Abstract

Triple-negative breast cancer (TNBC) is a special subtype of breast cancer that is difficult to treat. It is crucial to identify breast cancer-related genes that could provide new biomarkers for breast cancer diagnosis and potential treatment goals. In the development of our new high-risk breast cancer prediction model, seven raw gene expression datasets from the NCBI gene expression omnibus (GEO) database (GSE31519, GSE9574, GSE20194, GSE20271, GSE32646, GSE45255, and GSE15852) were used. Using the maximum relevance minimum redundancy (mRMR) method, we selected significant genes. Then, we mapped transcripts of the genes on the protein-protein interaction (PPI) network from the Search Tool for the Retrieval of Interacting Genes (STRING) database, as well as traced the shortest path between each pair of proteins. Genes with higher betweenness values were selected from the shortest path proteins. In order to ensure validity and precision, a permutation test was performed. We randomly selected 248 proteins from the PPI network for shortest path tracing and repeated the procedure 100 times. We also removed genes that appeared more frequently in randomized results. As a result, 54 genes were selected as potential TNBC-related genes. Using 14 out the 54 genes, which are potential TNBC associated genes, as input features into a support vector machine (SVM), a novel model was trained to predict high-risk breast cancer. The prediction accuracy of normal tissues and TNBC tissues reached 95.394%, and the predictions of Stage II and Stage III TNBC reached 86.598%, indicating that such genes play important roles in distinguishing breast cancers, and that the method could be promising in practical use. According to reports, some of the 54 genes we identified from the PPI network are associated with breast cancer in the literature. Several other genes have not yet been reported but have functional resemblance with known cancer genes. These may be novel breast cancer-related genes and need further experimental validation. Gene ontology (GO) enrichment and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analyses were performed to appraise the 54 genes. It was indicated that cellular response to organic cyclic compounds has an influence in breast cancer, and most genes may be related with viral carcinogenesis.

Highlights

  • Breast cancer is a malignant tumor that is highly prevalent among women worldwide

  • We analyzed the functional enrichment of the 54 candidate genes in Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways and Gene ontology (GO) terms using the R package “clusterProfilter.” The GO enrichment analysis includes three categories: cellular component (CC), molecular function (MF), and biological process (BP)

  • Results of the GO enrichment analysis ranked by p-value were provided in Table 2 and result of the KEGG enrichment analysis ranked by p-value was provided in Table 3, respectively

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Summary

Introduction

Breast cancer is a malignant tumor that is highly prevalent among women worldwide. According to estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER-2) status, breast cancer can be classified into four categories. Triple-negative breast cancer (TNBC), one of the more specialized types of breast cancer, is defined as the lack of expression of the ER and PR, as well as breast cancer that lacks HER-2 overexpression or gene amplification. TNBC is more common in young women, with large tumors, high lymphatic metastasis rate, and high clinical stage. The 5-year recurrence rate is high, and visceral metastases such as liver and lung metastasis are more common. Compared with other types of breast cancer, TNBC has characteristics of rapid tumor growth, early recurrence, easy metastasis, and so on (Prat et al, 2013). The genes related to this disease are poorly understood

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