PMID- 29609951 OWN - NLM STAT- MEDLINE DCOM- 20190715 LR - 20190715 IS - 1938-0666 (Electronic) IS - 1526-8209 (Linking) VI - 18 IP - 5 DP - 2018 Oct TI - Bone Metastasis in Advanced Breast Cancer: Analysis of Gene Expression Microarray. PG - e1117-e1122 LID - S1526-8209(17)30777-2 [pii] LID - 10.1016/j.clbc.2018.03.001 [doi] AB - BACKGROUND: Approximately 30% to 40% of breast cancer recurrences involve bone metastasis (BM). Certain genes have been linked to BM; however, none have been able to predict bone involvement. In this study, we analyzed gene expression profiles in advanced breast cancer patients to elucidate genes that can be used to predict BM. PATIENTS AND METHODS: A total of 92 advanced breast cancer patients, including 46 patients with BM and 46 patients without BM, were identified for this study. Immunohistochemistry and gene expression analysis was performed on 81 formalin-fixed paraffin-embedded samples. Data were collected through medical records, and gene expression of 200 selected genes compiled from 6 previous studies was performed using NanoString nCounter. RESULTS: Genetic expression profiles showed that 22 genes were significantly differentially expressed between breast cancer patients with metastasis in bone and other organs (BM+) and non-BM, whereas subjects with only BM showed 17 significantly differentially expressed genes. The following genes were associated with an increasing incidence of BM in the BM+ group: estrogen receptor 1 (ESR1), GATA binding protein 3 (GATA3), and melanophilin with an area under the curve (AUC) of 0.804. In the BM group, the following genes were associated with an increasing incidence of BM: ESR1, progesterone receptor, B-cell lymphoma 2, Rab escort protein, N-acetyltransferase 1, GATA3, annexin A9, and chromosome 9 open reading frame 116. ESR1 and GATA3 showed an increased strength of association with an AUC of 0.928. CONCLUSION: A combination of the identified 3 genes in BM+ and 8 genes in BM showed better prediction than did each individual gene, and this combination can be used as a training set. CI - Copyright (c) 2018 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Cosphiadi, Irawan AU - Cosphiadi I AD - Division of Hematology and Medical Oncology, Department of Internal Medicine, Universitas Indonesia/Cipto Mangunkusumo General Hospital, Jakarta, Indonesia. Electronic address: cosphiadi@gmail.com. FAU - Atmakusumah, Tubagus D AU - Atmakusumah TD AD - Division of Hematology and Medical Oncology, Department of Internal Medicine, Universitas Indonesia/Cipto Mangunkusumo General Hospital, Jakarta, Indonesia. FAU - Siregar, Nurjati C AU - Siregar NC AD - Department of Pathology Anatomy, Universitas Indonesia/Cipto Mangunkusumo General Hospital, Jakarta, Indonesia. FAU - Muthalib, Abdul AU - Muthalib A AD - Division of Hematology and Medical Oncology, Department of Internal Medicine, Universitas Indonesia/Cipto Mangunkusumo General Hospital, Jakarta, Indonesia. FAU - Harahap, Alida AU - Harahap A AD - Department of Clinical Pathology, Universitas Indonesia/Cipto Mangunkusumo General Hospital, Jakarta, Indonesia. FAU - Mansyur, Muchtarruddin AU - Mansyur M AD - Department of Public Health, Universitas Indonesia/Cipto Mangunkusumo General Hospital, Jakarta, Indonesia. LA - eng PT - Journal Article DEP - 20180308 PL - United States TA - Clin Breast Cancer JT - Clinical breast cancer JID - 100898731 RN - 0 (Biomarkers, Tumor) SB - IM MH - Adult MH - Aged MH - Biomarkers, Tumor/*genetics MH - Bone Neoplasms/*genetics/*secondary MH - Breast Neoplasms/*genetics/*pathology MH - Female MH - Gene Expression Profiling MH - Humans MH - Middle Aged MH - Transcriptome OTO - NOTNLM OT - Advanced breast cancer OT - Bone metastasis OT - ESR1 OT - Gene expression profile OT - NanoString microarray EDAT- 2018/04/04 06:00 MHDA- 2019/07/16 06:00 CRDT- 2018/04/04 06:00 PHST- 2017/11/27 00:00 [received] PHST- 2018/02/26 00:00 [revised] PHST- 2018/03/05 00:00 [accepted] PHST- 2018/04/04 06:00 [pubmed] PHST- 2019/07/16 06:00 [medline] PHST- 2018/04/04 06:00 [entrez] AID - S1526-8209(17)30777-2 [pii] AID - 10.1016/j.clbc.2018.03.001 [doi] PST - ppublish SO - Clin Breast Cancer. 2018 Oct;18(5):e1117-e1122. doi: 10.1016/j.clbc.2018.03.001. Epub 2018 Mar 8.