Intratumor heterogeneity index of breast carcinomas based on DNA methylation profiles

Abstract Background Cancer cells evolve and constitute heterogeneous populations that fluctuate in space and time and are subjected to selection generating intratumor heterogeneity. This phenomenon is determined by the acquisition of genetic/epigenetic alterations and their selection over time which...

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Main Authors: Emanuel M. Campoy, María T. Branham, Luis S. Mayorga, María Roqué
Format: Article
Language:English
Published: BMC 2019-04-01
Series:BMC Cancer
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12885-019-5550-3
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author Emanuel M. Campoy
María T. Branham
Luis S. Mayorga
María Roqué
author_facet Emanuel M. Campoy
María T. Branham
Luis S. Mayorga
María Roqué
author_sort Emanuel M. Campoy
collection DOAJ
description Abstract Background Cancer cells evolve and constitute heterogeneous populations that fluctuate in space and time and are subjected to selection generating intratumor heterogeneity. This phenomenon is determined by the acquisition of genetic/epigenetic alterations and their selection over time which has clinical implications on drug resistance. Methods DNA extracted from different tumor cell populations (breast carcinomas, cancer cell lines and cellular clones) were analyzed by MS-MLPA. Methylation profiles were used to generate a heterogeneity index to quantify the magnitude of epigenetic heterogeneity in these populations. Cellular clones were obtained from single cells derived of MDA-MB 231 cancer cell lines applying serial limiting dilution method and morphology was analyzed by optical microscopy and flow cytometry. Clones characteristics were examined through cellular proliferation, migration capacity and apoptosis. Heterogeneity index was also calculated from beta values derived from methylation profiles of TCGA tumors. Results The study of methylation profiles of 23 fresh breast carcinomas revealed heterogeneous allele populations in these tumor pieces. With the purpose to measure the magnitude of epigenetic heterogeneity, we developed an heterogeneity index based on methylation information and observed that all tumors present their own heterogeneity level. Applying the index calculation in pure cancer cell populations such as cancer cell lines (MDA-MB 231, MCF-7, T47D, HeLa and K-562), we also observed epigenetic heterogeneity. In addition, we detected that clones obtained from the MDA-MB 231 cancer cell line generated their own new heterogeneity over time. Using TCGA tumors, we determined that the heterogeneity index correlated with prognostic and predictive factors like tumor size (p = 0.0088), number of affected axillary nodes (p = 0.007), estrogen receptor expression (p < 0.0001) and HER2 positivity (p = 0.0007). When we analyzed molecular subtypes we found that they presented different heterogeneity levels. Interestingly, we also observed that all mentioned tumor cell populations shared a similar Heterogeneity index (HI) mean. Conclusions Our results show that each tumor presents a unique epigenetic heterogeneity level, which is associated with prognostic and predictive factors. We also observe that breast tumor subtypes differ in terms of epigenetic heterogeneity, which could serve as a new contribution to understand the different prognosis of these groups.
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spelling doaj.art-8a8d2429bc6548ed9e9189c95488ab802022-12-21T18:59:09ZengBMCBMC Cancer1471-24072019-04-0119111510.1186/s12885-019-5550-3Intratumor heterogeneity index of breast carcinomas based on DNA methylation profilesEmanuel M. Campoy0María T. Branham1Luis S. Mayorga2María Roqué3IHEM-CONICETIHEM-CONICETIHEM-CONICETIHEM-CONICETAbstract Background Cancer cells evolve and constitute heterogeneous populations that fluctuate in space and time and are subjected to selection generating intratumor heterogeneity. This phenomenon is determined by the acquisition of genetic/epigenetic alterations and their selection over time which has clinical implications on drug resistance. Methods DNA extracted from different tumor cell populations (breast carcinomas, cancer cell lines and cellular clones) were analyzed by MS-MLPA. Methylation profiles were used to generate a heterogeneity index to quantify the magnitude of epigenetic heterogeneity in these populations. Cellular clones were obtained from single cells derived of MDA-MB 231 cancer cell lines applying serial limiting dilution method and morphology was analyzed by optical microscopy and flow cytometry. Clones characteristics were examined through cellular proliferation, migration capacity and apoptosis. Heterogeneity index was also calculated from beta values derived from methylation profiles of TCGA tumors. Results The study of methylation profiles of 23 fresh breast carcinomas revealed heterogeneous allele populations in these tumor pieces. With the purpose to measure the magnitude of epigenetic heterogeneity, we developed an heterogeneity index based on methylation information and observed that all tumors present their own heterogeneity level. Applying the index calculation in pure cancer cell populations such as cancer cell lines (MDA-MB 231, MCF-7, T47D, HeLa and K-562), we also observed epigenetic heterogeneity. In addition, we detected that clones obtained from the MDA-MB 231 cancer cell line generated their own new heterogeneity over time. Using TCGA tumors, we determined that the heterogeneity index correlated with prognostic and predictive factors like tumor size (p = 0.0088), number of affected axillary nodes (p = 0.007), estrogen receptor expression (p < 0.0001) and HER2 positivity (p = 0.0007). When we analyzed molecular subtypes we found that they presented different heterogeneity levels. Interestingly, we also observed that all mentioned tumor cell populations shared a similar Heterogeneity index (HI) mean. Conclusions Our results show that each tumor presents a unique epigenetic heterogeneity level, which is associated with prognostic and predictive factors. We also observe that breast tumor subtypes differ in terms of epigenetic heterogeneity, which could serve as a new contribution to understand the different prognosis of these groups.http://link.springer.com/article/10.1186/s12885-019-5550-3Intratumor heterogeneity - promoter methylationTCGA - heterogeneity index - breast Cancer - cellular clonesPrognosis and predictive factors
spellingShingle Emanuel M. Campoy
María T. Branham
Luis S. Mayorga
María Roqué
Intratumor heterogeneity index of breast carcinomas based on DNA methylation profiles
BMC Cancer
Intratumor heterogeneity - promoter methylation
TCGA - heterogeneity index - breast Cancer - cellular clones
Prognosis and predictive factors
title Intratumor heterogeneity index of breast carcinomas based on DNA methylation profiles
title_full Intratumor heterogeneity index of breast carcinomas based on DNA methylation profiles
title_fullStr Intratumor heterogeneity index of breast carcinomas based on DNA methylation profiles
title_full_unstemmed Intratumor heterogeneity index of breast carcinomas based on DNA methylation profiles
title_short Intratumor heterogeneity index of breast carcinomas based on DNA methylation profiles
title_sort intratumor heterogeneity index of breast carcinomas based on dna methylation profiles
topic Intratumor heterogeneity - promoter methylation
TCGA - heterogeneity index - breast Cancer - cellular clones
Prognosis and predictive factors
url http://link.springer.com/article/10.1186/s12885-019-5550-3
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AT luissmayorga intratumorheterogeneityindexofbreastcarcinomasbasedondnamethylationprofiles
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