BRCA1 promoter methylation is a marker of better response to anthracycline-based therapy in sporadic TNBC

T Ignatov, A Poehlmann, A Ignatov… - Breast cancer research …, 2013 - Springer
T Ignatov, A Poehlmann, A Ignatov, A Schinlauer, SD Costa, A Roessner, T Kalinski…
Breast cancer research and treatment, 2013Springer
The aim of the current study was to investigate the role of BRCA1 gene aberrations in
sporadic triple-negative breast cancer (TNBC) and its impact on anthracycline-based
therapy. BRCA1 promoter methylation was analyzed in 70 TNBC and compared with the
clinical and pathologic characteristics. As a control group, we used 70 patients with non-
TNBC. BRCA1 promoter methylation was observed in 65.2% of patients and was similar in
both groups. BRCA1 promoter methylation was associated with decreased intensity of …
Abstract
The aim of the current study was to investigate the role of BRCA1 gene aberrations in sporadic triple-negative breast cancer (TNBC) and its impact on anthracycline-based therapy. BRCA1 promoter methylation was analyzed in 70 TNBC and compared with the clinical and pathologic characteristics. As a control group, we used 70 patients with non-TNBC. BRCA1 promoter methylation was observed in 65.2 % of patients and was similar in both groups. BRCA1 promoter methylation was associated with decreased intensity of BRCA1 protein expression (P = 0.002) and significant increase of median disease-free survival (DFS) of TNBC patients receiving adjuvant anthracycline-based chemotherapy (P = 0.001). Multivariate analysis revealed that BRCA1 promoter methylation remains a favorable factor in regard to DFS (HR 0.224; 95 % CI 0.092–0.546, P = 0.001) in TNBC after adjustment for other prognostic factors. In contrast, in non-TNBC, BRCA1 promoter methylation was not associated with any clinical and pathologic parameters. BRCA1 promoter methylation is a common mechanism of BRCA1 gene aberration in sporadic breast cancer and is predictive for better response to anthracycline-based therapies.
Springer
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