Anti-Mullerian Hormone (AMH) regulates BRCA1 and BRCA2 gene expression after ovarian cortex transplantation
GYNECOLOGICAL ENDOCRINOLOGY
Authors: Peregrin-Alvarez, Irene; Fletcher, Nicole M.; Saed, Ghassan M.; Roman, Robert A.; Detti, Laura
Abstract
Objective To test whether recombinant anti-Mullerian hormone (rAMH) could exert an inhibitory function on BRCA1/2 expression in human ovarian cortex. Methods Pilot study on ovariectomized nude mice xenotransplanted with human vitrified/warmed ovarian cortex and treated with rAMHviainfusion pump. Twelve nude mice were ovariectomized and Alzet pumps delivering 1.23 mcg rAMH/day to reach a serum concentration of 17.5 ng/mL, or placebo (controls), were inserted intraabdominally. Previously vitrified/warmed 2x2 mm ovarian cortex fragments were transplanted on day 7 and then harvested on day 14 after pump placement. PCR analyses determined mRNA levels for BRCA1 and BRCA2 in the human ovarian cortex. Results In mice treated with rAMH, BRCA1 expression was significantly lower (0.196 fg/mu g RNA, IQR 0.158, 0.236) than in controls (0.544 fg/mu g RNA, IQR 0.458, 0.554;p = .030), while BRCA2 expression remained similar in rAMH mice (5.355 fg/mu g RNA, IQR 4.479, 6.230) and in controls (4.011 fg/mu g RNA, IQR 3.650, 4.182;p = .327). Conclusion Administration of rAMH in the peri-transplant period caused downregulation of BRCA1, but not of BRCA2 expression, in human ovarian cortex. These results help our understanding of DNA repair mechanism in the ovarian cortex and identify AMH's possible protective effect on ovarian reserve in BRCA1 mutation carriers.
Clinical Characteristics and Exploratory Genomic Analyses of Germline BRCA1 or BRCA2 Mutations in Breast Cancer
MOLECULAR CANCER RESEARCH
Authors: Park, Sehhoon; Lee, Eunjin; Park, Seri; Lee, Sohee; Nam, Seok Jin; Kim, Seok Won; Lee, Jeong Eon; Yu, Jong-Han; Kim, Ji-Yeon; Ahn, Jin Seok; Im, Young-Hyuck; Park, Woong-Yang; Park, Kyunghee; Park, Yeon Hee
Abstract
gBRCA1/2 mutations increase the incidence of breast cancer by interrupting the homologous recombination repair (HRR) pathway. Although gBRCA1 and gBRCA2 breast cancer have similar clinical profiles, different molecular characteristics have been observed. In this study, we conducted comprehensive genomic analyses and compared gBRCA1/2 breast cancer. Sanger sequencing to identify gBRCA1/2 mutations was conducted in 2,720 patients, and gBRCA1 (n = 128) and gBRCA2 (n = 126) mutations were analyzed. Within this population, deep target sequencing and matched whole-transcriptome sequencing (WTS) results were available for 46 and 34 patients, respectively. An internal database of patients with breast cancer with wild-type gBRCA was used to compile a target sequencing (n = 195) and WTS (n = 137) reference dataset. Three specific mutation sites, p.Y130X (n = 14) and p.1210Afs (n = 13) in gBRCA1 and p.R294X (n = 22) in gBRCA2, were comparably frequent. IHC subtyping determined that the incidence of triple-negative breast cancer was higher among those with a gBRCA1 mutation (71.9%), and estrogen receptor-positive breast cancer was dominant in those with a gBRCA2 mutation (76.2%). gBRCA1/2 mutations were mutually exclusive with PIK3CA somatic mutations (P < 0.05), and gBRCA1 frequently cooccurred with TP53 somatic mutations (P < 0.05). The median tumor mutation burden was 6.53 per megabase (MB) in gBRCA1 and 6.44 per MB in gBRCA2. The expression of AR, ESR1, and PGR was significantly upregulated with gBRCA2 mutation compared with gBRCA1 mutation. gBRCA1 and gBRCA2 breast cancer have similar clinical characteristics, but they have different molecular subtypes, coaltered somatic mutations, and gene expression patterns.