Prognostic value of EndoPredict test in patients with hormone receptor-positive, human epidermal growth factor receptor 2-negative primary breast cancer screened for the randomized, double-blind, phase III UNIRAD trial.

BACKGROUND: The purpose of this study was to evaluate the prognostic value of the multigene EndoPredict test in prospectively collected data of patients screened for the randomized, double-blind, phase III UNIRAD trial, which evaluated the addition of everolimus to adjuvant endocrine therapy in high-risk, hormone receptor-positive, human epidermal growth factor receptor 2 (HER2)-negative early breast cancer. PATIENTS AND METHODS: Patients were classified into low or high risk according to the EPclin score, consisting of a 12-gene molecular score combined with tumor size and nodal status. Association of the EPclin score with disease-free survival (DFS) and distant metastasis-free survival (DMFS) was evaluated using Kaplan-Meier estimates. The independent prognostic added value of EPclin score was tested in a multivariate Cox model after adjusting on tumor characteristics. RESULTS: EndoPredict test results were available for 768 patients: 663 patients classified as EPclin high risk (EPCH) and 105 patients as EPclin low risk (EPCL). Median follow-up was 70 months (range 1-172 months). For the 429 EPCH randomized patients, there was no significant difference in DFS between treatment arms. The 60-month relapse rate for patients in the EPCL and EPCH groups was 0% and 7%, respectively. Hazard ratio (HR) supposing continuous EPclin score was 1.87 [95% confidence interval (CI) 1.4-2.5, P < 0.0001]. This prognostic effect remained significant when assessed in a Cox model adjusting on tumor size, number of positive nodes and tumor grade (HR 1.52, 95% CI 1.09-2.13, P = 0.0141). The 60-month DMFS for patients in the EPCL and EPCH groups was 100% and 94%, respectively (adjusted HR 8.10, 95% CI 1.1-59.1, P < 0.0001). CONCLUSIONS: The results confirm the value of EPclin score as an independent prognostic parameter in node-positive, hormone receptor-positive, HER2-negative early breast cancer patients receiving standard adjuvant treatment. EPclin score can be used to identify patients at higher risk of recurrence who may warrant additional systemic treatments.

The nature of organic records in impact excavated rocks on Mars.

Impact ejected rocks are targets for life detection missions to Mars. The Martian subsurface is more favourable to organic preservation than the surface owing to an attenuation of radiation and physical separation from oxidising materials with increasing depth. Impact events bring materials to the surface where they may be accessed without complicated drilling procedures. On Earth, different assemblages of organic matter types are derived from varying depositional environments. Here we assess whether these different types of organic materials can survive impact events without corruption. We subjected four terrestrial organic matter types to elevated pressures and temperatures in piston-cylinder experiments followed by chemical characterisation using whole-rock pyrolysis-gas chromatography-mass spectrometry. Our data reveal that long chain hydrocarbon-dominated organic matter (types I and II; mainly microbial or algal) are unresistant to pressure whereas aromatic hydrocarbon-dominated organic matter types (types III and IV; mainly land plant, metamorphosed or degraded, displaying some superficial chemical similarities to abiotic meteoritic organic matter) are relatively resistant. This suggests that the impact excavated record of potential biology on Mars will be unavoidably biased, with microbial organic matter underrepresented while metamorphosed, degraded or abiotic meteoritic organic matter types will be selectively preserved.

In-situ vibrational optical rotatory dispersion of molecular organic crystals at high pressures.

Organic structures respond to pressure with a variety of mechanisms including degradation, intramolecular transformation and intermolecular bonding. The effects of pressure on chiral organic structures are of particular interest because of the potential steric controls on the fate of pressurized molecules. Despite representing a range of opportunities, the simultaneous study of high pressures on different forms of chiral structures is poorly explored. We have combined synchrotron-source vibrational optical rotatory dispersion, micro-Fourier transform infrared spectroscopy and the use of a diamond anvil cell to simultaneously monitor the effects of pressure on the two enantiomers of the simple amino acid, alanine.

Pyrolysis and mass spectrometry studies of meteoritic organic matter.

Meteorites are fragments of extraterrestrial materials that fall to the Earth's surface. The carbon-rich meteorites are derived from ancient asteroids that have remained relatively unprocessed since the formation of the Solar System 4.56 billion years ago. They contain a variety of extraterrestrial organic molecules that are a record of chemical evolution in the early Solar System and subsequent aqueous and thermal processes on their parent bodies. The major organic component (>70%) is a macromolecular material that resists straightforward solvent extraction. In response to its intractable nature, the most common means of investigating this exotic material involves a combination of thermal decomposition (pyrolysis) and mass spectrometry. Recently the approach has also been used to explore controversial claims of organic matter in meteorites from Mars. This review summarizes the pyrolysis data obtained from meteorites and outlines key interpretations.

Compound-specific isotope analysis of the organic constituents in carbonaceous chondrites.

The carbonaceous chondrite meteorites contain evidence of the formation of the solar system, part of which is present within organic matter. In recent years, compound-specific isotope analysis (CSIA) has been useful in deciphering this complex record. The current published data set provides an insight into the source environments and reaction mechanisms that have contributed to the final state of the organic constituents in carbonaceous chondrites. This review summarises the CSIA data and related key interpretations.