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(American Journal of Pathology. 2000;156:839-847.)
© 2000 American Society for Investigative Pathology


Regular Articles

Amplification and Deletion of Topoisomerase II{alpha} Associate with ErbB-2 Amplification and Affect Sensitivity to Topoisomerase II Inhibitor Doxorubicin in Breast Cancer

Tero A. H. Järvinen*, Minna Tanner*{dagger}§, Virpi Rantanen{ddagger}, Maarit Bärlund*, Åke Borg§, Seija Grénman{ddagger} and Jorma Isola

From the Laboratory of Cancer Biology,*
University and University Hospital of Tampere, and the Department of Oncology,{dagger}
Tampere University Hospital, Tampere, Finland; the Departments of Medical Biochemistry and Gyneacology and Obstetrics,{ddagger}
University and University Hospital of Turku, Turku, Finland; and the Department of Oncology,§
University of Lund, Lund, Sweden

Topoisomerase II{alpha} (topoII{alpha}) is a key enzyme in DNA replication and a molecular target for many anti-cancer drugs called topoII inhibitors. The topoII{alpha} gene is located at chromosome band 17q12-q21, close to the ErbB-2 oncogene (HER-2/neu), which is the most commonly amplified oncogene in breast cancer. Because of the physical proximity to ErbB-2, copy number aberrations may also occur in the topoII{alpha} gene. These topoII{alpha} gene copy number aberrations may be related to the altered chemosensitivity to topoII inhibitors that breast cancers with ErbB-2 amplification are known to have. We used fluorescence in situ hybridization to study copy number aberrations of both topoII{alpha} and ErbB-2 in nine breast cancer cell lines and in 97 clinical breast tumors, which were selected for the study according to their ErbB-2 status by Southern blotting. TopoII{alpha}-protein expression was studied with Western blot and sensitivity to doxorubicin (a topoII inhibitor) with a 96-well clonogenic in vitro assay. Two of the five cell lines with ErbB-2 gene amplification (SK-BR-3 and UACC-812) showed amplification of topoII{alpha}. In MDA-361 cells, ErbB-2 amplification (14 copies/cell) was associated with a physical deletion of topoII{alpha} (four copies of chromosome 17 centromere and two copies of topoII{alpha}). The topoII{alpha} amplification in UACC-812 cells was associated with 5.9-fold-increased topoII{alpha} protein expression and 2.5-fold-increased sensitivity to the topoII inhibitor, doxorubicin, whereas the deletion in MDA-361 leads to decreased protein expression (45% of control) and a 2.4-fold-increased chemoresistance in vitro. Of 57 ErbB-2-amplified primary breast carcinomas, 25 (44%) showed ErbB-2-topoII{alpha} coamplification and 24 (42%) showed a physical deletion of the topoII{alpha} gene. No topoII{alpha} copy number aberrations were found in 40 primary tumors without ErbB-2 amplification. TopoII{alpha} gene amplification and deletion are common in ErbB-2-amplified breast cancer and are associated with increased or decreased sensitivity to topoII inhibitors in vitro, respectively. These findings may explain the altered chemosensitivity to topoII inhibitors reported in ErbB-2-amplified breast cancers.





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