Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, VA 23298, USA.
Breast Cancer Res Treat. 2011 Jun;127(3):623-30. doi: 10.1007/s10549-010-0988-7. Epub 2010 Jul 13.
Telomere repeat binding factor 2 (TRF2) binds directly to telomeres and preserves the structural integrity of chromosome ends. In vitro models suggest that expression of TRF2 protein increases during mammary cancer progression. However, a recent study has reported that TRF2 mRNA levels tend to be lower in clinical specimens of malignant breast tissue. Here, we conduct the first large-scale investigation to assess the levels and cellular localization of the TRF2 protein in normal, pre-malignant and malignant breast tissues. Breast tissue arrays, containing normal, ductal carcinoma in situ (DCIS) and invasive carcinoma specimens, were used to assess the expression and localization of TRF2 protein. Telomere lengths were semi-quantitatively measured using a pantelomeric peptide nucleic acid probe. A mixed effects modeling approach was used to assess the relationship between TRF2 expression and telomeric signal scores across disease states or clinical staging. We demonstrate that TRF2 is exclusively nuclear with a trend toward lower expression with increased malignancy. More case-to-case variability of TRF2 immunostaining intensity was noted amongst the invasive carcinomas than the other disease groups. Invasive carcinomas also displayed variable telomere lengths while telomeres in normal mammary epithelium were generally longer. Statistical analyses revealed that increased TRF2 immunostaining intensity in invasive carcinomas is associated with shorter telomeres and shorter telomeres correlate with a higher TNM stage. All immortalized and cancer cell lines within the array displayed strong, nuclear TRF2 expression. Our data indicate that elevated expression of TRF2 is not a frequent occurrence during the transformation of breast cancer cells in vivo, but higher levels of this telomere-binding protein may be important for protecting advanced cancer cells with critically short telomeres. Our findings also reinforce the concept that serially propagated cancer cells, although tumor-derived, may not model all types of authentic tumors especially those demonstrating genetic heterogeneity.
端粒重复结合因子 2(TRF2)直接结合端粒并维持染色体末端的结构完整性。体外模型表明,TRF2 蛋白的表达在乳腺癌进展过程中增加。然而,最近的一项研究报告称,恶性乳腺组织的临床标本中 TRF2mRNA 水平往往较低。在这里,我们进行了首次大规模调查,以评估正常、癌前和恶性乳腺组织中 TRF2 蛋白的水平和细胞定位。使用包含正常、导管原位癌(DCIS)和浸润性癌标本的乳腺组织阵列来评估 TRF2 蛋白的表达和定位。使用 Pantelomeric 肽核酸探针半定量测量端粒长度。采用混合效应模型方法评估 TRF2 表达与疾病状态或临床分期的端粒信号评分之间的关系。我们证明 TRF2 是专核的,随着恶性程度的增加表达呈下降趋势。与其他疾病组相比,浸润性癌中 TRF2 免疫染色强度的病例间变异性更大。浸润性癌还显示出可变的端粒长度,而正常乳腺上皮中的端粒通常更长。统计分析表明,浸润性癌中 TRF2 免疫染色强度的增加与较短的端粒相关,较短的端粒与较高的 TNM 分期相关。阵列中所有永生化和癌细胞系均显示出强烈的核 TRF2 表达。我们的数据表明,在体内乳腺癌细胞转化过程中,TRF2 的高表达并不常见,但这种端粒结合蛋白的高水平可能对保护具有临界短端粒的晚期癌细胞很重要。我们的研究结果还加强了这样一个概念,即虽然连续传代的癌细胞是肿瘤源性的,但它们可能无法模拟所有类型的真实肿瘤,尤其是那些表现出遗传异质性的肿瘤。