title: Aberrant methylation of the Wnt antagonist SFRP1 in breast cancer is associated with unfavourable prognosis.
abstract: The canonical Wnt signalling pathway plays a key role during embryogenesis and defects in this pathway have been implicated in the pathogenesis of various types of tumours, including breast cancer. The gene for secreted frizzled-related protein 1 (SFRP1) encodes a soluble Wnt antagonist and is located in a chromosomal region (8p22-p12) that is often deleted in breast cancer. In colon, lung, bladder and ovarian cancer SFRP1 expression is frequently inactivated by promoter methylation. We have previously shown that loss of SFRP1 protein expression is a common event in breast tumours that is associated with poor overall survival in patients with early breast cancer. To investigate the cause of SFRP1 loss in breast cancer, we performed mutation, methylation and expression analysis in human primary breast tumours and breast cell lines. No SFRP1 gene mutations were detected. However, promoter methylation of SFRP1 was frequently observed in both primary breast cancer (61%, n=130) and cell lines analysed by methylation-specific polymerase chain reaction (MSP). We found a tight correlation (P<0.001) between methylation and loss of SFRP1 expression in primary breast cancer tissue. SFRP1 expression was restored after treatment of tumour cell lines with the demethylating agent 5-aza-2'-deoxycytidine. Most interestingly, SFRP1 promoter methylation was an independent factor for adverse patient survival in Kaplan-Meier analysis. Our results indicate that promoter hypermethylation is the predominant mechanism of SFRP1 gene silencing in human breast cancer and that SFRP1 gene inactivation in breast cancer is associated with unfavourable prognosis.
authors.affiliation: Institute of Pathology, University Hospital of the RWTH Aachen, Aachen, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Veeck
authors.forename: D
authors.initials: D
authors.lastname: Niederacher
authors.forename: H
authors.initials: H
authors.lastname: An
authors.forename: E
authors.initials: E
authors.lastname: Klopocki
authors.forename: F
authors.initials: F
authors.lastname: Wiesmann
authors.forename: B
authors.initials: B
authors.lastname: Betz
authors.forename: O
authors.initials: O
authors.lastname: Galm
authors.forename: O
authors.initials: O
authors.lastname: Camara
authors.forename: M
authors.initials: M
authors.lastname: Dürst
authors.forename: G
authors.initials: G
authors.lastname: Kristiansen
authors.forename: C
authors.initials: C
authors.lastname: Huszka
authors.forename: R
authors.initials: R
authors.lastname: Knüchel
authors.forename: E
authors.initials: E
authors.lastname: Dahl
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000235:genetics* / Q000378:metabolism; D045744:Cell Line, Tumor; D019175:DNA Methylation; D044127:Epigenesis, Genetic; D005260:Female; D015972:Gene Expression Regulation, Neoplastic; D020868:Gene Silencing; D006023:Glycoproteins / Q000235:genetics*; D006801:Humans; D047908:Intracellular Signaling Peptides and Proteins; D008875:Middle Aged; D051153:Wnt Proteins / Q000378:metabolism; D000099274:Frizzled-Related Proteins
chemical_list: D006023:Glycoproteins; D047908:Intracellular Signaling Peptides and Proteins; D051153:Wnt Proteins; D000099274:Frizzled-Related Proteins