Abstract

BackgroundHispanic/Latino populations are a genetically admixed and heterogeneous group, with variable fractions of European, Indigenous American and African ancestries. The molecular profile of breast cancer has been widely described in non-Hispanic Whites but equivalent knowledge is lacking in Hispanic/Latinas. We have previously reported that the most prevalent breast cancer intrinsic subtype in Colombian women was Luminal B as defined by St. Gallen 2013 criteria. In this study we explored ancestry-associated differences in molecular profiles of Luminal B tumors among these highly admixed women.MethodsWe performed whole-transcriptome RNA-seq analysis in 42 Luminal tumors (21 Luminal A and 21 Luminal B) from Colombian women. Genetic ancestry was estimated from a panel of 80 ancestry-informative markers (AIM). We categorized patients according to Luminal subtype and to the proportion of European and Indigenous American ancestry and performed differential expression analysis comparing Luminal B against Luminal A tumors according to the assigned ancestry groups.ResultsWe found 5 genes potentially modulated by genetic ancestry: ERBB2 (log2FC = 2.367, padj<0.01), GRB7 (log2FC = 2.327, padj<0.01), GSDMB (log2FC = 1.723, padj<0.01, MIEN1 (log2FC = 2.195, padj<0.01 and ONECUT2 (log2FC = 2.204, padj<0.01). In the replication set we found a statistical significant association between ERBB2 expression with Indigenous American ancestry (p = 0.02, B = 3.11). This association was not biased by the distribution of HER2+ tumors among the groups analyzed.ConclusionsOur results suggest that genetic ancestry in Hispanic/Latina women might modify ERBB2 gene expression in Luminal tumors. Further analyses are needed to confirm these findings and explore their prognostic value.

Highlights

  • Breast cancer is a complex-multifactorial disease, consisting of a highly heterogeneous group of tumors with particular molecular features, prognosis and responses to therapy [1,2,3,4]

  • We found 5 genes potentially modulated by genetic ancestry: ERBB2, GRB7, GSDMB

  • Our results suggest that genetic ancestry in Hispanic/Latina women might modify ERBB2 gene expression in Luminal tumors

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Summary

Introduction

Breast cancer is a complex-multifactorial disease, consisting of a highly heterogeneous group of tumors with particular molecular features, prognosis and responses to therapy [1,2,3,4]. Subsequent studies showed differences in the outcomes according to intrinsic subtypes [7, 8] Based on this classification, the best outcomes are observed for Luminal A tumors while basal-like and HER2-enriched are associated with worse outcomes. Luminal B tumors more frequently receive high recurrence scores based on the Oncotype Dx gene expression signature and are more likely to benefit from cytotoxic chemotherapy, reaching higher percentages of pathologic complete response (pCR) when compared to Luminal A tumors [13, 15] Results on this issue have not been consistent [16,17,18]. In this study we explored ancestry-associated differences in molecular profiles of Luminal B tumors among these highly admixed women

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