Wang M, Yu B, Westerlind K, Strange R, Khan G, Patil D, Boeneman K, Hilakivi-Clarke L
Department of Oncology, Georgetown University, Washington, DC, USA.
Breast Cancer Res Treat. 2009 May;115(1):213-20. doi: 10.1007/s10549-008-0062-x. Epub 2008 May 31.
Findings in BRCA1 mutation carriers suggest that physical activity, particularly during childhood, may be linked to a reduced risk of developing breast cancer. We investigated whether physical activity at puberty alters the expression of BRCA1 and two other tumor suppressor genes--p53 and estrogen receptor (ER)-beta--in rats. In addition, the effects on ER-alpha expression, mammary proliferation and functional epithelial differentiation were investigated as markers of altered mammary cancer risk in rats exposed to regular physical activity at puberty. Female Sprague Dawley rat pups were randomized to voluntary exercise, sham-exercise control and non-manipulated control groups. Treadmill training (20-25 m/min, 15% grade, 30 min/day, 5 days/week) started on postnatal day 14 and continued through day 32. Third thoracic mammary glands (n = 5 per group and age) were obtained at days 32, 48 and 100 and assessed for changes in morphology through wholemounts, and at 100 days cell proliferation by using Ki67 staining, protein levels of ER-alpha and ER-beta by immunohistochemistry, and mRNA expression levels of BRCA1, p53, ER-alpha and ER-beta by real-time PCR. Mammary glands of rats exposed to exercise during puberty contained fewer terminal end buds (TEBs) and a higher number of differentiated alveolar buds and lobules than the sham controls. However, cell proliferation was not significantly altered among the groups. ER-alpha protein levels were significantly reduced, while ER-beta levels were increased in the mammary ducts and lobular epithelial structures of 100-day old rays which were voluntarily exercised at puberty, compared to sham controls. ER-beta, BRCA1 and p53 mRNA levels were significantly higher in the mammary glands of 100-day-old exercised versus sham control rats. Pubertal physical activity reduced mammary epithelial targets for neoplastic transformation through epithelial differentiation and it also up-regulated tumor suppressor genes BRCA1, p53 and ER-beta, and reduced ER-alpha/ER-beta ratio in the mammary gland. It remains to be determined whether the up-regulation of BRCA1, and perhaps p53, explains the protective effect of childhood physical activity against breast cancer in women who carry a germline mutation in one of the BRCA1 alleles.
携带BRCA1基因突变者的研究结果表明,体育活动,尤其是在儿童时期,可能与降低患乳腺癌的风险有关。我们研究了青春期的体育活动是否会改变大鼠体内BRCA1以及另外两个肿瘤抑制基因——p53和雌激素受体(ER)-β的表达。此外,还研究了对ER-α表达、乳腺增殖和功能性上皮分化的影响,以此作为青春期进行规律体育活动的大鼠患乳腺癌风险改变的标志物。将雌性斯普拉格-道利大鼠幼崽随机分为自愿运动组、假运动对照组和非处理对照组。产后第14天开始进行跑步机训练(20 - 25米/分钟,坡度15%,每天30分钟,每周5天),持续至第32天。在第32天、48天和100天获取第三对胸段乳腺(每组和每个年龄段n = 5),通过整体标本评估形态变化,在第100天通过Ki67染色评估细胞增殖,通过免疫组织化学评估ER-α和ER-β的蛋白水平,通过实时PCR评估BRCA1、p53、ER-α和ER-β的mRNA表达水平。与假运动对照组相比,青春期进行运动的大鼠乳腺中终末芽(TEB)数量更少,分化的肺泡芽和小叶数量更多。然而,各组之间细胞增殖没有显著改变。与假运动对照组相比,青春期自愿运动的100日龄大鼠乳腺导管和小叶上皮结构中ER-α蛋白水平显著降低,而ER-β水平升高。100日龄运动大鼠的乳腺中ER-β、BRCA1和p53的mRNA水平显著高于假运动对照组大鼠。青春期体育活动通过上皮分化减少了乳腺上皮发生肿瘤转化的靶点,还上调了肿瘤抑制基因BRCA1、p53和ER-β,并降低了乳腺中ER-α/ER-β的比值。BRCA1以及可能还有p53的上调是否解释了儿童体育活动对携带BRCA1等位基因之一种系突变的女性预防乳腺癌的保护作用,仍有待确定。