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Integration of genomic, transcriptomic and proteomic data identifies two biologically distinct subtypes of invasive lobular breast cancer.


ABSTRACT: Invasive lobular carcinoma (ILC) is the second most frequently occurring histological breast cancer subtype after invasive ductal carcinoma (IDC), accounting for around 10% of all breast cancers. The molecular processes that drive the development of ILC are still largely unknown. We have performed a comprehensive genomic, transcriptomic and proteomic analysis of a large ILC patient cohort and present here an integrated molecular portrait of ILC. Mutations in CDH1 and in the PI3K pathway are the most frequent molecular alterations in ILC. We identified two main subtypes of ILCs: (i) an immune related subtype with mRNA up-regulation of PD-L1, PD-1 and CTLA-4 and greater sensitivity to DNA-damaging agents in representative cell line models; (ii) a hormone related subtype, associated with Epithelial to Mesenchymal Transition (EMT), and gain of chromosomes 1q and 8q and loss of chromosome 11q. Using the somatic mutation rate and eIF4B protein level, we identified three groups with different clinical outcomes, including a group with extremely good prognosis. We provide a comprehensive overview of the molecular alterations driving ILC and have explored links with therapy response. This molecular characterization may help to tailor treatment of ILC through the application of specific targeted, chemo- and/or immune-therapies.

SUBMITTER: Michaut M 

PROVIDER: S-EPMC4700448 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature

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Integration of genomic, transcriptomic and proteomic data identifies two biologically distinct subtypes of invasive lobular breast cancer.

Michaut Magali M   Chin Suet-Feung SF   Majewski Ian I   Severson Tesa M TM   Bismeijer Tycho T   de Koning Leanne L   Peeters Justine K JK   Schouten Philip C PC   Rueda Oscar M OM   Bosma Astrid J AJ   Tarrant Finbarr F   Fan Yue Y   He Beilei B   Xue Zheng Z   Mittempergher Lorenza L   Kluin Roelof J C RJ   Heijmans Jeroen J   Snel Mireille M   Pereira Bernard B   Schlicker Andreas A   Provenzano Elena E   Ali Hamid Raza HR   Gaber Alexander A   O'Hurley Gillian G   Lehn Sophie S   Muris Jettie J F JJ   Wesseling Jelle J   Kay Elaine E   Sammut Stephen John SJ   Bardwell Helen A HA   Barbet Aurélie S AS   Bard Floriane F   Lecerf Caroline C   O'Connor Darran P DP   Vis Daniël J DJ   Benes Cyril H CH   McDermott Ultan U   Garnett Mathew J MJ   Simon Iris M IM   Jirström Karin K   Dubois Thierry T   Linn Sabine C SC   Gallagher William M WM   Wessels Lodewyk F A LF   Caldas Carlos C   Bernards Rene R  

Scientific reports 20160105


Invasive lobular carcinoma (ILC) is the second most frequently occurring histological breast cancer subtype after invasive ductal carcinoma (IDC), accounting for around 10% of all breast cancers. The molecular processes that drive the development of ILC are still largely unknown. We have performed a comprehensive genomic, transcriptomic and proteomic analysis of a large ILC patient cohort and present here an integrated molecular portrait of ILC. Mutations in CDH1 and in the PI3K pathway are the  ...[more]

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