The Transcriptomic Portrait of Locally Advanced Breast Cancer and Its Prognostic Value in a Multi-Country Cohort of Latin American Patients
Purposes: Most molecular-based published studies on breast cancer do not adequately represent the unique and diverse genetic admixture of the Latin American population. Searching for similarities and differences in molecular pathways associated with these tumors and evaluating its impact on prognosi...
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| Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Formato: | Artículo |
| Lenguaje: | Español |
| Publicado: |
Frontiers Media S.A.
2022
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| Materias: | |
| Acceso en línea: | http://pa.bibdigital.ucc.edu.ar/3295/1/A_Llera_Abdelhay_Artagaveytia.pdf |
| Aporte de: |
| id |
I38-R144-3295 |
|---|---|
| record_format |
dspace |
| institution |
Universidad Católica de Córdoba |
| institution_str |
I-38 |
| repository_str |
R-144 |
| collection |
Producción Académica Universidad Católica de Córdoba (UCCor) |
| language |
Español |
| orig_language_str_mv |
spa |
| topic |
R Medicina (General) RC0254 Neoplasias. Los tumores. Oncología (incluyendo cáncer) |
| spellingShingle |
R Medicina (General) RC0254 Neoplasias. Los tumores. Oncología (incluyendo cáncer) Llera, Andrea Sabina Abdelhay, Eliana Artagaveytia, Nora Daneri-Navarro, Adrian Müller, Bettina Velazquez, Carlos Alcoba, Elsa Alonso, Isabel Alves da Quinta, Daniela B. Binato, Renata Bravo, Alicia I. Camejo, Natalia Carraro, Dirce María Castro, Mónica Castro-Cervantes, Juan M. Cataldi, Sandra Cayota, Alfonso Cerda, Mauricio Colombo, Alicia Crocamo, Susanne Del Toro-Arreola, Alicia Delgadillo-Cisterna, Raúl Delgado, Lucía Dreyer-Breitenbach, Marisa Fejerman, Laura Fernández, Elmer Andrés Fernández, Wanda Franco-Topete, Ramón A. Gabay, Carolina Gaete, Fancy Garibay-Escobar, Adriana Gómez, Jorge Greif, Gonzalo Gross, Thomas G. Guerrero, Marisol Henderson, Marianne K. Lopez-Muñoz, Miguel E. Lopez-Vazquez, Alejandra Maldonado, Silvia Moran-Mendoza, Andrés de J. Nagai, Maria Aparecida Oceguera-Villanueva, Antonio Ortiz-Martínez, Miguel A. Quintero, Jael Quintero-Ramos, Antonio Reis, Rui M. Retamales, Javier Rivera-Claisse, Ernesto Rocha, Darío Rodriguez, Robinson Rosales, Cristina Salas-Gonzalez, Efrain Sanchotena, Verónica Segovia, Laura Sendoya, Juan M. Silva-Garcia, Aida A. Trinchero, Alejandra Valenzuela, Olivia Vedham, Vidya The Transcriptomic Portrait of Locally Advanced Breast Cancer and Its Prognostic Value in a Multi-Country Cohort of Latin American Patients |
| topic_facet |
R Medicina (General) RC0254 Neoplasias. Los tumores. Oncología (incluyendo cáncer) |
| description |
Purposes: Most molecular-based published studies on breast cancer do not adequately represent the unique and diverse genetic admixture of the Latin American population. Searching for similarities and differences in molecular pathways associated with these tumors and evaluating its impact on prognosis may help to select better therapeutic approaches. Patients and Methods: We collected clinical, pathological, and transcriptomic data of a multi-country Latin American cohort of 1,071 stage II-III breast cancer patients of the Molecular Profile of Breast Cancer Study (MPBCS) cohort. The 5-year prognostic ability of intrinsic (transcriptomic-based) PAM50 and immunohistochemical classifications, both at the cancer-specific (OSC) and disease-free survival (DFS) stages, was compared. Pathway analyses (GSEA, GSVA and MetaCore) were performed to explore differences among intrinsic subtypes. Results: PAM50 classification of the MPBCS cohort defined 42·6% of tumors as LumA, 21·3% as LumB, 13·3% as HER2E and 16·6% as Basal. Both OSC and DFS for LumA tumors were significantly better than for other subtypes, while Basal tumors had the worst prognosis. While the prognostic power of traditional subtypes calculated with hormone receptors (HR), HER2 and Ki67 determinations showed an acceptable performance, PAM50-derived risk of recurrence best discriminated low, intermediate and high-risk groups. Transcriptomic pathway analysis showed high proliferation (i.e. cell cycle control and DNA damage repair) associated with LumB, HER2E and Basal tumors, and a strong dependency on the estrogen pathway for LumA. Terms related to both innate and adaptive immune responses were seen predominantly upregulated in Basal tumors, and, to a lesser extent, in HER2E, with respect to LumA and B tumors. Conclusions: This is the first study that assesses molecular features at the transcriptomic level in a multicountry Latin American breast cancer patient cohort. Hormone-related and proliferation pathways that predominate in PAM50 and other breast cancer molecular classifications are also the main tumor-driving mechanisms in this cohort and have prognostic power. The immune-related features seen in the most aggressive subtypes may pave the way for therapeutic approaches not yet disseminated in Latin America. Clinical Trial Registration: ClinicalTrials.gov (Identifier: NCT02326857). Copyright © 2022 Llera, Abdelhay, Artagaveytia, Daneri-Navarro, Müller, Velazquez, Alcoba, Alonso, Alves da Quinta, Binato, Bravo, Camejo, Carraro, Castro, Castro-Cervantes, Cataldi, Cayota, Cerda, Colombo, Crocamo, Del Toro-Arreola, Delgadillo-Cisterna, Delgado, Dreyer-Breitenbach, Fejerman, Fernández, Fernández, Fernández, Franco-Topete, Gabay, Gaete, Garibay-Escobar, Gómez, Greif, Gross, Guerrero, Henderson, Lopez-Muñoz, Lopez-Vazquez, Maldonado, Morán-Mendoza, Nagai, Oceguera-Villanueva, Ortiz-Martínez, Quintero, Quintero-Ramos, Reis, Retamales, Rivera-Claisse, Rocha, Rodríguez, Rosales, Salas-González, Sanchotena, Segovia, Sendoya, Silva-García, Trinchero, Valenzuela, Vedham, Zagame, United States-Latin American Cancer Research Network (US-LACRN) and Podhajcer. |
| format |
Artículo Artículo |
| author |
Llera, Andrea Sabina Abdelhay, Eliana Artagaveytia, Nora Daneri-Navarro, Adrian Müller, Bettina Velazquez, Carlos Alcoba, Elsa Alonso, Isabel Alves da Quinta, Daniela B. Binato, Renata Bravo, Alicia I. Camejo, Natalia Carraro, Dirce María Castro, Mónica Castro-Cervantes, Juan M. Cataldi, Sandra Cayota, Alfonso Cerda, Mauricio Colombo, Alicia Crocamo, Susanne Del Toro-Arreola, Alicia Delgadillo-Cisterna, Raúl Delgado, Lucía Dreyer-Breitenbach, Marisa Fejerman, Laura Fernández, Elmer Andrés Fernández, Wanda Franco-Topete, Ramón A. Gabay, Carolina Gaete, Fancy Garibay-Escobar, Adriana Gómez, Jorge Greif, Gonzalo Gross, Thomas G. Guerrero, Marisol Henderson, Marianne K. Lopez-Muñoz, Miguel E. Lopez-Vazquez, Alejandra Maldonado, Silvia Moran-Mendoza, Andrés de J. Nagai, Maria Aparecida Oceguera-Villanueva, Antonio Ortiz-Martínez, Miguel A. Quintero, Jael Quintero-Ramos, Antonio Reis, Rui M. Retamales, Javier Rivera-Claisse, Ernesto Rocha, Darío Rodriguez, Robinson Rosales, Cristina Salas-Gonzalez, Efrain Sanchotena, Verónica Segovia, Laura Sendoya, Juan M. Silva-Garcia, Aida A. Trinchero, Alejandra Valenzuela, Olivia Vedham, Vidya |
| author_facet |
Llera, Andrea Sabina Abdelhay, Eliana Artagaveytia, Nora Daneri-Navarro, Adrian Müller, Bettina Velazquez, Carlos Alcoba, Elsa Alonso, Isabel Alves da Quinta, Daniela B. Binato, Renata Bravo, Alicia I. Camejo, Natalia Carraro, Dirce María Castro, Mónica Castro-Cervantes, Juan M. Cataldi, Sandra Cayota, Alfonso Cerda, Mauricio Colombo, Alicia Crocamo, Susanne Del Toro-Arreola, Alicia Delgadillo-Cisterna, Raúl Delgado, Lucía Dreyer-Breitenbach, Marisa Fejerman, Laura Fernández, Elmer Andrés Fernández, Wanda Franco-Topete, Ramón A. Gabay, Carolina Gaete, Fancy Garibay-Escobar, Adriana Gómez, Jorge Greif, Gonzalo Gross, Thomas G. Guerrero, Marisol Henderson, Marianne K. Lopez-Muñoz, Miguel E. Lopez-Vazquez, Alejandra Maldonado, Silvia Moran-Mendoza, Andrés de J. Nagai, Maria Aparecida Oceguera-Villanueva, Antonio Ortiz-Martínez, Miguel A. Quintero, Jael Quintero-Ramos, Antonio Reis, Rui M. Retamales, Javier Rivera-Claisse, Ernesto Rocha, Darío Rodriguez, Robinson Rosales, Cristina Salas-Gonzalez, Efrain Sanchotena, Verónica Segovia, Laura Sendoya, Juan M. Silva-Garcia, Aida A. Trinchero, Alejandra Valenzuela, Olivia Vedham, Vidya |
| author_sort |
Llera, Andrea Sabina |
| title |
The Transcriptomic Portrait of Locally Advanced Breast Cancer and Its Prognostic Value in a Multi-Country Cohort of Latin American Patients |
| title_short |
The Transcriptomic Portrait of Locally Advanced Breast Cancer and Its Prognostic Value in a Multi-Country Cohort of Latin American Patients |
| title_full |
The Transcriptomic Portrait of Locally Advanced Breast Cancer and Its Prognostic Value in a Multi-Country Cohort of Latin American Patients |
| title_fullStr |
The Transcriptomic Portrait of Locally Advanced Breast Cancer and Its Prognostic Value in a Multi-Country Cohort of Latin American Patients |
| title_full_unstemmed |
The Transcriptomic Portrait of Locally Advanced Breast Cancer and Its Prognostic Value in a Multi-Country Cohort of Latin American Patients |
| title_sort |
transcriptomic portrait of locally advanced breast cancer and its prognostic value in a multi-country cohort of latin american patients |
| publisher |
Frontiers Media S.A. |
| publishDate |
2022 |
| url |
http://pa.bibdigital.ucc.edu.ar/3295/1/A_Llera_Abdelhay_Artagaveytia.pdf |
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Repositorios |
| _version_ |
1764820535777165313 |