Gene-expression profiling with the use of DNA microarrays allowsmeasurement of thousands of messenger RNA (mRNA) transcriptsin a single experiment. Results of such studies have confirmedthat breast cancer is not a single disease with variable morphologicfeatures and biomarkers but, rather, a group of molecularlydistinct neoplastic disorders. Profiling results also supportthe hypothesis that estrogen-receptor (ER)–negative andER-positive breast cancers originate from distinct cell typesand point to biologic processes that govern metastatic progression.Moreover, such profiling has uncovered molecular signaturesthat could influence clinical care. In this review, we summarizethe results of gene-expression studies that . . . [Full Text of this Article]
Molecular Classification of Breast Cancer
Gene-Expression Signatures and Clinical Outcome
Gene-Expression Signatures and Response to Chemotherapy
Readiness of Genomic Signatures for Routine Clinical Use
Conclusions
Source Information
From the Medical Oncology Department, Translational Research Unit, Jules Bordet Institute, Université Libre de Bruxelles, Brussels (C.S.); and the Department of Breast Medical Oncology, the University of Texas M.D. Anderson Cancer Center, Houston (L.P.).
Address reprint requests to Dr. Sotiriou at the Translational Research Unit, Jules Bordet Institute, 121 Blvd. de Waterloo, Brussels 1000, Belgium, or at christos.sotiriou@bordet.be.
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