Department of Cancer Genetics, Oslo University Hospital, Oslo, Norway.
Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Breast Cancer Res. 2019 Jul 31;21(1):85. doi: 10.1186/s13058-019-1170-8.
Claudin-low breast cancer is a molecular subtype associated with poor prognosis and without targeted treatment options. The claudin-low subtype is defined by certain biological characteristics, some of which may be clinically actionable, such as high immunogenicity. In mice, the medroxyprogesterone acetate (MPA) and 7,12-dimethylbenzanthracene (DMBA)-induced mammary tumor model yields a heterogeneous set of tumors, a subset of which display claudin-low features. Neither the genomic characteristics of MPA/DMBA-induced claudin-low tumors nor those of human claudin-low breast tumors have been thoroughly explored.
The transcriptomic characteristics and subtypes of MPA/DMBA-induced mouse mammary tumors were determined using gene expression microarrays. Somatic mutations and copy number aberrations in MPA/DMBA-induced tumors were identified from whole exome sequencing data. A publicly available dataset was queried to explore the genomic characteristics of human claudin-low breast cancer and to validate findings in the murine tumors.
Half of MPA/DMBA-induced tumors showed a claudin-low-like subtype. All tumors carried mutations in known driver genes. While the specific genes carrying mutations varied between tumors, there was a consistent mutational signature with an overweight of T>A transversions in TG dinucleotides. Most tumors carried copy number aberrations with a potential oncogenic driver effect. Overall, several genomic events were observed recurrently; however, none accurately delineated claudin-low-like tumors. Human claudin-low breast cancers carried a distinct set of genomic characteristics, in particular a relatively low burden of mutations and copy number aberrations. The gene expression characteristics of claudin-low-like MPA/DMBA-induced tumors accurately reflected those of human claudin-low tumors, including epithelial-mesenchymal transition phenotype, high level of immune activation, and low degree of differentiation. There was an elevated expression of the immunosuppressive genes PTGS2 (encoding COX-2) and CD274 (encoding PD-L1) in human and murine claudin-low tumors.
Our findings show that the claudin-low breast cancer subtype is not demarcated by specific genomic aberrations, but carries potentially targetable characteristics warranting further research.
Claudin-low 型乳腺癌是一种与预后不良相关且缺乏靶向治疗选择的分子亚型。Claudin-low 亚型具有某些生物学特征,其中一些可能具有临床可操作性,例如高免疫原性。在小鼠中,醋酸甲地孕酮(MPA)和 7,12-二甲基苯并蒽(DMBA)诱导的乳腺肿瘤模型产生了一组异质的肿瘤,其中一部分显示出 Claudin-low 特征。无论是 MPA/DMBA 诱导的 Claudin-low 肿瘤的基因组特征还是人类 Claudin-low 乳腺癌的基因组特征都尚未得到彻底探索。
使用基因表达微阵列确定 MPA/DMBA 诱导的小鼠乳腺肿瘤的转录组特征和亚型。从全外显子测序数据中鉴定 MPA/DMBA 诱导的肿瘤中的体细胞突变和拷贝数异常。查询公开可用的数据集以探索人类 Claudin-low 乳腺癌的基因组特征并验证在鼠肿瘤中的发现。
一半的 MPA/DMBA 诱导的肿瘤表现出 Claudin-low 样亚型。所有肿瘤均携带已知驱动基因的突变。虽然肿瘤之间携带突变的特定基因有所不同,但存在一致的突变特征,即在 TG 二核苷酸中超重 T>A 颠换。大多数肿瘤携带具有潜在致癌驱动作用的拷贝数异常。总体而言,观察到一些基因组事件频繁发生;然而,没有一个事件可以准确地区分 Claudin-low 样肿瘤。人类 Claudin-low 乳腺癌具有独特的基因组特征,特别是突变和拷贝数异常的负担相对较低。Claudin-low 样 MPA/DMBA 诱导的肿瘤的基因表达特征准确反映了人类 Claudin-low 肿瘤的特征,包括上皮-间充质转化表型、高水平的免疫激活和低分化程度。人类和鼠 Claudin-low 肿瘤中免疫抑制基因 PTGS2(编码 COX-2)和 CD274(编码 PD-L1)的表达升高。
我们的研究结果表明,Claudin-low 型乳腺癌亚型不是由特定的基因组异常来划定的,而是具有潜在的可靶向特征,值得进一步研究。