@bbrors

Classification of neuroblastoma patients by published gene-expression markers reveals a low sensitivity for unfavorable courses of MYCN non-amplified disease.

, , , , , , , , , , and . Cancer Lett, 250 (2): 250--267 (June 2007)
DOI: 10.1016/j.canlet.2006.10.016

Abstract

Currently, Pubmed lists 385 marker genes for neuroblastoma outcome. Using a customized neuroblastoma-microarray, we evaluated the prognostic impact of the gene-expression pattern of 349 of these candidates (90.6\%) in 127 neuroblastoma patients with divergent outcome. By significance analysis of microarrays (SAM) and both uncorrected and Bonferroni-corrected ANOVA, 166/349 (47.5\%), 218/349 (62.5\%) and 128/349 (36.4\%) candidates showed significant differential expression between patients with contrasting outcome. By Prediction Analysis for Microarrays (PAM), a 38-gene-classifier was derived from all markers, which classified patients outcome with an overall accuracy of 78.5\%. However, patients with unfavorable outcome of MYCN non-amplified disease were largely misclassified (accuracy: 35\%), suggesting that these courses are not identified by current marker genes.

Links and resources

Tags