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原发性乳腺癌和乳腺增生中的NOEY2突变

NOEY2 mutations in primary breast cancers and breast hyperplasia.

作者信息

Yang Julun, Hu Aiping, Wang Li, Li Baolin, Chen Yue, Zhao Wenxing, Xu Wenmang, Li Tao

机构信息

Department of Pathology, Kunming General Hospital/Kunming Medical College, 212 Daguan Road, Kunming, Yunnan 650032, PR China.

出版信息

Breast. 2009 Jun;18(3):197-203. doi: 10.1016/j.breast.2009.04.004. Epub 2009 May 30.

Abstract

PURPOSE

The NOEY2 gene mutations and protein expression in human breast cancers, adjacent breast tissues and breast benign lesions were analysed to explore the potential correlation between the mutation spectrum and breast cancer development and progression.

EXPERIMENTAL DESIGN

The promoter, exon and intron regions of NOEY2 gene were amplified by polymerase chain reaction (PCR) with DNA extracted from 50 human breast cancer and corresponding adjacent breast tissues as well as 50 breast benign lesions, respectively. The PCR products were then sequenced and analysed. The effect of mutations on the expression of NOEY2 protein by immunohistochemistry were proven as well.

RESULTS

Twenty-one of 50 (42%) breast cancer mutations were identified in promoter (11 cases) and exon 2 (seven cases on untranslation region and three on coding region) and 17 of 50 (34%) adjacent breast tissues (all were atypical hyperplasia lesions) occurred mutations, including six promoter mutations and 11 exon 2 changes (10 cases on untranslation region and one on coding region). Interestingly, the mutations were identified in both breast cancers and the corresponding adjacent breast tissues collected from the same patient in seven of them. No mutation was identified in all benign breast tissues. Immunohistochemical analysis showed that two of 17 mutational adjacent breast tissue samples were NOEY2 immunoreaction negative, and in all 21 mutations of breast cancers five cases were of loss of NOEY2 expression. All mutations with immunoreaction negative factor were located at promoter and/or exon 2 coding region. NOEY2 gene mutations were not correlated with patient ages, histological types, tumour sizes, histological grades, clinical stages, axillary lymph node metastases or with the condition of hormone receptor (ER, PR) expression and HER2 amplification.

CONCLUSIONS

The mutations of human NOEY2 were identified in human breast cancers and the corresponding adjacent breast tissues. The hot mutation spots were its promoter and exon 2 regions, and those occurring at the exon2 coding region and part of the promoter may alter the expression of NOEY2. The presence of NOEY2 mutations in human breast cancer and early-stage lesions indicates that NOEY2 mutations may be partly associated with breast tumourigenesis.

摘要

目的

分析人乳腺癌、癌旁乳腺组织及乳腺良性病变中NOEY2基因突变及蛋白表达情况,探讨突变谱与乳腺癌发生发展的潜在相关性。

实验设计

分别从50例人乳腺癌及相应癌旁乳腺组织以及50例乳腺良性病变中提取DNA,采用聚合酶链反应(PCR)扩增NOEY2基因的启动子、外显子和内含子区域。然后对PCR产物进行测序和分析。通过免疫组织化学证实突变对NOEY2蛋白表达的影响。

结果

50例乳腺癌中有21例(42%)在启动子区(11例)和外显子2区(非翻译区7例,编码区3例)发生突变,50例癌旁乳腺组织中有17例(34%)(均为非典型增生病变)发生突变,包括6例启动子突变和11例外显子2区改变(非翻译区10例,编码区1例)。有趣的是,其中7例患者的乳腺癌及其相应癌旁乳腺组织均检测到突变。所有乳腺良性组织均未检测到突变。免疫组织化学分析显示,17例发生突变的癌旁乳腺组织样本中有2例NOEY2免疫反应阴性,乳腺癌的21例突变中有5例NOEY2表达缺失。所有免疫反应阴性的突变均位于启动子和/或外显子2编码区。NOEY2基因突变与患者年龄、组织学类型、肿瘤大小、组织学分级、临床分期、腋窝淋巴结转移或激素受体(ER、PR)表达情况及HER2扩增均无相关性。

结论

在人乳腺癌及其相应癌旁乳腺组织中检测到NOEY2基因突变。热点突变区域为启动子和外显子2区,外显子2编码区及部分启动子区的突变可能改变NOEY2的表达。人乳腺癌及早期病变中存在NOEY2突变表明,NOEY2突变可能与乳腺肿瘤发生有一定关联。

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