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Published in: BMC Cancer 1/2014

Open Access 01-12-2014 | Research article

Androgen receptor CAG repeats, non-random X chromosome inactivation, and loss of heterozygosity at Xq25 in relation to breast cancer risk

Authors: Hui-Tzu Chen, Yao-Chung Wu, Shou-Tung Chen, Hsien-Chang Tsai, Yi-Chih Chien

Published in: BMC Cancer | Issue 1/2014

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Abstract

Background

The aim of this study was to examine the association of non-random X chromosome inactivation (XCI) and loss of heterozygosity (LOH) at Xq25 with breast cancer development.

Methods

Seventy-nine breast cancer patients, 39 female lung cancer patients, 30 other cancer patients and 77 healthy females were analysed for LOH using a panel of 11 microsatellite markers spanning Xq25. The androgen receptor (AR) gene was chosen as an XCI marker.

Results

LOH of at least one microsatellite locus at Xq25 was identified in 46/65 breast cancers examined, while only 10/25 cancers of other origins demonstrated LOH in this region (p = 0.014). The critical deletion region in breast cancer was around marker DXS1047 (47.23%). Moreover, we found that tissues from eight breast cancers showed LOH at all of the informative loci tested at Xq25, while the other 38 showed partial (interstitial or telomeric) alterations at Xq25. Interestingly, the pattern of XCI of these eight breast cancers tended to be non-random. We estimated the frequencies of AR alleles and found that women with two long AR alleles (≥21 CAG repeats) had an increased risk of developing breast cancer, while those with two short AR alleles (<21 CAG repeats) were likely to be normal (p = 0.00069).

Conclusions

The extraordinary high frequencies of LOH at Xq25 found in this study strongly imply that there might be one or more tumour suppressor genes (TSGs) related to the development of breast cancer at Xq25 in the Taiwanese female population.
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Literature
1.
go back to reference Brown CJ: Role of the X chromosome in cancer. J Natl Cancer Inst. 1996, 88: 480-482. 10.1093/jnci/88.8.480.CrossRefPubMed Brown CJ: Role of the X chromosome in cancer. J Natl Cancer Inst. 1996, 88: 480-482. 10.1093/jnci/88.8.480.CrossRefPubMed
2.
go back to reference Heard E, Clerc P, Avner P: X-chromosome inactivation in mammals. Annu Rev Genet. 1997, 31: 571-610. 10.1146/annurev.genet.31.1.571.CrossRefPubMed Heard E, Clerc P, Avner P: X-chromosome inactivation in mammals. Annu Rev Genet. 1997, 31: 571-610. 10.1146/annurev.genet.31.1.571.CrossRefPubMed
3.
go back to reference Parolini O, Ressmann G, Hass OA, Pawlowsky J, Gadner H, Knapp W, Holter W: X-linked Wiskott-Aldrich syndrome in a girl. N Engl J Med. 1998, 338: 291-295. 10.1056/NEJM199801293380504.CrossRefPubMed Parolini O, Ressmann G, Hass OA, Pawlowsky J, Gadner H, Knapp W, Holter W: X-linked Wiskott-Aldrich syndrome in a girl. N Engl J Med. 1998, 338: 291-295. 10.1056/NEJM199801293380504.CrossRefPubMed
4.
go back to reference Clarke JT, Greer WJ, Strasberg PM, Pearce RD, Skomorowski MA, Ray PN: Hunter disease (mucopolysaccharidosis type II) associated with unbalanced inactivation of the X chromosome in a karyotypically normal girl. Am J Hum Genet. 1991, 49: 289-297.PubMedPubMedCentral Clarke JT, Greer WJ, Strasberg PM, Pearce RD, Skomorowski MA, Ray PN: Hunter disease (mucopolysaccharidosis type II) associated with unbalanced inactivation of the X chromosome in a karyotypically normal girl. Am J Hum Genet. 1991, 49: 289-297.PubMedPubMedCentral
5.
6.
go back to reference Azofeifa J, Voit T, Hübner C, Cremer M: X-chromosome methylation in manifesting and healthy carriers of dystrophinopathies: concordance of activation ratios among first degree female relatives and skewed inactivation as cause of the affected phenotypes. Hum Genet. 1995, 96: 167-176. 10.1007/BF00207374.CrossRefPubMed Azofeifa J, Voit T, Hübner C, Cremer M: X-chromosome methylation in manifesting and healthy carriers of dystrophinopathies: concordance of activation ratios among first degree female relatives and skewed inactivation as cause of the affected phenotypes. Hum Genet. 1995, 96: 167-176. 10.1007/BF00207374.CrossRefPubMed
7.
go back to reference Kubota T, Oga S, Ohashi H, Iwamoto Y, Fukushima Y: Borjeson-Forsman-Lehmann syndrome in a woman with skewed X-chromosome inactivation. Am J Med Genet. 1999, 26: 258-261.CrossRef Kubota T, Oga S, Ohashi H, Iwamoto Y, Fukushima Y: Borjeson-Forsman-Lehmann syndrome in a woman with skewed X-chromosome inactivation. Am J Med Genet. 1999, 26: 258-261.CrossRef
8.
go back to reference Struewing JP, Pineda MA, Sherman ME, Lissowska J, Brinton LA, Peplonska B, Bardin-Mikolajczak A, Garcia-Closas M: Skewed X chromosome inactivation and early-onset breast cancer. J Med Genet. 2006, 43: 48-53. 10.1136/jmg.2005.039479.CrossRefPubMed Struewing JP, Pineda MA, Sherman ME, Lissowska J, Brinton LA, Peplonska B, Bardin-Mikolajczak A, Garcia-Closas M: Skewed X chromosome inactivation and early-onset breast cancer. J Med Genet. 2006, 43: 48-53. 10.1136/jmg.2005.039479.CrossRefPubMed
9.
go back to reference Kristiansen M, Knudsen GP, Maguire P, Margolin S, Pedersen J, Lindblom A, Ørstavik KH: High incidence of skewed X chromosome inactivation in young patients with familial non-BRCA1/BRCA2 breast cancer. J Med Genet. 2005, 42: 877-880. 10.1136/jmg.2005.032433.CrossRefPubMedPubMedCentral Kristiansen M, Knudsen GP, Maguire P, Margolin S, Pedersen J, Lindblom A, Ørstavik KH: High incidence of skewed X chromosome inactivation in young patients with familial non-BRCA1/BRCA2 breast cancer. J Med Genet. 2005, 42: 877-880. 10.1136/jmg.2005.032433.CrossRefPubMedPubMedCentral
10.
go back to reference Hickey T, Chandy A, Norman RJ: The androgen receptor CAG repeat polymorphism and X-chromosome inactivation in Australian Caucasian women with infertility related to polycystic ovary syndrome. J Clin Endocrinol Metab. 2002, 87: 161-165. 10.1210/jcem.87.1.8137.CrossRefPubMed Hickey T, Chandy A, Norman RJ: The androgen receptor CAG repeat polymorphism and X-chromosome inactivation in Australian Caucasian women with infertility related to polycystic ovary syndrome. J Clin Endocrinol Metab. 2002, 87: 161-165. 10.1210/jcem.87.1.8137.CrossRefPubMed
11.
go back to reference Allen RC, Zoghbi HY, Moseley AB, Rosenblatt HM, Belmont JW: Methylation of HpaII and HhaI sites near the polymorphic CAG repeat in the human androgen-receptor gene correlates with X chromosome inactivation. Am J Hum Genet. 1992, 51: 1229-1239.PubMedPubMedCentral Allen RC, Zoghbi HY, Moseley AB, Rosenblatt HM, Belmont JW: Methylation of HpaII and HhaI sites near the polymorphic CAG repeat in the human androgen-receptor gene correlates with X chromosome inactivation. Am J Hum Genet. 1992, 51: 1229-1239.PubMedPubMedCentral
12.
go back to reference Buchanan G, Yang M, Cheong A, Harris JM, Irvine RA, Lambert PF, Moore NL, Raynor M, Neufing PJ, Coetzee GA, Tilley WD: Structural and functional consequences of glutamine tract variation in the androgen receptor. Hum Mol Genet. 2004, 13: 1677-1692. 10.1093/hmg/ddh181.CrossRefPubMed Buchanan G, Yang M, Cheong A, Harris JM, Irvine RA, Lambert PF, Moore NL, Raynor M, Neufing PJ, Coetzee GA, Tilley WD: Structural and functional consequences of glutamine tract variation in the androgen receptor. Hum Mol Genet. 2004, 13: 1677-1692. 10.1093/hmg/ddh181.CrossRefPubMed
13.
go back to reference Nelson KA, Witte JS: Androgen receptor CAG repeats and prostate cancer. Am J Epidemiol. 2002, 155: 883-890. 10.1093/aje/155.10.883.CrossRefPubMed Nelson KA, Witte JS: Androgen receptor CAG repeats and prostate cancer. Am J Epidemiol. 2002, 155: 883-890. 10.1093/aje/155.10.883.CrossRefPubMed
14.
go back to reference Santarosa M, Bidoli E, Gallo A, Steffan A, Boiocchi M, Viel A: Polymorphic CAG repeat length within the androgen receptor gene: identification of a subgroup of patients with increased risk of ovarian cancer. Oncol Rep. 2002, 9: 639-644.PubMed Santarosa M, Bidoli E, Gallo A, Steffan A, Boiocchi M, Viel A: Polymorphic CAG repeat length within the androgen receptor gene: identification of a subgroup of patients with increased risk of ovarian cancer. Oncol Rep. 2002, 9: 639-644.PubMed
15.
go back to reference Suter NM, Malone KE, Daling JR, Doody DR, Ostrander EA: Androgen receptor (CAG)n and (GGC)n polymorphisms and breast cancer risk in a population-based case-control study of young women. Cancer Epidemiol Biomarkers Prev. 2003, 12: 127-3523.PubMed Suter NM, Malone KE, Daling JR, Doody DR, Ostrander EA: Androgen receptor (CAG)n and (GGC)n polymorphisms and breast cancer risk in a population-based case-control study of young women. Cancer Epidemiol Biomarkers Prev. 2003, 12: 127-3523.PubMed
16.
go back to reference Haiman CA, Brown M, Hankinson SE, Spiegelman D, Colditz GA, Willett WC, Kantoff PW, Hunter DJ: The androgen receptor CAG repeat polymorphism and risk of breast cancer in the nurses’ health study. Cancer Res. 2002, 62: 1045-1049.PubMed Haiman CA, Brown M, Hankinson SE, Spiegelman D, Colditz GA, Willett WC, Kantoff PW, Hunter DJ: The androgen receptor CAG repeat polymorphism and risk of breast cancer in the nurses’ health study. Cancer Res. 2002, 62: 1045-1049.PubMed
17.
go back to reference Sasaki M, Sakuragi N, Dahiya R: The CAG repeats in exon 1 of the androgen receptor gene are significantly longer in endometrial cancer patients. Biochem Biophys Res Commun. 2003, 305: 1105-1108. 10.1016/S0006-291X(03)00883-0.CrossRefPubMed Sasaki M, Sakuragi N, Dahiya R: The CAG repeats in exon 1 of the androgen receptor gene are significantly longer in endometrial cancer patients. Biochem Biophys Res Commun. 2003, 305: 1105-1108. 10.1016/S0006-291X(03)00883-0.CrossRefPubMed
18.
go back to reference Rodríguez G, Bilbao C, Ramírez R, Falcón O, León L, Chirino R, Falcón O, Díaz BP, Rivero JF, Perucho M, Díaz-Chico BN, Díaz-Chico JC: Alleles with short CAG and GGN repeats in the androgen receptor gene are associated with benign endometrial cancer. Int J Cancer. 2006, 118: 1420-1425. 10.1002/ijc.21516.CrossRefPubMed Rodríguez G, Bilbao C, Ramírez R, Falcón O, León L, Chirino R, Falcón O, Díaz BP, Rivero JF, Perucho M, Díaz-Chico BN, Díaz-Chico JC: Alleles with short CAG and GGN repeats in the androgen receptor gene are associated with benign endometrial cancer. Int J Cancer. 2006, 118: 1420-1425. 10.1002/ijc.21516.CrossRefPubMed
19.
go back to reference Terry KL, De Vivo I, Titus-Ernstoff L, Shih MC, Cramer DW: Androgen receptor cytosine, adenine, guanine repeats, and haplotypes in relation to ovarian cancer risk. Cancer Res. 2005, 65: 5974-5981. 10.1158/0008-5472.CAN-04-3885.CrossRefPubMedPubMedCentral Terry KL, De Vivo I, Titus-Ernstoff L, Shih MC, Cramer DW: Androgen receptor cytosine, adenine, guanine repeats, and haplotypes in relation to ovarian cancer risk. Cancer Res. 2005, 65: 5974-5981. 10.1158/0008-5472.CAN-04-3885.CrossRefPubMedPubMedCentral
20.
go back to reference Choi C, Cho SH, Horikawa I, Berchuck A, Wang N, Cedrone E, Jhung SW, Lee JB, Kerr J, Chenevix-Trench G, Kim S, Barrett JC, Koi M: Loss of heterozygosity at chromosome segment Xq25–26.1 in advanced human ovarian carcinomas. Genes Chromosomes Cancer. 1997, 20: 234-242. 10.1002/(SICI)1098-2264(199711)20:3<234::AID-GCC3>3.0.CO;2-3.CrossRefPubMed Choi C, Cho SH, Horikawa I, Berchuck A, Wang N, Cedrone E, Jhung SW, Lee JB, Kerr J, Chenevix-Trench G, Kim S, Barrett JC, Koi M: Loss of heterozygosity at chromosome segment Xq25–26.1 in advanced human ovarian carcinomas. Genes Chromosomes Cancer. 1997, 20: 234-242. 10.1002/(SICI)1098-2264(199711)20:3<234::AID-GCC3>3.0.CO;2-3.CrossRefPubMed
21.
go back to reference Piao Z, Malkhosyan SR: Frequent loss Xq25 on the inactive X chromosome in primary breast carcinomas is associated with tumor grade and axillary lymph node metastasis. Genes Chromosomes Cancer. 2002, 33: 262-269. 10.1002/gcc.10024.CrossRefPubMed Piao Z, Malkhosyan SR: Frequent loss Xq25 on the inactive X chromosome in primary breast carcinomas is associated with tumor grade and axillary lymph node metastasis. Genes Chromosomes Cancer. 2002, 33: 262-269. 10.1002/gcc.10024.CrossRefPubMed
22.
go back to reference Ramal LM, Maleno I, Cabrera T, Collado A, Ferron A, Lopez-Nevot MA, Garrido F: Molecular strategies to define HLA haplotype loss in microdissected tumor cells. Hum Inmunol. 2000, 61: 1001-1012.CrossRef Ramal LM, Maleno I, Cabrera T, Collado A, Ferron A, Lopez-Nevot MA, Garrido F: Molecular strategies to define HLA haplotype loss in microdissected tumor cells. Hum Inmunol. 2000, 61: 1001-1012.CrossRef
23.
go back to reference Lyon MF: Gene action in the X-chromosome of the mouse (Mus musculus). Nature. 1961, 190: 372-373. 10.1038/190372a0.CrossRefPubMed Lyon MF: Gene action in the X-chromosome of the mouse (Mus musculus). Nature. 1961, 190: 372-373. 10.1038/190372a0.CrossRefPubMed
24.
go back to reference Buller RE, Sood AK, Lallas T, Buekers T, Skilling JS: Associated between nonrandom X-chromosome inactivation and BRCA1 mutation in germline DNA of patients with ovarian cancer. J Nat Cancer Inst. 1999, 91: 339-346. 10.1093/jnci/91.4.339.CrossRefPubMed Buller RE, Sood AK, Lallas T, Buekers T, Skilling JS: Associated between nonrandom X-chromosome inactivation and BRCA1 mutation in germline DNA of patients with ovarian cancer. J Nat Cancer Inst. 1999, 91: 339-346. 10.1093/jnci/91.4.339.CrossRefPubMed
25.
go back to reference Bowcock AM, Ruiz-Linares A, Tomfohrde J, Minch E, Kidd JR, Cavalli-Sforza LL: High resolution of human evolutionary trees with polymorphic microsatellites. Nature. 1994, 368: 455-457. 10.1038/368455a0.CrossRefPubMed Bowcock AM, Ruiz-Linares A, Tomfohrde J, Minch E, Kidd JR, Cavalli-Sforza LL: High resolution of human evolutionary trees with polymorphic microsatellites. Nature. 1994, 368: 455-457. 10.1038/368455a0.CrossRefPubMed
26.
go back to reference Chêne L, Giroud C, Desgrandchamps F, Boccon-Gibod L, Cussenot O, Berthon P, Latil A: Extensive analysis of the 7q31 region in human prostate tumors supports TES as the best candidate tumor suppressor gene. Int J Cancer. 2004, 111: 798-804. 10.1002/ijc.20337.CrossRefPubMed Chêne L, Giroud C, Desgrandchamps F, Boccon-Gibod L, Cussenot O, Berthon P, Latil A: Extensive analysis of the 7q31 region in human prostate tumors supports TES as the best candidate tumor suppressor gene. Int J Cancer. 2004, 111: 798-804. 10.1002/ijc.20337.CrossRefPubMed
27.
go back to reference Habuchi T, Yoshida O, Knowles MA: A novel candidate tumour suppressor locus at 9q32-33 in bladder cancer localization of the candidate region within a single 840 kb YAC. Hum Mol Genet. 1997, 6: 913-919. 10.1093/hmg/6.6.913.CrossRefPubMed Habuchi T, Yoshida O, Knowles MA: A novel candidate tumour suppressor locus at 9q32-33 in bladder cancer localization of the candidate region within a single 840 kb YAC. Hum Mol Genet. 1997, 6: 913-919. 10.1093/hmg/6.6.913.CrossRefPubMed
28.
go back to reference Pestonjamasp PH, Mittra I: Analysis of BRCA1 involvement in breast cancer in Indian women. J Biosci. 2000, 25: 19-23. 10.1007/BF02985177.CrossRefPubMed Pestonjamasp PH, Mittra I: Analysis of BRCA1 involvement in breast cancer in Indian women. J Biosci. 2000, 25: 19-23. 10.1007/BF02985177.CrossRefPubMed
29.
go back to reference Wang XW, Lin X, Klein CB, Bhamra RK, Lee YW, Costa M: A conserved region in human and Chinese hamster X chromosomes can induce cellular senescence of nickel-transformed Chinese hamster cell lines. Carcinogenesis. 1992, 13: 555-561. 10.1093/carcin/13.4.555.CrossRefPubMed Wang XW, Lin X, Klein CB, Bhamra RK, Lee YW, Costa M: A conserved region in human and Chinese hamster X chromosomes can induce cellular senescence of nickel-transformed Chinese hamster cell lines. Carcinogenesis. 1992, 13: 555-561. 10.1093/carcin/13.4.555.CrossRefPubMed
30.
go back to reference Seki Y, Suico MA, Uto A, Hisatsune A, Shuto T, Isohama Y, Kai H: The ETS transcription factor MEF is a candidate tumor suppressor gene on the X chromosome. Cancer Res. 2002, 62: 6579-6586.PubMed Seki Y, Suico MA, Uto A, Hisatsune A, Shuto T, Isohama Y, Kai H: The ETS transcription factor MEF is a candidate tumor suppressor gene on the X chromosome. Cancer Res. 2002, 62: 6579-6586.PubMed
31.
go back to reference Piao Z, Lee KS, Kim H, Perucho M, Malkhosyan S: Identification of novel deletion regions on chromosomes 2q and 6p in breast carcinomas by amplotype analysis. Genes Chromosomes Cancer. 2001, 30: 113-122. 10.1002/1098-2264(2000)9999:9999<::AID-GCC1069>3.0.CO;2-6.CrossRefPubMed Piao Z, Lee KS, Kim H, Perucho M, Malkhosyan S: Identification of novel deletion regions on chromosomes 2q and 6p in breast carcinomas by amplotype analysis. Genes Chromosomes Cancer. 2001, 30: 113-122. 10.1002/1098-2264(2000)9999:9999<::AID-GCC1069>3.0.CO;2-6.CrossRefPubMed
32.
go back to reference Dunning AM, McBride S, Gregory J, Durocher F, Foster NA, Healey CS, Smith N, Pharoah PD, Luben RN, Easton DF, Ponder BA: No association between androgen or vitamin D receptor gene polymorphisms and risk of breast cancer. Carcinogenesis. 1999, 20: 2131-2135. 10.1093/carcin/20.11.2131.CrossRefPubMed Dunning AM, McBride S, Gregory J, Durocher F, Foster NA, Healey CS, Smith N, Pharoah PD, Luben RN, Easton DF, Ponder BA: No association between androgen or vitamin D receptor gene polymorphisms and risk of breast cancer. Carcinogenesis. 1999, 20: 2131-2135. 10.1093/carcin/20.11.2131.CrossRefPubMed
Metadata
Title
Androgen receptor CAG repeats, non-random X chromosome inactivation, and loss of heterozygosity at Xq25 in relation to breast cancer risk
Authors
Hui-Tzu Chen
Yao-Chung Wu
Shou-Tung Chen
Hsien-Chang Tsai
Yi-Chih Chien
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Cancer / Issue 1/2014
Electronic ISSN: 1471-2407
DOI
https://doi.org/10.1186/1471-2407-14-144

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