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Tumor Biology

Molecular Classification of Breast Carcinomas by Comparative Genomic Hybridization

a Specific Somatic Genetic Profile for BRCA1 Tumors

Lodewyk F. A. Wessels, Tibor van Welsem, Augustinus A. M. Hart, Laura J. van’t Veer, Marcel J. T. Reinders and Petra M. Nederlof
Lodewyk F. A. Wessels
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Tibor van Welsem
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Augustinus A. M. Hart
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Laura J. van’t Veer
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Marcel J. T. Reinders
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Petra M. Nederlof
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DOI:  Published December 2002
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  • Fig. 1.
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    Fig. 1.

    Chromosomal aberrations. The percentage of tumors showing gain or loss at a specific chromosomal location (evaluated at the channel level) for the BRCA1 group (N = 28, black line) and the control group (N = 42, gray line). Gray shaded, difference between the groups. Significant arms (χ2; P < 0.05) are listed in Table 2 <$REFLINK> .

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    Fig. 2.

    Cytogenetic banding and 0.85VAF banding of chromosome 3 and 5. Top, statistically significant (adjusted P < 0.1) chromosomal regions for the mutual information criterion indicated as gray shaded areas for the arm (only 3q is shown and not 10p), 0.85VAF band, and channel resolution. Bottom, CGH ratio profiles after classification of the 28 BRCA1 and 42 control tumors using the BRCA1 classifier based on the 0.85VAF banding and discrete representation. Ten controls were misclassified as BRCA1 (bottom). Two horizontal lines at ratios of 0.85 and 1.15 delineate the range associated with no genetic change. Vertical line, positions of centromeres.

  • Fig. 3.
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    Fig. 3.

    A posteriori densities for the different regions for the best classifier. The distributions for the selected regions, bands 3.1, 3.5 and 5.2 (0.85VAF) are depicted in A, B, and C, respectively. The a posteriori density histograms represent the probability that a tumor is BRCA1 or control given the particular aberration observed in the tumor. For example, for a tumor with a gain of band 3.1, the a posteriori distribution (A) indicates that the probability that the tumor belongs to the BRCA1 class is high (0.75) and that it is low for the control class (0.25).

  • Fig. 4.
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    Fig. 4.

    ROC. The ROC for the best classifier (discrete SBC on selected 0.85VAF regions) is given. The curve depicts, for every combination of prior probabilities of the BRCA1 and control groups, the positive rate and the negative rate. The positive rate is defined as the number of correctly classified BRCA1 tumors; the negative rate represents the number of control tumors classified as BRCA1 tumors. ○, position of the optimal classifier on the curve.

  • Fig. 5.
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    Fig. 5.

    BRCA1 classification score. For each individual tumor of the training set and the validation set (BRCA1 and control), the BRCA1 classification score as calculated using the simple Bayes rule, is depicted. A high score indicates a high probability to belong to the BRCA1 class. The percentage of tumors from each group that are classified to the BRCA1 class is indicated.

Tables

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  • Table 1

    Clinicopathological characteristics of breast carcinomas from BRCA1 mutation carriers in comparison to control cancers

    BRCA1Control
    Clinical characteristics
     No. of tumors analyzed2842
     Patients with breast and ovarian carcinoma39
     Patients with bilateral breast carcinomas1222
     Pairs of bilateral breast carcinomas analyzed513
     Mean age at diagnosis (range)40 (28–62)51 (31–73)
    Histology
     Invasive ductal carcinoma2835
     Invasive lobular carcinoma02
     Other05
     Grade I03
     Grade II620
     Grade III2219
    Immunohistochemistry
     ER +a12% (3/24)57% (21/37)
     PR+17% (4/23)44% (16/36)
     Neu + 0% (0/22)11% (4/35) 
     Cyclin D1 + 0% (0/13)15% (5/34) 
     P53 +41% (9/22)26% (9/34) 
    • a ER, estrogen receptor; PR, progesterone receptor; Neu, HER2-neu; +, positive.

  • Table 2

    Significant chromosomal regions between BRCA1 and control tumors

    Percentage of tumors from BRCA1 and control tumors with loss or gain of chromosome arms. Only chromosome arms with a significant difference (χ2, not corrected for multiple sampling, P < 0.05) between the groups are listed.

    LossBRCA1 (%)Control (%)PGainBRCA1 (%)Control (%)P
    3p61310.0143q79260.000
    4p64380.0327p39120.008
    5q82400.0018q96670.003
    12q54260.02010p46140.003
    16p32120.03812p46170.007
    18q54260.02016p11310.048
    17q29520.049
  • Table 3

    Significant regions at different levels of resolution

    Summary of the chromosomal regions where the filtering criteria (mutual information and U test) detected significant (adjusted for multiple sampling, P < 0.1) correlations with the class labels (BRCA1 and control).

    Total no. of regionsDiscrete (Mutual information)Continuous (U test)
    RegionAdjusted PRegionAdjusted P
    Arm41 3q0.013Not applicable
    10p0.080
    Channel17165.26–5.30<0.103.83–3.98<0.10
    5.27–5.50<0.10
    Band 0.85VAF813.10.0153.20.053
    3.50.0023.50.005
    5.20.0095.20.003
    5.30.078
  • Table 4

    Performance of BRCA1 classifiers

    Summary of the best LOOCV performance and associated region sets for classification of BRCA1 tumors. Results are shown for the wrapped discrete SBC, as well as for the mutual information filtered SBC for both discrete and continuous representations. Only region sets where limited variation occurred in the selected sets (across the LOOCV loops) are listed.

    Wrapped discrete SBCMutation information filtered SBC
    RegionsPerformance (%)RegionsPerformance (%)
    Discrete representation
    Arms3q and 10p793q and 10p73
    Bandsa3.5 and 5.2 and (2.1 or 10.2 or 3.1)773.1 and 3.5 and 5.284
    Channels11 regions6416 regions67
    Continuous representation
    ArmsNot applicableNot applicable
    Bandsa9 regions673.5 and 5.276
    ChannelsToo computationally expensive5.31 and 5.3277
    • a 0.85VAF bands.

  • Table 5

    False positive analysis

    Profile, classifier scores, and clinical parameters for the false positives and false negatives identified by the best classifier.

    TumorFeatures 3.1, 3.5, 5.2Classifier scoreAge (1st, 2nd)Ovarian tumorHistological gradePR statusER statusTumor type
    False positives
    1[G,G,N]a0.9558No3−−IDC
    2[G,G,N]0.9545,47Yes3−−IDC
    3[G,G,N]0.9545,47Yes3−−MP
    4[L,G,N]0.9333,39No3NDNDIDC
    5[L,G,N]0.9352,52No2++ILC
    6[N,G,N]0.6549,61Yes3−+IDC
    7[N,G,N]0.6548,53No3−−MP
    8[L,N,N]0.6139,42No3−+IDC
    9[L,N,N]0.6144,57No3−−IDC
    10[L,N,N]0.6145,54No2+−IDC
    False negatives
    11[N,N,N]0.1735,46No2++IDC
    • a [G,N,L], gain, normal, loss; ND, not done; ER, immunohistochemistry for estrogen receptor; PR, immunohistochemistry for progesterone receptor; IDC, invasive ductal carcinoma; MP, metaplastic; ILC, invasive lobular carcinoma; Grade, histological grade.

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Cancer Research: 62 (23)
December 2002
Volume 62, Issue 23
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Molecular Classification of Breast Carcinomas by Comparative Genomic Hybridization
Lodewyk F. A. Wessels, Tibor van Welsem, Augustinus A. M. Hart, Laura J. van’t Veer, Marcel J. T. Reinders and Petra M. Nederlof
Cancer Res December 1 2002 (62) (23) 7110-7117;

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Molecular Classification of Breast Carcinomas by Comparative Genomic Hybridization
Lodewyk F. A. Wessels, Tibor van Welsem, Augustinus A. M. Hart, Laura J. van’t Veer, Marcel J. T. Reinders and Petra M. Nederlof
Cancer Res December 1 2002 (62) (23) 7110-7117;
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