Vaziri S A, Tubbs R R, Darlington G, Casey G
Department of Cancer Biology, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
Mol Pathol. 2001 Aug;54(4):259-63. doi: 10.1136/mp.54.4.259.
BACKGROUND/AIMS: It was recently reported that significantly fewer breast tumours of BRCA1 mutation carriers overexpressed cyclin D1 and HER2 protein than tumours of age matched breast cancer cases unselected for family history. This study aimed to examine the genetic basis of this reduction by determining the frequency of tumours within this cohort showing DNA amplification of these genes.
Paraffin wax embedded sections of breast tumours from BRCA1 mutation carriers and age, grade, histological type, and tumour size matched non-familial controls that had previously been stained for cyclin D1 and HER2 protein overexpression were analysed for CCND1 and HER2 gene amplification using fluorescence in situ hybridisation.
CCND1 amplification was detected in none of the 30 tumours of the BRCA1 mutation carriers and in 19 of 74 tumours of the matched controls. Of those samples previously determined to overexpress the HER2 protein, HER2 amplification was detected in one of three tumours from BRCA1 mutation carriers and in 13 of 17 tumours of the age matched non-familial cases.
None of the tumours of BRCA1 mutation carriers showed CCND1 amplification and only one tumour showed HER2 amplification. In contrast, a large proportion of cyclin D1 and HER2 overexpression in tumours of non-familial breast cancer cases could be accounted for by amplification of these genes. These data suggest that breast tumorigenesis in BRCA1 mutation carriers occurs by a molecular mechanism distinct from that of age matched non-familial cases.
背景/目的:最近有报道称,与未根据家族病史筛选的年龄匹配的乳腺癌患者的肿瘤相比,携带BRCA1突变的患者中过表达细胞周期蛋白D1和HER2蛋白的乳腺肿瘤明显更少。本研究旨在通过确定该队列中显示这些基因DNA扩增的肿瘤频率来研究这种减少的遗传基础。
使用荧光原位杂交技术,对携带BRCA1突变的患者的乳腺肿瘤石蜡包埋切片以及年龄、分级、组织学类型和肿瘤大小相匹配的非家族性对照(这些对照先前已针对细胞周期蛋白D1和HER2蛋白过表达进行染色)进行CCND1和HER2基因扩增分析。
在携带BRCA1突变的患者的30个肿瘤中均未检测到CCND1扩增,而在匹配对照的74个肿瘤中有19个检测到CCND1扩增。在先前确定过表达HER2蛋白的样本中,携带BRCA1突变的患者的三个肿瘤中有一个检测到HER2扩增,而年龄匹配的非家族性病例的17个肿瘤中有13个检测到HER2扩增。
携带BRCA1突变的患者的肿瘤均未显示CCND1扩增,只有一个肿瘤显示HER2扩增。相比之下,非家族性乳腺癌病例的肿瘤中很大一部分细胞周期蛋白D1和HER2的过表达可由这些基因的扩增来解释。这些数据表明,携带BRCA1突变的患者的乳腺肿瘤发生是通过一种与年龄匹配的非家族性病例不同的分子机制。