Expression patterns of the ATM gene in mammary tissues and their associations with breast cancer survival

Chuanzhong Ye1, Qiuyin Cai, Qi Dai

  • 1Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt Ingram-Cancer Center, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-2587, USA.

Cancer
|March 17, 2007
PubMed
Abstract

Insights

High ataxia-telangiectasia mutated (ATM) gene expression in breast cancer tissue indicates a favorable prognosis. ATM gene expression was significantly down-regulated in tumor tissues compared to normal tissues.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • The ataxia-telangiectasia mutated (ATM) gene is crucial for DNA repair, cell-cycle arrest, and apoptosis.
  • Previous research has not directly linked ATM gene expression to breast cancer patient survival outcomes.

Purpose of the Study:

  • To investigate the association between ATM gene expression levels and survival in breast cancer patients.
  • To compare ATM gene expression in breast cancer tissues versus benign breast disease (BBD) tissues.

Main Methods:

  • Quantitative real-time reverse transcription polymerase chain reaction (RT-PCR) was used to measure ATM gene expression in tumor and adjacent normal tissues from 471 breast cancer patients and BBD controls.
  • Cox regression models analyzed the correlation between ATM expression and patient survival (disease-free and overall).

Main Results:

  • ATM gene expression was reduced by approximately 50% in breast cancer tissues compared to adjacent normal tissues.
  • ATM expression levels were similar in benign tumor and adjacent normal tissues in BBD cases.
  • Higher ATM mRNA levels in breast cancer tissues correlated with improved disease-free survival (HR=0.46-0.52) and overall survival (HR=0.56-0.70).

Conclusions:

  • ATM gene expression is down-regulated in breast cancer tissues.
  • Elevated ATM gene expression in breast cancer tissue is associated with a favorable prognosis and improved survival outcomes.