BRCA1 is a multifunctional tumor-suppressive protein. Many functional aspects of BRCA1 are not fully understood. We used a shRNA approach to probe the function of BRCA1 in human breast cancer cells. Knocking down BRCA1 expression by shRNA in the wild-type BRCA1 human breast cancer MCF-7 and MDA-MB-231 cells resulted in an increase in cell proliferation, anchorage-independent growth, cell migration, invasion and a loss of p21/Waf1 and p27 Kip1 expression. In BRCA1 knocked-down cells, the expression of survivin was significantly up regulated with a concurrent decrease in cellular sensitivity to paclitaxel. We also found that cells harboring endogenous mutant or defective BRCA1 (MDA-MB-436 and HCC1937) were highly proliferative and expressed a relatively low level of p21/Waf1 and p27 Kip1 by comparison to wild-type BRCA1 cells. Cells harboring mutated BRCA1 also expressed a high level of survivin and were relatively resistant to paclitaxel by comparison to wild-type cells. Increase resistance to paclitaxel was due to an increase in the expression of survivin in both the BRCA1 knocked-down and mutant BRCA1 cells because knocking down survivin expression by siRNA restored sensitivity to paclitaxel. We conclude that BRCA1 down-modulates the malignant behavior of breast cancer cells, promotes the expression of p21/Waf1, p27 Kip1 and inhibits the expression of survivin. Moreover, loss of BRCA1 expression or function leads to an increase in survivin expression and a reduction in chemosensitivity to paclitaxel. '
UICCKey words: BRCA1; p21/Waf1; p27Kip1; survivin; chemosensitivity Hereditary breast cancer can be caused by germline mutations in 1 of the 2 tumor suppressor genes, BRCA1 and BRCA2 resulting in a loss of gene function. 1,2 Women carrying 1 mutated BRCA1 allele are at increased risk of developing breast cancer but tumor initiation requires a loss of the wild-type allele indicating that BRCA1 is a tumor suppressor gene. 3,4 Hereditary breast cancers account for 5-10% of all breast cancers. 5-8 Breast cancer cumulative risk to age 50 years and 70 years in mutation carriers are 49% and 71%, respectively, for BRCA1. 9 BRCA1 expression is also frequently reduced in sporadic cancer. 10-13 BRCA1 encodes an 1863 amino acid (220 kDa) protein that is targeted to the nucleus by 2 nuclear localization sequences, which interact with the nuclear transport signal receptor. 14-17 BRCA1 protein is multifunctional and interacts with other proteins in the nucleus in transcriptional regulation of gene expression, DNA repair and in the maintenance of genomic stability. 1,18 Thus, loss of BRCA1 function may lead to accumulation of chromosomal damage, abnormalities in growth control and tumorigenesis. 19 BRCA1 is regarded as an important central component in regulating multiple biological pathways. 18,20 The function of BRCA1 intersects with the cyclin-dependent kinase inhibitor p27 Kip1 , cyclin D1, the extracellular matrix [21][22][23] and with the estrogen and progesterone pathways in hormonal driven tumor development and progres...