Fear mongering has promoted a unproven theory that has led to unnecessary mutilation of women fearing cancer.
This video spells out in great detail all the fallacies of this horrible lie.
http://bit.ly/brcauntestedlogic
Epigenetic silencing and deletion of
the BRCA1 gene in sporadic breast cancer.
Abstract
INTRODUCTION:
BRCA1 or
BRCA2 germline mutations increase the risk of developing breast cancer. Tumour
cells from germline mutation carriers have frequently lost the wild-type
allele. This is predicted to result in genomic instability where cell survival
depends upon dysfunctional checkpoint mechanisms. Tumorigenic potential could
then be acquired through further genomic alterations. Surprisingly, somatic
BRCA mutations are not found in sporadic breast tumours. BRCA1 methylation has
been shown to occur in sporadic breast tumours and to be associated with
reduced gene expression. We examined the frequency of BRCA1 methylation in 143
primary sporadic breast tumours along with BRCA1 copy number alterations and
tumour phenotype.
METHODS:
Primary
sporadic breast tumours were analysed for BRCA1alpha promoter methylation by
methylation specific PCR and for allelic imbalance (AI) at BRCA1 and BRCA2 loci
by microsatellite analysis and TP53 (also known as p53) mutations by constant
denaturing gel electrophoresis. The BRCA1 methylated tumours were analysed for
BRCA1 copy alterations by fluorescence in situ hybridisation and BRCA1 expression
by immunostaining.
RESULTS:
BRCA1
methylation was found in 13/143 (9.1%) sporadic breast tumours. The BRCA1
methylated tumours were significantly associated with estrogen receptor (ER)
negativity (P = 0.0475) and displayed a trend for BRCA1 AI (P = 0.0731) as well
as young-age at diagnosis (< or = 55; P = 0.0898). BRCA1 methylation was not
associated with BRCA2 AI (P = 0.5420), although a significant association was
found between BRCA1 AI and BRCA2 AI (P < 0.0001).Absent/markedly reduced
BRCA1 expression was observed in 9/13 BRCA1 methylated tumours, most of which
had BRCA1 deletion. An elevated TP53 mutation frequency was found among BRCA1
methylated tumours (38.5%) compared with non-methylated tumours (17.2%). The
BRCA1 methylated tumours were mainly of tumour grade 3 (7/13) and infiltrating
ductal type (12/13). Only one methylated tumour was of grade 1.
CONCLUSION:
BRCA1
methylation is frequent in primary sporadic breast tumours. We found an
indication for BRCA1 methylation to be associated with AI at the BRCA1 locus.
Almost all BRCA1 methylated tumours with absent/markedly reduced BRCA1
expression (8/9) displayed BRCA1 deletion. Thus, epigenetic silencing and
deletion of the BRCA1 gene might serve as Knudson's two 'hits' in sporadic
breast tumorigenesis. We observed phenotypic similarities between BRCA1
methylated and familial BRCA1 tumours, based on BRCA1 deletion, TP53 mutations,
ER status, young age at diagnosis and tumour grade.
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