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ORIGINAL ARTICLE An Integrated Prognostic Classifier for Stage I Lung Adenocarcinoma Based on mRNA, microRNA, and DNA Methylation Biomarkers Ana I. Robles, PhD,* Eri Arai, MD,† Ewy A. Mathé, PhD*, Hirokazu Okayama, MD, PhD,* Aaron J. Schetter, PhD, MPH,* Derek Brown, MS,* David Petersen, BS,‡ Elise D. Bowman, MS,* Rintaro Noro, MD,* Judith A. Welsh, BS,* Daniel C. Edelman, PhD,‡ Holly S. Stevenson, PhD,‡ Yonghong Wang, PhD,‡ Naoto Tsuchiya, PhD,§ Takashi Kohno, PhD,§ Vidar Skaug, MD,║ Steen Mollerup, MD,║ Aage Haugen, MD,║ Paul S. Meltzer, MD, PhD,‡ Jun Yokota, MD,¶ Yae Kanai, MD, PhD,† and Curtis C. Harris, MD* identified high-risk patients in stratified analysis of stages IA and Introduction: Up to 30% stage I lung cancer patients suffer recur- IB. Four protein-coding gene (XPO1, BRCA1, HIF1α, and DLC1), rence within 5 years of curative surgery. We sought to improve miR-21 expression, and HOXA9 promoter methylation were each existing protein-coding gene and microRNA expression prognostic independently associated with outcome (HR, 2.8; p = 0.002; HR, 2.3; classifiers by incorporating epigenetic biomarkers. p = 0.01; and HR, 2.4; p = 0.005, respectively), and when com- Methods: Genome-wide screening of DNA methylation and pyrose- bined, identified high-risk, therapy naive, stage I patients (HR, 10.2; quencing analysis of HOXA9 promoter methylation were performed in p
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Jul 1, 2015
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