Evidence map›Paper›PMID 25468711›Full record

ArticleMolecular oncology2015

A DNA methylation-based definition of biologically distinct breast cancer subtypes.

Olafur A Stefansson, Sebastian Moran, Antonio Gomez, Sergi Sayols, Carlos Arribas-Jorba, Juan Sandoval, Holmfridur Hilmarsdottir, Elinborg Olafsdottir, Laufey Tryggvadottir, Jon G Jonasson and 2 more

Abstract read
In one paragraph

Article in Molecular oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  8. Decoding the Epigenome of Breast Cancer.International journal of molecular sciences · 2025
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43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Olafur A StefanssonCancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute, L'Hospitalet, Barcelona, Catalonia 08908, Spain.
Sebastian MoranCancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute, L'Hospitalet, Barcelona, Catalonia 08908, Spain.
Antonio GomezCancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute, L'Hospitalet, Barcelona, Catalonia 08908, Spain.
Sergi SayolsCancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute, L'Hospitalet, Barcelona, Catalonia 08908, Spain.
Carlos Arribas-JorbaCancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute, L'Hospitalet, Barcelona, Catalonia 08908, Spain.
Juan SandovalCancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute, L'Hospitalet, Barcelona, Catalonia 08908, Spain.
Holmfridur HilmarsdottirThe Cancer Research Laboratory, Medical Faculty, University of Iceland, Reykjavik, Iceland.
Elinborg OlafsdottirThe Icelandic Cancer Registry, Reykjavik, Iceland.
Laufey TryggvadottirThe Icelandic Cancer Registry, Reykjavik, Iceland.
Jon G JonassonThe Icelandic Cancer Registry, Reykjavik, Iceland; Department of Pathology, Landspitali University Hospital, Reykjavik, Iceland.
Jorunn EyfjordThe Cancer Research Laboratory, Medical Faculty, University of Iceland, Reykjavik, Iceland.
Manel EstellerCancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Research Institute, L'Hospitalet, Barcelona, Catalonia 08908, Spain; Department of Physiological Sciences II, School of Medicine, University of Barcelona, Barcelona, Catalonia, Spain; Institucio Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Catalonia, Spain. Electronic address: mesteller@idibell.cat.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In cancer, epigenetic states are deregulated and thought to be of significance in cancer development and progression. We explored DNA methylation-based signatures in association with breast cancer subtypes to assess their impact on clinical presentation and patient prognosis. DNA methylation was analyzed using Infinium 450K arrays in 40 tumors and 17 normal breast samples, together with DNA copy number changes and subtype-specific markers by tissue microarrays. The identified methylation signatures were validated against a cohort of 212 tumors annotated for breast cancer subtypes by the PAM50 method (The Cancer Genome Atlas). Selected markers were pyrosequenced in an independent validation cohort of 310 tumors and analyzed with respect to survival, clinical stage and grade. The results demonstrate that DNA methylation patterns linked to the luminal-B subtype are characterized by CpG island promoter methylation events. In contrast, a large fraction of basal-like tumors are characterized by hypomethylation events occurring within the gene body. Based on these hallmark signatures, we defined two DNA methylation-based subtypes, Epi-LumB and Epi-Basal, and show that they are associated with unfavorable clinical parameters and reduced survival. Our data show that distinct mechanisms leading to changes in CpG methylation states are operative in different breast cancer subtypes. Importantly, we show that a few selected proxy markers can be used to detect the distinct DNA methylation-based subtypes thereby providing valuable information on disease prognosis.

Indexed as

Base SequenceBreast NeoplasmsCohort StudiesCpG IslandsDNA Copy Number VariationsDNA MethylationFemaleGene Expression Regulation, NeoplasticGenes, NeoplasmGenome, HumanHumansNeoplasm InvasivenessPromoter Regions, GeneticReproducibility of ResultsBiological subtypesBreast cancerDNA methylationMicroarraysPrognosis

Identifiers

PMID25468711
PMCPMC5528700

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.