Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.

Lung adenocarcinoma (AD) represents a predominant type of lung cancer demonstrating significant morphologic and molecular heterogeneity. We sought to understand this heterogeneity by utilizing gene expression analyses of 432 AD samples and examining associations between 27 known cancer-related pathw...

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Main Authors: Christopher M Bryant, Daniel L Albertus, Sinae Kim, Guoan Chen, Christian Brambilla, Mickael Guedj, Chinatsu Arima, William D Travis, Yasushi Yatabe, Takashi Takahashi, Elisabeth Brambilla, David G Beer
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2010-07-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/20661423/?tool=EBI
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author Christopher M Bryant
Daniel L Albertus
Sinae Kim
Guoan Chen
Christian Brambilla
Mickael Guedj
Chinatsu Arima
William D Travis
Yasushi Yatabe
Takashi Takahashi
Elisabeth Brambilla
David G Beer
author_facet Christopher M Bryant
Daniel L Albertus
Sinae Kim
Guoan Chen
Christian Brambilla
Mickael Guedj
Chinatsu Arima
William D Travis
Yasushi Yatabe
Takashi Takahashi
Elisabeth Brambilla
David G Beer
author_sort Christopher M Bryant
collection DOAJ
description Lung adenocarcinoma (AD) represents a predominant type of lung cancer demonstrating significant morphologic and molecular heterogeneity. We sought to understand this heterogeneity by utilizing gene expression analyses of 432 AD samples and examining associations between 27 known cancer-related pathways and the AD subtype, clinical characteristics and patient survival. Unsupervised clustering of AD and gene expression enrichment analysis reveals that cell proliferation is the most important pathway separating tumors into subgroups. Further, AD with increased cell proliferation demonstrate significantly poorer outcome and an increased solid AD subtype component. Additionally, we find that tumors with any solid component have decreased survival as compared to tumors without a solid component. These results lead to the potential to use a relatively simple pathological examination of a tumor in order to determine its aggressiveness and the patient's prognosis. Additional results suggest the ability to use a similar approach to determine a patient's sensitivity to targeted treatment. We then demonstrated the consistency of these findings using two independent AD cohorts from Asia (N = 87) and Europe (N = 89) using the identical analytic procedures.
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spelling doaj.art-ba78ce948c7a4f06b2e20da12c7ea8722022-12-21T23:09:18ZengPublic Library of Science (PLoS)PLoS ONE1932-62032010-07-0157e1171210.1371/journal.pone.0011712Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.Christopher M BryantDaniel L AlbertusSinae KimGuoan ChenChristian BrambillaMickael GuedjChinatsu ArimaWilliam D TravisYasushi YatabeTakashi TakahashiElisabeth BrambillaDavid G BeerLung adenocarcinoma (AD) represents a predominant type of lung cancer demonstrating significant morphologic and molecular heterogeneity. We sought to understand this heterogeneity by utilizing gene expression analyses of 432 AD samples and examining associations between 27 known cancer-related pathways and the AD subtype, clinical characteristics and patient survival. Unsupervised clustering of AD and gene expression enrichment analysis reveals that cell proliferation is the most important pathway separating tumors into subgroups. Further, AD with increased cell proliferation demonstrate significantly poorer outcome and an increased solid AD subtype component. Additionally, we find that tumors with any solid component have decreased survival as compared to tumors without a solid component. These results lead to the potential to use a relatively simple pathological examination of a tumor in order to determine its aggressiveness and the patient's prognosis. Additional results suggest the ability to use a similar approach to determine a patient's sensitivity to targeted treatment. We then demonstrated the consistency of these findings using two independent AD cohorts from Asia (N = 87) and Europe (N = 89) using the identical analytic procedures.https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/20661423/?tool=EBI
spellingShingle Christopher M Bryant
Daniel L Albertus
Sinae Kim
Guoan Chen
Christian Brambilla
Mickael Guedj
Chinatsu Arima
William D Travis
Yasushi Yatabe
Takashi Takahashi
Elisabeth Brambilla
David G Beer
Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
PLoS ONE
title Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
title_full Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
title_fullStr Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
title_full_unstemmed Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
title_short Clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways: an international validation study.
title_sort clinically relevant characterization of lung adenocarcinoma subtypes based on cellular pathways an international validation study
url https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/20661423/?tool=EBI
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