Abstract

Breast cancer is a group of clinically, histopathologically and molecularly heterogeneous diseases, with different outcomes and responses to treatment. Triple-negative (TN) breast cancers are defined as tumors that lack the expression of estrogen receptor, progesterone receptor and epidermal growth factor receptor 2. This subgroup accounts for 15% of all types of breast cancer and its prevalence is higher among young African, African-American and Latino women. The hypermethylation of CpG islands (CpGI) is a common epigenetic alteration for suppressing gene expression in breast cancer and has been shown to be a key factor in breast carcinogenesis. In this study we analyzed the hypermethylation of 110 CpGI within 69 cancer-related genes in TN tumors. For the methylation analysis, we used the methyl-specific multiplex-ligation probe amplification assay. We found that the number of methylated CpGI is similar between TN and non-TN tumors, but the methylated genes between the groups are different. The methylation profile of TN tumors is defined by the methylation of five genes (that is, CDKN2B, CD44, MGMT, RB and p73) plus the non-methylation of 11 genes (that is, GSTP1, PMS2, MSH2, MLH1, MSH3, MSH6, DLC1, CACNA1A, CACNA1G, TWIST1 and ID4). We conclude that TN tumors have a specific methylation profile. Our findings give new information for better understanding tumor etiology and encourage future studies on potential drug targets for triple-negative breast tumors, which now lack a specific treatment.

Highlights

  • Breast cancer constitutes a group of diseases characterized by different morphologies, biological behaviors and clinical outcomes.[1]

  • We considered that the minimum relative number of methylated regions in triple negative (TN) tumors epigenetic profile of TN tumors is of key importance for establishing was 8.18 and the maximum was 33.64

  • Cluster A is principally integrated by TN tumors lacking mismatch repair (MMR) methylation, of the epigenetic deregulation differed among TN and non-TN cluster B is a mixed group composed by TN and non-TN tumors tumors, we compared the number of methylated regions per that share the methylation of MSH3, and cluster C is composed by single tumor, relativized to the total non-TN tumors with methylation of several MMR genes (Figure 3)

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Summary

Introduction

Breast cancer constitutes a group of diseases characterized by different morphologies, biological behaviors and clinical outcomes.[1]. Among the variety of breast tumors a subtype called triple negative (TN) is defined by what they are not: that is, by the absence of ER, progesterone receptor (PR) and HER2 in the tumor cells.[1] TN cancer patients account for approximately 15% of total breast cancers and its prevalence is higher among young African, African-American and Latino women.[2] TN tumors are more aggressive and present lower survival rates compared with other breast tumor types. Surgery and chemotherapy, separately or in combination, appear to be the only available treatments.[3] TN tumors are typically high-grade ductal carcinomas with high mitotic index, and pushing borders of invasion, resulting in tumors of bad prognosis.[4]

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