Barrow Timothy M, Barault Ludovic, Ellsworth Rachel E, Harris Holly R, Binder Alexandra M, Valente Allyson L, Shriver Craig D, Michels Karin B
Obstetrics and Gynecology Epidemiology Center, Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Institute for Prevention and Cancer Epidemiology, University Medical Center Freiburg, Freiburg, Germany.
Int J Cancer. 2015 Aug 1;137(3):537-47. doi: 10.1002/ijc.29419. Epub 2015 Jan 21.
Epigenetic regulation of imprinted genes enables monoallelic expression according to parental origin, and its disruption is implicated in many cancers and developmental disorders. The expression of hormone receptors is significant in breast cancer because they are indicators of cancer cell growth rate and determine response to endocrine therapies. We investigated the frequency of aberrant events and variation in DNA methylation at nine imprinted sites in invasive breast cancer and examined the association with estrogen and progesterone receptor status. Breast tissue and blood from patients with invasive breast cancer (n = 38) and benign breast disease (n = 30) were compared with those from healthy individuals (n = 36), matched with the cancer patients by age at diagnosis, ethnicity, body mass index, menopausal status and familial history of cancer. DNA methylation and allele-specific expression were analyzed by pyrosequencing. Tumor-specific methylation changes at IGF2 DMR2 were observed in 59% of cancer patients, IGF2 DMR0 in 38%, DIRAS3 DMR in 36%, GRB10 ICR in 23%, PEG3 DMR in 21%, MEST ICR in 19%, H19 ICR in 18%, KvDMR in 8% and SNRPN/SNURF ICR in 4%. Variation in methylation was significantly greater in breast tissue from cancer patients compared with that in healthy individuals and benign breast disease. Aberrant methylation of three or more sites was significantly associated with negative estrogen-alpha (Fisher's exact test, p = 0.02) and progesterone-A (p = 0.02) receptor status. Aberrant events and increased variation in imprinted gene DNA methylation, therefore, seem to be frequent in invasive breast cancer and are associated with negative estrogen and progesterone receptor status, without loss of monoallelic expression.
印记基因的表观遗传调控可实现根据亲本来源进行单等位基因表达,其破坏与许多癌症和发育障碍有关。激素受体的表达在乳腺癌中具有重要意义,因为它们是癌细胞生长速率的指标,并决定对内分泌治疗的反应。我们研究了浸润性乳腺癌中9个印记位点的异常事件频率和DNA甲基化变化,并检查了与雌激素和孕激素受体状态的关联。将浸润性乳腺癌患者(n = 38)和良性乳腺疾病患者(n = 30)的乳腺组织和血液与健康个体(n = 36)的进行比较,健康个体在诊断时的年龄、种族、体重指数、绝经状态和癌症家族史与癌症患者相匹配。通过焦磷酸测序分析DNA甲基化和等位基因特异性表达。在59%的癌症患者中观察到IGF2 DMR2的肿瘤特异性甲基化变化,IGF2 DMR0为38%,DIRAS3 DMR为36%,GRB10 ICR为23%,PEG3 DMR为21%,MEST ICR为19%,H19 ICR为18%,KvDMR为8%,SNRPN/SNURF ICR为4%。与健康个体和良性乳腺疾病相比,癌症患者乳腺组织中的甲基化变化显著更大。三个或更多位点的异常甲基化与雌激素-α(Fisher精确检验,p = 0.02)和孕激素-A(p = 0.02)受体阴性状态显著相关。因此,印记基因DNA甲基化的异常事件和变化增加在浸润性乳腺癌中似乎很常见,并且与雌激素和孕激素受体阴性状态相关,而不会丧失单等位基因表达。