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Updated: Jan 19, 2026

Identifying the Effects of BRCA1 Mutations on Homologous Recombination using Cells that Express Endogenous Wild-type BRCA1
Published on: February 17, 2011
The BRCA2 mutation status shapes the immune phenotype of prostate cancer
Maximilian Jenzer1,2, Peter Keß1, Cathleen Nientiedt1,2
1Section of Molecular Urooncology, Department of Urology, University of Heidelberg School of Medicine, Im Neuenheimer Feld 517, 69120, Heidelberg, Germany.
Abstract:
Defects in DNA damage repair caused by mutations in BRCA1/2, ATM or other genes have been shown to play an important role in the development and progression of prostate cancer. The influence of such mutations on anti-tumor immunity in prostate cancer, however, is largely unknown. To better understand the correlation between BRCA1/2 mutations and the immune phenotype in prostate cancer, we characterized the immune infiltrate of eight BRCA2-mutated tumors in comparison with eight BRCA1/2 wild-type patients by T-cell receptor sequencing and immunohistochemistry for CD45, CD4, CD8, FOXP3, and CD163. In addition, we analyzed seven prostate cancer biopsies that were either BRCA2 or ATM-mutated in comparison with wild-type tumors. Whereas in BRCA1/2 wild-type tumors, immune cells were found predominantly extratumorally, most BRCA2-mutated tumors including one biopsy showed a significantly increased intratumoral immune cell infiltration. The ratio of intratumoral to extratumoral immune cells was considerably higher in BRCA2-mutated tumors for all markers and reached statistical significance for CD4 (p = 0.007), CD8 (p = 0.006), and FOXP3 (p = 0.001). However, the intratumoral CD8 to FOXP3 ratio showed a trend to be lower in BRCA2-mutated tumors suggesting a more suppressed tumor immune microenvironment. Our findings provide a rationale for the future use of immune oncological approaches in BRCA2-mutated prostate cancer and may encourage efforts to target immunosuppressive T-cell populations to prime tumors for immunotherapy.
Insights
Prostate cancer with BRCA2 mutations shows increased immune cell infiltration within tumors, unlike wild-type cancers. This suggests potential for immune therapies targeting BRCA2-mutated prostate tumors.
Area of Science:
- Oncology
- Immunology
- Genetics
Background:
- DNA damage repair gene mutations (BRCA1/2, ATM) are implicated in prostate cancer development.
- The impact of these mutations on anti-tumor immunity in prostate cancer remains largely unexplored.
Purpose of the Study:
- To investigate the relationship between BRCA1/2 mutations and the immune microenvironment in prostate cancer.
- To compare immune cell infiltration patterns in BRCA2-mutated versus wild-type prostate tumors.
Main Methods:
- Characterization of immune infiltrates using T-cell receptor sequencing and immunohistochemistry (CD45, CD4, CD8, FOXP3, CD163).
- Analysis of eight BRCA2-mutated tumors against eight BRCA1/2 wild-type tumors.
- Comparison of seven BRCA2 or ATM-mutated prostate cancer biopsies with wild-type tumors.
Main Results:
- BRCA2-mutated tumors exhibited significantly higher intratumoral immune cell infiltration compared to extratumoral infiltration seen in wild-type tumors.
- The ratio of intratumoral to extratumoral immune cells was significantly higher for CD4, CD8, and FOXP3 markers in BRCA2-mutated tumors.
- A trend towards a lower intratumoral CD8 to FOXP3 ratio in BRCA2-mutated tumors suggests a more suppressed immune microenvironment.
Conclusions:
- BRCA2 mutations alter the immune cell distribution within prostate tumors, increasing intratumoral infiltration.
- Findings support the potential application of immunooncology approaches for BRCA2-mutated prostate cancer.
- Targeting immunosuppressive T-cell populations may enhance treatment efficacy in these patients.
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