Takayuki Iwamoto
   Department   Kawasaki Medical School  Kawasaki Medical School, Department of Breast and Thyroid Surgery,
   Position   Assistant Professor
Article types 総説
Language English
Peer review Peer reviewed
Title Predicting prognosis of breast cancer with gene signatures: are we lost in a sea of data?
Journal Formal name:Genome medicine
Abbreviation:Genome Med
ISSN code:1756994X/1756994X
Domestic / ForeginForegin
Volume, Issue, Page 2(11),pp.81
Author and coauthor Takayuki Iwamoto, Lajos Pusztai
Authorship Lead author
Publication date 2010/11
Summary A large number of prognostic and predictive signatures have been proposed for breast cancer and a few of these are now available in the clinic as new molecular diagnostic tests. However, several other signatures have not fared well in validation studies. Some investigators continue to be puzzled by the diversity of signatures that are being developed for the same purpose but that share few or no common genes. The history of empirical development of prognostic gene signatures and the unique association between molecular subsets and clinical phenotypes of breast cancer explain many of these apparent contradictions in the literature. Three features of breast cancer gene expression contribute to this: the large number of individually prognostic genes (differentially expressed between good and bad prognosis cases); the unstable rankings of differentially expressed genes between datasets; and the highly correlated expression of informative genes.
DOI 10.1186/gm202
PMID 21092148