoan Chen
Christian Brambilla
Mickael Guedj
Chinatsu Arima
William D Travis
Yasushi Yatabe
Takashi Takahashi
Elisabeth Brambilla
David G Beer
author_facet Christopher M Bryant
Daniel L Albertus
Sinae Kim
Guoan Chen
Christian Brambilla
Mickael Guedj
Chinatsu Arima
William D Travis
Yasushi Yatabe
Takashi Takahashi
Elisabeth Brambilla
David G Beer
author_sort Christopher M Bryant
title Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
title_short Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
title_full Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
title_fullStr Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
title_full_unstemmed Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
title_sort clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
publisher Public Library of Science (PLoS)
publishDate 2010
url https://doaj.org/article/ba78ce948c7a4f06b2e20da12c7ea872
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