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TABLE 11.2
List of Mutated Genes Indicative of Each
Breast Cancer Subtype
Luminal A
Luminal B
Basal-like
HER2E
TP53
TP53
TP53
TP53
PIK3CA
PIK3CA
RB1
PIK3CA
MAP3K1
MAP3K1
BRCA1
PIK3R1
GATA3
PTEN
FOXA1
TABLE 11.3
List of Highly Expressed Genes Indicative of
Each Breast Cancer Subtype
Luminal A/B
Basal-like
HER2E
ESR1
PIK3CA
FGFR4
XBP1
KRAS
EGFR
MYB
EGFR
HER2
RB1
FGFR1
GRB7
FGFR2
GATA3
KIT
BCL2
MET
ESR1
PDGFRA
differs from other subtypes by having a high level of PIK3CA mutations and
lower frequency of phosphatase and tensin homolog (PTEN) mutations.
As there are significant overlaps in the gene signatures of these cancer sub-
types, to improve the accuracy of analysis, nonmutated genes can be utilized.
The genes in Table 11.3 are known to be expressed in a nonmutated form in
cancer tumors. By utilizing the list of mutated and highly expressed genes, it
is possible to improve the accuracy of diagnosis.
The mutated gene list (see Table  11.2) and highly expressed gene list
(see  Table  11.3) were loaded into EXP-PAC. Using these lists, queries were
performed on the breast cancer data set (see Figure  11.11). For each breast
cancer subtype, mutated genes were identified by performing a keyword
search for genes in the mutated gene list and looking for results with high
mutation scores. Highly expressed genes were identified through a keyword
search of gene symbols, this time looking for genes that appeared more than
once. To ensure that displayed genes were present in the tumor data, the
intensity filter was set to return genes with an intensity greater than 0.
Results (see Table  11.4) showed that, out of the genes known to undergo
mutation during breast cancer, only TP53 was expressed in a mutated
form. Mutated genes common to other subtypes were not present, which is
indicative of a basal-like breast cancer tumor. Examining the expression of
 
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