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A pathway-based classification of human breast cancer.


ABSTRACT: The hallmark of human cancer is heterogeneity, reflecting the complexity and variability of the vast array of somatic mutations acquired during oncogenesis. An ability to dissect this heterogeneity, to identify subgroups that represent common mechanisms of disease, will be critical to understanding the complexities of genetic alterations and to provide a framework to develop rational therapeutic strategies. Here, we describe a classification scheme for human breast cancer making use of patterns of pathway activity to build on previous subtype characterizations using intrinsic gene expression signatures, to provide a functional interpretation of the gene expression data that can be linked to therapeutic options. We show that the identified subgroups provide a robust mechanism for classifying independent samples, identifying tumors that share patterns of pathway activity and exhibit similar clinical and biological properties, including distinct patterns of chromosomal alterations that were not evident in the heterogeneous total population of tumors. We propose that this classification scheme provides a basis for understanding the complex mechanisms of oncogenesis that give rise to these tumors and to identify rational opportunities for combination therapies.

SUBMITTER: Gatza ML 

PROVIDER: S-EPMC2872436 | biostudies-literature | 2010 Apr

REPOSITORIES: biostudies-literature

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A pathway-based classification of human breast cancer.

Gatza Michael L ML   Lucas Joseph E JE   Barry William T WT   Kim Jong Wook JW   Wang Quanli Q   Crawford Matthew D MD   Datto Michael B MB   Kelley Michael M   Mathey-Prevot Bernard B   Potti Anil A   Nevins Joseph R JR  

Proceedings of the National Academy of Sciences of the United States of America 20100324 15


The hallmark of human cancer is heterogeneity, reflecting the complexity and variability of the vast array of somatic mutations acquired during oncogenesis. An ability to dissect this heterogeneity, to identify subgroups that represent common mechanisms of disease, will be critical to understanding the complexities of genetic alterations and to provide a framework to develop rational therapeutic strategies. Here, we describe a classification scheme for human breast cancer making use of patterns  ...[more]

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