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The WID-BC-index identifies women with primary poor prognostic breast cancer based on DNA methylation in cervical samples
JE. Barrett, C. Herzog, A. Jones, OC. Leavy, I. Evans, S. Knapp, D. Reisel, T. Nazarenko, YN. Kim, D. Franchi, A. Ryan, J. Franks, L. Bjørge, M. Zikan, D. Cibula, N. Harbeck, N. Colombo, F. Dudbridge, L. Jones, K. Sundström, J. Dillner, AF....
Language English Country Great Britain
Document type Evaluation Study, Journal Article, Research Support, Non-U.S. Gov't
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- MeSH
- Cervix Uteri cytology metabolism MeSH
- CpG Islands MeSH
- Epigenome MeSH
- Epigenomics methods MeSH
- Epithelial Cells metabolism MeSH
- Humans MeSH
- DNA Methylation * MeSH
- Mutation MeSH
- Biomarkers, Tumor genetics metabolism MeSH
- Breast Neoplasms genetics metabolism MeSH
- Prognosis MeSH
- Breast cytology metabolism MeSH
- ROC Curve MeSH
- Check Tag
- Humans MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Evaluation Study MeSH
- Research Support, Non-U.S. Gov't MeSH
Genetic and non-genetic factors contribute to breast cancer development. An epigenome-based signature capturing these components in easily accessible samples could identify women at risk. Here, we analyse the DNA methylome in 2,818 cervical, 357 and 227 matched buccal and blood samples respectively, and 42 breast tissue samples from women with and without breast cancer. Utilising cervical liquid-based cytology samples, we develop the DNA methylation-based Women's risk IDentification for Breast Cancer index (WID-BC-index) that identifies women with breast cancer with an AUROC (Area Under the Receiver Operator Characteristic) of 0.84 (95% CI: 0.80-0.88) and 0.81 (95% CI: 0.76-0.86) in internal and external validation sets, respectively. CpGs at progesterone receptor binding sites hypomethylated in normal breast tissue of women with breast cancer or in BRCA mutation carriers are also hypomethylated in cervical samples of women with poor prognostic breast cancer. Our data indicate that a systemic epigenetic programming defect is highly prevalent in women who develop breast cancer. Further studies validating the WID-BC-index may enable clinical implementation for monitoring breast cancer risk.
Breast Center Department of Obstetrics and Gynecology University of Munich Munich Germany
Breast Service University College London Hospital London UK
Centre for Cancer Biomarkers CCBIO Department of Clinical Science University of Bergen Bergen Norway
Department of Applied Health Research University College London London UK
Department of Health Sciences University of Leicester Leicester LE1 7RH UK
Department of Laboratory Medicine Division of Pathology Karolinska Institutet Stockholm Sweden
Department of Obstetrics and Gynaecology Haukeland University Hospital Bergen Norway
Department of Women's Cancer University College London London UK
Institute for Biomedical Aging Research Universität Innsbruck Innsbruck Austria
References provided by Crossref.org
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