FN14 and GRP94 expression are prognostic/predictive biomarkers of brain metastasis outcome that open up new therapeutic strategies

Brain metastasis is a devastating problem in patients with breast, lung and melanoma tumors. GRP94 and FN14 are predictive biomarkers over-expressed in primary breast carcinomas that metastasized in brain. To further validate these brain metastasis biomarkers, we performed a multicenter study includ...

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Authors: Martínez Aranda, Antonio; Hernández, Vanessa; Güney, Emre, 1983-; Muixí, Laia; Foj, Ruben; Baixeras, Núria; Cuadras, Daniel; Moreno, Víctor; Urruticoechea, Ander; Gil, Miguel; Oliva Miguel, Baldomero; Moreno, Ferran; González Suárez, Eva; Vidal, Noemí; Andreu, Xavier; Seguí, Miquel A.; Ballester, Rosa; Castella, Eva; Sierra, Angels
Format: Article
Status:Published version
Publication date:2015
Country:España
Institution:Universitat Pompeu Fabra
Repository:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/25793
Online Access:http://hdl.handle.net/10230/25793
http://dx.doi.org/10.18632/oncotarget.5471
Access Level:Open access
Keyword:Metàstasi
Cervell
Biomarkers
Brain metastasis
Breast cancer
FN14
GRP94
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author Martínez Aranda, Antonio
author2 Hernández, Vanessa
Güney, Emre, 1983-
Muixí, Laia
Foj, Ruben
Baixeras, Núria
Cuadras, Daniel
Moreno, Víctor
Urruticoechea, Ander
Gil, Miguel
Oliva Miguel, Baldomero
Moreno, Ferran
González Suárez, Eva
Vidal, Noemí
Andreu, Xavier
Seguí, Miquel A.
Ballester, Rosa
Castella, Eva
Sierra, Angels
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_browse Andreu, Xavier
Baixeras, Núria
Ballester, Rosa
Castella, Eva
Cuadras, Daniel
Foj, Ruben
Gil, Miguel
González Suárez, Eva
Güney, Emre, 1983-
Hernández, Vanessa
Martínez Aranda, Antonio
Moreno, Ferran
Moreno, Víctor
Muixí, Laia
Oliva Miguel, Baldomero
Seguí, Miquel A.
Sierra, Angels
Urruticoechea, Ander
Vidal, Noemí
author_facet Martínez Aranda, Antonio
Hernández, Vanessa
Güney, Emre, 1983-
Muixí, Laia
Foj, Ruben
Baixeras, Núria
Cuadras, Daniel
Moreno, Víctor
Urruticoechea, Ander
Gil, Miguel
Oliva Miguel, Baldomero
Moreno, Ferran
González Suárez, Eva
Vidal, Noemí
Andreu, Xavier
Seguí, Miquel A.
Ballester, Rosa
Castella, Eva
Sierra, Angels
author_role author
collection Repositorio Digital de la UPF
description Brain metastasis is a devastating problem in patients with breast, lung and melanoma tumors. GRP94 and FN14 are predictive biomarkers over-expressed in primary breast carcinomas that metastasized in brain. To further validate these brain metastasis biomarkers, we performed a multicenter study including 318 patients with breast carcinomas. Among these patients, there were 138 patients with metastasis, of whom 84 had brain metastasis. The likelihood of developing brain metastasis increased by 5.24-fold (95%CI 2.83-9.71) and 2.55- (95%CI 1.52-4.3) in the presence of FN14 and GRP94, respectively. Moreover, FN14 was more sensitive than ErbB2 (38.27 vs. 24.68) with similar specificity (89.43 vs. 89.55) to predict brain metastasis and had identical prognostic value than triple negative patients (p < 0.0001). Furthermore, we used GRP94 and FN14 pathways and GUILD, a network-based disease-gene prioritization program, to pinpoint the genes likely to be therapeutic targets, which resulted in FN14 as the main modulator and thalidomide as the best scored drug. The treatment of mice with brain metastasis improves survival decreasing reactive astrocytes and angiogenesis, and down-regulate FN14 and its ligand TWEAK. In conclusion our results indicate that FN14 and GRP94 are prediction/prognosis markers which open up new possibilities for preventing/treating brain metastasis.
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institution Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
network_acronym_str ES
network_name_str España
oai_identifier_str oai:repositori.upf.edu:10230/25793
publishDate 2015
publishDateSort 2015
publisher Impact Journals
publisherStr Impact Journals
reponame_str Repositorio Digital de la UPF
spelling FN14 and GRP94 expression are prognostic/predictive biomarkers of brain metastasis outcome that open up new therapeutic strategies Martínez Aranda, Antonio Hernández, Vanessa Güney, Emre, 1983- Muixí, Laia Foj, Ruben Baixeras, Núria Cuadras, Daniel Moreno, Víctor Urruticoechea, Ander Gil, Miguel Oliva Miguel, Baldomero Moreno, Ferran González Suárez, Eva Vidal, Noemí Andreu, Xavier Seguí, Miquel A. Ballester, Rosa Castella, Eva Sierra, Angels Metàstasi Cervell Biomarkers Brain metastasis Breast cancer FN14 GRP94 Brain metastasis is a devastating problem in patients with breast, lung and melanoma tumors. GRP94 and FN14 are predictive biomarkers over-expressed in primary breast carcinomas that metastasized in brain. To further validate these brain metastasis biomarkers, we performed a multicenter study including 318 patients with breast carcinomas. Among these patients, there were 138 patients with metastasis, of whom 84 had brain metastasis. The likelihood of developing brain metastasis increased by 5.24-fold (95%CI 2.83-9.71) and 2.55- (95%CI 1.52-4.3) in the presence of FN14 and GRP94, respectively. Moreover, FN14 was more sensitive than ErbB2 (38.27 vs. 24.68) with similar specificity (89.43 vs. 89.55) to predict brain metastasis and had identical prognostic value than triple negative patients (p < 0.0001). Furthermore, we used GRP94 and FN14 pathways and GUILD, a network-based disease-gene prioritization program, to pinpoint the genes likely to be therapeutic targets, which resulted in FN14 as the main modulator and thalidomide as the best scored drug. The treatment of mice with brain metastasis improves survival decreasing reactive astrocytes and angiogenesis, and down-regulate FN14 and its ligand TWEAK. In conclusion our results indicate that FN14 and GRP94 are prediction/prognosis markers which open up new possibilities for preventing/treating brain metastasis. This study was supported by grants from the Spanish Ministry of Health and Consumer Affairs FIS-PI10/00057 and FIS-PI14/00336, both from the I+D+I National Plan with the financial support from ISCIII-Subdirección General de Evaluación and the Fondo Europeo de Desarrollo Regional (FEDER), and by grants from MIIN FIS2008–00114 and BIO2014-57518-R, 2014 SGR 530 and 2009-SGR-159 from the Generalitat de Catalunya, Fundació Privada Cellex Barcelona and the AECC (Spanish Association Against Cancer) Scientific Foundation Impact Journals http://hdl.handle.net/10230/25793 http://dx.doi.org/10.18632/oncotarget.5471
spellingShingle FN14 and GRP94 expression are prognostic/predictive biomarkers of brain metastasis outcome that open up new therapeutic strategies
Martínez Aranda, Antonio
Metàstasi
Cervell
Biomarkers
Brain metastasis
Breast cancer
FN14
GRP94
status_str publishedVersion
title FN14 and GRP94 expression are prognostic/predictive biomarkers of brain metastasis outcome that open up new therapeutic strategies
title_full FN14 and GRP94 expression are prognostic/predictive biomarkers of brain metastasis outcome that open up new therapeutic strategies
title_fullStr FN14 and GRP94 expression are prognostic/predictive biomarkers of brain metastasis outcome that open up new therapeutic strategies
title_full_unstemmed FN14 and GRP94 expression are prognostic/predictive biomarkers of brain metastasis outcome that open up new therapeutic strategies
title_short FN14 and GRP94 expression are prognostic/predictive biomarkers of brain metastasis outcome that open up new therapeutic strategies
title_sort FN14 and GRP94 expression are prognostic/predictive biomarkers of brain metastasis outcome that open up new therapeutic strategies
topic Metàstasi
Cervell
Biomarkers
Brain metastasis
Breast cancer
FN14
GRP94
topic_facet Metàstasi
Cervell
Biomarkers
Brain metastasis
Breast cancer
FN14
GRP94
url http://hdl.handle.net/10230/25793
http://dx.doi.org/10.18632/oncotarget.5471