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Immune-activation as a therapeutic direction for patients with high-risk ovarian cancer based on gene expression signature (1)


ABSTRACT: The Japanese Serous Ovarian Cancer Study Group Advanced-stage ovarian cancer is one of the most lethal gynecologic malignancies. To improve prognosis of patients with ovarian cancers, a predictive biomarkers leading to personalized treatments are required. In this large-scale cross-platform study of six microarray datasets consisting of 1054 ovarian cancer patients, we developed a novel risk classification system based on a 126-gene expression signature for predicting overall survival by applying elastic net7 and 10-fold cross validation to a Japanese dataset A (n = 260). We further validated its predictive ability with the five other datasets using multivariate analysis. Also, through gene ontology and pathway analyses of 1109 high-risk ovarian cancer specific transcripts, we identified a significant reduction of expression of immune-response related genes, especially on the antigen presentation pathway. Furthermore, an immunohistochemical analysis demonstrated that the number of CD8 T lymphocytes infiltrating into tumor tissue was significantly decreased in high-risk ovarian cancers. These predictive biomarkers based on the 126-gene expression signature will identify high-risk ovarian cancer patients who need novel immune-activating therapeutic approaches, leading to improved outcomes for such patients. Two hundred sixty patients who were diagnosed as advanced-stage high-grade serous ovarian cancer were analyzed in this study. Microaray data from 10 patients who were diagnosed as advanced-stage high-grade serous ovarian cancer were analyzed to investigate coefficient of correlation in each probes between Agilent Whole Human Genome Oligo Microarray and Affymetrix HG-U133Plus2.0.

ORGANISM(S): Homo sapiens

SUBMITTER: Kosuke Yoshihara 

PROVIDER: E-GEOD-32062 | biostudies-arrayexpress |

REPOSITORIES: biostudies-arrayexpress

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High-risk ovarian cancer based on 126-gene expression signature is uniquely characterized by downregulation of antigen presentation pathway.

Yoshihara Kosuke K   Tsunoda Tatsuhiko T   Shigemizu Daichi D   Fujiwara Hiroyuki H   Hatae Masayuki M   Fujiwara Hisaya H   Masuzaki Hideaki H   Katabuchi Hidetaka H   Kawakami Yosuke Y   Okamoto Aikou A   Nogawa Takayoshi T   Matsumura Noriomi N   Udagawa Yasuhiro Y   Saito Tsuyoshi T   Itamochi Hiroaki H   Takano Masashi M   Miyagi Etsuko E   Sudo Tamotsu T   Ushijima Kimio K   Iwase Haruko H   Seki Hiroyuki H   Terao Yasuhisa Y   Enomoto Takayuki T   Mikami Mikio M   Akazawa Kohei K   Tsuda Hitoshi H   Moriya Takuya T   Tajima Atsushi A   Inoue Ituro I   Tanaka Kenichi K  

Clinical cancer research : an official journal of the American Association for Cancer Research 20120112 5


<h4>Purpose</h4>High-grade serous ovarian cancers are heterogeneous not only in terms of clinical outcome but also at the molecular level. Our aim was to establish a novel risk classification system based on a gene expression signature for predicting overall survival, leading to suggesting novel therapeutic strategies for high-risk patients.<h4>Experimental design</h4>In this large-scale cross-platform study of six microarray data sets consisting of 1,054 ovarian cancer patients, we developed a  ...[more]

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