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Published in: Breast Cancer Research and Treatment 2/2018

01-09-2018 | Preclinical study

High expression of long non-coding RNA MALAT1 in breast cancer is associated with poor relapse-free survival

Authors: Zhanwei Wang, Dionyssios Katsaros, Nicoletta Biglia, Yi Shen, Yuanyuan Fu, Lenora W. M. Loo, Wei Jia, Yuki Obata, Herbert Yu

Published in: Breast Cancer Research and Treatment | Issue 2/2018

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Abstract

Purpose

Metastasis-associated lung adenocarcinoma transcript 1 (MALAT1) has been identified as a prognostic marker for the metastasis of early-stage non-small cell lung cancer (NSCLCs). We studied MALAT1 expression in breast cancer in relation to disease features and patient survival.

Methods

Quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR) was used to measure MALAT1 expression in tumor samples of 509 breast cancer patients. Hazards ratios (HRs) and 95% confidence intervals (CIs) were calculated to assess the association between MALAT1 expression and breast cancer survival using the Cox proportional hazards regression model, and the analysis was adjusted for age at surgery, tumor grade, disease stage, and hormone receptor status. Meta-analysis of multiple microarray datasets from online databases and our own study was performed to evaluate the association of MALAT1 with breast cancer survival.

Results

Patients with low-grade or ER-positive tumors had higher expression of MALAT1 compared to those with high-grade (p = 0.013) or ER-negative (p = 0.0002) tumors. Patients with PR-positive tumors also had higher MALAT1 expression than those with PR-negative tumors (p < 0.0001). In patients with positive hormone receptors or low tumor grade, tumors with high MALAT1 expression were more likely to recur. Survival analysis showed that patients with high expression of MALAT1 had a twofold increase in risk of relapse (p = 0.0083) compared to those with low expression. This association remained significant after adjustment for age at surgery, disease stage, tumor grade, and hormone receptor status. Meta-analysis showed that high MALAT1 expression was associated with poor relapse-free survival in patients with hormone receptor-positive tumors (HR 1.44, 95% CI 1.08–1.92).

Conclusions

High expression of lncRNA MALAT1 is associated with breast cancer relapse and may play a role in tumor progression.
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Metadata
Title
High expression of long non-coding RNA MALAT1 in breast cancer is associated with poor relapse-free survival
Authors
Zhanwei Wang
Dionyssios Katsaros
Nicoletta Biglia
Yi Shen
Yuanyuan Fu
Lenora W. M. Loo
Wei Jia
Yuki Obata
Herbert Yu
Publication date
01-09-2018
Publisher
Springer US
Published in
Breast Cancer Research and Treatment / Issue 2/2018
Print ISSN: 0167-6806
Electronic ISSN: 1573-7217
DOI
https://doi.org/10.1007/s10549-018-4839-2

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