PMID- 29845475 OWN - NLM STAT- MEDLINE DCOM- 20190306 LR - 20220330 IS - 1573-7217 (Electronic) IS - 0167-6806 (Print) IS - 0167-6806 (Linking) VI - 171 IP - 2 DP - 2018 Sep TI - High expression of long non-coding RNA MALAT1 in breast cancer is associated with poor relapse-free survival. PG - 261-271 LID - 10.1007/s10549-018-4839-2 [doi] AB - PURPOSE: Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1) has been identified as a prognostic marker for the metastasis of early-stage non-small cell lung cancer (NSCLCs). We studied MALAT1 expression in breast cancer in relation to disease features and patient survival. METHODS: Quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR) was used to measure MALAT1 expression in tumor samples of 509 breast cancer patients. Hazards ratios (HRs) and 95% confidence intervals (CIs) were calculated to assess the association between MALAT1 expression and breast cancer survival using the Cox proportional hazards regression model, and the analysis was adjusted for age at surgery, tumor grade, disease stage, and hormone receptor status. Meta-analysis of multiple microarray datasets from online databases and our own study was performed to evaluate the association of MALAT1 with breast cancer survival. RESULTS: Patients with low-grade or ER-positive tumors had higher expression of MALAT1 compared to those with high-grade (p = 0.013) or ER-negative (p = 0.0002) tumors. Patients with PR-positive tumors also had higher MALAT1 expression than those with PR-negative tumors (p < 0.0001). In patients with positive hormone receptors or low tumor grade, tumors with high MALAT1 expression were more likely to recur. Survival analysis showed that patients with high expression of MALAT1 had a twofold increase in risk of relapse (p = 0.0083) compared to those with low expression. This association remained significant after adjustment for age at surgery, disease stage, tumor grade, and hormone receptor status. Meta-analysis showed that high MALAT1 expression was associated with poor relapse-free survival in patients with hormone receptor-positive tumors (HR 1.44, 95% CI 1.08-1.92). CONCLUSIONS: High expression of lncRNA MALAT1 is associated with breast cancer relapse and may play a role in tumor progression. FAU - Wang, Zhanwei AU - Wang Z AD - Cancer Epidemiology Program, University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813, USA. FAU - Katsaros, Dionyssios AU - Katsaros D AD - Department of Surgical Sciences, Gynecology, AOU Citta della Salute, University of Torino School of Medicine, Turin, Italy. FAU - Biglia, Nicoletta AU - Biglia N AD - Department of Surgical Sciences, Division of Obstetrics and Gynecology, University of Torino School of Medicine, Mauriziano Hospital, Turin, Italy. FAU - Shen, Yi AU - Shen Y AD - Cancer Epidemiology Program, University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813, USA. FAU - Fu, Yuanyuan AU - Fu Y AD - Cancer Epidemiology Program, University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813, USA. AD - Department of Molecular Biosciences & Bioengineering, University of Hawaii at Manoa, Honolulu, HI, USA. FAU - Loo, Lenora W M AU - Loo LWM AD - Cancer Epidemiology Program, University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813, USA. FAU - Jia, Wei AU - Jia W AD - Cancer Epidemiology Program, University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813, USA. FAU - Obata, Yuki AU - Obata Y AD - College of Pharmacy, Kinjo Gakuin University, Nagoya, Aichi, Japan. FAU - Yu, Herbert AU - Yu H AUID- ORCID: 0000-0003-3950-4815 AD - Cancer Epidemiology Program, University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813, USA. hyu@cc.hawaii.edu. LA - eng GR - P30 CA071789/CA/NCI NIH HHS/United States GR - R01 CA138698/CA/NCI NIH HHS/United States PT - Journal Article PT - Meta-Analysis DEP - 20180529 PL - Netherlands TA - Breast Cancer Res Treat JT - Breast cancer research and treatment JID - 8111104 RN - 0 (Biomarkers, Tumor) RN - 0 (MALAT1 long non-coding RNA, human) RN - 0 (RNA, Long Noncoding) RN - 0 (Receptors, Estrogen) SB - IM MH - Adult MH - Aged MH - *Biomarkers, Tumor MH - Breast Neoplasms/*genetics/metabolism/*mortality/pathology MH - Cell Line, Tumor MH - CpG Islands MH - DNA Methylation MH - Disease Progression MH - Female MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Neoplasm Grading MH - Neoplasm Staging MH - Odds Ratio MH - Prognosis MH - Proportional Hazards Models MH - RNA, Long Noncoding/*genetics MH - Receptors, Estrogen/metabolism PMC - PMC6488226 MID - NIHMS1024789 OTO - NOTNLM OT - Breast cancer OT - Estrogen receptor OT - MALAT1 OT - Meta-analysis OT - Survival COIS- Disclosure of potential conflicts of interest None EDAT- 2018/05/31 06:00 MHDA- 2019/03/07 06:00 PMCR- 2019/04/29 CRDT- 2018/05/31 06:00 PHST- 2018/04/22 00:00 [received] PHST- 2018/05/25 00:00 [accepted] PHST- 2018/05/31 06:00 [pubmed] PHST- 2019/03/07 06:00 [medline] PHST- 2018/05/31 06:00 [entrez] PHST- 2019/04/29 00:00 [pmc-release] AID - 10.1007/s10549-018-4839-2 [pii] AID - 10.1007/s10549-018-4839-2 [doi] PST - ppublish SO - Breast Cancer Res Treat. 2018 Sep;171(2):261-271. doi: 10.1007/s10549-018-4839-2. Epub 2018 May 29.