Intra-tumour signalling entropy determines clinical outcome in breast and lung cancer.

The cancer stem cell hypothesis, that a small population of tumour cells are responsible for tumorigenesis and cancer progression, is becoming widely accepted and recent evidence has suggested a prognostic and predictive role for such cells. Intra-tumour heterogeneity, the diversity of the cancer ce...

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Main Authors: Christopher R S Banerji, Simone Severini, Carlos Caldas, Andrew E Teschendorff
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-03-01
Series:PLoS Computational Biology
Online Access:https://doi.org/10.1371/journal.pcbi.1004115
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author Christopher R S Banerji
Simone Severini
Carlos Caldas
Andrew E Teschendorff
author_facet Christopher R S Banerji
Simone Severini
Carlos Caldas
Andrew E Teschendorff
author_sort Christopher R S Banerji
collection DOAJ
description The cancer stem cell hypothesis, that a small population of tumour cells are responsible for tumorigenesis and cancer progression, is becoming widely accepted and recent evidence has suggested a prognostic and predictive role for such cells. Intra-tumour heterogeneity, the diversity of the cancer cell population within the tumour of an individual patient, is related to cancer stem cells and is also considered a potential prognostic indicator in oncology. The measurement of cancer stem cell abundance and intra-tumour heterogeneity in a clinically relevant manner however, currently presents a challenge. Here we propose signalling entropy, a measure of signalling pathway promiscuity derived from a sample's genome-wide gene expression profile, as an estimate of the stemness of a tumour sample. By considering over 500 mixtures of diverse cellular expression profiles, we reveal that signalling entropy also associates with intra-tumour heterogeneity. By analysing 3668 breast cancer and 1692 lung adenocarcinoma samples, we further demonstrate that signalling entropy correlates negatively with survival, outperforming leading clinical gene expression based prognostic tools. Signalling entropy is found to be a general prognostic measure, valid in different breast cancer clinical subgroups, as well as within stage I lung adenocarcinoma. We find that its prognostic power is driven by genes involved in cancer stem cells and treatment resistance. In summary, by approximating both stemness and intra-tumour heterogeneity, signalling entropy provides a powerful prognostic measure across different epithelial cancers.
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spelling doaj-art-03e7241f72eb425f802273e3d8c8dd912025-08-20T02:34:06ZengPublic Library of Science (PLoS)PLoS Computational Biology1553-734X1553-73582015-03-01113e100411510.1371/journal.pcbi.1004115Intra-tumour signalling entropy determines clinical outcome in breast and lung cancer.Christopher R S BanerjiSimone SeveriniCarlos CaldasAndrew E TeschendorffThe cancer stem cell hypothesis, that a small population of tumour cells are responsible for tumorigenesis and cancer progression, is becoming widely accepted and recent evidence has suggested a prognostic and predictive role for such cells. Intra-tumour heterogeneity, the diversity of the cancer cell population within the tumour of an individual patient, is related to cancer stem cells and is also considered a potential prognostic indicator in oncology. The measurement of cancer stem cell abundance and intra-tumour heterogeneity in a clinically relevant manner however, currently presents a challenge. Here we propose signalling entropy, a measure of signalling pathway promiscuity derived from a sample's genome-wide gene expression profile, as an estimate of the stemness of a tumour sample. By considering over 500 mixtures of diverse cellular expression profiles, we reveal that signalling entropy also associates with intra-tumour heterogeneity. By analysing 3668 breast cancer and 1692 lung adenocarcinoma samples, we further demonstrate that signalling entropy correlates negatively with survival, outperforming leading clinical gene expression based prognostic tools. Signalling entropy is found to be a general prognostic measure, valid in different breast cancer clinical subgroups, as well as within stage I lung adenocarcinoma. We find that its prognostic power is driven by genes involved in cancer stem cells and treatment resistance. In summary, by approximating both stemness and intra-tumour heterogeneity, signalling entropy provides a powerful prognostic measure across different epithelial cancers.https://doi.org/10.1371/journal.pcbi.1004115
spellingShingle Christopher R S Banerji
Simone Severini
Carlos Caldas
Andrew E Teschendorff
Intra-tumour signalling entropy determines clinical outcome in breast and lung cancer.
PLoS Computational Biology
title Intra-tumour signalling entropy determines clinical outcome in breast and lung cancer.
title_full Intra-tumour signalling entropy determines clinical outcome in breast and lung cancer.
title_fullStr Intra-tumour signalling entropy determines clinical outcome in breast and lung cancer.
title_full_unstemmed Intra-tumour signalling entropy determines clinical outcome in breast and lung cancer.
title_short Intra-tumour signalling entropy determines clinical outcome in breast and lung cancer.
title_sort intra tumour signalling entropy determines clinical outcome in breast and lung cancer
url https://doi.org/10.1371/journal.pcbi.1004115
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AT carloscaldas intratumoursignallingentropydeterminesclinicaloutcomeinbreastandlungcancer
AT andreweteschendorff intratumoursignallingentropydeterminesclinicaloutcomeinbreastandlungcancer