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Department of Veterinary and Animal Sciences, University of Massachusetts, Amherst, Massachusetts 01003 [A. C. B., J. S. B., D. J. J.]; Department of Pathology, Baystate Medical Center, Springfield, Massachusetts 01199 [S. P. N., C. N. O.]; and Statistical Consulting Unit, Australian National University, Canberra ACT 2601, Australia [J. T. W.]
| ABSTRACT |
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| Introduction |
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Germ-line mutations in the tumor suppressor gene TP53, which have been found in approximately half of Li-Fraumeni Syndrome families, also confer a high risk of breast cancer (5) . Variation in the age of onset of disease between siblings carrying the same mutation also suggests the existence of modifier genes altering breast cancer risk. Li-Fraumeni Syndrome is characterized by the occurrence of various cancers at an early age, including breast cancer, soft tissue sarcomas, osteosarcomas, and adrenocortical carcinoma (6) . Similarly, Trp53+/- mice succumb to a range of tumor types; however, only on a BALB/c genetic background do they have a significant incidence of mammary adenocarcinomas, indicating that BALB/c mice possess alleles of modifier genes which increase their susceptibility to mammary tumors (7) . The BALB/c strain also displays increased susceptibility to radiation- and carcinogen-induced mammary tumors compared with C57BL/6 mice (8 , 9) . The susceptibility to radiation-induced tumors has been demonstrated to be a recessive trait of the mammary epithelium, as C57BL/6 x BALB/c F1 epithelium showed the same low rate of mammary tumor formation as C57BL/6 epithelium (8) . Thus, we undertook to identify recessive alleles present in BALB/c which would confer increased risk of spontaneous mammary tumors in the Trp53+/- breast cancer model.
Two candidate genes have been described for which mutant alleles in the BALB/c strain may confer increased risk to mammary tumors. The Prkdc locus, encoding the catalytic subunit of the DNA double-strand break repair protein DNA-PK,5 contains two point mutations in BALB/c which result in increased radiation-induced genomic instability in mammary epithelial cells and thus may be involved in increased susceptibility to radiation-induced mammary tumors (10) . The BALB/c allele of the Cdkn2a locus, encoding p16INK4A and p19ARF, also contains two point mutations which result in decreased ability of p16INK4A to inhibit Rb phosphorylation and induce growth arrest but do not appear to alter p19ARF function (11 , 12) . Therefore, these candidate genes were examined for their contribution to the formation of mammary and other tumor types in a [C57BL/6 x BALB/c] x BALB/c backcross population of female Trp53+/- mice.
| Materials and Methods |
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1 year for a study of precancerous changes, such that 56 mice were sacrificed for time points and 41 mice for tumors. No BALB/c-Trp53+/- mice survived tumor free; the last tumor was found at 54 weeks of age.
Analysis of the Genotypes at the Prkdc and Cdkn2a Loci.
Normal tail tissues from each mouse were snap frozen in liquid nitrogen at the time of necropsy. The tissue was digested overnight with 100 µg/ml proteinase K in 100 mM Tris, 5 mM EDTA, 0.2% sodium dodecyl sulfate, and 200 mM NaCl, and genomic DNA was isolated by phenol:chloroform:isoamyl alcohol extraction. PCR followed by restriction digestion was performed using published primers and cycling temperatures to distinguish between the C57BL/6 and BALB/c alleles at the Prkdc (10)
and Cdkn2a (11)
loci. PCR was performed with 1050 ng of genomic DNA with 300 pmol/ml each primer in a 20-µl reaction volume containing 1 x PCR buffer (Sigma), 2 mM MgCl (Sigma), 250 µM deoxynucleotide triphosphates (Sigma), and 0.5 unit of Taq polymerase (Sigma). The allelic variants in exon 1 of Cdkn2a were examined after digestion with NlaIII (New England Biolabs, Beverly, MA) at 37°C, and fragments were separated by PAGE using 10% acrylamide in 1 x Tris-borate EDTA and stained with ethidium bromide. The allelic variants at position 2140 of Prkdc were examined after digestion with BsmBI (New England Biolabs) at 55°C, and fragments were separated on 1.5% agarose gels with 1 x Tris-borate EDTA and stained with ethidium bromide.
Statistical Analysis.
Mice were categorized according to tumor types observed and alleles present at the Prkdc and Cdkn2a loci. Kaplan-Meier estimates of the tumor-free survival curves were calculated and plotted (This analysis takes into account the removal of healthy BALB/c mice at various times). The median time to tumor with 95% confidence limits was used for comparison of latencies where possible, avoiding biases caused by rare events at early and late ages that can influence mean results. The significance of differences in latency (tumor-free survival times) was analyzed by the Log-rank test. To test the effect of a single locus, the test was stratified by homozygosity or heterozygosity at the other locus. Latency of mammary tumors was defined as the age when a palpable lump was first detected in the mammary gland. Latency for lymphomas was defined as the age at which enlarged nodes or spleen were first detected or the age when first signs of illness were observed, which progressed to morbidity and sacrifice of the mouse and consequent diagnosis of lymphoma. The majority of osteosarcomas occurred on peripheral limbs; thus, the latency for osteosarcomas was simply defined as the age at which the tumor was first observed. When analyzing mammary tumors, mice bearing carcinosarcomas of the mammary gland were excluded to focus on tumors of definite epithelial origin.
| Results |
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The mammary tumors arising in the three populations had similar histological characteristics, although the extent of squamous differentiation appeared to vary with genetic background. In the present study, 16 of 17 (94%) mammary tumors arising in BALB/c-Trp53+/- mice were adenocarcinomas, with one case of mammary intraepithelial neoplasia and no adenosquamous carcinomas. In the F1 mice, of the 6 mammary tumors, 4 (66%) were acinar or alveolar adenocarcinomas, and 2 (33%) were adenosquamous in character. An additional 2 mice displayed significant mammary epithelial lesions in the form of sclerosing adenosis, a benign lesion, and adenosquamous hyperplasias, a likely precursor to adenosquamous carcinoma. The N2 mammary tumors consisted mainly of adenocarcinomas (76 of 98, 78%), with 9 (9%) cases of carcinosarcomas, 10 (10%) adenosquamous carcinomas, and 3 (3%) mammary intraepithelial neoplasias. Thus, in addition to increased latency and decreased frequency of mammary tumors, the introduction of C57BL/6 alleles into Trp53+/- mice increased the extent of adenosquamous differentiation occurring within mammary tumors from none to 10 and 33% in the BALB/c, N2, and F1 mice, respectively.
The remainder of the tumor spectrum observed in F1- and N2-Trp53+/- study mice included the tumor types most commonly reported in Trp53+/- mice on other genetic backgrounds (14)
. Lymphoma was the second most frequent tumor type in both F1- and N2-populations, occurring in 4 of 19 (21%) F1 mice and 44 of 218 (20%) N2 mice. Osteosarcomas were observed in 28 of 218 (13%) N2 mice and in only 1 (5%) F1 mouse. However, in addition to these commonly observed tumors, two tumor types not reported previously in Trp53+/- mice occurred in the F1 and N2 mice. Adrenal gland tumors were observed in two F1 mice (11%) at 73 and 78 weeks of age and were the third most abundant tumor type in the N2 mice (31 mice, 14%), also occurring with a latency of >70 weeks (Table 1)
. Four mice with adrenal tumors displayed bilateral adrenal gland tumors. Histologically, the tumors were poorly differentiated carcinomas. The adrenal gland tumors varied in size at time of detection depending on whether they were found by palpation or on necropsy. Because of this inconsistent determination of latency, adrenal gland tumors were not subject to statistical analysis. Pituitary adenomas were observed in 2 F1 mice (11%) and 4 (2%) N2 mice occurring at 5175 weeks of age (mean 62 weeks). Secretion of prolactin by these tumors was inferred from the abundant milky secretions in the mammary glands. No other tumor type affected >5% of the N2-Trp53+/- mice.
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Analysis of mice bearing mammary tumors, considering either Prkdc or Cdkn2a alone, did not produce statistically significant results. However, when considering interactions between the loci, a suggestion of Cdkn2a being a modifier was observed in PrkdcB/B mice, with the PrkdcB/B, Cdkn2aB/B genotype reducing the median latency of mammary tumor development by 2.5 weeks compared with PrkdcB/B, Cdkn2a+/B mice (P = 0.11; Table 1
). Interestingly, this effect was limited to mice developing mammary tumors at >55 weeks of age, where the latency difference was generally 57 weeks (Fig. 2D)
.
| Discussion |
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The effect on all tumor types of these two hypomorphic alleles in combination was that mice homozygous for BALB/c alleles at both loci displayed the shortest time to first tumor, as might be expected, because the combination of decreased DNA repair and reduced cell cycle control would be complementary in allowing the survival of mutation-bearing cells, which can progress on to become cancer. However, the strength of the modifying effects and particular genotype combination of greatest difference varied between tumor types, with Prkdc+/B, Cdkn2a+/B mice standing out for low incidence of osteosarcomas (Fig. 2B)
and PrkdcB/B, Cdkn2a+/B mice standing out for high incidence of lymphomas, whereas PrkdcB/B Cdkn2aB/B mice had a noticeably shorter latency for lymphomas (Fig. 2C)
. The intricacies of these interactions depend on the level of expression of DNA-PK and p16INK4A in a particular tissue and on the integration of the signals and activities of many different mechanisms involved in determining the outcome of p53 activation. A p53 response can result in cell cycle arrest, stimulation of DNA repair, and apoptosis, and it is the balance between cell survival and maintenance of genomic integrity that is critical in protection against cancer. The p53 response of a cell can also vary with the proliferative status of a tissue, as is the case in the mammary gland (18)
; thus, the complex web of p53 regulation and cell fate decisions means that the effect of modifier alleles could be highly cell type, cell cycle, and carcinogen specific. The integration of these factors is complex and subtle in the controlled experimental setting of the Trp53+/- model, indicating that the discovery of low penetrance alleles contributing to cancer phenotypes within the highly variable human population will be a very difficult task. However, the study of cancer susceptibility in animal models provides the opportunity to identify novel loci for investigation in the human disease setting.
The occurrence of mammary tumors in the F1 population of Trp53+/- mice and increased latency of mammary tumors in the N2 population compared with the BALB/c mice indicate that both dominant and recessive alleles contribute to BALB/c susceptibility to mammary tumor formation. Both Cdkn2a and Prkdc have been suggested as mammary tumor susceptibility loci; however, neither locus made a major contribution as recessive alleles to the occurrence of mammary tumors in this model. The BALB/c allele of Prkdc was discovered as a gene contributing to the radiation sensitivity of mammary epithelial cells in BALB/c mice (10) and suggested to be involved in mammary tumorigenesis of this strain. Although Prkdc is not a recessive contributor to spontaneous Trp53+/- mammary tumors, the possibility that it could be a dominant contributor cannot be ruled out. DNA-PK is a particularly attractive candidate for breast cancer susceptibility because of its already low expression level in the mammary epithelium (19) , its involvement in DNA double-strand break repair, and the mounting evidence of the involvement of these repair pathways in breast cancer (20 , 21) .
Several human studies of melanoma families with mutations in CDKN2A have suggested that these families may also be at greater risk of developing breast cancer (22 , 23) . The Cdkn2aB/B genotype, when present with PrkdcB/B, decreased mammary tumor latency in this study by 57 weeks in the older mammary tumor-bearing mice. Although not statistically significant, this is of interest because the absence of a modifying effect on the younger onset mammary tumors suggests differences in the mechanism of tumorigenesis between early and late onset mammary tumors in the N2 population. This may point to an unknown allele which accelerates mammary tumor development and renders any contribution from Cdkn2aB/B genotype insignificant. It will be of interest to examine any locus identified in future studies to be involved in mammary tumor susceptibility for interactions with Cdkn2a.
Two tumor types novel for Trp53+/- mice, pituitary adenomas and adrenal gland tumors, were observed in the F1- and N2-Trp53+/- mice of this study. Pituitary adenomas have been described in Trp53+/- mice only when also deficient in Rb, where Rb+/- mice characteristically develop pituitary adenomas (24) . Perhaps the hypomorphic BALB/c Cdkn2a allele resulting in reduced Rb activity, combined with the decreased susceptibility to mammary tumors allowing longer survival times, contribute to the occurrence of this tumor type in the F1- and N2-Trp53+/- mice. The occurrence of adrenal gland tumors in the F1- and N2-Trp53+/- mice is of particular interest because adrenocortical carcinomas are strongly associated with Li-Fraumeni Syndrome while rare in the general population (6) . Although these tumors were not observed in the BALB/c-Trp53+/- mice of this study, they were observed at 5973 weeks and often bilateral in retired breeders kept for monitoring,6 suggesting that more time is required to develop these long latency tumors. The occurrence of adrenal tumors further supports the idea that BALB/c alleles contribute toward making BALB/c-Trp53+/- mice a unique model for Li-Fraumeni Syndrome.
The current study demonstrates clearly that although Cdkn2a may be a weak modifier of Trp53+/- mammary tumor susceptibility, homozygosity at either Cdkn2a or Prkdc cannot account for the susceptibility of BALB/c mice to spontaneous mammary tumors in this model. Genome scans on the N2-Trp53+/- mice are currently underway in the search for other alleles responsible for BALB/c mammary tumor susceptibility.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 Supported by NIH Grants CA66670 and CA87531 (to D. J. J.), the Massachusetts Department of Public Health (43088PP1017), and Department of Defense Breast Cancer Program award DAMD17-00-1-0632, administered by United States Army Medical Research Acquisition Activity. A. C. Blackburn was supported by Department of Defense Breast Cancer Program award DAMD17-01-1-0315, administered by United States Army Medical Research Acquisition Activity. ![]()
2 Present address: John Curtin School of Medical Research, Australian National University, Canberra ACT 2601, Australia. ![]()
3 Present address: Tufts-New England Medical Center, Boston, MA 01199. ![]()
4 To whom requests for reprints should be addressed, at Department of Veterinary and Animal Sciences, Paige Laboratory, 161 Holdsworth Way, University of Massachusetts, Amherst, MA 01003-6410. Phone: (413) 545-5335; Fax: (413) 545-6326; E-mail: jjerry{at}vasci.umass.edu ![]()
5 The abbreviations used are: DNA-PK, DNA-dependent protein kinase; Rb, retinoblastoma. ![]()
6 A. C. Blackburn, personal observation. ![]()
Received 12/17/02. Accepted 3/26/03.
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