Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States of America.
PLoS One. 2013 Aug 14;8(8):e72143. doi: 10.1371/journal.pone.0072143. eCollection 2013.
Although two major breast cancer susceptibility genes, BRCA1 and BRCA2, have been identified accounting for 20% of breast cancer genetic risk, identification of other susceptibility genes accounting for 80% risk remains a challenge due to the complex, multi-factorial nature of breast cancer. Complexity derives from multiple genetic determinants, permutations of gene-environment interactions, along with presumptive low-penetrance of breast cancer predisposing genes, and genetic heterogeneity of human populations. As with other complex diseases, dissection of genetic determinants in animal models provides key insight since genetic heterogeneity and environmental factors can be experimentally controlled, thus facilitating the detection of quantitative trait loci (QTL). We therefore, performed the first genome-wide scan for loci contributing to radiation-induced mammary tumorigenesis in female F2-(Dahl S x R)-intercross rats. Tumorigenesis was measured as tumor burden index (TBI) after induction of rat mammary tumors at forty days of age via ¹²⁷Cs-radiation. We observed a spectrum of tumor latency, size-progression, and pathology from poorly differentiated ductal adenocarcinoma to fibroadenoma, indicating major effects of gene-environment interactions. We identified two mammary tumorigenesis susceptibility quantitative trait loci (Mts-QTLs) with significant linkage: Mts-1 on chromosome-9 (LOD-2.98) and Mts-2 on chromosome-1 (LOD-2.61), as well as two Mts-QTLs with suggestive linkage: Mts-3 on chromosome-5 (LOD-1.93) and Mts-4 on chromosome-18 (LOD-1.54). Interestingly, Chr9-Mts-1, Chr5-Mts-3 and Chr18-Mts-4 QTLs are unique to irradiation-induced mammary tumorigenesis, while Chr1-Mts-2 QTL overlaps with a mammary cancer susceptibility QTL (Mcs 3) reported for 7,12-dimethylbenz-[α]antracene (DMBA)-induced mammary tumorigenesis in F2[COP x Wistar-Furth]-intercross rats. Altogether, our results suggest at least three distinct susceptibility QTLs for irradiation-induced mammary tumorigenesis not detected in genetic studies of chemically-induced and hormone-induced mammary tumorigenesis. While more study is needed to identify the specific Mts-gene variants, elucidation of specific variant(s) could establish causal gene pathways involved in mammary tumorigenesis in humans, and hence novel pathways for therapy.
尽管已经确定了两个主要的乳腺癌易感基因 BRCA1 和 BRCA2,它们占乳腺癌遗传风险的 20%,但由于乳腺癌的复杂、多因素性质,识别占 80%风险的其他易感基因仍然是一个挑战。复杂性源于多个遗传决定因素、基因-环境相互作用的排列,以及假定的乳腺癌易感性基因的低外显率,以及人类群体的遗传异质性。与其他复杂疾病一样,在动物模型中剖析遗传决定因素提供了关键的见解,因为遗传异质性和环境因素可以通过实验控制,从而有助于检测数量性状位点 (QTL)。因此,我们在雌性 F2-(Dahl S x R)-杂交大鼠中进行了首次全基因组扫描,以寻找导致辐射诱导的乳腺肿瘤发生的基因座。肿瘤发生通过在 40 天大的大鼠乳腺肿瘤通过 ¹²⁷Cs 辐射诱导来测量为肿瘤负担指数 (TBI)。我们观察到从低分化导管腺癌到纤维腺瘤的肿瘤潜伏期、大小进展和病理学的谱,表明基因-环境相互作用的主要影响。我们鉴定了两个具有显著连锁的乳腺肿瘤易感性数量性状基因座 (Mts-QTLs):9 号染色体上的 Mts-1(LOD-2.98)和 1 号染色体上的 Mts-2(LOD-2.61),以及两个具有提示性连锁的 Mts-QTLs:5 号染色体上的 Mts-3(LOD-1.93)和 18 号染色体上的 Mts-4(LOD-1.54)。有趣的是,Chr9-Mts-1、Chr5-Mts-3 和 Chr18-Mts-4 QTL 仅存在于辐射诱导的乳腺肿瘤发生中,而 Chr1-Mts-2 QTL 与 7,12-二甲基苯并-[α]蒽 (DMBA) 诱导的 F2[COP x Wistar-Furth]-杂交大鼠乳腺肿瘤发生中的乳腺肿瘤易感性 QTL (Mcs 3) 重叠。总之,我们的结果表明,至少有三个不同的易感性 QTL 可用于辐射诱导的乳腺肿瘤发生,而在化学诱导和激素诱导的乳腺肿瘤发生的遗传研究中未检测到这些 QTL。虽然还需要进一步研究来确定特定的 Mts 基因变体,但阐明特定变体可以确定涉及人类乳腺肿瘤发生的因果基因途径,并为治疗提供新途径。