Prognostic gene expression signature for high-grade serous ovarian cancer.
View/ Open
Date
2020-09-01ICR Author
Author
Millstein, J
Budden, T
Goode, EL
Anglesio, MS
Talhouk, A
Intermaggio, MP
Leong, HS
Chen, S
Elatre, W
Gilks, B
Nazeran, T
Volchek, M
Bentley, RC
Wang, C
Chiu, DS
Kommoss, S
Leung, SCY
Senz, J
Lum, A
Chow, V
Sudderuddin, H
Mackenzie, R
George, J
AOCS Group,
Fereday, S
Hendley, J
Traficante, N
Steed, H
Koziak, JM
Köbel, M
McNeish, IA
Goranova, T
Ennis, D
Macintyre, G
Silva De Silva, D
Ramón Y Cajal, T
García-Donas, J
Hernando Polo, S
Rodriguez, GC
Cushing-Haugen, KL
Harris, HR
Greene, CS
Zelaya, RA
Behrens, S
Fortner, RT
Sinn, P
Herpel, E
Lester, J
Lubiński, J
Oszurek, O
Tołoczko, A
Cybulski, C
Menkiszak, J
Pearce, CL
Pike, MC
Tseng, C
Alsop, J
Rhenius, V
Song, H
Jimenez-Linan, M
Piskorz, AM
Gentry-Maharaj, A
Karpinskyj, C
Widschwendter, M
Singh, N
Kennedy, CJ
Sharma, R
Harnett, PR
Gao, B
Johnatty, SE
Sayer, R
Boros, J
Winham, SJ
Keeney, GL
Kaufmann, SH
Larson, MC
Luk, H
Hernandez, BY
Thompson, PJ
Wilkens, LR
Carney, ME
Trabert, B
Lissowska, J
Brinton, L
Sherman, ME
Bodelon, C
Hinsley, S
Lewsley, LA
Glasspool, R
Banerjee, SN
Stronach, EA
Haluska, P
Ray-Coquard, I
Mahner, S
Winterhoff, B
Slamon, D
Levine, DA
Kelemen, LE
Benitez, J
Chang-Claude, J
Gronwald, J
Wu, AH
Menon, U
Goodman, MT
Schildkraut, JM
Wentzensen, N
Brown, R
Berchuck, A
Chenevix-Trench, G
deFazio, A
Gayther, SA
García, MJ
Henderson, MJ
Rossing, MA
Beeghly-Fadiel, A
Fasching, PA
Orsulic, S
Karlan, BY
Konecny, GE
Huntsman, DG
Bowtell, DD
Brenton, JD
Doherty, JA
Pharoah, PDP
Ramus, SJ
Type
Journal Article
Metadata
Show full item recordAbstract
BACKGROUND: Median overall survival (OS) for women with high-grade serous ovarian cancer (HGSOC) is ∼4 years, yet survival varies widely between patients. There are no well-established, gene expression signatures associated with prognosis. The aim of this study was to develop a robust prognostic signature for OS in patients with HGSOC. PATIENTS AND METHODS: Expression of 513 genes, selected from a meta-analysis of 1455 tumours and other candidates, was measured using NanoString technology from formalin-fixed paraffin-embedded tumour tissue collected from 3769 women with HGSOC from multiple studies. Elastic net regularization for survival analysis was applied to develop a prognostic model for 5-year OS, trained on 2702 tumours from 15 studies and evaluated on an independent set of 1067 tumours from six studies. RESULTS: Expression levels of 276 genes were associated with OS (false discovery rate < 0.05) in covariate-adjusted single-gene analyses. The top five genes were TAP1, ZFHX4, CXCL9, FBN1 and PTGER3 (P < 0.001). The best performing prognostic signature included 101 genes enriched in pathways with treatment implications. Each gain of one standard deviation in the gene expression score conferred a greater than twofold increase in risk of death [hazard ratio (HR) 2.35, 95% confidence interval (CI) 2.02-2.71; P < 0.001]. Median survival [HR (95% CI)] by gene expression score quintile was 9.5 (8.3 to -), 5.4 (4.6-7.0), 3.8 (3.3-4.6), 3.2 (2.9-3.7) and 2.3 (2.1-2.6) years. CONCLUSION: The OTTA-SPOT (Ovarian Tumor Tissue Analysis consortium - Stratified Prognosis of Ovarian Tumours) gene expression signature may improve risk stratification in clinical trials by identifying patients who are least likely to achieve 5-year survival. The identified novel genes associated with the outcome may also yield opportunities for the development of targeted therapeutic approaches.
Collections
Subject
AOCS Group
Humans
Cystadenocarcinoma, Serous
Ovarian Neoplasms
Prognosis
Proportional Hazards Models
Survival Analysis
Female
Transcriptome
Research team
Medicine (Brown Epigenetic Therapy)
Language
eng
Date accepted
2020-05-06
License start date
2020-09
Citation
Annals of oncology : official journal of the European Society for Medical Oncology, 2020, 31 (9), pp. 1240 - 1250
Publisher
ELSEVIER