Akademik Veri Yönetim Sistemi
Archives of Breast Cancer, cilt.11, sa.4, ss.360-370, 2024 (Scopus)
Background: Several studies have demonstrated that the expression status of isoforms is more informative as a biomarker than overall gene expression. This study aimed to determine highly but significantly expressed transcript isoforms and evaluate their prognostic and diagnostic impact in breast invasive carcinoma (BRCA) Stage I patients. Methods: The differentially expressed genes and their transcript isoforms in BRCA Stage I were determined using the Cancer Differentially Expressed Isoform (Cancer DEIso) and gene platform based on The Cancer Genome Atlas (TCGA) data. The prognostic and diagnostic impact of significantly upregulated top 10 genes and their transcripts were determined using the Cancer DEIso tool, the Kaplan-Meier (KM) method, and the Receiver Operating Characteristic Curve (ROC) approach, respectively. Isoform-level protein-protein interactions (PPI) were constructed using the Domain Interaction Graph Guided ExploreR (DIGGER) database. ConsensusPathDB was used to perform pathway enrichment analysis based on the constructed interactions. Results: The results revealed that NM_024037, NM_001143782, and NM_021619 transcript isoforms have significant diagnostic ability to distinguish stage I BRCA patients from normal with AUC values 93.2%, 77.1% and 75.3%, respectively. KM-plot analysis showed that these three isoforms have no prognostic significance in Stage I patients, but their upregulation was correlated with decreased survival in BRCA patients regardless of stage. Isoform-based pathway enrichment analyses indicated that these three isoforms were involved in chromatin organization, senescence, DNA damage and several signaling pathways which contributes to cancer when there is misregulation. Conclusion: NM_024037, NM_001143782, and NM_021619 transcript isoforms are potential biomarkers for detecting early-stage BRCA. Thus, it is essential to find out how these three isoforms contribute to the development of breast carcinogenesis and develop a new approach for capturing breast tumors at an earlier stage of the clinical landscape.