Gene expression-based classification of nonseminomatous male germ cell tumors Journal Article


Authors: Korkola, J. E.; Houldsworth, J.; Dobrzynski, D.; Olshen, A. B.; Reuter, V. E.; Bosl, G. J.; Chaganti, R. S. K.
Article Title: Gene expression-based classification of nonseminomatous male germ cell tumors
Abstract: Male adult germ cell tumors (GCTs) comprise two major histologic groups: seminomas and nonseminomas. Nonseminomatous GCTs (NSGCTs) can be further divided into embryonal carcinoma (EC), teratoma (T), yolk sac tumor (YS), and choriocarcinoma (CC) on the basis of the lineage differentiation that they exhibit. NSGCTs frequently present as mixed tumors consisting of two or more histological subtypes, often limiting correlative studies of clinical and molecular features to histology. We sought to develop a molecular classifier that could predict the predominant histologic subtype within mixed NSGCT tumor samples. The expression profiles of 84 NSGCTs (42 pure and 42 mixed) and normal age-matched testes were obtained using Affymetrix microarrays. Using prediction analysis for microarrays, we identified 146 transcripts that classified the histology of pure NSGCTs samples with 93% accuracy. When applied to mixed NSGCTs, the classifier predicted a histology that was consistent with one of the reported components in 93% of cases. Among the predictive transcripts were CGB (high in CC), LCN2 (high in T), BMP2 (high in YS), and POU5F1 (high in EC). Thus, the expression-based classifier accurately assigned a single predominant histology to mixed NSGCTs, and identified transcripts differentially expressed between histologic components with relevance to NSGCT differentiation. © 2005 Nature Publishing Group. All rights reserved.
Keywords: controlled study; human tissue; histopathology; genetic analysis; gene; gene expression; gene expression profiling; genetic transcription; cell differentiation; transcription, genetic; gene expression regulation, neoplastic; reverse transcriptase polymerase chain reaction; testicular neoplasms; teratoma; bone morphogenetic protein 2; tumor classification; octamer transcription factor 4; seminoma; non seminomatous germinoma; testicular germ cell tumors; histologic classification; genital neoplasms, male; expression microarray; cgb gene
Journal Title: Oncogene
Volume: 24
Issue: 32
ISSN: 0950-9232
Publisher: Nature Publishing Group  
Date Published: 2005-07-28
Start Page: 5101
End Page: 5107
Language: English
DOI: 10.1038/sj.onc.1208694
PUBMED: 15870693
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 33" - "Export Date: 24 October 2012" - "CODEN: ONCNE" - "Source: Scopus"
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  1. James E Korkola
    24 Korkola
  2. Adam B Olshen
    107 Olshen
  3. Victor Reuter
    1224 Reuter
  4. Raju S K Chaganti
    391 Chaganti
  5. George Bosl
    430 Bosl