DNA polymerase ? deficiency is linked to aggressive breast cancer: a comprehensive analysis of gene copy number, mRNA and protein expression in multiple cohorts.
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ABSTRACT: Short arm of chromosome 8 is a hot spot for chromosomal breaks, losses and amplifications in breast cancer. Although such genetic changes may have phenotypic consequences, the identity of candidate gene(s) remains to be clearly defined. Pol ? gene is localized to chromosome 8p12-p11 and encodes a key DNA base excision repair protein. Pol ? may be a tumour suppressor and involved in breast cancer pathogenesis. We conducted the first and the largest study to comprehensively evaluate pol ? in breast cancer. We investigated pol ? gene copy number changes in two cohorts (n = 128 &n = 1952), pol ? mRNA expression in two cohorts (n = 249 &n = 1952) and pol ? protein expression in two cohorts (n = 1406 &n = 252). Artificial neural network analysis for pol ? interacting genes was performed in 249 tumours. For mechanistic insights, pol ? gene copy number changes, mRNA and protein levels were investigated together in 128 tumours and validated in 1952 tumours. Low pol ? mRNA expression as well as low pol ? protein expression was associated high grade, lymph node positivity, pleomorphism, triple negative, basal-like phenotypes and poor survival (ps < 0.001). In oestrogen receptor (ER) positive sub-group that received tamoxifen, low pol ? protein remains associated with aggressive phenotype and poor survival (ps < 0.001). Artificial neural network analysis revealed ER as a top pol ? interacting gene. Mechanistically, there was strong positive correlation between pol ? gene copy number changes and pol ? mRNA expression (p < 0.0000001) and between pol ? mRNA and pol ? protein expression (p < 0.0000001). This is the first study to provide evidence that pol ? deficiency is linked to aggressive breast cancer and may have prognostic and predictive significance in patients.
SUBMITTER: Abdel-Fatah TM
PROVIDER: S-EPMC5528629 | biostudies-literature | 2014 May
REPOSITORIES: biostudies-literature
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