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Query: UMLS:C0006142 (
breast cancer
)
160,383
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Hereditary
breast cancer
is common and accounts for approximately 10-14% of all breast cancers. Knowledge of a family history of
breast cancer
may significantly influence diagnosis and therapy. Genetic heterogeneity has been demonstrated in familial
breast cancer
. Recently inherited mutations in the tumor suppressor gene
p53
, have been shown to be the underlying defect in the Li-Fraumeni syndrome. We have shown that defects in this gene also play a role in the predisposition to other familial breast cancers. The gene responsible for early onset familial breast and ovary cancer has recently been mapped to chromosome 17q21. For most of the sporadic breast cancers a multifactorial model, including variable genetic and environmental factors, has been considered. Two genetic risk factors which may predispose for a considerable portion of breast cancers are the gene causing ataxia telangiectasia (AT) and the gene that gives rise to proliferative breast disease (PBD). Identification of distinct genes enhancing the risk of
breast cancer
will give us the opportunity to identify high risk individuals. Such individuals may benefit from periodic examination affording the possibility of early diagnosis and treatment.
...
PMID:Role of genetic factors in breast cancer susceptibility. 162 29
Germ-line mutations in the
p53 tumor suppressor
gene have been observed in patients with Li-Fraumeni syndrome, brain tumors, second malignancies, and breast cancers. It is unclear whether all of these mutations have inactivated
p53
and thereby provide an increased risk for cancer. Therefore, it is necessary to establish the biological significance of these germ-line mutations by the functional and structural analysis of the resulting mutant p53 proteins. We analyzed the ability of seven germ-line mutant proteins observed in patients with Li-Fraumeni syndrome, second primary neoplasms, or familial
breast cancer
to block the growth of malignant cells and compared the structural properties of the mutant proteins to that of the wild-type protein. Six of seven missense mutations disrupted the growth inhibitory properties and structure of the wild-type protein. One germ-line mutation retained the features of the wild-type
p53
. Genetic analysis of the
breast cancer
family in which this mutation was observed indicated that this germ-line mutation was not associated with the development of cancer. These results demonstrate that germ-line
p53
mutations observed in patients with Li-Fraumeni syndrome and with second malignancies have inactivated the
p53 tumor suppressor
gene. The inability of the germ-line
p53
mutants to block the growth of malignant cells can explain why patients with these germ-line mutations have an increased risk for cancer. The observation of a functionally silent germ-line mutation indicates that, before associating a germ-line tumor suppressor gene mutation with cancer risk, it is prudent to consider its functional significance.
...
PMID:Germ-line mutations of the p53 tumor suppressor gene in patients with high risk for cancer inactivate the p53 protein. 163 Nov 37
Loss of heterozygosity (LOH) on the short arm of chromosome 17 (17p) was found in 27 of 52 (52%) previously untreated primary breast cancers. There was a significant correlation between this 17p allelic loss and two parameters associated with aggressive tumor behavior: high cellular proliferative fraction and DNA aneuploidy. These correlations with high cellular proliferative fraction and DNA aneuploidy were not found in tumors with LOH at nine other chromosome locations. The
p53
gene, a putative tumor suppressor gene located at 17p13, was examined for aberrations to determine whether it is the target for the 17p LOH in
breast cancer
. Unlike other types of human cancer, there were no homozygous deletions or rearrangements of the
p53
gene, and only 2 of 13 (15%) were mutated in the conserved region where mutational "hot spots" have been previously located. Therefore, we hypothesize that, in
breast cancer
, either loss or inactivation of gene(s) on chromosome 17p other than the
p53
gene or a different mechanism of
p53
gene inactivation may be responsible for the observed high labeling index and DNA aneuploidy associated with LOH at 17p.
...
PMID:Loss of heterozygosity on the short arm of chromosome 17 is associated with high proliferative capacity and DNA aneuploidy in primary human breast cancer. 167 92
The MDA-468 human
breast cancer
cell line displays the unusual phenomenon of growth inhibition in response to pharmacological concentrations of EGF. This study was initiated with the objective of elucidating the cellular mechanisms involved in EGF-induced growth inhibition. Following EGF treatment the percentage of MDA-468 cells in G1 phase increased, together with a concomitant depletion in S and G2/M phase populations, as revealed by flow cytometry of DNA content. The apparent G1 block in the cell cycle was confirmed by treating the cells with vinblastine. DNA synthesis was reduced to about 35% of that measured in control, untreated cells after 48 h of EGF treatment, as measured by the incorporation of [3H]thymidine. DNA synthesis returned to normal following the removal of EGF from the growth-arrested cells. In order to locate the EGF-induced event responsible for the G1 arrest more precisely, we examined the expression of certain cell cycle-dependent genes by Northern blot analysis. EGF treatment did not alter either the induction of the early G1 marker, c-myc, or the expression of the late G1 markers, proliferating cell nuclear antigen, and thymidine kinase. However, EGF-treated cells revealed down regulation of
p53
and histone 3.2 expression, which are expressed at the G1/S boundary and in S phase, respectively. These results indicate that EGF-induced growth inhibition in MDA-468 human
breast cancer
cells is characterized by a reversible cell cycle block at the G1/S boundary.
...
PMID:EGF-dependent growth inhibition in MDA-468 human breast cancer cells is characterized by late G1 arrest and altered gene expression. 167 99
p53 protein
has been frequently detected at high levels in the nuclei of human
breast cancer
cells. We analyzed immunohistochemically the association between nuclear localization of
p53 protein
and clinical and histological parameters of
breast cancer
patients. Surgically resected tissues of 73 primary breast cancers were processed by acetone fixation and paraffin embedding and examined using an anti-
p53
monoclonal antibody, PAb1801.
p53
immunoreactivity was detected in the nuclei of cancer cells in 17 cases (23%). The nuclear
p53
immunoreaction was closely associated with overexpression of c-erbB-2 protein (P less than 0.05), high histologic grade (P less than 0.01), advanced clinical stage (P less than 0.05), and negative estrogen receptor status (P less than 0.01). When 31 cases which had been followed up for more than 50 months were examined, a positive nuclear
p53
immunoreaction was found to be significantly associated with shorter overall survival of patients (P less than 0.01). These results suggest that immunohistochemical examination of nuclear
p53 protein
is clinically useful as an indicator of
breast cancer
aggressiveness.
...
PMID:Nuclear p53 immunoreaction associated with poor prognosis of breast cancer. 167 56
p53
expression was studied in 111 primary breast cancers with a monoclonal antibody (PAb240) that reacts with an epitope in mutant p53. Epidermal growth factor receptors (EGFr) and oestrogen receptors (ER) measured by ligand binding, c-erbB-2 expression assessed by immunochemistry and lymph node status were compared with
p53
staining. Fifty-nine tumours (53%) were positive for
p53
, and this correlated with EGFr expression (P less than 0.02), which is a known poor prognostic factor. Eighteen out of 59 p53+ tumours expressed c-erbB-2 versus 4 out of 52
p53
- tumours assessed on paraffin sections. However, assessing c-erbB-2 by Southern blotting and immunochemistry on frozen sections showed that 20 out of 59 p53+ tumours overexpressed or had amplified c-erbB-2 compared with 15 out of 52
p53
- tumours (not significant). Mean EGFr concentration in p53+ tumours was 31 fmol per mg of membrane protein versus 14 fmol mg-1 in
p53
- tumours. Cytoplasmic staining was the most frequent pattern found for
p53
, but some cases showed cytoplasmic plus nuclear staining, or focal cells with predominantly nuclear staining. Thus, abnormal
p53
is the commonest oncogene abnormality described in
breast cancer
. The association with EGFr expression suggests that these oncogenes interact in the pathogenesis of
breast cancer
.
...
PMID:Mutant p53, EGF receptor and c-erbB-2 expression in human breast cancer. 168 17
The expression of the tumour suppressor gene
p53
was analysed in 11 human
breast cancer
cell lines by immunohistochemistry, immunoprecipitation and cDNA sequencing. We used a panel of anti-
p53
monoclonal antibodies for cell staining and found abnormalities in every case. Eight of the cell lines produce a form of
p53
which can be immunoprecipitated by the monoclonal antibody PAb240 but not by PAb1620. In the murine system PAb240 only immunoprecipitates mutant p53. We sequenced
p53
cDNA directly from four of the PAb240 positive cell lines using asymmetric PCR templates. All four contained missense mutations in
p53
RNA, with no detectable expression of the wild type sequence. Different residues were affected in each cell line, but all the mutations changed amino acids conserved from man to Xenopus. These results imply that as in the murine system, the PAb240 antibody reliably detects a wide variety of
p53
mutations and that these mutations have a common effect on the structure of
p53
. Immunohistochemical data suggest that
p53
mutation is the commonest genetic alteration so far detected in primary
breast cancer
.
...
PMID:Genetic and immunochemical analysis of mutant p53 in human breast cancer cell lines. 169 91
Overexpression of the nuclear phosphoprotein
p53
is one of the most frequently detected abnormalities in human cancer and appears to be associated with mutation of the
p53
gene. In this study of
breast cancer
,
p53
overexpression was detected in two (15%) of 15 pure intraductal tumors, 73 (25%) of 291 primary invasive carcinomas, 13 (50%) of 26 lymph nodes containing metastatic breast cancer, and two of four established
breast cancer
cell lines. Sequence analysis of selected specimens confirmed that
p53
overexpression was associated with mutation of the gene, while no mutations were detected in specimens without
p53
overexpression. Thus, overexpression of
p53
occurs in all stages of
breast cancer
and is consistently associated with the production of mutant proteins. Immunohistochemical analysis is a simple method which reliably predicts the presence of most
p53
gene mutations in
breast cancer
specimens.
...
PMID:p53 alterations in all stages of breast cancer. 174 51
Four chromosomal regions were tested for loss of constitutional heterozygosity in primary tumours from 85 Icelandic
breast cancer
patients. Loss of heterozygosity and other types of gene rearrangements were observed in 37% of informative cases at the retinoblastoma locus, RB1, on chromosome 13q. Allele losses on chromosome 17 were tested with two polymorphic probes on 17p and two on 17q. Loss of heterozygosity or other types of genetic rearrangement were detected in 43.5% of cases on 17p near the
p53
gene and 40.5% on 17q. In our study abnormalities at the RB1 locus and on chromosome 17 frequently occurred together, indicating that the coincident inactivation of more than one tumour suppressor gene may, in some cases, play a part in tumour formation. No significant correlation was found between these losses and clinico-histological parameters. Family history of
breast cancer
was found to be more common among patients with RB1 deletions and this trend was strengthened in cases where there were deletions at both the RB1 locus and on chromosome 17.
...
PMID:Loss of heterozygosity at selective sites on chromosomes 13 and 17 in human breast carcinoma. 174 6
Previous emphasis in cancer research has been placed on genes in which activating mutations are found in experimental systems and sometimes in human tumors, and many of these genes are the cellular homologs of retroviral oncogenes. Studies of genes whose functions are necessary for maintenance of the normal cellular state, but for which loss-of-function mutations lead to tumor development, are limited. The latter genes have been variously termed 'tumor suppressor genes', 'recessive oncogenes', and 'anti-oncogenes', and each term defines a specific aspect of their properties and may not always be applicable. The retinoblastoma (RB) gene is the first such gene to be identified, and was isolated based on its chromosome localization and on the recessive nature of the tumor phenotype. That is, both wild type RB alleles must be inactivated in a single cell for neoplastic transformation to occur, and deletions at the chromosomal locus now known to contain RB are often found in retinoblastoma cells. Candidate genes for Wilms' tumor and neurofibromatosis type I have also been identified recently, and loss of function of these genes seems to be indicated for these diseases. Allelic loss of chromosome 17p13 is frequently observed in many tumor types. The
p53
gene was mapped to this chromosomal region and has been shown to be a tumor suppressor gene, and germ-line mutations of
p53
recently were found to be correlated with Li-Fraumeni syndrome, a syndrome characterized by multiple neoplasms. Rapid progress in studies of tumor suppressor genes points to diverse mechanisms for their functioning in the negative regulation of cell growth. A scenario depicting cell growth control by positive and negative regulators, based on new and emerging findings, is the main focus of this review.
Breast Cancer
Res Treat 1991 Sep
PMID:Tumor suppressor genes: a new era for molecular genetic studies of cancer. 175 64
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