- Research article
- Open Access
Prognostic meta-signature of breast cancer developed by two-stage mixture modeling of microarray data
- Ronglai Shen^{1},
- Debashis Ghosh^{1}Email author and
- Arul M Chinnaiyan^{2, 3, 4}Email author
https://doi.org/10.1186/1471-2164-5-94
© Shen et al; licensee BioMed Central Ltd. 2004
- Received: 30 June 2004
- Accepted: 14 December 2004
- Published: 14 December 2004
Abstract
Background
An increasing number of studies have profiled tumor specimens using distinct microarray platforms and analysis techniques. With the accumulating amount of microarray data, one of the most intriguing yet challenging tasks is to develop robust statistical models to integrate the findings.
Results
By applying a two-stage Bayesian mixture modeling strategy, we were able to assimilate and analyze four independent microarray studies to derive an inter-study validated "meta-signature" associated with breast cancer prognosis. Combining multiple studies (n = 305 samples) on a common probability scale, we developed a 90-gene meta-signature, which strongly associated with survival in breast cancer patients. Given the set of independent studies using different microarray platforms which included spotted cDNAs, Affymetrix GeneChip, and inkjet oligonucleotides, the individually identified classifiers yielded gene sets predictive of survival in each study cohort. The study-specific gene signatures, however, had minimal overlap with each other, and performed poorly in pairwise cross-validation. The meta-signature, on the other hand, accommodated such heterogeneity and achieved comparable or better prognostic performance when compared with the individual signatures. Further by comparing to a global standardization method, the mixture model based data transformation demonstrated superior properties for data integration and provided solid basis for building classifiers at the second stage. Functional annotation revealed that genes involved in cell cycle and signal transduction activities were over-represented in the meta-signature.
Conclusion
The mixture modeling approach unifies disparate gene expression data on a common probability scale allowing for robust, inter-study validated prognostic signatures to be obtained. With the emerging utility of microarrays for cancer prognosis, it will be important to establish paradigms to meta-analyze disparate gene expression data for prognostic signatures of potential clinical use.
Keywords
- Breast Cancer
- Breast Cancer Prognosis
- High Risk Signature
- Poor Outcome Group
- Bayesian Mixture Modeling
Introduction
DNA microarray analysis has been shown to be a powerful tool in various aspects of cancer research [1]. With the increasing availability of published microarray data sets, there is a tremendous need to develop approaches for validating and integrating results across multiple studies. A major concern in the meta-analysis of DNA microarrays is the lack of a single standard experimental platform for data generation. Expression profiling data based on different technologies can vary significantly in measurement scale and variation structure. It poses a great challenge to compare and integrate results across independent microarray studies. In a recent study of diffuse large B cell lymphoma (DLBCL), Wright et al. [2] sought to bridge two different microarray platforms by validating findings from a cDNA lymphochip microarray using an independent dataset generated using Affymetrix oligonucleotide arrays. Although the idea of training and testing classifiers is frequently used for discriminant analysis, this application to distinct expression array platforms is less common.
More systematic approaches have been proposed for integration of findings from multiple studies using different array technologies. Rhodes et al. [3] have proposed methods to summarize significance levels of a gene in discriminating cancer versus normal samples across multiple gene profiling studies. By ranking the q-values [4] from sets of combinations, a cohort of genes from the four studies was identified to be abnormally expressed in prostate cancer. Choi et al. [5] suggested combining effect size using a hierarchical model, where the estimated effect size in individual studies follows a normal distribution with mean zero and between study variance τ^{2}. The effect size was defined to be the difference between the tumor and normal sample means divided by pooled standard deviation. From a Bayesian perspective, Wang et al. [6] used data from one study to generate a prior distribution of the differences in logarithm of gene expression between diseased and normal groups, and subsequent microarray studies updated the parameter values of the prior. Assuming a normal error distribution, the differences were then combined to form a posterior mean. Although phrased using different model frameworks, these methods are similar in the spirit of combining the standardized differences between two sample means across multiple studies. It has been shown, however, that the overlap between significant gene detection on different array platforms is only moderate due to low comparability of independent data sets [7]. The large variability brought in by microarray datasets using different platforms is expected to affect the sensitivity and specificity of summary statistics constructed in various ways across studies. Given the inherent differences of the microarray techniques, heterogeneity of the sample populations, and low comparability of the independently generated data sets, meta-analysis of microarrays remains a difficult task.
A recent study proposed a Bayesian mixture model based transformation of DNA mi-croarray data with potential features applicable to meta-analysis of microarray studies [8]. The basic idea is to estimate the probability of over-, under- or baseline expression for gene sample combinations given the observed expression measurements. With data-driven estimation of these quantities, one can translate the raw expression measurement into a probability of differential expression. As a result, poe (i.e., probability of expression) was introduced as a new scale and used in the context of molecular classification [8]. The platform-free property of this scale, however, motivated us to incorporate poe in a framework to meta-analyze microarray data. Several desirable features of using poe as a new expression scale include the following: 1. poe provides a scaleless measure and thereby facilitates data integration across microarray platforms; 2. poe is a model-based transformation with direct biological implications in the context of gene expression data, as it is estimated based on a method that adopts an underlying mixture distribution that accommodates over-, under-, and unchanged expression categories; 3. poe unmasks differential expression patterns in microarray data by offsetting the influence of extreme expression values [9]; 4. Data integration based on poe allows merging of samples on the unified scale rather than using gene-specific summaries.
In recent publications of breast cancer microarray studies, several groups have explored the hypothesis that the capacity to metastasize is intrinsic to the tumor and therefore can be revealed by gene expression pattern. Four independent studies have correlated gene expression profiles generated from distinct DNA microarray platforms to breast cancer prognosis [10–13]. Among the four, Sorlie et al. [10] and Sotiriou et al. [12], both cDNA microarray studies, applied unsupervised clustering and identified several breast cancer subtypes characterized by differential expression of a cohort of genes. Further, they correlated the tumor subtypes derived from the expression profile with survival outcome and in both cases found that, as expected, the ERBB2+ subtype correlated with shorter survival times. On the other hand, van't Veer et al. [11], an inkjet oligonucleotide array study, and Huang et al. [13], an Affymetrix GeneChip study, have built classification models based on gene expression profiles to predict 5-year or 3-year recurrence status. In all four studies, however, the authors explored a common hypothesis that molecular profiles were able to provide a more accurate prediction of patient survival compared with clinical/pathological parameters. These studies therefore provided an excellent basis for developing a meta-analysis of microarrays with regard to disease prognosis.
In this proof-of-concept study, we propose a two-stage meta-analysis of microarrays based on poe. We applied our method to the aforementioned breast cancer DNA microarray data sets. With the strength of the poe transformation and data integration, our goal was to develop an inter-study validated meta-signature that predicts relapse-free survival in breast cancer patients with improved statistical power and reliability.
Results
Development of the two-stage Bayesian mixture modeling approach for the meta-analysis of microarray data
Breast cancer gene expression data sets used in the prognostic meta-analysis. Bad outcome (Y = 1) is defined as recurrence during follow-up, and good outcome (Y = 0) is defined as remaining recurrence-free for at least three years.
Authors | Array platform | Number of array elements | Sample size (n) | Good outcome (n_{0}) | Bad outcome (n_{1}) |
---|---|---|---|---|---|
Sorlie et al. | Spotted cDNA | 8102 | 58 | 23 | 35 |
van't Veer et al. | Inkjet oligonucleotide | 25000 | 78 | 44 | 34 |
Sotiriou et al. | Spotted cDNA | 7650 | 98 | 53 | 45 |
Huang et al. | Affymetrix chip | 12625 | 71 | 36 | 35 |
Building a gene expression meta-signature for breast cancer prognosis
In the second stage of the analysis, We assessed the performance of the genes found using the meta-analysis methods based on classification accuracy. A complication is that while most methods of classification deal with data from two populations, the response with which we wish to build classifiers to predict is time to breast cancer recurrence. While the ideal data would have information on time to recurrence on all subjects (potentially censored), not all studies have the time to recurrence information available and instead provide data on recurrence within a certain time interval (e.g., recurrence within five years versus no recurrence within five years). To deal with this issue, we utilized a dichotomization where a bad outcome is recurrence during followup and a good outcome is remaining recurrence-free for at least three years. The additional constraint for the good outcome group is to reduce potential bias introduced by short censoring due to insufficient length of follow-up. This is particularly relevant in cross-study analysis, given the heterogeneity in patient recruitment criteria and study designs. Accordingly, of the combined meta-cohort (n = 305) of breast cancer patients, 48.9% were in the poor outcome group, whereas 51.1% in the good outcome group. The sample sizes for each study are shown in Table 1.
Each gene was then associated with the recurrence status by a logistic regression within a leave-one-out cross validation scheme, and rank-ordered by the significance level of the coefficient. As a result, 23 genes held up as significant predictor of recurrence (P ≤ 0.001) in all cross-validation steps, representing a cohort of essential genes strongly associated with breast cancer recurrence. By random chance, there would be on average 2.5 genes to be found significant at P ≤ 0.001 in a set of 2,555. By finding 23 genes with a P ≤ 0.001, it is clear that there are much more predictive features than would be expected by random chance.
To identify a prognostic meta-signature, we define a risk index (RI) as a linear combination of the poe profile and the coefficient estimates from the univariate logistic regression for each gene j. Large positive values of RI indicate high risk of failure, whereas large negative values of RI indicate low risk of failure. Classification of sample i to the risk groups is then based on the i^{ th }leave-one-out risk index. The classifier is = I{RI _{ i }>c}, with c being the empirical quantiles of the risk indices. The number of genes in a classifier is treated as a parameter and optimized to minimize the prediction error rates. More details on building a classifier at the second stage are described in the Methods section.
The 90-gene expression meta-signature predicts clinical outcome in breast cancer patients
By minimizing the misclassification error, we obtained a 90 gene meta-signature that reliably predicts outcome in the meta-cohort. This meta-signature classified 122 patients into a high risk group, where 84 (69%) of them had a recurrence. On the other hand, the signature classified 183 patients into a low risk group, where 118 (64%) of them did not recur by the end of the followup. By cross-tabulating the risk groups predicted by the meta-signature and the actual recurrence status, we obtained an estimated odds ratio of 4.0 (95% CI: 2.5–6.5, P < 0.0001). In spite of the heterogeneity of the combined patient population, the meta-signature predicted the odds of recurrence for a patient showing a high risk signature as four times of the odds of recurrence for a patient showing a low risk signature. Several studies have implicated that the lymph node status is one of the principal clinical factors to classify patients in relation to the risk of relapse of breast cancer [14–16]. Although there have been controversial findings with regard to its predictive values in breast cancer survival outcome, we have shown in the meta-cohort that the nodal status is a significant risk factor of recurrence. The estimated odds of recurrence for node-positive patients is two times higher than the odds of recurrence for node-negative patients (95% CI:1.3–3.2, P = 0.002) in the combined samples.
Comparison of the meta-signature to the study-specific signatures
Comparisons of the number of genes (Size), the number of elements overlap with the meta-signature (overlap), and the prediction error rates for the signatures identified in individual study cohort and in the meta-cohort.
Sorlie | van't Veer | Sotiriou | Huang | Meta-cohort | |
---|---|---|---|---|---|
Size | 10 | 60 | 90 | 140 | 90 |
Overlap | 4 | 14 | 19 | 6 | -- |
Prediction error rate | 0.28 | 0.29 | 0.35 | 0.18 | 0.33 |
Comparison of the performances of the individual signatures and the meta-signature in each single study cohort. Table lists odds ratios (95% confidence interval) comparing the odds of actual recurrence for those being classified as high risk to the odds of recurrence for those being classified as low risk of recurrence by each signature.
Cohort | ||||
---|---|---|---|---|
Signature | Sorlie (n = 58) | van't Veer (n = 78) | Sotiriou (n = 98) | Huang (n = 71) |
Sorlie (D = 10) | 18.6 (5.0, 69.5) | 2.1 (0.8, 5.4) | 2.3 (1.0, 5.3) | 10.87 (3.5, 33.8) |
van't Veer (D = 60) | 3.1 (1.1, 9.2) | 10.6 (3.3, 33.9) | 4.1 (1.7, 9.7) | 1.3 (0.5, 3.4) |
Sotiriou (D = 100) | 1.7 (0.6, 5.0) | 3.5 (1.4, 8.9) | 7.8 (3.0, 20.1) | 1.5 (0.6, 3.7) |
Huang (D = 130) | 5.1 (1.6, 15.7) | 2.3 (0.9, 5.6) | 0.9 (0.4, 2.0) | 184.9 (30.1, 1137.2) |
Meta (D = 90) | 25.0 (4.2, 149.0) | 4.1 (1.6, 10.6) | 6.0 (2.5, 14.5) | 5.8 (2.1, 16.5) |
Comparison of data integration based on poe transformation and simple linear rescaling
Such an approach is less computationally challenging compared to the mixture model-based rescaling described in the previous sections. However, there are several advantages to the mixture model-based transformation. First, the method incorporates biological information into estimating the posterior probabilities of expression. The transformed values carry meaningful interpretations as signed probabilities of differential expression of a gene in a particular sample. Second, the underlying normal and uniform mixture distributions give equal density in the tails and is effective in reducing the influence of extreme expression values. And third, the Bayesian hierarchical modeling approach borrows strength across genes resulting in shrinkage-type estimators for a large correlated gene-specific parameter vector. This is a method in which the high dimensional gene expression data are denoised.
The meta-signature displays two distinct expression patterns
Enriched functional classes in the meta-signature
Discussion
Several important issues to consider when integrating microarray studies include use of different gene expression measurement scales, varying analytical power and reliability of the results for individual studies. To account for these issues, we proposed a two-stage mixture modeling strategy, the strength of which was built on the mixture model based transformation and the subsequent data integration on the poe scale. In particular, poe provides a unified platform-free scale, and simultaneously enhances the intrinsic contrast in the expression data. Furthermore, combining sample pools on the poe scale mitigates the influence of potential artifacts from a single study. The benefit of such data integration is reflected on two counts. One, integrated sample cohorts improve the reliability of the findings by guarding against false positive results from a single study. Two, it increases the statistical power to detect small consistent effects that can be otherwise masked by inadequacy of the sample size of an individual data set. By implementing this modeling approach, we were able to combine information from four microarray studies to build an inter-study validated meta-signature for predicting survival in breast cancer patients.
As described earlier, a common set of 2555 genes was used in this meta-analysis, as it is important to provide the same context for data-driven estimation of the posterior probabilities. Although we assume the common set comprises the most biologically relevant genes, the loss of potential predictive genes, however, may offset the statistical power of the analysis. For example, one of our recent studies has established the polycomb protein EZH2 to be an independent predictor of breast cancer survival outcome[23]. This gene was filtered out of the meta-analysis as one of the studies [12] did not profile EZH2. However, in each of the other three studies where EZH2 was profiled on the array, its expression level was found to correlate with survival (data not shown), which confirmed its role as a prognostic marker. Alternative approaches to allow genes profiled in some studies but not others is a topic for future research.
Functional annotation of the meta-signature revealed genes such as Cyclin E and BCL2, which were previously shown to be correlated with survival outcome in breast cancer [22, 24]. A strength of the inter-study validated signature is the capability of recruiting genes which may not be significant in one study due to limiting sample size or artifacts of the experiments. In this sense, the meta-signature will be more stable and less subjective to variations in subsets of the samples. As a result, the predictive genes in a meta-signature may carry more reliable information about tumor progression and patient survival.
In conclusion, a distinction of the analysis presented here relative to those by other authors [3, 6] is that we sought to find genes that were predictive of recurrence rather than predictive of diseased versus nondiseased status. Given the heterogeneity of the tumors with respect to treatment response and survival outcome, a prognostic prediction analysis is generally more difficult because it is a more complicated phenotype. Further, a prognostic signature (classifier) of failure risk trained in one cohort is often times difficult to validate in independent cohorts. The meta-analysis method presented here may potentially provide more powerful gene signatures that are predictive of prognosis because they are validated across multiple studies.
Methods
Data collection and preparation
The breast cancer microarray data sets were obtained at the author's websites from four recently published studies [10–13]. Each data were preprocessed, either by a lowess normalization for two-channel microarray data [25] or a robust analysis for Affymetrix data [26]. We filtered for a common set of 2,555 genes from these four studies by Unigene Cluster IDs. Each data matrix of the 2,555 genes was then normalized by median centering and dividing by the standard deviation for each gene. Missing data were imputed by the k-nearest neighbors imputation algorithm [27].
Mixture modeling of microarray data
Each of the four raw data sets was treated as an expression matrix X with elements x _{ ij }, where i = 1, ..., m _{ k }, j = 1, ..., n (k = 1, .., 4 and n = 2,555). The expression measurement x _{ ij }can be the ratio of the two fluorescent dye hybridization intensities for the spotted cDNA arrays[10, 12] and the Intjek oligonucleotide array [11], or averaged difference between the perfect match and mismatch probe hybridizations for the Affymetrix gene chip [13]. Let E be a latent class variable, and e _{ ij }indicates over-, under- or normal expression for each entry of the R matrices. We have:
The values of e _{ ij }are latent and not directly observed from the data. We were interested in estimating the probabilities of e _{ ij }being 1 or -1 given the observed raw expression x _{ ij }, which were denoted as and . Estimates of these latent quantities were obtained under a Bayesian mixture model setting. In particular, we assume the raw expression x _{ ij }falls into one of the three expression categories. For each gene j, the expression then arises from a mixture of three distributions:
(x _{ ij }|e _{ ij }= 1) ~ f _{1,j }(·), (x _{ ij }|e _{ ij }= 0) ~ f _{0,j }(·), and (x _{ ij }|e _{ ij }= -1) ~ f _{-1,j }(·).
In the mixture, f _{1,j }, f _{0,j }and f _{-1,j }are the density functions of the following distributions:
respectively. Here, U refers to a uniform distribution and N refers to a normal distribution. α _{ i }+ μ _{ j }is both the mean of the normal distribution and the threshold point in the uniform distribution. μ _{ j }is the gene effect and α _{ i }is the sample effect. The and provide limits to the uniform distribution in the mixture, and are set to be at least 3σ _{ j }. = P(e _{ ij }= 1) and = P e _{ ij }= -1) are the multinomial probabilities for e _{ ij }. With the specifications of models, we can calculate the latent quantities by Bayes' rule:
By noting that the supports for the two uniform distributions are disjoint, the probabilities of differential expression are mutually exclusive with the forms:
A one dimension measure can thus be constructed as poe = p^{+} - p^{-}. As a result, poe ranges from -1 to 1, and can be interpreted as the signed conditional probability of differential expression.
To borrow strength across genes, the estimation of the gene-specific parameters was formulated under a Bayesian hierarchical model setting. Given the large amount of parameters, prior distributions were specified to model the variation of the gene-specific parameter estimates, in particular,
We followed the recommendations of Parmigiani et al. [8] in terms of the prior choices. A Metropolis-Hastings MCMC sampling algorithm was then implemented to approximate the posterior distributions of the parameters. Data augmentation started at a set of data-driven initiating parameter values. For example, trimmed means and variances across samples were used as the initial values for the parameters in the normal distribution of the mixture. Further details of the Bayesian hierarchical mixture model used here can be found in Parmigiani et al. [8]. Matrices of were obtained for each of the five data sets (Additional files 1, 2, 3, 4).
Leave-one-out cross validation and risk index computation
For the combined sample pool of the breast cancer patients (the meta-cohort), we defined outcome groups as recurred during followup and remained relapse-free for at least 3 years. In particular, Let T _{ i }be the event time for subject i, C _{ i }be the censoring time for subject i, and δ _{ i }= 1{T _{ i }<C _{ i }} be the censoring indicator. Define a new outcome variable,
where t* can be specified with clinical knowledge. We chose t* = 3 years in this study. We then consider constructing classifiers using y; note that y = 1 corresponds to the poor outcome group and y = 0 to the good outcome group. The sample sizes for each study are shown in Table 1.
Logistic regression was used to build a classifier for prognosis. For each gene j, we fit the following univariate logistic regression model using data from all studies:
where x* is the rescaled value that allows data integration across multiple studies. The esti-mated values of β _{ j }, , are then used to form a risk score using a variation of the compound covariate predictor method [28, 29]; for a given set of covariate values x _{1}, ..., x _{ D }, the risk index is given as .
The list of the top cumulative genes in the meta-signature was obtained by ranking all 2,555 genes by the number of times in the leave-one-out cross-validation steps that each one had a P-value from the univariate logistic regression less than 0.001.
Heat map display
We used the treeview software [30] to generate a heat map representation of the poe pro-files of the meta-signature. Yellow represents high probability of over-expression and blue represents high probability of under-expression. For heat maps of raw data matrices, we preprocessed the data by mean centering and then dividing by the standard deviation for each row. The means and the standard deviations used in the normalization were the relapse-free (RF) sample means and variances for each study data. The values for the recurrence (R) samples after standardizing then represented the number of standard deviations over or under the mean RF sample expression.
Declarations
Acknowledgements
We thank the authors of the breast cancer gene expression studies used in this meta-analysis for making their data publicly available. We also thank T.R. Barrette, D.R. Rhodes, J. Yu, and R. Lnu for bioinformatics support on this project. This work was supported in part by grants from the National Institutes of Health and National Science Foundation grant Nos. R01 GM72007, R01 CA97063, and P50 CA69568; V Foundation; the Mary Kay Ash Foundation; and American Cancer Society grant No. RSG-02-179-01-(MGO). A.M.C. is a Biomedical scholar of the Pew Foundation. Finally, we thank the anonymous reviewers for their valuable comments and suggestions for the improvement of the manuscript.
Authors’ Affiliations
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