Aberrant DNA base excision repair (BER) contributes to malignant
transformation. However, inter-individual variations in DNA repair capacity
plays a key role in modifying breast cancer risk. We review here emerging
evidence that two proteins involved in BER – adenomatous polyposis coli
(APC) and flap endonuclease 1 (Fen1) – promote the development of breast
cancer through novel mechanisms. APC and Fen1 expression and interaction is
increased in breast tumors versus normal cells, APC interacts with and blocks
Fen1 activity in Pol-β-directed LP-BER, and abrogation of LP-BER is
linked with cigarette smoke condensate-induced transformation of normal breast
epithelial cells. Carcinogens increase expression of APC and Fen1 in
spontaneously immortalized human breast epithelial cells, human colon cancer
cells, and mouse embryonic fibroblasts. Since APC and Fen1 are tumor
suppressors, an increase in their levels could protect against carcinogenesis;
however, this does not seem to be the case. Elevated Fen1 levels in breast and
lung cancer cells may reflect the enhanced proliferation of cancer cells or
increased DNA damage in cancer cells compared to normal cells. Inactivation of
the tumor suppressor functions of APC and Fen1 is due to their interaction,
which may act as a susceptibility factor for breast cancer. The increased
interaction of APC and Fen1 may occur due to polypmorphic and/or mutational
variation in these genes. Screening of APC and Fen1 polymorphic and/or
mutational variations and APC/Fen1 interaction may permit assessment of
individual DNA repair capability and the risk for breast cancer development.
Such individuals might lower their breast cancer risk by reducing exposure to
carcinogens. Stratifying individuals according to susceptibility would greatly
assist epidemiologic studies of the impact of suspected environmental
carcinogens. Additionally, a mechanistic understanding of the interaction of APC
and Fen1 may provide the basis for developing new and effective targeted
chemopreventive and chemotherapeutic agents.