Gene expression signature for predicting homologous recombination deficiency in triple-negative breast cancer

Jia-Wern Pan1, Zi-Ching Tan2, Pei-Sze Ng2

  • 1Cancer Research Malaysia, Subang Jaya, Malaysia. jiawern.pan@cancerresearch.my.

NPJ Breast Cancer
|July 19, 2024
PubMed

Insights

Researchers developed a machine learning classifier to detect homologous recombination deficiency (HRD) in triple-negative breast cancer (TNBC). This tool may identify TNBC patients who could benefit from PARP inhibitors or platinum chemotherapy.

Area of Science:

  • Oncology
  • Genomics
  • Bioinformatics

Background:

  • Triple-negative breast cancer (TNBC) presents significant treatment challenges.
  • Some TNBCs, even in non-BRCA mutation carriers, exhibit genomic similarities to BRCA-mutated cancers.
  • These similarities suggest potential sensitivity to PARP inhibitors.

Purpose of the Study:

  • To develop and validate a machine learning classifier for homologous recombination deficiency (HRD) in TNBC.
  • To assess the classifier's ability to identify TNBC patients who might respond to PARP inhibitors or platinum chemotherapy.

Main Methods:

  • Utilized genomic data from 129 TNBC samples in the Malaysian Breast Cancer (MyBrCa) cohort.
  • Developed a gene expression-based machine learning classifier to predict HRD.
  • Validated the classifier on independent datasets, including TCGA TNBCs.

Main Results:

  • The classifier achieved an AUROC of 0.93 in MyBrCa validation datasets and 0.84 in TCGA TNBCs for identifying HRD mutational signatures.
  • The classifier effectively segregated HRD-associated genomic features across multiple large TNBC datasets (TCGA, METABRIC, ICGC).

Conclusions:

  • A novel gene expression classifier can identify homologous recombination deficiency in triple-negative breast cancer.
  • This classifier offers a potential method to identify TNBC patients suitable for PARP inhibitor or platinum-based chemotherapy.