Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2011-6-27
pubmed:abstractText
We broadly profiled DNA methylation in breast cancers (n = 351) and benign parenchyma (n = 47) for correspondence with disease phenotype, using FFPE diagnostic surgical pathology specimens. Exploratory analysis revealed a distinctive primary invasive carcinoma subclass featuring extreme global methylation deviation. Subsequently, we tested the correlation between methylation remodeling pervasiveness and malignant biological features. A methyl deviation index (MDI) was calculated for each lesion relative to terminal ductal-lobular unit baseline, and group comparisons revealed that high-grade and short-survival estrogen receptor-positive (ER(+)) cancers manifest a significantly higher MDI than low-grade and long-survival ER(+) cancers. In contrast, ER(-) cancers display a significantly lower MDI, revealing a striking epigenomic distinction between cancer hormone receptor subtypes. Kaplan-Meier survival curves of MDI-based risk classes showed significant divergence between low- and high-risk groups. MDI showed superior prognostic performance to crude methylation levels, and MDI retained prognostic significance (P < 0.01) in Cox multivariate analysis, including clinical stage and pathological grade. Most MDI targets individually are significant markers of ER(+) cancer survival. Lymphoid and mesenchymal indexes were not substantially different between ER(+) and ER(-) groups and do not explain MDI dichotomy. However, the mesenchymal index was associated with ER(+) cancer survival, and a high lymphoid index was associated with medullary carcinoma. Finally, a comparison between metastases and primary tumors suggests methylation patterns are established early and maintained through disease progression for both ER(+) and ER(-) tumors.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
1525-2191
pubmed:author
pubmed:copyrightInfo
Copyright © 2011 American Society for Investigative Pathology. Published by Elsevier Inc. All rights reserved.
pubmed:issnType
Electronic
pubmed:volume
179
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
55-65
pubmed:meshHeading
pubmed-meshheading:21641572-Aged, pubmed-meshheading:21641572-Breast, pubmed-meshheading:21641572-Breast Neoplasms, pubmed-meshheading:21641572-Carcinoma, Ductal, Breast, pubmed-meshheading:21641572-Carcinoma, Lobular, pubmed-meshheading:21641572-Carcinoma, Medullary, pubmed-meshheading:21641572-DNA Methylation, pubmed-meshheading:21641572-Epigenomics, pubmed-meshheading:21641572-Female, pubmed-meshheading:21641572-Gene Expression Regulation, Neoplastic, pubmed-meshheading:21641572-Humans, pubmed-meshheading:21641572-Immunophenotyping, pubmed-meshheading:21641572-Longitudinal Studies, pubmed-meshheading:21641572-Lymphocytes, pubmed-meshheading:21641572-Mesoderm, pubmed-meshheading:21641572-Middle Aged, pubmed-meshheading:21641572-Neoplasm Invasiveness, pubmed-meshheading:21641572-Prognosis, pubmed-meshheading:21641572-Receptors, Estrogen, pubmed-meshheading:21641572-Survival Rate, pubmed-meshheading:21641572-Tumor Markers, Biological
pubmed:year
2011
pubmed:articleTitle
A methyl-deviator epigenotype of estrogen receptor-positive breast carcinoma is associated with malignant biology.
pubmed:affiliation
Genetics Branch, National Cancer Institute, Bethesda, MD 20892, USA.
pubmed:publicationType
Journal Article, Comparative Study