Breast cancer

New approach may help predict breast cancer metastasis more accurately

Scientists are trying to improve breast cancer diagnosis by developing a more accurate approach for predicting the risk of breast cancer metastasis in individual patients.

Washington, Oct 16 : Scientists are trying to improve breast cancer diagnosis by developing a more accurate approach for predicting the risk of breast cancer metastasis in individual patients.

One of the many mysteries facing breast cancer patients is predicting whether the cancer will spread to other parts of the body or metastasize.

Now, researchers from UC San Diego and the Korea Advanced Institute of Science and Technology cashed in on new protein interaction databases and identified networks of genes from breast cancer patients, rather than individual genes that can be used to predict whether a breast cancer tumor is likely to metastasize.

According to the researchers, their results offer new mechanistic insights into breast cancer metastasis and are more accurate and reproducible than two sets of individual marker genes currently used to help predict the likelihood that a patient's breast cancer will spread.

"Over the years, large numbers of women have endured unnecessarily harsh treatments, such as aggressive chemotherapy, due to our inability to predict metastasis risks with high accuracy. One of our goals is to improve this situation," said Trey Ideker, a bioengineering professor from the UCSD Jacobs School of Engineering and the senior author of the new study.

"The next step is to confirm these results in other clinical trials. It will be absolutely crucial to confirm our findings on other patient data before we think too hard about bringing this technology to the clinic," he added.

Ideker further said that the new study may also help researchers determine disease-causing genes and more specifically classify and diagnose cancer and other diseases.

"Our work supports the notion that cancer is a disease of pathways. The keys for understanding at least some of these pathways are encoded in protein networks," he said.

For the study, the team used the same gene expression data used in two well-known studies: Vijver et al. in Nature and Wang et al. in the Lancet. Each study yielded a set of about 70 single-gene markers that are now used in hospitals to help predict the likelihood of breast cancer metastasis.

"We saw about a 9 percent increase in metastasis prediction accuracy over the two main sets of individual gene markers," said Ideker, who explained that his team raised metastatic prediction accuracy for breast cancer to roughly 72 percent.

"The big difference between our work and the work outlined in Vijver and Wang is that we painted the existing gene expression data onto newly available maps of protein interactions," he added.

By focusing on how the proteins within cells interact, the researchers were able to look at the aggregate behavior of genes that are connected in functional networks. This approach improved their ability to predict which tumors would spread.

The team uncovered 149 discriminative subnetworks consisting of 618 genes from the patients from the van de Vijver et al. data set and 243 discriminative subnetworks with 906 genes from the Wang et al. data set.

Each subnetwork is suggestive of a distinct functional pathway or complex, yielding many known and novel pathway hypotheses in organisms for which sufficient protein interaction data have been measured, the authors say.

"A key feature of our approach is the ability to identify crucial genes that fly under the radar of conventional gene expression analyses," said Ideker.

The study is published online in the journal Molecular Systems Biology.

ANI