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Associate with ErbB-2 Amplification and Affect Sensitivity to Topoisomerase II Inhibitor Doxorubicin in Breast Cancer
§

From the Laboratory of Cancer Biology,*
University and
University Hospital of Tampere, and the Department of
Oncology,
Tampere University Hospital,
Tampere, Finland; the Departments of Medical Biochemistry and
Gyneacology and Obstetrics,
University and
University Hospital of Turku, Turku, Finland; and the Department of
Oncology,§
University of Lund, Lund, Sweden
Topoisomerase II
(topoII
) is a key enzyme in DNA replication
and a molecular target for many anti-cancer drugs called topoII
inhibitors. The topoII
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
gene. These topoII
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
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
-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
. In MDA-361 cells, ErbB-2
amplification (14 copies/cell) was associated with a physical deletion
of topoII
(four copies of chromosome 17 centromere and two copies of
topoII
). The topoII
amplification in UACC-812 cells was
associated with 5.9-fold-increased topoII
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
coamplification and 24 (42%) showed a physical deletion of the
topoII
gene. No topoII
copy number aberrations were found in 40
primary tumors without ErbB-2 amplification. TopoII
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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