Exploiting FOXM1-Orchestrated molecular network for early squamous cell carcinoma diagnosis and prognosis

Muy-Teck Teh, Iain L Hutchison, Daniela Elena Costea, Evelyn Neppelberg, Per Gunnar Liavaag, Karin Purdie, Catherine Harwood, Hong Wan, Edward W Odell, Allan Hackshaw, Ahmad Waseem

Research output: Contribution to journalArticlepeer-review

33 Citations (Scopus)

Abstract

Histopathological discordance with molecular phenotype of many human cancers poses clinically challenging tasks for accurate cancer diagnosis which impacts on treatment strategy and patient outcome. Hence, an objective, accurate and quantitative method is needed. A quantitative Malignancy Index Diagnostic System (qMIDS) was developed based on 14 FOXM1 (isoform B)-associated genes implicated in the regulation of the cell cycle, differentiation, ageing, genomic stability, epigenetic and stem cell renewal, and two reference genes. Their mRNA expression levels were translated via a prospectively designed algorithm, into a metric scoring system. Subjects from UK and Norway (n=299) provided 359 head and neck tissue specimens. Diagnostic test performance was assessed using detection rate (DR) and false-positive rate (FPR).The median qMIDS scores were 1.3, 2.9 and 6.7 in healthy tissue, dysplasia and head and neck squamous cell carcinomas (HNSCC), respectively (UK prospective dataset, p
Original languageEnglish
JournalInternational Journal of Cancer
DOIs
Publication statusE-pub ahead of print - 2012

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