Identifying biomarkers of breast cancer micrometastatic disease in bone marrow using a patient-derived xenograft mouse model.

Background: Disseminated tumor cells (DTCs) found in the bone marrow (BM) of patients with breast cancer portend a poor prognosis and are thought to be intermediaries in the metastatic process. To assess the clinical relevance of a mouse model for identifying possible prognostic and predictive bioma...

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Published in:Breast Cancer Research Vol. 20; pp. 1 - 13
Main Authors: Pillai, Sreeraj G., Li, Shunqiang, Siddappa, Chidananda M., Ellis, Matthew J, Watson, Mark A., Aft, Rebecca
Format: research Journal Article
Published: BioMed Central 1/2/2018
Online Access:View this record in EBSCOhost
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        14655411
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      jtl: Breast Cancer Research
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      dt: 1/2/2018
      vid: 20
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      pub: BioMed Central
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        127104683
        127104683
        NLM29291741
        127104683
        10.1186/s13058-017-0927-1
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        127104683
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        atl: Identifying biomarkers of breast cancer micrometastatic disease in bone marrow using a patient-derived xenograft mouse model.
      aug:
        au:
          Pillai, Sreeraj G.
          Li, Shunqiang
          Siddappa, Chidananda M.
          Ellis, Matthew J
          Watson, Mark A.
          Aft, Rebecca
        affil: Department of Surgery, Washington University School of Medicine, 660 South Euclid Avenue, 63110, St. Louis, MO, USA
      sug:
        subj:
          Neoplasm Metastasis
          Breast Neoplasms
          Proteins
          Animal Studies
          Carrier Proteins
          Female
          Human
          Neoplasm Metastasis Pathology
          Mice
          Models, Biological
          Genes
          Breast Neoplasms Pathology
          Bone Marrow Pathology
          Membrane Proteins
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Interview Guides
          Scales
          Female
      ab: Background: Disseminated tumor cells (DTCs) found in the bone marrow (BM) of patients with breast cancer portend a poor prognosis and are thought to be intermediaries in the metastatic process. To assess the clinical relevance of a mouse model for identifying possible prognostic and predictive biomarkers of these cells, we have employed patient-derived xenografts (PDX) for propagating and molecularly profiling human DTCs.Methods: Previously developed mouse xenografts from five breast cancer patients were further passaged by implantation into NOD/SCID mouse mammary fat pads. BM was collected from long bones at early, serial passages and analyzed for human-specific gene expression by qRT-PCR as a surrogate biomarker for the detection of DTCs. Microarray-based gene expression analyses were performed to compare expression profiles between primary xenografts, solid metastasis, and populations of BM DTCs. Differential patterns of gene expression were then compared to previously generated microarray data from primary human BM aspirates from patients with breast cancer and healthy volunteers.Results: Human-specific gene expression of SNAI1, GSC, FOXC2, KRT19, and STAM2, presumably originating from DTCs, was detected in the BM of all xenograft mice that also developed metastatic tumors. Human-specific gene expression was undetectable in the BM of those xenograft lines with no evidence of distant metastases and in non-transplanted control mice. Comparative gene expression analysis of BM DTCs versus the primary tumor of one mouse line identified multiple gene transcripts associated with epithelial-mesenchymal transition, aggressive clinical phenotype, and metastatic disease development. Sixteen of the PDX BM associated genes also demonstrated a statistically significant difference in expression in the BM of healthy volunteers versus the BM of breast cancer patients with distant metastatic disease.Conclusion: Unique and reproducible patterns of differential gene expression can be identified that presumably originate from BM DTCs in mouse PDX lines. Several of these identified genes are also detected in the BM of patients with breast cancer who develop early metastases, which suggests that they may be clinically relevant biomarkers. The PDX model may also provide a clinically relevant system for analyzing and targeting these intermediaries of metastases.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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