Short-Term Molecular Effects of Boost versus Radical Doses of Intraoperative electron Radiotherapy in Breast Cancer Tumor Bed Using High-throughput Approaches

Intra-operative electron Radiation Therapy (IOeRT) as a partial-breast single high dose leads to decrease the local recurrence through tumor bed modification. With the aim of reduce received irradiation dose in patients. This study designed to investigate short-term effects of single high dose- dependent and -independent (12Gy; Boost vs 21Gy; Radical), molecular mechanisms of tumor bed modification induced by IOeRT using transcriptomics and proteomics approaches. Six random selected breast cancer patients were treated by IOeRT after breast-conserving surgery. mRNA sequencing and Isobaric Tag for Relative and Absolute Quantitation(iTRAQ) were performed to study the transcriptome and proteome profile of the margin. Using mRNA sequencing, ~6 Giga base clean data per individual samples and totally 125.3 million reads of transcriptome sequence were generated from the patient samples. Moreover, using iTRAQ for proteome quantification, in total, 1045410 spectrums were generated, 31572 peptides and 5860 proteins were identified (FDR <0.01). Functional annotation and Gene Ontology (GO) indicated that significant enrichment in biological pathways for local and systemic response to short-term effects of IOeRT have induced in tumor bed, independently to the Boost versus Radical doses. Generally, by modification of Radical dose, with the same effectiveness, it is possible to reduce received irradiation dose in breast cancer patients.