The pathogenesis of breast cancer involves multiple genetic and epigenetic events. In this study, we report an epigenetic alteration of DFNA5 in human breast cancer. DFNA5 gene was silenced in breast cancer cell lines that were methylated in the DFNA5 promoter, and restored by treatment with the demethylating agent, 5-aza-dC, and gene knock-down of DFNA5 increased cellular invasiveness in vitro. The mRNA expression of DFNA5 in breast cancer tissues was downregulated as compared to normal tissues. Moreover, the DFNA5 promoter was found to be methylated in primary tumor tissues with high frequency (53%, 18/34). Quantitative methylationspecific PCR of DFNA5 clearly discriminated primary breast cancer tissues from normal breast tissues (15.3%, 2/13). Moreover, methylation status of DFNA5 was correlated with lymph node metastasis in breast cancer patients. Our data implicate DFNA5 promoter methylation as a novel molecular biomarker in human breast cancer.
Keywords
DFNA5; The human deafness; Autosomal dominant 5 gene; Promoter methylation; Breast cancerAlthough breast cancer mortality declined significantly in recent years, in part due to early diagnosis by screening mammography, the limitations of mammography are wellrecognized [1,2]. Therefore, novel approaches for the early detection of breast cancer are necessary. The pathogenesis of breast cancer involves multiple genetic and epigenetic events. In spite of recent advances in the assessment of breast cancer risk, the identification of crucial susceptibility genes such as BRCA1/2, PTEN, and p53 account for only about 5% of all breast cancer cases [3]. The marked cytogenetic complexity seen in advanced breast cancer precludes investigators from readily identifying primary causative genetic and epigenetic events in breast cell carcinogenesis [4].