Background
BRCA1- and
BRCA2-associated tumors appear to have distinct molecular signatures.
BRCA1-associated tumors are predominantly basal-like cancers, whereas
BRCA2-associated tumors have a predominant luminal-like phenotype. These two molecular signatures reflect in part the two cell
types found in the terminal duct lobular unit of the breast. To elucidate novel genes involved in these two spectra of breast
tumorigenesis we performed global gene expression analysis on breast tumors from germline
BRCA1 and
BRCA2 mutation carriers.
Methodology Breast tumor RNAs from 7
BRCA1 and 6
BRCA2 mutation carriers were profiled using UHN human 19K cDNA microarrays. Supervised univariate analyses were conducted to identify
genes differentially expressed between
BRCA1 and
BRCA2-associated tumors. Selected discriminatory genes were validated using real time reverse transcription polymerase chain reaction
in the tumor RNAs, and/or by immunohistochemistry (IHC) or by in situ hybridization (ISH) on tissue microarrays (TMAs) containing
an independent set of 58
BRCA1 and 64
BRCA2-associated tumors.
Results Genes more highly expressed in
BRCA1-associated tumors included stathmin, osteopontin, TGFβ2 and Jagged 1 in addition to genes previously identified as characteristic
of basal-like breast cancers.
BRCA2-associated cancers were characterized by the higher relative expression of
FGF1 and
FGFR2. FGFR2 protein was also more highly expressed in
BRCA2-associated cancers (
P = 0.004).
Significance
BRCA1-associated tumours demonstrated increased expression of component genes of the Notch and TGFβ pathways whereas the higher
expression of FGFR2 and FGF1 in
BRCA2-associated cancers suggests the existence of an autocrine stimulatory loop.
Keywords
BRCA1
-
BRCA2
- Expression profiling - Familial breast cancer
An erratum to this article can be found at
http://dx.doi.org/10.1007/s10549-009-0563-2