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Promoter Hypermethylation and BRCA1 Inactivation in Sporadic Breast and Ovarian Tumors
Abstract
BACKGROUND: Inherited mutations in the BRCA1 gene may be responsible for almost half of inherited breast carcinomas. However, somatic (acquired) mutations in BRCA1 have not been reported, despite frequent loss of heterozygosity (LOH or loss of one copy of the gene) at the BRCA1 locus and loss of BRCA1 protein in tumors. To address whether BRCA1 may be inactivated by pathways other than mutations in sporadic tumors, we analyzed the role of hypermethylation of the gene's promoter region. METHODS: Methylation patterns in the BRCA1 promoter were assessed in breast cancer cell lines, xenografts, and 215 primary breast and ovarian carcinomas by methylation-specific polymerase chain reaction (PCR). BRCA1 RNA expression was determined in cell lines and seven xenografts by reverse transcription-PCR. P values are two-sided. RESULTS: The BRCA1 promoter was found to be unmethylated in all normal tissues and cancer cell lines tested. However, BRCA1 promoter hypermethylation was present in two breast cancer xenografts, both of which had loss of the BRCA1 transcript. BRCA1 promoter hypermethylation was present in 11 (13%) of 84 unselected primary breast carcinomas. BRCA1 methylation was strikingly associated with the medullary (67% methylated; P =.0002 versus ductal) and mucinous (55% methylated; P =.0033 versus ductal) subtypes, which are overrepresented in BRCA1 families. In a second series of 66 ductal breast tumors informative for LOH, nine (20%) of 45 tumors with LOH had BRCA1 hypermethylation, while one (5%) of 21 without LOH was methylated (P =.15). In ovarian neoplasms, BRCA1 methylation was found only in tumors with LOH, four (31%) of 13 versus none of 18 without LOH (P =.02). The BRCA1 promoter was unmethylated in other tumor types. CONCLUSION: Silencing of the BRCA1 gene by promoter hypermethylation occurs in primary breast and ovarian carcinomas, especially in the presence of LOH and in specific histopathologic subgroups. These findings support a role for this tumor suppressor gene in sporadic breast and ovarian tumorigenesis.
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“Given that changes in BRCA1 promoter status contribute to sporadic tumors [64,65], mutations outside the reading frame or changes in promoter methylation status could alter FANCJ expression and contribute to tumorigenesis.”
From Hereditary Breast Cancer and the BRCA1-Associated FANCJ/BACH1/BRIP1 (2011) · cites this paper as [65]
In the citing paper
“Given that changes in BRCA1 promoter status contribute to sporadic tumors [64,65], mutations outside the reading frame or changes in promoter methylation status could alter FANCJ expression and contribute to tumorigenesis.”
From Hereditary Breast Cancer and the BRCA1-Associated FANCJ/BACH1/BRIP1 (2011) · cites this paper as [65]
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Beyond Structure: Methylation Fine‐Tunes Stability and Folding Kinetics of bcl2Mid G‐Quadruplex
Medved, N., Cevec, M., Javornik, U., Lah, J., Hadži, S., & Plavec, J. (2025) · Angewandte Chemie International Edition · doi:10.1002/anie.202507544 · Cited by 7
Epigenetic Regulation of DLK1-DIO3 Region in Thyroid Carcinoma
Alves, L. F., da Silva, I. N., de Mello, D. C., Fuziwara, C. S., Guil, S., Esteller, M., & Geraldo, M. V. (2024) · Cells · doi:10.3390/cells13121001 · Cited by 6
“Global hypomethylation, together with the focal hypermethylation of regulatory elements associated with CGIs, is constantly seen in cancer [34].”
BackgroundSelf-citationHigh frequency of BRCA1/2 and p53 somatic inactivation in sporadic ovarian cancer
Zikán, M., Janatová, M., Pavlista, D., & Pohlreich, P. (2007) · Journal of Genetics · doi:10.1007/s12041-007-0022-y · Cited by 6
“Other possible means of somatic inactivation of BRCA genes have been described: occasionally through gross genomic rearrangements, but most commonly by hypermethylation of promotor sequences or related (or independent) reduced expression of BRCA genes (Esteller et al. 2000; Miyamoto et al. 2002).”
BackgroundShen, Y. T., Wang, L. L., Evans, J. C., Allen, C. J., & Piquette‐Miller, M. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20102498 · Cited by 6
“While the reason for this discrepancy remains unknown, similar findings have been previously reported in breast cancer cell lines where increased methylation at the BRCA1 promoter was observed after inoculation into immunodeficient mice [37].”
ResultExamination of ATM, BRCA1, and BRCA2 promoter methylation in patients with pancreatic cancer
Zhou, C., Porter, N. R., Borges, M. W., Gauthier, C. D., Ferguson, L. G., Huang, B., Nanda, N., He, J. P., Laheru, D. A., Hruban, R. H., et al. (2021) · Pancreatology · doi:10.1016/j.pan.2021.03.015 · Cited by 5
Custódio, N., Savisaar, R., Carvalho, C., Bak‐Gordon, P., Ribeiro, M. I., Tavares, J., Borralho, P., Peixoto, A., Pinto, C., Escudeiro, C., et al. (2022) · Biomedicines · doi:10.3390/biomedicines10020199 · Cited by 6
“A possible cause for such a reduction could be epigenetic silencing via promoter hypermethylation, which has been detected in the BRCA1 gene in 10–20% of ovarian cancers [13,38,39].”
BackgroundEbata, T., Yamashita, S., Takeshima, H., Yoshida, H., Kawata, Y., Kino, N., Yasugi, T., Terao, Y., Yonemori, K., Kato, T., et al. (2022) · Gynecologic Oncology · doi:10.1016/j.ygyno.2022.10.008 · Cited by 6
BRCA1 promoter methylation & its immunohistochemical correlation in sporadic breast cancer
Khan, F., Agarwal, P., Gupta, S., Maurya, M. K., Singh, P., Agarwal, A., Singh, K., Sonkar, A. A., & Goel, M. M. (2023) · International Journal of Microbiology Research · doi:10.4103/ijmr.ijmr_4605_20 · Cited by 6
Mass Spectrometry-Based Proteomics: Analyses Related to Drug-Resistance and Disease Biomarkers
Agostini, M., Traldi, P., & Hamdan, M. H. (2023) · Medicina · doi:10.3390/medicina59101722 · Cited by 6
“Another study reported the silence of the DNA repair gene (BRCA1) in For instance, retinoblastoma tumor suppressor (RB1) was identified as one of the suppressor genes that hypermethylated in tumor tissues [56]. breast and ovarian cancers due to its hypermethylation [57].”
BackgroundJacot, W., Theillet, C. G., Guiu, S., & Lamy, P. (2015) · Future Oncology · doi:10.2217/fon.14.268 · Cited by 6
Hypermethylation of BRCA1 Gene in Meningioma in Elderly Males
Lombardi, I. A. S., FARIA, M. H. G., Rabenhorst, S. H. B., Zanini, M. A., Pardini, M. I. D. M. C., Grotto, R. M. T., & Ferrasi, A. C. (2018) · Anticancer Research · doi:10.21873/anticanres.12526 · Cited by 6
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“In addition, because BRCA1 expression is often decreased in sporadic breast cancer, an abnormal BRCA1 expression may also play a role ( 3 – 5 ).”
BackgroundBRCA1: A locus‐specific “liaison” in gene expression and genetic integrity
Aiyar, S. E., Sun, J., & Li, R. (2005) · Journal of Cellular Biochemistry · doi:10.1002/jcb.20386 · Cited by 6
“Moreover, the promoter of the BRCA1 gene is hypermethylated in 10%–15% of sporadic breast and ovarian cancer cases [Catteau et al., 1999; Esteller et al., 2000; Magdinier et al., 2000], further supporting the notion that BRCA1 may also play a role in suppression of sporadic breast cancer.”
BackgroundAntill, Y. C., Mitchell, G., Johnson, S. A. S., Devereux, L., Milner, A. D., Phillips, K., & Campbell, I. (2006) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-05-0986 · Cited by 6
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BackgroundHydroxycarbamide effects on DNA methylation and gene expression in myeloproliferative neoplasmsPreprint
Castillo, S. C., Montibus, B., Rocha, A. V., Duke, W., von Meyenn, F., McLornan, D. P., Harrison, C. N., Mullally, A., Schulz, R., & Oakey, R. J. (2021) · Genome Research · doi:10.1101/gr.270066.120 · Cited by 6
“2020), repression of expression by DNA methylation at CGI-associated promoters is a hallmark of cancer (Esteller et al. 2000).”
BackgroundEze, C., Swadi, R., Ross, K., & Sharma, V. (2026) · British Journal of Biomedical Science · doi:10.3389/bjbs.2026.16013 · Cited by 5
“Hypermethylation of the promoter region of the BRCA1 promoter region, effectively silences its expression without altering the underlying DNA sequence [22, 23].”
Promoter Hypermethylation of the BRCA1 Gene as a Novel Biomarker for Prostate Cancer
Saleem, M. A., & Mustafa, M. S. (2024) · Cureus · doi:10.7759/cureus.66467 · Cited by 5
“These primers have undergone extensive characterization by previous research groups [27-29].”
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Exploring the Advantages and Limitations of CRISPR-Cas in Breast Cancer
Rangel, N., Camargo, V., Castellanos, G., Forero‐Castro, M., & Rondón‐Lagos, M. (2024) · Gene Expression · doi:10.14218/ge.2023.00154 · Cited by 7
Mao, J., Ni, J., Chu, L., Chu, X., Xu, D., Yang, X., & Zhu, Z. (2024) · Radiation Oncology · doi:10.1186/s13014-024-02437-2 · Cited by 5
“Secondly, despite SCLC tumors naturally having the ability for homologous recombination (HR), preclinical data still strongly indicate their remarkable responsiveness to PARPi [14, 15].”
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Metadata
- Authors
- Esteller, M.
- Affiliations
- Roswell Park Comprehensive Cancer Center (US)
- Corresponding author
- Esteller, M.
- ORCID
- Esteller, M.
- Venue
- Journal of the National Cancer Institute
- Publisher
- Oxford University Press (OUP)
- Published
- 2000-04-05
- Volume
- 92
- Issue
- 7
- Pages
- 564-569
- ISSN
- 0027-8874 (ISSN-L)
- 1460-2105
- OpenAlex
- W2160234594
- Cited by
- 1,233
- References
- 41
- Citations by year
- 2026: 20 · 2025: 33 · 2024: 37 · 2023: 46 · 2022: 49 · 2021: 40 · 2020: 53 · 2019: 43 · 2018: 60 · 2017: 48 · 2016: 52 · 2015: 69 · 2014: 56 · 2013: 57 · 2012: 69
- FWCI
- 22.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JNCI Journal of the National Cancer Institute (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Funders
- National Cancer Institute (R01CA043318, CA 43318)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Health Sciences › Medicine › Pathology and Forensic Medicine › Breast Lesions and Carcinomas
- Keywords
- BRCA1 promoter hypermethylation, sporadic breast cancer, ovarian cancer, loss of heterozygosity, gene silencing, tumor suppressor, medullary breast carcinoma, mucinous breast carcinoma, histological subtypes, epigenetic silencing, breast cancer xenografts
- MeSH terms
- Breast Neoplasms, Female, Humans, Methylation, Ovarian Neoplasms, Promoter Regions, Genetic, RNA, RNA, Neoplasm, Transplantation, Heterologous, Tumor Cells, Cultured, Gene Expression Regulation, Neoplastic, Carcinoma, Ductal, Breast, Genes, BRCA1, Loss of Heterozygosity, Reverse Transcriptase Polymerase Chain Reaction
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