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Gene-Expression Profiling of Mucinous Ovarian Tumors and Comparison with Upper and Lower Gastrointestinal Tumors Identifies Markers Associated with Adverse Outcomes.
Meagher, Nicola S; Gorringe, Kylie L; Wakefield, Matthew; Bolithon, Adelyn; Pang, Chi Nam Ignatius; Chiu, Derek S; Anglesio, Michael S; Mallitt, Kylie-Ann; Doherty, Jennifer A; Harris, Holly R; Schildkraut, Joellen M; Berchuck, Andrew; Cushing-Haugen, Kara L; Chezar, Ksenia; Chou, Angela; Tan, Adeline; Alsop, Jennifer; Barlow, Ellen; Beckmann, Matthias W; Boros, Jessica; Bowtell, David D L; Brand, Alison H; Brenton, James D; Campbell, Ian; Cheasley, Dane; Cohen, Joshua; Cybulski, Cezary; Elishaev, Esther; Erber, Ramona; Farrell, Rhonda; Fischer, Anna; Fu, Zhuxuan; Gilks, Blake; Gill, Anthony J; Gourley, Charlie; Grube, Marcel; Harnett, Paul R; Hartmann, Arndt; Hettiaratchi, Anusha; Høgdall, Claus K; Huzarski, Tomasz; Jakubowska, Anna; Jimenez-Linan, Mercedes; Kennedy, Catherine J; Kim, Byoung-Gie; Kim, Jae-Weon; Kim, Jae-Hoon; Klett, Kayla; Koziak, Jennifer M; Lai, Tiffany.
Afiliação
  • Meagher NS; School of Clinical Medicine, Faculty of Medicine and Health, University of NSW Sydney, Sydney, New South Wales, Australia.
  • Gorringe KL; Adult Cancer Program, Lowy Cancer Research Centre, University of NSW Sydney, Sydney, New South Wales, Australia.
  • Wakefield M; Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
  • Bolithon A; Sir Peter MacCallum Department of Medical Oncology, The University of Melbourne, Parkville, Victoria, Australia.
  • Pang CNI; The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.
  • Chiu DS; Department of Medical Biology, The University of Melbourne, Melbourne, Victoria, Australia.
  • Anglesio MS; Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Victoria, Australia.
  • Mallitt KA; School of Clinical Medicine, Faculty of Medicine and Health, University of NSW Sydney, Sydney, New South Wales, Australia.
  • Doherty JA; Adult Cancer Program, Lowy Cancer Research Centre, University of NSW Sydney, Sydney, New South Wales, Australia.
  • Harris HR; School of Biotechnology and Biomolecular Sciences, The University of New South Wales, Sydney, New South Wales, Australia.
  • Schildkraut JM; Bioinformatics Unit, Children's Medical Research Institute, Westmead, Sydney, Australia.
  • Berchuck A; British Columbia's Gynecological Cancer Research Team (OVCARE), University of British Columbia, BC Cancer, and Vancouver General Hospital, Vancouver, British Columbia, Canada.
  • Cushing-Haugen KL; British Columbia's Gynecological Cancer Research Team (OVCARE), University of British Columbia, BC Cancer, and Vancouver General Hospital, Vancouver, British Columbia, Canada.
  • Chezar K; Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia, Canada.
  • Chou A; School of Clinical Medicine, Faculty of Medicine and Health, University of NSW Sydney, Sydney, New South Wales, Australia.
  • Tan A; Centre for Big Data Research in Health, University of New South Wales Sydney, Sydney, New South Wales, Australia.
  • Alsop J; Huntsman Cancer Institute, Department of Population Health Sciences, University of Utah, Salt Lake City, Utah.
  • Barlow E; Program in Epidemiology, Division of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, Washington.
  • Beckmann MW; Department of Epidemiology, University of Washington, Seattle, Washington.
  • Boros J; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
  • Bowtell DDL; Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Duke University Medical Center, Durham, North Carolina.
  • Brand AH; Department of Pathology and Laboratory Medicine, University of Calgary, Foothills Medical Center, Calgary, Alberta, Canada.
  • Brenton JD; The Kinghorn Cancer Centre, Garvan Institute of Medical Research, Sydney, New South Wales, Australia.
  • Campbell I; Department of Anatomical Pathology, Royal North Shore Hospital, Sydney, New South Wales, Australia.
  • Cheasley D; The University of Sydney, Sydney, New South Wales, Australia.
  • Cohen J; Division of Obstetrics and Gynaecology, Medical School, University of Western Australia, Crawley, Western Australia, Australia.
  • Cybulski C; Western Women's Pathology, Western Diagnostic Pathology, Wembley, Western Australia, Australia.
  • Elishaev E; Centre for Cancer Genetic Epidemiology, Department of Oncology, University of Cambridge, Cambridge, United Kingdom.
  • Erber R; Gynaecological Cancer Centre, Royal Hospital for Women, Sydney, New South Wales, Australia.
  • Farrell R; Department of Gynecology and Obstetrics, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, University Hospital Erlangen, Erlangen, Germany.
  • Fischer A; The University of Sydney, Sydney, New South Wales, Australia.
  • Fu Z; Centre for Cancer Research, The Westmead Institute for Medical Research, Sydney, New South Wales, Australia.
  • Gilks B; Department of Gynaecological Oncology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Gill AJ; Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
  • Grube M; The University of Sydney, Sydney, New South Wales, Australia.
  • Harnett PR; Department of Gynaecological Oncology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Hartmann A; Cancer Research UK Cambridge Institute, University of Cambridge, Cambridge, United Kingdom.
  • Hettiaratchi A; Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
  • Høgdall CK; Sir Peter MacCallum Department of Medical Oncology, The University of Melbourne, Parkville, Victoria, Australia.
  • Huzarski T; Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
  • Jakubowska A; Sir Peter MacCallum Department of Medical Oncology, The University of Melbourne, Parkville, Victoria, Australia.
  • Jimenez-Linan M; David Geffen School of Medicine, Department of Obstetrics and Gynecology, University of California at Los Angeles, Los Angeles, California.
  • Kennedy CJ; Department of Genetics and Pathology, International Hereditary Cancer Center, Pomeranian Medical University, Szczecin, Poland.
  • Kim BG; Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
  • Kim JW; Institute of Pathology, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander Universität Erlangen-Nürnberg, University Hospital Erlangen, Erlangen, Germany.
  • Kim JH; The University of Sydney, Sydney, New South Wales, Australia.
  • Klett K; Prince of Wales Private Hospital, Randwick, New South Wales, Australia.
  • Koziak JM; Institute of Pathology and Neuropathology, Tübingen University Hospital, Tübingen, Germany.
  • Lai T; Department of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania.
Clin Cancer Res ; 28(24): 5383-5395, 2022 12 15.
Article em En | MEDLINE | ID: mdl-36222710
PURPOSE: Advanced-stage mucinous ovarian carcinoma (MOC) has poor chemotherapy response and prognosis and lacks biomarkers to aid stage I adjuvant treatment. Differentiating primary MOC from gastrointestinal (GI) metastases to the ovary is also challenging due to phenotypic similarities. Clinicopathologic and gene-expression data were analyzed to identify prognostic and diagnostic features. EXPERIMENTAL DESIGN: Discovery analyses selected 19 genes with prognostic/diagnostic potential. Validation was performed through the Ovarian Tumor Tissue Analysis consortium and GI cancer biobanks comprising 604 patients with MOC (n = 333), mucinous borderline ovarian tumors (MBOT, n = 151), and upper GI (n = 65) and lower GI tumors (n = 55). RESULTS: Infiltrative pattern of invasion was associated with decreased overall survival (OS) within 2 years from diagnosis, compared with expansile pattern in stage I MOC [hazard ratio (HR), 2.77; 95% confidence interval (CI), 1.04-7.41, P = 0.042]. Increased expression of THBS2 and TAGLN was associated with shorter OS in MOC patients (HR, 1.25; 95% CI, 1.04-1.51, P = 0.016) and (HR, 1.21; 95% CI, 1.01-1.45, P = 0.043), respectively. ERBB2 (HER2) amplification or high mRNA expression was evident in 64 of 243 (26%) of MOCs, but only 8 of 243 (3%) were also infiltrative (4/39, 10%) or stage III/IV (4/31, 13%). CONCLUSIONS: An infiltrative growth pattern infers poor prognosis within 2 years from diagnosis and may help select stage I patients for adjuvant therapy. High expression of THBS2 and TAGLN in MOC confers an adverse prognosis and is upregulated in the infiltrative subtype, which warrants further investigation. Anti-HER2 therapy should be investigated in a subset of patients. MOC samples clustered with upper GI, yet markers to differentiate these entities remain elusive, suggesting similar underlying biology and shared treatment strategies.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias Ovarianas / Adenocarcinoma Mucinoso / Neoplasias Gastrointestinais Tipo de estudo: Risk_factors_studies Limite: Female / Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias Ovarianas / Adenocarcinoma Mucinoso / Neoplasias Gastrointestinais Tipo de estudo: Risk_factors_studies Limite: Female / Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article