The Sino-Russian Medical Research Center of Jinan University, The Institute of Chronic Disease of Jinan University, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Department of Pharmacology (State-Province Key Laboratories of Biomedicine-Pharmaceutics of China, Key Laboratory of Cardiovascular Research, Ministry of Education), College of Pharmacy, Harbin Medical University, Harbin, China.
Cell Cycle. 2023 Oct;22(20):2229-2244. doi: 10.1080/15384101.2023.2281816. Epub 2023 Dec 15.
Identifying robust breast cancer subtypes will help to reveal the cancer heterogeneity. However, previous breast cancer subtypes were based on population-level quantitative gene expression, which is affected by batch effects and cannot be applied to individuals. We detected differential gene expression, genomic, and epigenomic alterations to identify driver differential expression at the individual level. The individual driver differential expression reflected the breast cancer patients' heterogeneity and revealed four subtypes. Mesenchymal subtype as the most aggressive subtype harbored deletion and downregulated expression of genes in chromosome 11q23 region. Specifically, silencing of the gene in 11q23 promoted the invasion and migration of breast cancer cells in vitro by the epithelial-mesenchymal transition. The immunologically hot subtype displayed an immune-hot microenvironment, including high T-cell infiltration and upregulated PD-1 and CTLA4. Luminal and genomic-unstable subtypes showed opposite macrophage polarization, which may be regulated by the ligand-receptor pairs of CD99. The integration of multi-omics data at the individual level provides a powerful framework for elucidating the heterogeneity of breast cancer.
鉴定稳健的乳腺癌亚型将有助于揭示癌症异质性。然而,以前的乳腺癌亚型是基于人群水平的定量基因表达,这受到批次效应的影响,不能应用于个体。我们检测了差异基因表达、基因组和表观基因组改变,以确定个体水平的驱动差异表达。个体驱动差异表达反映了乳腺癌患者的异质性,并揭示了四种亚型。间充质亚型是最具侵袭性的亚型,在 11q23 染色体区域存在缺失和下调表达的基因。具体来说,11q23 上基因的沉默通过上皮-间充质转化促进了乳腺癌细胞在体外的侵袭和迁移。免疫热亚型表现出免疫热微环境,包括高 T 细胞浸润和上调的 PD-1 和 CTLA4。腔面和基因组不稳定亚型显示出相反的巨噬细胞极化,这可能受 CD99 的配体-受体对的调节。个体水平的多组学数据的整合为阐明乳腺癌的异质性提供了一个强大的框架。
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