Breast cancer subtype specific classifiers of response to neoadjuvant chemotherapy do not outperform classifiers trained on all subtypes.

<h4>Introduction</h4>Despite continuous efforts, not a single predictor of breast cancer chemotherapy resistance has made it into the clinic yet. However, it has become clear in recent years that breast cancer is a collection of molecularly distinct diseases. With ever increasing amounts...

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Autores principales: Jorma J de Ronde, Marc Jan Bonder, Esther H Lips, Sjoerd Rodenhuis, Lodewyk F A Wessels
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Publicado: Public Library of Science (PLoS) 2014
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Acceso en línea:https://doaj.org/article/d694dcb5c88a486ab2f015e14107d826
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spelling oai:doaj.org-article:d694dcb5c88a486ab2f015e14107d8262021-11-18T08:32:18ZBreast cancer subtype specific classifiers of response to neoadjuvant chemotherapy do not outperform classifiers trained on all subtypes.1932-620310.1371/journal.pone.0088551https://doaj.org/article/d694dcb5c88a486ab2f015e14107d8262014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24558399/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Despite continuous efforts, not a single predictor of breast cancer chemotherapy resistance has made it into the clinic yet. However, it has become clear in recent years that breast cancer is a collection of molecularly distinct diseases. With ever increasing amounts of breast cancer data becoming available, we set out to study if gene expression based predictors of chemotherapy resistance that are specific for breast cancer subtypes can improve upon the performance of generic predictors.<h4>Methods</h4>We trained predictors of resistance that were specific for a subtype and generic predictors that were not specific for a particular subtype, i.e. trained on all subtypes simultaneously. Through a rigorous double-loop cross-validation we compared the performance of these two types of predictors on the different subtypes on a large set of tumors all profiled on the same expression platform (n = 394). We evaluated predictors based on either mRNA gene expression or clinical features.<h4>Results</h4>For HER2+, ER- breast cancer, subtype specific predictor based on clinical features outperformed the generic, non-specific predictor. This can be explained by the fact that the generic predictor included HER2 and ER status, features that are predictive over the whole set, but not within this subtype. In all other scenarios the generic predictors outperformed the subtype specific predictors or showed equal performance.<h4>Conclusions</h4>Since it depends on the specific context which type of predictor - subtype specific or generic- performed better, it is highly recommended to evaluate both specific and generic predictors when attempting to predict treatment response in breast cancer.Jorma J de RondeMarc Jan BonderEsther H LipsSjoerd RodenhuisLodewyk F A WesselsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 2, p e88551 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jorma J de Ronde
Marc Jan Bonder
Esther H Lips
Sjoerd Rodenhuis
Lodewyk F A Wessels
Breast cancer subtype specific classifiers of response to neoadjuvant chemotherapy do not outperform classifiers trained on all subtypes.
description <h4>Introduction</h4>Despite continuous efforts, not a single predictor of breast cancer chemotherapy resistance has made it into the clinic yet. However, it has become clear in recent years that breast cancer is a collection of molecularly distinct diseases. With ever increasing amounts of breast cancer data becoming available, we set out to study if gene expression based predictors of chemotherapy resistance that are specific for breast cancer subtypes can improve upon the performance of generic predictors.<h4>Methods</h4>We trained predictors of resistance that were specific for a subtype and generic predictors that were not specific for a particular subtype, i.e. trained on all subtypes simultaneously. Through a rigorous double-loop cross-validation we compared the performance of these two types of predictors on the different subtypes on a large set of tumors all profiled on the same expression platform (n = 394). We evaluated predictors based on either mRNA gene expression or clinical features.<h4>Results</h4>For HER2+, ER- breast cancer, subtype specific predictor based on clinical features outperformed the generic, non-specific predictor. This can be explained by the fact that the generic predictor included HER2 and ER status, features that are predictive over the whole set, but not within this subtype. In all other scenarios the generic predictors outperformed the subtype specific predictors or showed equal performance.<h4>Conclusions</h4>Since it depends on the specific context which type of predictor - subtype specific or generic- performed better, it is highly recommended to evaluate both specific and generic predictors when attempting to predict treatment response in breast cancer.
format article
author Jorma J de Ronde
Marc Jan Bonder
Esther H Lips
Sjoerd Rodenhuis
Lodewyk F A Wessels
author_facet Jorma J de Ronde
Marc Jan Bonder
Esther H Lips
Sjoerd Rodenhuis
Lodewyk F A Wessels
author_sort Jorma J de Ronde
title Breast cancer subtype specific classifiers of response to neoadjuvant chemotherapy do not outperform classifiers trained on all subtypes.
title_short Breast cancer subtype specific classifiers of response to neoadjuvant chemotherapy do not outperform classifiers trained on all subtypes.
title_full Breast cancer subtype specific classifiers of response to neoadjuvant chemotherapy do not outperform classifiers trained on all subtypes.
title_fullStr Breast cancer subtype specific classifiers of response to neoadjuvant chemotherapy do not outperform classifiers trained on all subtypes.
title_full_unstemmed Breast cancer subtype specific classifiers of response to neoadjuvant chemotherapy do not outperform classifiers trained on all subtypes.
title_sort breast cancer subtype specific classifiers of response to neoadjuvant chemotherapy do not outperform classifiers trained on all subtypes.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/d694dcb5c88a486ab2f015e14107d826
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