Comprehensive molecular comparison of BRCA1 hypermethylated and BRCA1 mutated triple negative breast cancers

Nat Commun. 2020 Jul 27;11(1):3747. doi: 10.1038/s41467-020-17537-2.

Abstract

Homologous recombination deficiency (HRD) is a defining characteristic in BRCA-deficient breast tumors caused by genetic or epigenetic alterations in key pathway genes. We investigated the frequency of BRCA1 promoter hypermethylation in 237 triple-negative breast cancers (TNBCs) from a population-based study using reported whole genome and RNA sequencing data, complemented with analyses of genetic, epigenetic, transcriptomic and immune infiltration phenotypes. We demonstrate that BRCA1 promoter hypermethylation is twice as frequent as BRCA1 pathogenic variants in early-stage TNBC and that hypermethylated and mutated cases have similarly improved prognosis after adjuvant chemotherapy. BRCA1 hypermethylation confers an HRD, immune cell type, genome-wide DNA methylation, and transcriptional phenotype similar to TNBC tumors with BRCA1-inactivating variants, and it can be observed in matched peripheral blood of patients with tumor hypermethylation. Hypermethylation may be an early event in tumor development that progress along a common pathway with BRCA1-mutated disease, representing a promising DNA-based biomarker for early-stage TNBC.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • B7-H1 Antigen / genetics
  • B7-H1 Antigen / metabolism
  • BRCA1 Protein / deficiency
  • BRCA1 Protein / genetics*
  • Cohort Studies
  • DNA Methylation / genetics
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Middle Aged
  • Mutation / genetics*
  • Phenotype
  • Prognosis
  • Promoter Regions, Genetic
  • Transcription, Genetic
  • Treatment Outcome
  • Triple Negative Breast Neoplasms / blood
  • Triple Negative Breast Neoplasms / diagnosis
  • Triple Negative Breast Neoplasms / genetics*
  • Triple Negative Breast Neoplasms / therapy

Substances

  • B7-H1 Antigen
  • BRCA1 Protein
  • BRCA1 protein, human
  • CD274 protein, human