John Curtin School of Medical Research, Australian National University, Acton, Canberra, ACT, Australia.
J Mammary Gland Biol Neoplasia. 2011 Apr;16(1):57-64. doi: 10.1007/s10911-011-9201-9. Epub 2011 Mar 8.
Genetic factors play an important role in determining risk and resistance to increased breast cancer. Recent technological advances have made it possible to analyze hundreds of thousands of single nucleotide polymorphisms in large-scale association studies in humans and have resulted in identification of alleles in over 20 genes that influence breast cancer risk. Despite these advances, the challenge remains in identifying what the functional polymorphisms are that confer the increased risk, and how these genetic variants interact with each other and with environmental factors. In rodents, the incidence of mammary tumors varies among strains, such that they can provide alternate ideas for candidate pathways involved in humans. Mapping studies in animals have unearthed numerous loci for breast cancer susceptibility that have been validated in human populations. In a reciprocal manner, knockin and knockout mice have been used to validate the tumorigenicity of risk alleles found in population studies. Rodent studies also underscore the complexity of interactions among alleles. The fact that genes affecting risk and resistance to mammary tumors in rodents depend greatly upon the carcinogenic challenge emphasizes the importance of gene x environment interactions. The challenge to rodent geneticists now is to capitalize on the ability to control the genetics and environment in rodent models of tumorigenesis to better understand the biology of breast cancer development, to identify those polymorphisms most relevant to human susceptibility and to identify compensatory pathways that can be targeted for improved prevention in women at highest risk of developing breast cancer.
遗传因素在确定乳腺癌风险和抵抗方面起着重要作用。最近的技术进步使得在人类中进行大规模的关联研究中分析数十万个单核苷酸多态性成为可能,并确定了 20 多个影响乳腺癌风险的基因中的等位基因。尽管取得了这些进展,但仍然需要确定赋予增加风险的功能性多态性是什么,以及这些遗传变异如何相互作用以及与环境因素相互作用。在啮齿动物中,乳腺肿瘤的发病率在不同品系之间存在差异,因此它们可以为人类相关的候选途径提供替代思路。在动物中的映射研究已经发现了许多乳腺癌易感性的基因座,这些基因座已在人类群体中得到验证。以相反的方式,敲入和敲除小鼠已被用于验证在人群研究中发现的风险等位基因的致瘤性。啮齿动物研究还强调了等位基因之间相互作用的复杂性。事实上,影响啮齿动物乳腺肿瘤风险和抵抗的基因在很大程度上取决于致癌挑战,这强调了基因 x 环境相互作用的重要性。现在,啮齿动物遗传学家面临的挑战是利用控制遗传和环境的能力,在肿瘤发生的啮齿动物模型中更好地理解乳腺癌发展的生物学,确定与人类易感性最相关的多态性,并确定可以针对那些处于最高乳腺癌发病风险的女性进行改善预防的补偿途径。