51. Expression profiles of PRKG1, SDF2L1 and PPP1R12A are predictive and prognostic factors for therapy response and survival in high-grade serous ovarian cancer
- Author
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Tommaso Grassi, Maurizio D'Incalci, Chiara Romani, Federica Donati, Lorenzo Ceppi, Sara Ballabio, Marco Adorni, Martina Delle Marchette, Eliana Bignotti, Giuseppe Benvenuto, Antonella Ravaggi, Patrizia Perego, Paolo Martini, Sergio Marchini, Laura Zanotti, Lara Paracchini, Enrico Sartori, Franco Odicino, Robert Fruscio, Germana Tognon, Paola Todeschini, Chiara Romualdi, Gabriele Sales, Luca Beltrame, Enrica Calura, Benvenuto, G, Todeschini, P, Paracchini, L, Calura, E, Fruscio, R, Romani, C, Beltrame, L, Martini, P, Ravaggi, A, Ceppi, L, Sales, G, Donati, F, Perego, P, Zanotti, L, Ballabio, S, Grassi, T, Marchette, M, Tognon, G, Sartori, E, Adorni, M, Odicino, F, D'Incalci, M, Bignotti, E, Romualdi, C, and Marchini, S
- Subjects
Oncology ,Adult ,Cancer Research ,medicine.medical_specialty ,High -grade serous epithelial ovarian cancer ,Multivariate analysis ,medicine.medical_treatment ,In silico ,PPP1R12A ,integrative pathway analyse ,Disease ,integrative pathway analyses ,03 medical and health sciences ,Myosin-Light-Chain Phosphatase ,PRKG1 ,0302 clinical medicine ,Internal medicine ,microRNA ,Serous ovarian cancer ,medicine ,Humans ,prognostic signature ,Gene ,Aged ,Cyclic GMP-Dependent Protein Kinase Type I ,Platinum ,Retrospective Studies ,Ovarian Neoplasms ,Chemotherapy ,business.industry ,Gene Expression Profiling ,Membrane Proteins ,Middle Aged ,Prognosis ,Survival Analysis ,Cystadenocarcinoma, Serous ,Gene Expression Regulation, Neoplastic ,Treatment Outcome ,SDF2L1 ,030220 oncology & carcinogenesis ,Cohort ,Female ,Neoplasm Grading ,business ,high-grade serous epithelial ovarian cancer - Abstract
High-grade serous ovarian cancer (HGS-EOCs) is generally sensitive to front-line platinum (Pt)-based chemotherapy although most patients at an advanced stage relapse with progressive resistant disease. Clinical or molecular data to identify primary resistant cases at diagnosis are not yet available. HGS-EOC biopsies from 105 Pt-sensitive (Pt-s) and 89 Pt-resistant (Pt-r) patients were retrospectively selected from two independent tumor tissue collections. Pathway analysis was done integrating miRNA and mRNA expression profiles. Signatures were further validated in silico on a cohort of 838 HGS-EOC cases from a published dataset. In all, 131 mRNAs and 5 miRNAs belonging to different functionally related molecular pathways distinguish Pt-s from Pt-r cases. Then, 17 out of 23 selected elements were validated by orthogonal approaches (SI signature). As resistance to Pt is associated with a short progression-free survival (PFS) and overall survival (OS), the prognostic role of the SI signature was assessed, and 14 genes associated with PFS and OS, in multivariate analyses (SII signature). The prognostic value of the SII signature was validated in a third extensive cohort. The expression profiles of SDF2L1, PPP1R12A and PRKG1 genes (SIII signature) served as independent prognostic biomarkers of Pt-response and survival. The study identified a prognostic molecular signature based on the combined expression profile of three genes which had never been associated with the clinical outcome of HGS-EOC. This may lead to early identification, at the time of diagnosis, of patients who would not greatly benefit from standard chemotherapy and are thus eligible for novel investigational approaches.
- Published
- 2020