We studied the promoter methylation status and expression levels of P16 and CDH1 genes in breast cancer and their adjacent normal tissues with normal control breast tissues, to correlate with their histopathological parameters. Hundred twenty four samples (tumor and adjacent nonmalignant tissues) from 62 breast cancer patients and 4 normal control breast tissues were included in the study. We used methylation specific PCR to evaluate methylation status and quantitative RT-PCR to measure the gene expression levels. Methylation incidence of P16 gene and CDH1 gene in tumor tissues were 24.2 % and 33.9 %, respectively. CDH1 and P16 gene were not methylated in normal control tissues. CDH1 underexpression is found to be significant in correlation with advanced stage, histologic type, high tumor grade and lymph node involvement. P16 expression is found not to be significantly related with any histopathological parameters. But 60% of cases which overexpresses P16 were estrogen negative, and 40% of them were histologic grade 3. Both P16 and CDH1 had different expression levels in tumor tissues compared to the adjacent normal tissues and in adjacent normal tissues compared to the normal non-tumor tissues.
Key words: Breast cancer, P16, CDH1, methylationhomophilic cell-cell adhesion in epithelial tissues. CDH1 (E Cadherin), a Ca++ dependent transmembrane glycoprotein functioning in cell to cell adhesion placed in 16q22.1, is one of the cardinal regulators of morphogenesis [7]. Decreased levels of CDH1 expression related with the advanced stage and poorly differentiated cancers [8].We aimed to find out any possible relationship and concordance between promoter methylation status and expression levels of CDH1 and P16 genes, two critical genes in the carcinogenesis, with the histopathological parameters in sporadic breast cancer and adjacent normal breast tissue.
Materials and methodsBreast cancer primary tissues. Breast tumors and adjacent nonmalignant tissues from resection margin are obtained from the Dokuz Eylül Breast Tumor Biobank (DEBTB) under permission of local clinical and laboratory research ethical council for analysis of patient samples. All the breast tissue samples were collected from patients, who had neither chemotherapy nor radiotherapy before operation. Tissue samples were constituted of tumor cells at average of 60% of the whole specimens Changes in the status of DNA methylation represent one of the most common molecular alterations in human neoplasia [1], including breast cancer [2]. Methylation in breast cancer has been related to clinical and pathologic characteristics evident at presentation and clinical outcomes. A higher prevalence of HIN-1 and RAR β2 methylation was found in the lymph nodes, bone, brain, and lung metastases than the primary tumor [3]. Widschwendter and colleagues [4] reported that the methylation of certain genes was associated with hormone receptor status, in addition to the response to treatment with tamoxifen.An uncontrolled cell division requires further progression through G1 p...