Gene expression profiles of inflammatory breast cancer reveal high heterogeneity across the epithelial-hybrid-mesenchymal spectrum

Inflammatory breast cancer (IBC) is a highly aggressive breast cancer that metastasizes largely via tumor emboli, and has a 5-year survival rate of less than 30%. No unique genomic signature has yet been identified for IBC nor has any specific molecular therapeutic been developed to manage the disea...

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Main Authors: Priyanka Chakraborty, Jason T George, Wendy A Woodward, Herbert Levine, Mohit Kumar Jolly
Format: Article
Language:English
Published: Elsevier 2021-04-01
Series:Translational Oncology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1936523321000188
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author Priyanka Chakraborty
Jason T George
Wendy A Woodward
Herbert Levine
Mohit Kumar Jolly
author_facet Priyanka Chakraborty
Jason T George
Wendy A Woodward
Herbert Levine
Mohit Kumar Jolly
author_sort Priyanka Chakraborty
collection DOAJ
description Inflammatory breast cancer (IBC) is a highly aggressive breast cancer that metastasizes largely via tumor emboli, and has a 5-year survival rate of less than 30%. No unique genomic signature has yet been identified for IBC nor has any specific molecular therapeutic been developed to manage the disease. Thus, identifying gene expression signatures specific to IBC remains crucial. Here, we compare various gene lists that have been proposed as molecular footprints of IBC using different clinical samples as training and validation sets and using independent training algorithms, and determine their accuracy in identifying IBC samples in three independent datasets. We show that these gene lists have little to no mutual overlap, and have limited predictive accuracy in identifying IBC samples. Despite this inconsistency, single-sample gene set enrichment analysis (ssGSEA) of IBC samples correlate with their position on the epithelial-hybrid-mesenchymal spectrum. This positioning, together with ssGSEA scores, improves the accuracy of IBC identification across the three independent datasets. Finally, we observed that IBC samples robustly displayed a higher coefficient of variation in terms of EMT scores, as compared to non-IBC samples. Pending verification that this patient-to-patient variability extends to intratumor heterogeneity within a single patient, these results suggest that higher heterogeneity along the epithelial-hybrid-mesenchymal spectrum can be regarded to be a hallmark of IBC and a possibly useful biomarker.
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spelling doaj.art-33193b16bc3e44debbe6151b1827b1c22022-12-21T22:22:56ZengElsevierTranslational Oncology1936-52332021-04-01144101026Gene expression profiles of inflammatory breast cancer reveal high heterogeneity across the epithelial-hybrid-mesenchymal spectrumPriyanka Chakraborty0Jason T George1Wendy A Woodward2Herbert Levine3Mohit Kumar Jolly4Centre for BioSystems Science and Engineering, Indian Institute of Science, Bangalore 560012, IndiaCenter for Theoretical Biological Physics, Rice University, Houston, TX 77005, USA; Medical Scientist Training Program, Baylor College of Medicine, Houston, TX 77005, USADepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; MD Anderson Morgan Welch Inflammatory Breast Cancer Research Program and Clinic, The University of Texas MD Anderson Cancer Center, Houston, TX, USACenter for Theoretical Biological Physics, Rice University, Houston, TX 77005, USA; Departments of Physics and Bioengineering, Northeastern University, Boston, MA 02115, USACentre for BioSystems Science and Engineering, Indian Institute of Science, Bangalore 560012, India; Corresponding author.Inflammatory breast cancer (IBC) is a highly aggressive breast cancer that metastasizes largely via tumor emboli, and has a 5-year survival rate of less than 30%. No unique genomic signature has yet been identified for IBC nor has any specific molecular therapeutic been developed to manage the disease. Thus, identifying gene expression signatures specific to IBC remains crucial. Here, we compare various gene lists that have been proposed as molecular footprints of IBC using different clinical samples as training and validation sets and using independent training algorithms, and determine their accuracy in identifying IBC samples in three independent datasets. We show that these gene lists have little to no mutual overlap, and have limited predictive accuracy in identifying IBC samples. Despite this inconsistency, single-sample gene set enrichment analysis (ssGSEA) of IBC samples correlate with their position on the epithelial-hybrid-mesenchymal spectrum. This positioning, together with ssGSEA scores, improves the accuracy of IBC identification across the three independent datasets. Finally, we observed that IBC samples robustly displayed a higher coefficient of variation in terms of EMT scores, as compared to non-IBC samples. Pending verification that this patient-to-patient variability extends to intratumor heterogeneity within a single patient, these results suggest that higher heterogeneity along the epithelial-hybrid-mesenchymal spectrum can be regarded to be a hallmark of IBC and a possibly useful biomarker.http://www.sciencedirect.com/science/article/pii/S1936523321000188IBCGene expression signatureTumor heterogeneityHybrid epithelial/ mesenchymal
spellingShingle Priyanka Chakraborty
Jason T George
Wendy A Woodward
Herbert Levine
Mohit Kumar Jolly
Gene expression profiles of inflammatory breast cancer reveal high heterogeneity across the epithelial-hybrid-mesenchymal spectrum
Translational Oncology
IBC
Gene expression signature
Tumor heterogeneity
Hybrid epithelial/ mesenchymal
title Gene expression profiles of inflammatory breast cancer reveal high heterogeneity across the epithelial-hybrid-mesenchymal spectrum
title_full Gene expression profiles of inflammatory breast cancer reveal high heterogeneity across the epithelial-hybrid-mesenchymal spectrum
title_fullStr Gene expression profiles of inflammatory breast cancer reveal high heterogeneity across the epithelial-hybrid-mesenchymal spectrum
title_full_unstemmed Gene expression profiles of inflammatory breast cancer reveal high heterogeneity across the epithelial-hybrid-mesenchymal spectrum
title_short Gene expression profiles of inflammatory breast cancer reveal high heterogeneity across the epithelial-hybrid-mesenchymal spectrum
title_sort gene expression profiles of inflammatory breast cancer reveal high heterogeneity across the epithelial hybrid mesenchymal spectrum
topic IBC
Gene expression signature
Tumor heterogeneity
Hybrid epithelial/ mesenchymal
url http://www.sciencedirect.com/science/article/pii/S1936523321000188
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