LRG1 mRNA expression in breast cancer associates with PIK3CA genotype and with aromatase inhibitor therapy outcome

Background PIK3CA is the most frequent somatic mutated oncogene in estrogen receptor (ER) positive breast cancer. We previously observed an association between PIK3CA genotype and aromatase inhibitors (AI) treatment outcome. This study now evaluates whether expression of mRNAs and miRs are linked to...

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Main Authors: Diana E. Ramirez-Ardila, Kirsten Ruigrok-Ritstier, Jean C. Helmijr, Maxime P. Look, Steven van Laere, Luc Dirix, Els M.J.J. Berns, Maurice P.H.M. Jansen
Format: Article
Language:English
Published: Wiley 2016-10-01
Series:Molecular Oncology
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Online Access:https://doi.org/10.1016/j.molonc.2016.07.004
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author Diana E. Ramirez-Ardila
Kirsten Ruigrok-Ritstier
Jean C. Helmijr
Maxime P. Look
Steven van Laere
Luc Dirix
Els M.J.J. Berns
Maurice P.H.M. Jansen
author_facet Diana E. Ramirez-Ardila
Kirsten Ruigrok-Ritstier
Jean C. Helmijr
Maxime P. Look
Steven van Laere
Luc Dirix
Els M.J.J. Berns
Maurice P.H.M. Jansen
author_sort Diana E. Ramirez-Ardila
collection DOAJ
description Background PIK3CA is the most frequent somatic mutated oncogene in estrogen receptor (ER) positive breast cancer. We previously observed an association between PIK3CA genotype and aromatase inhibitors (AI) treatment outcome. This study now evaluates whether expression of mRNAs and miRs are linked to PIK3CA genotype and are independently related to AI therapy response in order to define potential expressed biomarkers for treatment outcome. Materials and methods The miR and mRNA expression levels were evaluated for their relationship with the PIK3CA genotype in two breast tumor datasets, i.e. 286 luminal cancers from the TCGA consortium and our set of 84 ER positive primary tumors of metastatic breast cancer patients who received first line AI. BRB Array tools class comparison was performed to define miRs and mRNAs whose expression associate with PIK3CA exon 9 and 20 status. Spearman correlations established miR–mRNA pairs and mRNAs with related expression. Next, a third dataset of 25 breast cancer patients receiving neo‐adjuvant letrozole was evaluated, to compare expression levels of identified miRs and mRNAs in biopsies before and after treatment. Finally, to identify potential biomarkers miR and mRNA levels were related with overall survival (OS) and progression free survival (PFS) after first‐line AI therapy. Results Expression of 3 miRs (miR‐449a, miR‐205‐5p, miR‐301a‐3p) and 9 mRNAs (CCNO, FAM81B, LRG1, NEK10, PLCL1, PGR, SERPINA3, SORBS2, VTCN1) was related to the PIK3CA status in both datasets. All except miR‐301a‐3p had an increased expression in tumors with PIK3CA mutations. Validation in a publicly available dataset showed that LRG1, PGR, and SERPINA3 levels were decreased after neo‐adjuvant AI‐treatment. Six miR–mRNA pairs correlated significantly and stepdown analysis of all 12 factors revealed 3 mRNAs (PLCL1, LRG1, FAM81B) related to PFS. Further analyses showed LRG1 and PLCL1 expression to be unrelated with luminal subtype and to associate with OS and with PFS, the latter independent from traditional predictive factors. Conclusion We showed in two datasets of ER positive and luminal breast tumors that the expression of 3 miRs and 9 mRNAs associate with the PIK3CA status. Expression of LRG1 is independent of luminal (A or B) subtype, decreased after neo‐adjuvant AI‐treatment, and is proposed as potential biomarker for AI therapy outcome.
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spelling doaj.art-8ebe2c3f82f54bf49412c8044bd74e362024-03-05T07:31:04ZengWileyMolecular Oncology1574-78911878-02612016-10-011081363137310.1016/j.molonc.2016.07.004LRG1 mRNA expression in breast cancer associates with PIK3CA genotype and with aromatase inhibitor therapy outcomeDiana E. Ramirez-Ardila0Kirsten Ruigrok-Ritstier1Jean C. Helmijr2Maxime P. Look3Steven van Laere4Luc Dirix5Els M.J.J. Berns6Maurice P.H.M. Jansen7Department of Medical Oncology, Erasmus MC – Cancer Institute, Rotterdam, The NetherlandsDepartment of Medical Oncology, Erasmus MC – Cancer Institute, Rotterdam, The NetherlandsDepartment of Medical Oncology, Erasmus MC – Cancer Institute, Rotterdam, The NetherlandsDepartment of Medical Oncology, Erasmus MC – Cancer Institute, Rotterdam, The NetherlandsDepartment Oncology, Catholic University Leuven, Leuven, BelgiumTranslational Cancer Research Unit, Laboratory of Pathology, Antwerp University, Antwerp, BelgiumDepartment of Medical Oncology, Erasmus MC – Cancer Institute, Rotterdam, The NetherlandsDepartment of Medical Oncology, Erasmus MC – Cancer Institute, Rotterdam, The NetherlandsBackground PIK3CA is the most frequent somatic mutated oncogene in estrogen receptor (ER) positive breast cancer. We previously observed an association between PIK3CA genotype and aromatase inhibitors (AI) treatment outcome. This study now evaluates whether expression of mRNAs and miRs are linked to PIK3CA genotype and are independently related to AI therapy response in order to define potential expressed biomarkers for treatment outcome. Materials and methods The miR and mRNA expression levels were evaluated for their relationship with the PIK3CA genotype in two breast tumor datasets, i.e. 286 luminal cancers from the TCGA consortium and our set of 84 ER positive primary tumors of metastatic breast cancer patients who received first line AI. BRB Array tools class comparison was performed to define miRs and mRNAs whose expression associate with PIK3CA exon 9 and 20 status. Spearman correlations established miR–mRNA pairs and mRNAs with related expression. Next, a third dataset of 25 breast cancer patients receiving neo‐adjuvant letrozole was evaluated, to compare expression levels of identified miRs and mRNAs in biopsies before and after treatment. Finally, to identify potential biomarkers miR and mRNA levels were related with overall survival (OS) and progression free survival (PFS) after first‐line AI therapy. Results Expression of 3 miRs (miR‐449a, miR‐205‐5p, miR‐301a‐3p) and 9 mRNAs (CCNO, FAM81B, LRG1, NEK10, PLCL1, PGR, SERPINA3, SORBS2, VTCN1) was related to the PIK3CA status in both datasets. All except miR‐301a‐3p had an increased expression in tumors with PIK3CA mutations. Validation in a publicly available dataset showed that LRG1, PGR, and SERPINA3 levels were decreased after neo‐adjuvant AI‐treatment. Six miR–mRNA pairs correlated significantly and stepdown analysis of all 12 factors revealed 3 mRNAs (PLCL1, LRG1, FAM81B) related to PFS. Further analyses showed LRG1 and PLCL1 expression to be unrelated with luminal subtype and to associate with OS and with PFS, the latter independent from traditional predictive factors. Conclusion We showed in two datasets of ER positive and luminal breast tumors that the expression of 3 miRs and 9 mRNAs associate with the PIK3CA status. Expression of LRG1 is independent of luminal (A or B) subtype, decreased after neo‐adjuvant AI‐treatment, and is proposed as potential biomarker for AI therapy outcome.https://doi.org/10.1016/j.molonc.2016.07.004PIK3CA mutationsBreast cancerFirst line aromatase inhibitors therapyLRG1
spellingShingle Diana E. Ramirez-Ardila
Kirsten Ruigrok-Ritstier
Jean C. Helmijr
Maxime P. Look
Steven van Laere
Luc Dirix
Els M.J.J. Berns
Maurice P.H.M. Jansen
LRG1 mRNA expression in breast cancer associates with PIK3CA genotype and with aromatase inhibitor therapy outcome
Molecular Oncology
PIK3CA mutations
Breast cancer
First line aromatase inhibitors therapy
LRG1
title LRG1 mRNA expression in breast cancer associates with PIK3CA genotype and with aromatase inhibitor therapy outcome
title_full LRG1 mRNA expression in breast cancer associates with PIK3CA genotype and with aromatase inhibitor therapy outcome
title_fullStr LRG1 mRNA expression in breast cancer associates with PIK3CA genotype and with aromatase inhibitor therapy outcome
title_full_unstemmed LRG1 mRNA expression in breast cancer associates with PIK3CA genotype and with aromatase inhibitor therapy outcome
title_short LRG1 mRNA expression in breast cancer associates with PIK3CA genotype and with aromatase inhibitor therapy outcome
title_sort lrg1 mrna expression in breast cancer associates with pik3ca genotype and with aromatase inhibitor therapy outcome
topic PIK3CA mutations
Breast cancer
First line aromatase inhibitors therapy
LRG1
url https://doi.org/10.1016/j.molonc.2016.07.004
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