DNA methylation-based classifier and gene expression signatures detect BRCAness in osteosarcoma

PLoS Comput Biol. 2021 Nov 11;17(11):e1009562. doi: 10.1371/journal.pcbi.1009562. eCollection 2021 Nov.

Abstract

Although osteosarcoma (OS) is a rare cancer, it is the most common primary malignant bone tumor in children and adolescents. BRCAness is a phenotypical trait in tumors with a defect in homologous recombination repair, resembling tumors with inactivation of BRCA1/2, rendering these tumors sensitive to poly (ADP)-ribose polymerase inhibitors (PARPi). Recently, OS was shown to exhibit molecular features of BRCAness. Our goal was to develop a method complementing existing genomic methods to aid clinical decision making on administering PARPi in OS patients. OS samples with DNA-methylation data were divided to BRCAness-positive and negative groups based on the degree of their genomic instability (n = 41). Methylation probes were ranked according to decreasing variance difference between two groups. The top 2000 probes were selected for training and cross-validation of the random forest algorithm. Two-thirds of available OS RNA-Seq samples (n = 17) from the top and bottom of the sample list ranked according to genome instability score were subjected to differential expression and, subsequently, to gene set enrichment analysis (GSEA). The combined accuracy of trained random forest was 85% and the average area under the ROC curve (AUC) was 0.95. There were 449 upregulated and 1,079 downregulated genes in the BRCAness-positive group (fdr < 0.05). GSEA of upregulated genes detected enrichment of DNA replication and mismatch repair and homologous recombination signatures (FWER < 0.05). Validation of the BRCAness classifier with an independent OS set (n = 20) collected later in the course of study showed AUC of 0.87 with an accuracy of 90%. GSEA signatures computed for this test set were matching the ones observed in the training set enrichment analysis. In conclusion, we developed a new classifier based on DNA-methylation patterns that detects BRCAness in OS samples with high accuracy. GSEA identified genome instability signatures. Machine-learning and gene expression approaches add new epigenomic and transcriptomic aspects to already established genomic methods for evaluation of BRCAness in osteosarcoma and can be extended to cancers characterized by genome instability.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bone Neoplasms / genetics*
  • DNA Methylation*
  • DNA Repair
  • Gene Expression Regulation, Neoplastic*
  • Genomic Instability
  • Humans
  • Osteosarcoma / genetics*

Grants and funding

MB was supported by the Doris Stiftung. MN was supported by the Cura Placida Stiftung and the Helga und Heinrich Holzhauer Stiftung. BA, MK and DB were supported by the Swiss National Science Foundation, the foundation of the Basel Bone Tumor Reference Centre, the Gertrude von Meissner Stiftung, and the Stiftung für krebskranke Kinder, Regio Basiliensis. MK was also supported by the Slovak Research and Development Agency (APVV 16-0213) and the Slovak Grant Agency (VEGA 1/0458/18). DTWJ and OW (INFORM study) were supported by grants from the Deutsche Krebshilfe, Deutsche Kinderkrebsstiftung, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), the Schue family and the Bundesministerium für Bildung und Forschung (BMBF). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.