人类乳腺肿瘤的全面分子特征图谱。
Comprehensive molecular portraits of human breast tumours.
出版信息
Nature. 2012 Oct 4;490(7418):61-70. doi: 10.1038/nature11412. Epub 2012 Sep 23.
We analysed primary breast cancers by genomic DNA copy number arrays, DNA methylation, exome sequencing, messenger RNA arrays, microRNA sequencing and reverse-phase protein arrays. Our ability to integrate information across platforms provided key insights into previously defined gene expression subtypes and demonstrated the existence of four main breast cancer classes when combining data from five platforms, each of which shows significant molecular heterogeneity. Somatic mutations in only three genes (TP53, PIK3CA and GATA3) occurred at >10% incidence across all breast cancers; however, there were numerous subtype-associated and novel gene mutations including the enrichment of specific mutations in GATA3, PIK3CA and MAP3K1 with the luminal A subtype. We identified two novel protein-expression-defined subgroups, possibly produced by stromal/microenvironmental elements, and integrated analyses identified specific signalling pathways dominant in each molecular subtype including a HER2/phosphorylated HER2/EGFR/phosphorylated EGFR signature within the HER2-enriched expression subtype. Comparison of basal-like breast tumours with high-grade serous ovarian tumours showed many molecular commonalities, indicating a related aetiology and similar therapeutic opportunities. The biological finding of the four main breast cancer subtypes caused by different subsets of genetic and epigenetic abnormalities raises the hypothesis that much of the clinically observable plasticity and heterogeneity occurs within, and not across, these major biological subtypes of breast cancer.
我们通过基因组 DNA 拷贝数阵列、DNA 甲基化、外显子测序、信使 RNA 阵列、microRNA 测序和反相蛋白阵列分析了原发性乳腺癌。我们整合跨平台信息的能力为先前定义的基因表达亚型提供了重要的见解,并证明了在结合来自五个平台的数据时存在四种主要的乳腺癌类别,每个平台都显示出显著的分子异质性。在所有乳腺癌中,只有三个基因(TP53、PIK3CA 和 GATA3)的体细胞突变发生率超过 10%;然而,存在许多与亚型相关的和新的基因突变,包括在 luminal A 亚型中 GATA3、PIK3CA 和 MAP3K1 的特定突变的富集。我们确定了两个新的蛋白表达定义的亚组,可能是由基质/微环境因素产生的,整合分析确定了每个分子亚型中占主导地位的特定信号通路,包括在 HER2 高表达亚型中存在 HER2/磷酸化 HER2/EGFR/磷酸化 EGFR 特征。与高级别浆液性卵巢肿瘤相比,基底样乳腺癌显示出许多分子共性,表明存在相关的发病机制和类似的治疗机会。四种主要乳腺癌亚型是由不同遗传和表观遗传异常子集引起的生物学发现提出了这样一种假设,即临床上观察到的大部分可塑性和异质性发生在这些乳腺癌的主要生物学亚型内,而不是跨这些亚型。