雌激素受体α阴性乳腺癌雌激素受体α基因启动子区CpG岛甲基化和肼苯哒嗪去甲基化作用

目的 检测雌激素受体(ER)α阴性乳腺癌细胞株MDA-MB-231和MDA-MB-435细胞及ERα阴性乳腺癌组织中ERα基因启动子区CpG岛甲基化状态;探索肼苯哒嗪能否作为去甲基化药物恢复ERα基因表达。方法应用特异性聚合酶链反应(MSP)检测乳腺癌细胞株MDA-MB-231和MDA-MB-435细胞和20例ERα阴性乳腺癌组织ERα基因3个启动子区A、B、CpG岛甲基化情况,肼苯哒嗪处理上述两种乳腺癌细胞,逆转录(RT)-PCR检测不同启动子调控下ERα基因异型体(isoform)ERα-A、ERα-B、ERα-C mRNA和ERα基因公共编码区mRNA表达。结果MDA-MB-231和MDA-MB-435细胞启动子区ERα-A、ERα-B均存在CpG岛甲基化,ERα-C无甲基化,20例ERα阴性乳腺癌组织中,13例(65％)ERα-A、10例(50％)ERα-B CpG岛甲基化阳性。其中9例ERα-A、ERα-BCpG岛甲基化均阳性(45％),仅1例(5％)ERα-C存在CpG岛甲基化。肼苯哒嗪处理上述两种细胞后,检测到ERα-A、ERα-B mRNA和公共编码区mRNA表达。结论乳腺癌组织和细胞ERα基因表达沉默可能与ERα基因启动子区A、B甲基化有关,且肿瘤分期愈晚,甲基化程度愈高。肼苯哒嗪能作为去甲基化药物诱导ERα基因表达。

Study of the CpG methylation status of ER alpha gene in estrogen receptor alpha-negative breast cancer cell lines and the role of hydralazine demethylation

OBJECTIVE: To detect the 5'CpG island methylation of estrogen receptor (ER) alpha gene promotor region in ER alpha-negative human breast cancer cell lines (MDA-MB-231 and MDA-MB-435) and breast cancer tissues; and to investigate the possibility of hydralazine in restoring the expression of ER alpha gene through demethylation. METHODS: The CpG island methylation status of ER alpha gene promotor region-A, B and C in ER alpha-negative human breast cancer cell lines (MDA-MB-231 and MDA-MB-435) and 20 cases of breast cancer tissues were analyzed using methylation-specific polymerase chain reaction (MSP). The mRNA expression profile of ER alpha isoforms (ERalpha-A, ERalpha-B and ERalpha-C) and coding region in ER alpha gene were analyzed by using RT-PCR, after hydralazine treatment. RESULTS: In the two cell lines studied, CpG island was methylated in ERalpha-A and ERalpha-B but not ERalpha-C. Among them, methylation of CpG island in ERalpha-A was obtained in 13 breast tumor cases; methylation of ERalpha-B seen in 10 tumor cases; methylation of both ERalpha-A and ERalpha-B seen in 9 cases; and methylation of ERalpha-C was obtained in only 1 case. The positivity rates were 65%, 50%, 45% and 5% respectively. CONCLUSIONS: The ER alpha gene non-expression in breast cancer is probably associated with CpG island methylation in ER alpha gene promotor region A and B, and the level of methylation is enhanced as advance of tumors in clinical stage. Hydralazine, served as a demethylating agent enables to restore the expression of ER alpha gene.