Homozygous deletion mapping in myeloma samples identifies genes and an expression signature relevant to pathogenesis and outcome.

N.J. Dickens, B.A. Walker, P.E. Leone, D.C. Johnson, J.L. Brito, A. Zeisig, M.W. Jenner, K.D. Boyd, D. Gonzalez, W.M. Gregory, F.M. Ross, F.E. Davies, G.J. Morgan

Research output: Contribution to journalArticlepeer-review

96 Citations (Scopus)

Abstract

PURPOSE: Myeloma is a clonal malignancy of plasma cells. Poor-prognosis risk is currently identified by clinical and cytogenetic features. However, these indicators do not capture all prognostic information. Gene expression analysis can be used to identify poor-prognosis patients and this can be improved by combination with information about DNA-level changes. EXPERIMENTAL DESIGN: Using single nucleotide polymorphism-based gene mapping in combination with global gene expression analysis, we have identified homozygous deletions in genes and networks that are relevant to myeloma pathogenesis and outcome. RESULTS: We identified 170 genes with homozygous deletions and corresponding loss of expression. Deletion within the "cell death" network was overrepresented and cases with these deletions had impaired overall survival. From further analysis of these events, we have generated an expression-based signature associated with shorter survival in 258 patients and confirmed this signature in data from two independent groups totaling 800 patients. We defined a gene expression signature of 97 cell death genes that reflects prognosis and confirmed this in two independent data sets. CONCLUSIONS: We developed a simple 6-gene expression signature from the 97-gene signature that can be used to identify poor-prognosis myeloma in the clinical environment. This signature could form the basis of future trials aimed at improving the outcome of poor-prognosis myeloma.
Original languageEnglish
Pages (from-to)1856-1864
Number of pages9
JournalClinical Cancer Research
Volume16
Issue number6
DOIs
Publication statusPublished - 15 Mar 2010

Keywords

  • Antineoplastic Combined Chemotherapy Protocols
  • Biomarkers, Tumor
  • Gene Expression Profiling
  • Gene Expression Regulation, Neoplastic
  • Homozygote
  • Humans
  • Middle Aged
  • Multiple Myeloma
  • Oligonucleotide Array Sequence Analysis
  • Polymorphism, Single Nucleotide
  • Sequence Deletion
  • Survival Rate
  • Treatment Outcome

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