Article

Contribution of epigenetic alteration of BRCA1 and BRCA2 genes in breast carcinomas in Tunisian patients.

Department of Pathology, Farhat Hached Hospital, Sousse, Tunisia.
Cancer epidemiology 10/2011; 36(2):190-7. DOI:10.1016/j.canep.2011.09.001 pp.190-7
Source: PubMed

ABSTRACT The aim of this study was to evaluate the contribution of the BRCA1 and BRCA2 promoter methylation in the pathogenesis of sporadic breast cancer in Tunisian patients.
Breast carcinoma tissues (n=117) and available paired normal breast tissues (n=65) from Tunisian women who had no family history were investigated for the methylation status of BRCA1 and BRCA2 promoters using methylation-specific PCR. Breast specimens from women without carcinoma (16 fibroadenomas and 5 mastopathies) were used as control.
Hypermethylation of BRCA1 and BRCA2 promoters was detected respectively in 60.7% and 69.2% of the carcinoma tissues, and in only 7.7% and 4.6% of the paired normal breast tissues. None of the fibroadenomas and mastopathies showed hypermethylation. Correlations were found between BRCA1 and BRCA2 hypermethylation and decrease in their mRNA expression (p=0.02 and p=0.009, respectively). Moreover, BRCA1 methylation correlates with patients age (p=0.01) and triple negative (ER-, PR-, HER2-) tumors (p=0.01). Patients with methylated BRCA1 and/or BRCA2 had a significant prolonged survivals compared to those with unmethylated tumors (p=0.002).
Our results suggest an important role of BRCA1 and BRCA2 promoter methylation in breast cancer development in the Tunisian population.

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Keywords

16 fibroadenomas
 
available paired normal breast tissues
 
BRCA1 methylation correlates
 
BRCA2 hypermethylation
 
BRCA2 promoter methylation
 
BRCA2 promoters
 
breast cancer development
 
Breast carcinoma tissues
 
Breast specimens
 
carcinoma tissues
 
fibroadenomas
 
methylated BRCA1
 
methylation-specific PCR
 
mRNA expression
 
paired normal breast tissues
 
sporadic breast cancer
 
triple negative
 
Tunisian population
 
Tunisian women
 
unmethylated tumors