[Genes involved in breast cancers]
Toshikazu Ushijima1, Masanobu Abe, Takao Maekita
1Carcinogenesis Division, National Cancer Center Research Institute.
Abstract:
Specific abnormalities in cancers are the best molecular targets of therapeutics, which is exemplified by trastuzumab. ERBB2 amplification is present in 15-30% of invasive ductal carcinomas, and its overexpression was associated with poor prognosis. c-MYC amplification is present in 13-19%, but other forms of oncogene activation are rare. Germline mutations of BRCA1 and BRCA2 are responsible for familial breast cancers. Their somatic mutations in sporadic breast cancers are rare, but chromosomal losses are frequent. Inactivation of BRCA1 by its promoter methylation is also frequent. p53 mutations are present in 20-25% of sporadic breast cancers, and inactivation of its pathway is present in most of them. Further molecular analysis will reveal new targets for diagnosis and therapeutics.
Insights
Targeted cancer therapies rely on specific molecular abnormalities. Trastuzumab targets ERBB2 amplification in invasive ductal carcinomas, while BRCA1/2 mutations and p53 alterations are key in breast cancer development and progression.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Context:
- Specific molecular abnormalities in cancers serve as critical therapeutic targets.
- Trastuzumab exemplifies successful targeted therapy, particularly for ERBB2-amplified invasive ductal carcinomas.
- ERBB2 amplification (15-30%) and c-MYC amplification (13-19%) are significant in breast cancer, linked to poor prognosis and oncogene activation.
Purpose:
- To highlight key molecular abnormalities in breast cancer.
- To discuss the role of ERBB2, c-MYC, BRCA1/2, and p53 in breast cancer pathogenesis.
- To underscore the importance of molecular profiling for identifying diagnostic and therapeutic targets.
Summary:
- ERBB2 amplification is found in 15-30% of invasive ductal carcinomas, correlating with poor prognosis.
- Germline BRCA1/2 mutations are linked to familial breast cancers; somatic mutations are rare in sporadic cases, but inactivation via promoter methylation is frequent.
- p53 mutations occur in 20-25% of sporadic breast cancers, with pathway inactivation being more common.
Impact:
- Identifies ERBB2 amplification as a key target for breast cancer therapeutics.
- Reveals the distinct roles of germline vs. somatic mutations and methylation in BRCA1/2 inactivation.
- Emphasizes the prevalence of p53 pathway alterations in sporadic breast cancers.
- Suggests that continued molecular analysis will uncover novel diagnostic and therapeutic strategies for cancer.
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