Epigenetic clock detected a breast cancer mitosis subtype with improved immunotherapy
Abstract Background Epigenetic clock based on DNA methylation can estimate the epigenetic age of tissue and cell that can describe the process of aging. However, the exploration of diseases by the epigenetic clock is still an uncharted territory. Our objective was to assess the role of the epigenetic clock in breast cancer. Methods In this study, DNA methylation data of breast tissue sample was download from TCGA and GEO database. DNA methylation level of CpG sites and age of samples was calculated by using pearson correlation test. Differentially expressed genes were identified using the limma package and Kruskal-Wallis test was used for the difference between cancer subtypes. Results We developed a workflow to construct the Breast Epigenetic Clock (BEpiC) that could accurately predict the chronological age of normal breast tissue. Furthermore, the BEpiC was applied to breast cancer to identify three breast cancer subtypes (including development, homeostasis, and mitosis) by using the deviation between epigenetic age and chronological age. Interestingly, the prognosis of the three breast cancer subtypes is significantly different. In addition, the three breast cancer subtypes had distinct differences in multiple immune cells and the mitosis subtype had the highest tumor mutation burden that was used to estimate response to checkpoint inhibitors. Conclusion Our model highlights that epigenetic age of breast cancer samples had an important impact on immunotherapy. We constructed a BEpiC web server (http://bio-bigdata.hrbmu.edu.cn/BEpiC/) where users submit DNA methylation data and age information to predict the epigenetic age of breast tissue and breast cancer subtypes. Trial registration Not applicable