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Gene Expression Classification of Colon Cancer into Molecular Subtypes: Characterization, Validation, and Prognostic Value

PLoS Medicine · 2013 · Vol. 10(5) · pp. e1001453–e1001453
Laëtitia MarisaAurélien de ReynièsAlex DuvalJanick SèlvesMarie Pierre GaubLaure VescovoMarie-Christine Étienne-GrimaldiRenaud SchiappaDominique GuénotMira AyadiSylvain KirzinM ChazalJean–François FléjouDaniel BenchimolAnne BergerArnaud LagardeErwan PencreachF PiardDominique ÉliasYann ParcSylviane OlschwangG. MilanoPierre Laurent‐PuigValérie Boige

Abstract

We describe the first, to our knowledge, robust transcriptome-based classification of CC that improves the current disease stratification based on clinicopathological variables and common DNA markers. The biological relevance of these subtypes is illustrated by significant differences in prognosis. This analysis provides possibilities for improving prognostic models and therapeutic strategies. In conclusion, we report a new classification of CC into six molecular subtypes that arise through distinct biological pathways.

Colorectal Cancer Treatments and StudiesGenetic factors in colorectal cancerCancer Genomics and DiagnosticsKRASMicrosatellite instabilityBiologyGene expression profilingColorectal cancerWnt signaling pathwayGene signatureCancerGeneChromosome instability

MeSH terms

AdultAgedAged, 80 and overColonic NeoplasmsFemaleFranceGenetic TestingHumansLymphatic MetastasisMaleMiddle AgedNeoplasm StagingPhenotypePredictive Value of TestsPrognosis

Funding

  • American Association for Cancer Research
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