Skip to main content
NIHPA Author Manuscripts logoLink to NIHPA Author Manuscripts
. Author manuscript; available in PMC: 2014 Apr 1.
Published in final edited form as: Cancer Genet Cytogenet. 2008 Apr 15;182(2):69–74. doi: 10.1016/j.cancergencyto.2008.01.001

Genomewide Scan for Loss of Heterozygosity and Chromosomal Amplification in Breast Carcinoma Using SNP Arrays

Maria Argos 1, Muhammad G Kibriya 1, Farzana Jasmine 1, Olufunmilayo I Olopade 3,4, Tao Su 5, Hanina Hibshoosh 5,6, Habibul Ahsan 1,2,3,4,6
PMCID: PMC3972020  NIHMSID: NIHMS469525  PMID: 18406867

Abstract

In an effort to identify novel genes implicated in breast carcinogenesis, a genomewide scan for loss of heterozygosity (LOH) and copy number changes in paired-DNA samples extracted from normal and tumor tissue of frozen sections from women undergoing surgery for invasive breast cancer was conducted. The Affymetrix 10K SNP array was used to examine genomewide LOH of chromosomal regions. The number of LOH events, number of informative loci, percent heterozygosity, and percent fractional allelic loss (%FAL) were calculated. LOH events were detected in all samples, however, the proportion of LOH ranged from 0.1-57.2%. Elevated LOH events were detected in two samples, with a %FAL of 57.2 and 56.2. Chromosomal regions exceeding a threshold value for a p-value curve based on multiple-testing adjusted permutation methods were identified as significant regions of shared LOH across samples. Regions with significant LOH included: 2p25.3; 2p21; 2p16.1 – 2p15; 2q23.3; and, 16q12.1. Chromosomal region 1q32.1 was identified as a region with significant copy number amplification. Regions of LOH and copy number changes identified from this analysis may provide insights into the underlying processes of and genes involved in breast carcinogenesis. This study demonstrates a feasible methodological approach for the assessment of LOH and copy number changes.

INTRODUCTION

Carcinogenesis is a process characterized by genetic instability [1]. Loss of heterozygosity (LOH) and chromosomal amplification are important mechanisms involved in carcinogenesis [2], including breast carcinogenesis [3, 4]. Chromosomal regions exhibiting LOH may contain tumor suppressor genes. A vast number of studies have conducted LOH analysis in breast cancer [4]. In recent years, the use of high density single nucleotide polymorphism (SNP)-based microarray technology has lead to genomewide investigations of LOH permitting the investigation of all chromosomes simultaneously with denser marker spacing, thus improving the resolution of the analysis. Jänne et al [5] demonstrated the efficiency and reliability of the 10K Mapping SNP array in their study comparing this platform to a previous generation array containing ~1500 SNPs as well as to single-sequence length polymorphism methods. Although SNP allelotyping technology has been applied successfully to other cancer types [6-8], to our knowledge, only one published study examined LOH in breast cancer using an early version of this technology [3]. Wang et al. [3] examined the LOH profile of 34 invasive breast carcinomas using the Affymetrix HuSNP chip, containing 1494 SNP loci with an average of 2.57 cM between each SNP marker. Regions 17p, 17q, 16q, 11q, and 14q were identified as the most common LOH sites.

In this study, we examined LOH events and copy number change of chromosomes using DNA extracted from microdissected normal and tumor tissue of frozen sections among women (n=16) undergoing breast cancer surgery. While studies have demonstrated that the use of DNA extracted from formalin fixed tissue is feasible [9], fresh frozen samples are the most optimal source of DNA for these analyses. We used the Affymetrix 10K Mapping SNP array, containing ~11,500 SNPs, to identify genomewide LOH and amplification of chromosomal regions. Regions identified from this analysis may provide insights into the underlying processes of and genes involved in breast carcinogenesis.

MATERIALS AND METHODS

Study Population

The study population included 16 women undergoing surgery for invasive breast cancer at Columbia University Medical Center, New York. Paired normal and tumor tissue were micro-dissected from fresh frozen sections available from the Avon Foundation supported macromolecule bank of the Herbert Irving Comprehensive Cancer Center and confirmed by histology at the Department of Pathology, Columbia University, New York.

Affymetrix GeneChip Protocol

Genomic DNA was extracted from paired microdissected normal and tumor tissue. DNA samples were normalized at 50 ng/μL concentration using reduced TE buffer (10mM Tris-HCl, pH 8, 0.1 mM EDTA). Quantification was assessed from 1μL of sample using the ND1000 spectrophotometer; quality was assessed in duplicate from 1μL of sample per well using DNA7500 chip by Agilent BioAnalyzer 2100. Major peaks were seen at >3kb size. For each GeneChip, 250 ng of genomic DNA sample was digested with Xba-I restriction enzyme and maintained at 4°C. Adaptor Xba was then ligated to the digested DNA and stored at −20°C until PCR amplification. For amplification, diluted adaptor-ligated DNA was used as template and, universal primer (10μM; Affymetrix) was used along with dNTPs and Amplitaq Gold DNA polymerase (Applied Biosystems). PCR reaction was conducted using MJ Research PTC 100 Peltier thermal cycler using denaturation at 95°C for 3 minutes, followed by 35 cycles at 95°C for 20 seconds, 59°C for 15 seconds, and 72°C for 15 seconds, followed by final extension at 72°C for 7 minutes. PCR product was checked using DNA1000 chip in the Agilent Bioanalyzer 2100.

PCR product was purified and concentrated with QIAquick PCR Purification kit (Qiagen). PCR product was quantified using ND1000. Subsequently, 20 μg of PCR product in 45 μL volume was used for fragmentation. PCR product quality was checked on DNA1000 chip with Agilent Bioanalyzer 2100. Typical electropherograms of 12 purified PCR products are shown as overlay in Figure 1. Fragmentation was done using fragmentation reagent (Affymetrix). For QC purpose, 1 μL of 1:10 dilution of fragmented DNA sample was put on DNA1000 chip read by Agilent 2100 Bioanalyzer. The major peak of the electropherogram was seen at 15 – 50 bp size as shown in Figure 2. The fragmented PCR products were labeled with GeneChip DNA labeling reagent (Affymetrix) by adding 19.4 μL of labeling master mix with 50.6 μL of fragmented DNA to make 70 μL reaction volume in 0.2 mL PCR tube. The sample was incubated at 37°C for 2 hours, followed by heat deactivation at 95°C for 15 minutes, and immediately transferred on ice. This 70 μL of labeled DNA was mixed with 190 μL of hybe cocktail in 1.5 ml Eppendorf tube. The samples were denatured at 95°C for 10 min, then the tubes were transferred to ice for exactly 10 sec. The target DNA was placed on heating block at 48°C for 2 min after which 200 μL of the denatured hybridization sample was injected into the probe array. Hybridization was done at 48°C for 16 – 18 hrs at 60 rpm. Thereafter, staining and washing was carried out followed by scanning with high-resolution Affymetrix GeneChip scanner 3000.

Figure 1.

Figure 1

Electropherogram of 12 purified PCR products are overlaid against DNA marker (in yellow) showing uniform pattern of the major amplicons ranging between 700 and 1000 bp size.

Figure 2.

Figure 2

Electropherogram of 12 fragmented PCR products are overlaid against DNA marker (in yellow) showing uniform pattern of fragmentation: the fragments range between throughout the samples ranging between 15 and 50 bp size.

Statistical Analysis

The number of LOH events, number of informative loci, percent heterozygosity, and percent fractional allelic loss were calculated. SNP calls of paired normal and tumor samples were combined to make LOH calls as described by Lin et al. [10]. Briefly, LOH events were identified when the normal sample at a particular marker was heterozygous (AB) and the tumor sample at the same marker was either A or B. The fractional allelic loss (FAL) was calculated as the number of LOH events per number of informative loci. Regions of shared LOH across samples were identified by a p value curve based on multiple-testing adjusted permutation methods as described by Lin et al. [10]. The significance curve was used to identify significant shared LOH regions across samples exceeding the threshold value 0.25 [10, 11]. Additionally, we also performed copy number analysis of DNA. Arrays were normalized for probe signal intensity and a signal value was computed for each SNP. The raw copy number for each SNP was computed as (Signal/(mean signal of normal samples at this SNP)* 2). A Hidden Markov Model (HMM) was used to infer copy numbers as has been described by Zhao et al. [12]. All statistical analyses were performed using the dChipSNP module [10] of dChip software [13].

RESULTS

Sixteen female breast cancer cases were included in this study. The demographic and clinical characteristics of the study population are shown in Table 1. The majority of women were white with an average age at diagnosis of 58.4 years. The majority of tumors were ER positive or PR positive, with 10 (71.4%) positive for both. Approximately 43% of tumors were HER2/neu positive. Most tumors were grade 2 or 3.

Table 1.

Characteristics of study participants.

Characteristic No. (%)
Sex
    Female 16 (100)
Mean age at diagnosis in years (SD) 58.4 (11.0)
Race
    White/Non-Hispanic 14 (87.5)
    Hispanic 1 (6.25)
    Other/Unknown 1 (6.25)
Family history of breast cancer
    Yes 7 (43.7)
    No 9 (56.3)
ER status
    Positive 14 (87.5)
    Negative 2 (12.5)
PR status
    Positive 10 (62.5)
    Negative 6 (37.5)
Stage (TNM)
    I 6 (37.5)
    II 6 (37.5)
    III 4 (25.0)
    IV
HER2/neu
    Positive 6 (42.9)
    Negative 8 (57.1)
Grade
    1 2 (12.5)
    2 7 (43.8)
    3 6 (37.5)
    Not determined 1 (6.2)

ER, estrogen receptor; PR, progesterone receptor; SD, standard deviation.

The average genotype call rates for tumor and normal samples were 92.8% ± 2.9% and 92.4% ± 7.3%, respectively. On average, 3324 loci were informative corresponding to a heterozygosity of approximately 29.7%.

Table 2 summarizes the LOH findings for the paired samples. LOH events were detected in all samples, however, the proportion of LOH ranged from 0.1-57.2%. This range is consistent with findings from other studies for breast cancer [3, 14]. In particular, elevated LOH events were detected in samples 1 and 10, with a %FAL of 57.2 and 56.2, respectively.

Table 2.

LOH events from normal and tumor DNA pairs

Sample No. of LOH No. of Informative Loci Heterozygosity (%) FAL (%)
1 1984 3466 30.9 57.2
2 57 3151 28.1 1.8
3 9 3319 29.6 0.3
4 4 3658 32.6 0.1
5 17 3380 30.2 0.5
6 35 3450 30.8 1.0
7 24 3423 30.5 0.7
8 66 2809 25.1 2.3
9 65 3668 32.7 1.8
10 2073 3686 32.9 56.2
11 5 3794 33.9 0.1
12 300 2754 24.6 10.9
13 97 3346 29.9 2.9
14 49 2870 25.6 1.7
15 75 3527 31.5 2.1
16 111 2890 25.8 3.8

No. of mapped loci = 11,205

Heterozygosity (%) = No. of informative loci / No. of mapped loci * 100

Fractional allelic loss (FAL) (%) = No. of LOH / No. of informative loci * 100

Several regions of significant LOH were detected, these included 2p25.3; 2p21; 2p16.1 – 2p15; 2q23.3; and, 16q12.1. All known genes contained within these regions are shown in Table 3. There was no clustering of %FAL by patient characteristics including stage, grade, PR status, ER status, HER2/neu status, family history or race.

Table 3.

Known genes contained within regions of LOH

Cytoband Accession no. Gene symbol Gene description
2p25.3 XM_039762 MYT1L myelin transcription factor 1 -like
NM_002936 RNASEH1 ribonuclease H1
NM_001011 RPS7 ribosomal protein S7
NM_024027 COLEC11 collectin sub-family member 11
NM_199232 ALLC allantoicase
2p21 NM_005400 PRKCE protein kinase C, epsilon
2p16.1-2p15 NM_006296 VRK2 vaccinia related kinase 2
NM_018062 FANCL Fanconi anemia, complementation group L
NM_018014 BCL11A B-cell CLL/lymphoma 11A (zinc finger protein)
NM_022894 PAPOLG poly(A) polymerase gamma
NM_002908 REL v-rel reticuloendotheliosis viral oncogene homolog
NM_144709 FLJ32312 hypothetical protein FLJ32312
NM_002618 PEX13 peroxisome biogenesis factor 13
NM_032506 KIAA1841 KIAA1841
NM_152392 AHSA2 AHA1, activator of heat shock 90kDa protein ATPase homolog 2
NM_014709 USP34 ubiquitin specific peptidase 34
2q23.3 XM_371575 PRPF40A PRP40 pre-mRNA processing factor 40 homolog A
NM_152522 ARL6IP6 ADP-ribosylation-like factor 6 interacting protein 6
16q12.1 NM_002968 SALL1 sal-like 1

In our analyses of chromosomal copy number variation, the 1q32.1 region was identified as a significant region of copy number amplification. As seen in Figure 3, although several additional chromosomal regions exhibited evidence of copy number variations there changes were less consistently seen across the samples as compared to 1q.

Figure 3.

Figure 3

Copy number summary plot for all samples displaying the proportion of samples with copy number amplification to at least 3 copies in red and copy number reduction to at least 1 copy in blue.

DISCUSSION

The present study demonstrated the feasibility and utility of using fresh frozen tissue for the examination of LOH using microarray technology. The Affymetrix GeneChip Human Mapping 10K Array Xba 131 was used to perform genomewide LOH and copy number change analyses of 16 breast cancer samples using 11,205 SNPs. Frequent allelic loss was seen on chromosomes 2p, 2q, and 16q. LOH on chromosome 2 has been infrequently reported in the existing literature on allelic loss in breast cancer based on traditional methods of LOH analyses. In this study, significant chromosomal loss was found at 2p. This finding for breast cancer has been reported by few studies previously [15, 16]. Additionally, we see chromosomal loss at 2q. Loss at this region was reported by Piao et al. [17] and in a pooled analysis by Miller et al. [4] who showed that loss in region 2q was strong in spite of comparatively few observations. Osborne and Hamshere [18] also demonstrated loss at the 2q region by incorporating data across studies. One explanation for this infrequent finding is that the spacing of markers in this chromosomal region may have been too sparse in previous studies to detect loss in the region. Additionally, LOH at the 2q region could be associated with a subtype or clinical characteristic that has not been sufficiently prevalent within all studies.

Significant chromosomal loss was also found at 16q. Previous studies indicate that loss in this chromosomal arm is typically among the highest loss rates [14, 19]. Additionally, pooled analyses by Miller et al. [4] and Osborne and Hamshere [18] demonstrated significant LOH in this chromosomal region.

Several of the genes contained within the regions of significant LOH in this study have been previously implicated in carcinogenesis. While this study investigated a small sample and inference from these findings is somewhat limited, several potential candidate genes of interest have been identified which should be further examined including: PRKCE, FANCL, BCL11A, and SALL1.

Chromosomal amplification was detected in region 1q32.1. Amplification of this region has been previously reported for both breast cancer as well as other cancers [20, 21]. Examination of genes contained within region 1q32.1 reveal that it is a very gene-rich region, containing approximately 60 known genes. Region 1q32.1 has been identified as a region of genomic amplification in other studies of carcinogenesis. Corson et al. [20] detected amplification of chromosomal region 1q32.1 in retinoblastoma and observed the overexpression of KIF14, located at 1q32.1, in breast cancer cell lines, primary retinoblastoma, lung cancer cell lines, and medulloblastoma. Additionally, SRGAP2 (also known as FNBP2, KIAA0456, or srGAP3) is also located at chromosomal region 1q32.1. The SRGAP2 gene was observed to be amplified and overexpressed in breast cancer cell lines [22]. Additionally, SRGAP2 was overexpressed in melanoma, germ cell tumors, chondrosarcoma and retinoblastoma [22].

The two samples with elevated FAL included: 1) a female with a stage 3 and grade 3 tumor, negative for both ER and PR status, HER2/neu positive, and no family history of breast cancer and, 2) a female with a stage 1 and grade 1 tumor, positive for both ER and PR status, HER2/neu negative, and a family history of breast cancer. Given the sample size of this study, we were not powered to examine associations of clinical characteristics with LOH or copy number change. However, this is an important aspect that we plan to address in future studies with a larger sample.

CONCLUSIONS

In summary, regions of frequent allelic loss detected in breast cancer in this microarray based genomewide study included: 2p25.3; 2p21; 2p16.1 – 2p15; 2q23.3; and, 16q12.1. Additionally, 1q32.1 was detected as a region of chromosomal amplification. The findings from this study are consistent with previous studies of LOH and copy number change in breast cancer based on more traditional analyses. Regions of LOH and amplification identified from this analysis may provide insights into the underlying processes of and genes involved in breast carcinogenesis. This pilot work also demonstrates the utility and feasibility of microarray SNP chips for identifying novel loci involved in breast cancer.

Acknowledgements

This research was supported by US Department of Defense grants DAMD17-03-1-0774 and DAMD17-02-1-0354. This research was approved by the Institutional Review Board of Columbia University Medical Center.

List of Abbreviations

LOH

loss of heterozygosity

%FAL

percent fractional allelic loss

SNP

single nucleotide polymorphism

HMM

Hidden Markov Model

ER

estrogen receptor

PR

progesterone receptor

SD

standard deviation

Footnotes

Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

Competing Interests

The author(s) declare that they have no competing interests.

REFERENCES

  • 1.Lengauer C, Kinzler KW, Vogelstein B. Genetic instabilities in human cancers. Nature. 1998;396:643–9. doi: 10.1038/25292. [DOI] [PubMed] [Google Scholar]
  • 2.Lasko D, Cavenee W, Nordenskjold M. Loss of constitutional heterozygosity in human cancer. Annu Rev Genet. 1991;25:281–314. doi: 10.1146/annurev.ge.25.120191.001433. [DOI] [PubMed] [Google Scholar]
  • 3.Wang ZC, Lin M, Wei LJ, Li C, Miron A, Lodeiro G, Harris L, Ramaswamy S, Tanenbaum DM, Meyerson M, Iglehart JD, Richardson A. Loss of heterozygosity and its correlation with expression profiles in subclasses of invasive breast cancers. Cancer Res. 2004;64:64–71. doi: 10.1158/0008-5472.can-03-2570. [DOI] [PubMed] [Google Scholar]
  • 4.Miller BJ, Wang D, Krahe R, Wright FA. Pooled analysis of loss of heterozygosity in breast cancer: a genome scan provides comparative evidence for multiple tumor suppressors and identifies novel candidate regions. Am J Hum Genet. 2003;73:748–67. doi: 10.1086/378522. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Janne PA, Li C, Zhao X, Girard L, Chen TH, Minna J, Christiani DC, Johnson BE, Meyerson M. High-resolution single-nucleotide polymorphism array and clustering analysis of loss of heterozygosity in human lung cancer cell lines. Oncogene. 2004;23:2716–26. doi: 10.1038/sj.onc.1207329. [DOI] [PubMed] [Google Scholar]
  • 6.Zhou X, Li C, Mok SC, Chen Z, Wong DT. Whole genome loss of heterozygosity profiling on oral squamous cell carcinoma by high-density single nucleotide polymorphic allele (SNP) array. Cancer Genet Cytogenet. 2004;151:82–4. doi: 10.1016/j.cancergencyto.2003.11.010. [DOI] [PubMed] [Google Scholar]
  • 7.Lindblad-Toh K, Tanenbaum DM, Daly MJ, Winchester E, Lui WO, Villapakkam A, Stanton SE, Larsson C, Hudson TJ, Johnson BE, Lander ES, Meyerson M. Loss-of-heterozygosity analysis of small-cell lung carcinomas using single-nucleotide polymorphism arrays. Nat Biotechnol. 2000;18:1001–5. doi: 10.1038/79269. [DOI] [PubMed] [Google Scholar]
  • 8.Primdahl H, Wikman FP, von der Maase H, Zhou XG, Wolf H, Orntoft TF. Allelic imbalances in human bladder cancer: genome-wide detection with high-density single-nucleotide polymorphism arrays. J Natl Cancer Inst. 2002;94:216–23. doi: 10.1093/jnci/94.3.216. [DOI] [PubMed] [Google Scholar]
  • 9.Devries S, Nyante S, Korkola J, Segraves R, Nakao K, Moore D, Bae H, Wilhelm M, Hwang S, Waldman F. Array-based comparative genomic hybridization from formalin-fixed, paraffin-embedded breast tumors. J Mol Diagn. 2005;7:65–71. doi: 10.1016/S1525-1578(10)60010-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Lin M, Wei LJ, Sellers WR, Lieberfarb M, Wong WH, Li C. dChipSNP: significance curve and clustering of SNP-array-based loss-of-heterozygosity data. Bioinformatics. 2004;20:1233–40. doi: 10.1093/bioinformatics/bth069. [DOI] [PubMed] [Google Scholar]
  • 11.Lieberfarb ME, Lin M, Lechpammer M, Li C, Tanenbaum DM, Febbo PG, Wright RL, Shim J, Kantoff PW, Loda M, Meyerson M, Sellers WR. Genome-wide loss of heterozygosity analysis from laser capture microdissected prostate cancer using single nucleotide polymorphic allele (SNP) arrays and a novel bioinformatics platform dChipSNP. Cancer Res. 2003;63:4781–5. [PubMed] [Google Scholar]
  • 12.Zhao X, Li C, Paez JG, Chin K, Janne PA, Chen TH, Girard L, Minna J, Christiani D, Leo C, Gray JW, Sellers WR, Meyerson M. An integrated view of copy number and allelic alterations in the cancer genome using single nucleotide polymorphism arrays. Cancer Res. 2004;64:3060–71. doi: 10.1158/0008-5472.can-03-3308. [DOI] [PubMed] [Google Scholar]
  • 13.Li C, Wong WH. Model-based analysis of oligonucleotide arrays: expression index computation and outlier detection. Proc Natl Acad Sci U S A. 2001;98:31–6. doi: 10.1073/pnas.011404098. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Shen CY, Yu JC, Lo YL, Kuo CH, Yue CT, Jou YS, Huang CS, Lung JC, Wu CW. Genome-wide search for loss of heterozygosity using laser capture microdissected tissue of breast carcinoma: an implication for mutator phenotype and breast cancer pathogenesis. Cancer Res. 2000;60:3884–92. [PubMed] [Google Scholar]
  • 15.Patel U, Grundfest-Broniatowski S, Gupta M, Banerjee S. Microsatellite instabilities at five chromosomes in primary breast tumors. Oncogene. 1994;9:3695–700. [PubMed] [Google Scholar]
  • 16.O'Connell P, Pekkel V, Fuqua SA, Osborne CK, Clark GM, Allred DC. Analysis of loss of heterozygosity in 399 premalignant breast lesions at 15 genetic loci. J Natl Cancer Inst. 1998;90:697–703. doi: 10.1093/jnci/90.9.697. [DOI] [PubMed] [Google Scholar]
  • 17.Piao Z, Lee KS, Kim H, Perucho M, Malkhosyan S. Identification of novel deletion regions on chromosome arms 2q and 6p in breast carcinomas by amplotype analysis. Genes Chromosomes Cancer. 2001;30:113–22. [PubMed] [Google Scholar]
  • 18.Osborne RJ, Hamshere MG. A genome-wide map showing common regions of loss of heterozygosity/allelic imbalance in breast cancer. Cancer Res. 2000;60:3706–12. [PubMed] [Google Scholar]
  • 19.White GR, Stack M, Santibanez-Koref M, Liscia DS, Venesio T, Wang JC, Helms C, Donis-Keller H, Betticher DC, Altermatt HJ, Hoban PR, Heighway J. High levels of loss at the 17p telomere suggest the close proximity of a tumour suppressor. Br J Cancer. 1996;74:863–70. doi: 10.1038/bjc.1996.449. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20.Corson TW, Huang A, Tsao MS, Gallie BL. KIF14 is a candidate oncogene in the 1q minimal region of genomic gain in multiple cancers. Oncogene. 2005;24:4741–53. doi: 10.1038/sj.onc.1208641. [DOI] [PubMed] [Google Scholar]
  • 21.Katoh M. FNBP2 gene on human chromosome 1q32.1 encodes ARHGAP family protein with FCH, FBH, RhoGAP and SH3 domains. Int J Mol Med. 2003;11:791–7. [PubMed] [Google Scholar]
  • 22.Hyman E, Kauraniemi P, Hautaniemi S, Wolf M, Mousses S, Rozenblum E, Ringner M, Sauter G, Monni O, Elkahloun A, Kallioniemi OP, Kallioniemi A. Impact of DNA amplification on gene expression patterns in breast cancer. Cancer Res. 2002;62:6240–5. [PubMed] [Google Scholar]

RESOURCES