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Review Article
Molecular Origins of Cancer
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Volume 360:790-800 February 19, 2009 Number 8
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Gene-Expression Signatures in Breast Cancer
Christos Sotiriou, M.D., D.Phil., and Lajos Pusztai, M.D., D.Phil.

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Gene-expression profiling with the use of DNA microarrays allows measurement of thousands of messenger RNA (mRNA) transcripts in a single experiment. Results of such studies have confirmed that breast cancer is not a single disease with variable morphologic features and biomarkers but, rather, a group of molecularly distinct neoplastic disorders. Profiling results also support the hypothesis that estrogen-receptor (ER)–negative and ER-positive breast cancers originate from distinct cell types and point to biologic processes that govern metastatic progression. Moreover, such profiling has uncovered molecular signatures that could influence clinical care. In this review, we summarize the 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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