High frequency of allelic loss at the BRCA1 locus in ovarian cancers: clinicopathologic and molecular associations

BRCA1 dysfunction may occur by different mechanisms that are rarely evaluated concomitantly. We aimed to analyze BRCA1 germline mutations, loss of heterozygosity (LOH) and promoter methylation in unselected ovarian carcinomas in the context of their clinicopathologic characteristics and other molecu...

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Veröffentlicht in:Cancer genetics 2012-03, Vol.205 (3), p.94-100
Hauptverfasser: Rzepecka, Iwona K, Szafron, Lukasz, Stys, Agnieszka, Bujko, Mateusz, Plisiecka-Halasa, Joanna, Madry, Radoslaw, Osuch, Beata, Markowska, Janina, Bidzinski, Mariusz, Kupryjanczyk, Jolanta
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container_title Cancer genetics
container_volume 205
creator Rzepecka, Iwona K
Szafron, Lukasz
Stys, Agnieszka
Bujko, Mateusz
Plisiecka-Halasa, Joanna
Madry, Radoslaw
Osuch, Beata
Markowska, Janina
Bidzinski, Mariusz
Kupryjanczyk, Jolanta
description BRCA1 dysfunction may occur by different mechanisms that are rarely evaluated concomitantly. We aimed to analyze BRCA1 germline mutations, loss of heterozygosity (LOH) and promoter methylation in unselected ovarian carcinomas in the context of their clinicopathologic characteristics and other molecular changes. BRCA1 mutations were analyzed in 257 carcinomas using single-strand conformation polymorphism (SSCP), heteroduplex, and sequencing methods. LOH at the BRCA1 locus was screened for in 180 cancers. Methylation analysis was performed for 241 tumors using quantitative methylation specific PCR (qMSP). BRCA1 alterations, comprising germline mutations, allelic loss, and/or aberrant promoter methylation, were found in 77.6% (125/161) of ovarian carcinomas. Patients with germline mutations were younger than non-carriers ( P < 0.0001). Germline mutations and LOH were associated with advanced stages ( P = 0.009, P < 0.0001), high tumor grade ( P = 0.005, P  
doi_str_mv 10.1016/j.cancergen.2011.12.005
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We aimed to analyze BRCA1 germline mutations, loss of heterozygosity (LOH) and promoter methylation in unselected ovarian carcinomas in the context of their clinicopathologic characteristics and other molecular changes. BRCA1 mutations were analyzed in 257 carcinomas using single-strand conformation polymorphism (SSCP), heteroduplex, and sequencing methods. LOH at the BRCA1 locus was screened for in 180 cancers. Methylation analysis was performed for 241 tumors using quantitative methylation specific PCR (qMSP). BRCA1 alterations, comprising germline mutations, allelic loss, and/or aberrant promoter methylation, were found in 77.6% (125/161) of ovarian carcinomas. Patients with germline mutations were younger than non-carriers ( P &lt; 0.0001). Germline mutations and LOH were associated with advanced stages ( P = 0.009, P &lt; 0.0001), high tumor grade ( P = 0.005, P  &lt; 0.0001), and TP53 mutations ( P = 0.003, P &lt; 0.0001, for mutations and LOH, respectively). LOH was also associated with the serous histological type ( P = 0.004) and PIK3CA amplification ( P = 0.003). Aberrant promoter methylation was associated with LOH ( P = 0.017) and absence of germline mutations ( P = 0.037). The high frequency of LOH at the BRCA1 locus suggests that LOH may be an important mechanism of BRCA1 deficiency in ovarian carcinomas. 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LOH was also associated with the serous histological type ( P = 0.004) and PIK3CA amplification ( P = 0.003). Aberrant promoter methylation was associated with LOH ( P = 0.017) and absence of germline mutations ( P = 0.037). The high frequency of LOH at the BRCA1 locus suggests that LOH may be an important mechanism of BRCA1 deficiency in ovarian carcinomas. 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We aimed to analyze BRCA1 germline mutations, loss of heterozygosity (LOH) and promoter methylation in unselected ovarian carcinomas in the context of their clinicopathologic characteristics and other molecular changes. BRCA1 mutations were analyzed in 257 carcinomas using single-strand conformation polymorphism (SSCP), heteroduplex, and sequencing methods. LOH at the BRCA1 locus was screened for in 180 cancers. Methylation analysis was performed for 241 tumors using quantitative methylation specific PCR (qMSP). BRCA1 alterations, comprising germline mutations, allelic loss, and/or aberrant promoter methylation, were found in 77.6% (125/161) of ovarian carcinomas. Patients with germline mutations were younger than non-carriers ( P &lt; 0.0001). Germline mutations and LOH were associated with advanced stages ( P = 0.009, P &lt; 0.0001), high tumor grade ( P = 0.005, P  &lt; 0.0001), and TP53 mutations ( P = 0.003, P &lt; 0.0001, for mutations and LOH, respectively). LOH was also associated with the serous histological type ( P = 0.004) and PIK3CA amplification ( P = 0.003). Aberrant promoter methylation was associated with LOH ( P = 0.017) and absence of germline mutations ( P = 0.037). The high frequency of LOH at the BRCA1 locus suggests that LOH may be an important mechanism of BRCA1 deficiency in ovarian carcinomas. Tumors with various BRCA1 alterations have a similar phenotype of high-grade, high-stage carcinomas with frequent TP53 mutations.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22469508</pmid><doi>10.1016/j.cancergen.2011.12.005</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Base Sequence
BRCA1 germline mutations
Class I Phosphatidylinositol 3-Kinases
DNA Methylation
Female
Gene Amplification
Genes, BRCA1
Germ-Line Mutation
Hematology, Oncology and Palliative Medicine
Humans
Loss of Heterozygosity
Medical Education
methylation
Middle Aged
Ovarian Neoplasms - genetics
Phosphatidylinositol 3-Kinases - genetics
PIK3CA
Polymorphism, Single Nucleotide
Promoter Regions, Genetic
Sequence Analysis, DNA
TP53
Young Adult
title High frequency of allelic loss at the BRCA1 locus in ovarian cancers: clinicopathologic and molecular associations
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