title: Reduced Fhit expression in sporadic and BRCA2-linked breast carcinomas.
abstract: Evidence for alteration of the FHIT gene in a significant fraction of breast carcinomas has been reported, in apparent concordance with loss of heterozygosity (LOH) at chromosome region 3p14.2 in breast cancer and benign proliferative breast disease. A significantly higher frequency of LOH at the FHIT locus was reported for BRCA2-/- tumors, possibly due to misrepaired double-strand breaks at this common fragile region. To determine whether such genomic alterations lead to Fhit inactivation, we have assessed the level of Fhit expression by immunohistochemical detection in sporadic tumors and cancers occurring in BRCA2 999del5 carriers. To determine whether Fhit inactivation may have prognostic significance, we have also assessed expression of breast cancer markers and clinical features in sporadic tumors relative to Fhit expression. Of 40 consecutive sporadic breast carcinomas studied for tumor markers, 50% showed reduced Fhit expression. In these sporadic cancers, loss of Fhit expression was not correlated significantly with the presence or absence of other tumor markers. In a study of 58 sporadic and 34 BRCA2 999del5 Icelandic invasive cancers, there was a significant association of LOH at 3p14.2 with reduced expression of Fhit (P = 0.001); also the lower expression of Fhit and higher LOH at 3p14.2 in BRCA2 999del5 tumors relative to sporadic cancers was significant (P = 0.002). Thus, genetic alteration at the fragile site within the FHIT gene leads to loss of Fhit protein in a significant fraction of sporadic breast cancers and a much larger fraction of familial breast cancers with an inherited BRCA2 mutation, consistent with the idea that loss of BRCA2 function affects stability of the FHIT/FRA3B locus.
authors.affiliation: Department of Pathology, University Hospital of Iceland, Reykjavik.
authors.forename: S
authors.initials: S
authors.lastname: Ingvarsson
authors.forename: B A
authors.initials: BA
authors.lastname: Agnarsson
authors.forename: B I
authors.initials: BI
authors.lastname: Sigbjornsdottir
authors.forename: J
authors.initials: J
authors.lastname: Kononen
authors.forename: O P
authors.initials: OP
authors.lastname: Kallioniemi
authors.forename: R B
authors.initials: RB
authors.lastname: Barkardottir
authors.forename: A J
authors.initials: AJ
authors.lastname: Kovatich
authors.forename: R
authors.initials: R
authors.lastname: Schwarting
authors.forename: W W
authors.initials: WW
authors.lastname: Hauck
authors.forename: K
authors.initials: K
authors.lastname: Huebner
authors.forename: P A
authors.initials: PA
authors.lastname: McCue
mesh_terms: D017766:Acid Anhydride Hydrolases; D000328:Adult; D000368:Aged; D024682:BRCA2 Protein; D001943:Breast Neoplasms / Q000235:genetics / Q000378:metabolism*; D002893:Chromosomes, Human, Pair 3 / Q000235:genetics*; D005260:Female; D006801:Humans; D019656:Loss of Heterozygosity; D018895:Microsatellite Repeats; D008875:Middle Aged; D009154:Mutation; D009363:Neoplasm Proteins / Q000235:genetics* / Q000378:metabolism*; D011506:Proteins / Q000235:genetics / Q000378:metabolism*; D014157:Transcription Factors / Q000235:genetics*; D000099170:Bis(5'-adenosyl)triphosphatase
chemical_list: D017766:Acid Anhydride Hydrolases; D024682:BRCA2 Protein; D009363:Neoplasm Proteins; D011506:Proteins; D014157:Transcription Factors; D000099170:Bis(5'-adenosyl)triphosphatase