乳腺癌中的整体组蛋白修饰与肿瘤表型、预后因素及患者结局相关。
Global histone modifications in breast cancer correlate with tumor phenotypes, prognostic factors, and patient outcome.
作者信息
Elsheikh Somaia E, Green Andrew R, Rakha Emad A, Powe Des G, Ahmed Rabab A, Collins Hilary M, Soria Daniele, Garibaldi Jonathan M, Paish Claire E, Ammar Amr A, Grainge Matthew J, Ball Graham R, Abdelghany Magdy K, Martinez-Pomares Luisa, Heery David M, Ellis Ian O
机构信息
Department of Histopathology, School of Molecular Medical Sciences, University of Nottingham and Nottingham Universities Hospital Trust, University of Nottingham, Nottingham, United Kingdom.
出版信息
Cancer Res. 2009 May 1;69(9):3802-9. doi: 10.1158/0008-5472.CAN-08-3907. Epub 2009 Apr 14.
Post-translational histone modifications are known to be altered in cancer cells, and loss of selected histone acetylation and methylation marks has recently been shown to predict patient outcome in human carcinoma. Immunohistochemistry was used to detect a series of histone lysine acetylation (H3K9ac, H3K18ac, H4K12ac, and H4K16ac), lysine methylation (H3K4me2 and H4K20me3), and arginine methylation (H4R3me2) marks in a well-characterized series of human breast carcinomas (n = 880). Tissue staining intensities were assessed using blinded semiquantitative scoring. Validation studies were done using immunofluorescence staining and Western blotting. Our analyses revealed low or absent H4K16ac in the majority of breast cancer cases (78.9%), suggesting that this alteration may represent an early sign of breast cancer. There was a highly significant correlation between histone modifications status, tumor biomarker phenotype, and clinical outcome, where high relative levels of global histone acetylation and methylation were associated with a favorable prognosis and detected almost exclusively in luminal-like breast tumors (93%). Moderate to low levels of lysine acetylation (H3K9ac, H3K18ac, and H4K12ac), lysine (H3K4me2 and H4K20me3), and arginine methylation (H4R3me2) were observed in carcinomas of poorer prognostic subtypes, including basal carcinomas and HER-2-positive tumors. Clustering analysis identified three groups of histone displaying distinct pattern in breast cancer, which have distinct relationships to known prognostic factors and clinical outcome. This study identifies the presence of variations in global levels of histone marks in different grades, morphologic types, and phenotype classes of invasive breast cancer and shows that these differences have clinical significance.
已知翻译后组蛋白修饰在癌细胞中会发生改变,最近研究表明,某些组蛋白乙酰化和甲基化标记的缺失可预测人类癌症患者的预后。我们采用免疫组织化学方法检测了一系列人乳腺癌(n = 880)中组蛋白赖氨酸乙酰化(H3K9ac、H3K18ac、H4K12ac和H4K16ac)、赖氨酸甲基化(H3K4me2和H4K20me3)以及精氨酸甲基化(H4R3me2)标记。使用盲法半定量评分评估组织染色强度。通过免疫荧光染色和蛋白质印迹法进行验证研究。我们的分析显示,大多数乳腺癌病例(78.9%)中H4K16ac水平较低或缺失,这表明这种改变可能是乳腺癌的早期迹象。组蛋白修饰状态、肿瘤生物标志物表型与临床结果之间存在高度显著的相关性,其中整体组蛋白乙酰化和甲基化的相对水平较高与预后良好相关,且几乎仅在管腔样乳腺癌中检测到(93%)。在预后较差的亚型癌中,包括基底癌和HER-2阳性肿瘤,观察到赖氨酸乙酰化(H3K9ac、H3K18ac和H4K12ac)、赖氨酸(H3K4me2和H4K20me3)以及精氨酸甲基化(H4R3me2)水平为中度至低度。聚类分析确定了乳腺癌中三组呈现不同模式的组蛋白,它们与已知的预后因素和临床结果具有不同的关系。本研究确定了浸润性乳腺癌不同分级、形态学类型和表型类别中组蛋白标记整体水平存在差异,并表明这些差异具有临床意义。