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Gene expression-based, individualized outcome prediction for surgically treated lung cancer patients

Oncogene volume 23, pages 5360–5370 (2004)Cite this article

Abstract

Individualized outcome prediction classifiers were successfully constructed through expression profiling of a total of 8644 genes in 50 non-small-cell lung cancer (NSCLC) cases, which had been consecutively operated on within a defined short period of time and followed up for more than 5 years. The resultant classifier of NSCLCs yielded 82% accuracy for forecasting survival or death 5 years after surgery of a given patient. In addition, since two major histologic classes may differ in terms of outcome-related expression signatures, histologic-type-specific outcome classifiers were also constructed. The resultant highly predictive classifiers, designed specifically for nonsquamous cell carcinomas, showed a prediction accuracy of more than 90% independent of disease stage. In addition to the presence of heterogeneities in adenocarcinomas, our unsupervised hierarchical clustering analysis revealed for the first time the existence of clinicopathologically relevant subclasses of squamous cell carcinomas with marked differences in their invasive growth and prognosis. This finding clearly suggests that NSCLCs comprise distinct subclasses with considerable heterogeneities even within one histologic type. Overall, these findings should advance not only our understanding of the biology of lung cancer but also our ability to individualize postoperative therapies based on the predicted outcome.

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Acknowledgements

We thank Curtis C Harris and Kiyoshi Yanagisawa for their valuable discussions and suggestions. This work was supported in part by a Grant-in-Aid for Scientific Research on Priority Areas from the Ministry of Education, Culture, Sports, Science and Technology of Japan and a Grant-in-Aid for the Second-Term Comprehensive 10-Year Strategy for Cancer Control from the Ministry of Health and Welfare, Japan.

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Author notes

  1. Shuta Tomida and Katsumi Koshikawa: ST and KK contributed equally to this work

Authors and Affiliations

  1. Division of Molecular Oncology, Aichi Cancer Center Research Institute, Nagoya, 464-8681, Japan

    Shuta Tomida, Katsumi Koshikawa, Tomoko Harano, Kiyoshi Yanagisawa, Hirotaka Osada & Takashi Takahashi

  2. Department of Pathology and Molecular Diagnostics, Aichi Cancer Center Hospital, Nagoya, 464-8681, Japan

    Yasushi Yatabe

  3. Miyanodai Technology Development Center, Fuji Photo Film Co., Ltd., Kanagawa, 258-8538, Japan

    Nobuhiko Ogura & Masato Some

  4. Department of Thoracic Surgery, Aichi Cancer Center Hospital, Nagoya, 464-8681, Japan

    Tetsuya Mitsudomi

  5. Division of Immunology, Aichi Cancer Center Research Institute, Nagoya, 464-8681, Japan

    Toshitada Takahashi

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  1. Shuta Tomida
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Correspondence to Takashi Takahashi.

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Tomida, S., Koshikawa, K., Yatabe, Y. et al. Gene expression-based, individualized outcome prediction for surgically treated lung cancer patients. Oncogene 23, 5360–5370 (2004). https://doi.org/10.1038/sj.onc.1207697

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