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  5. DNA replication licensing and cell cycle kinetics of normal and neoplastic breast
 
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DNA replication licensing and cell cycle kinetics of normal and neoplastic breast
File(s)
DNA replication licensing and cell cycle kinetics of normal and neoplastic breast.pdf (175.32 KB)
Published version
Author(s)
Shetty, A
Loddo, M
Fanshawe, T
Prevost, AT
Sainsbury, R
more
Type
Journal Article
Abstract
Mcm2–7 (MCM) proteins are part of the origin licensing machinery that regulates initiation of DNA replication. Geminin is a licensing repressor and prevents reinitiation of DNA replication during S–G2–M phase by blocking reloading of Mcm2–7 at replication origins. Here, we have analysed these replication licensing factors (RLFs) to determine whether the pathway becomes deregulated during mammary carcinogenesis, and have assessed their potential value as prognostic markers. Protein expression profiles were generated for Ki67, Mcm2, geminin, HER-2, ER and PR in a series of reduction mammoplasty (n=18) and breast cancer specimens (n=120), and compared to clinicopathological parameters. A large proportion of epithelial cells of the terminal duct lobular unit reside in a primed ‘replication licensed’ but not proliferating state. This state is characterised by Mcm2 expression and absence of Ki67 and the S/G2/M marker geminin. In breast cancers, increasing tumour grade is associated with increased Ki67, Mcm2 and geminin expression. The Mcm2/Ki67 ratio decreases through the grades, indicating a shift from a predominantly licensed state to an actively proliferating state. This shift is associated with an increase in the geminin/Ki67 ratio, signifying a shortening of G1 phase in breast cancer cells. Ki67, Mcm2 and the Mcm2/Ki67 ratio are statistically significantly associated with the Nottingham Prognostic Index (NPI), but geminin and the geminin/Ki67 ratio are not. Ki67, Mcm2 and Mcm2/Ki67 are highly correlated with one another, with Mcm2 being the single most important predictor of NPI score (P<0.001). However, only 12% of variation in NPI is explained by Mcm2, as the labelling index for this marker is approaching 100% for many of the high-grade tumours. The origin licensing phenotypes of normal breast and breast cancers therefore relate to their cellular differentiation status, and high-level MCM expression in more poorly differentiated tumours severely constrains their use as prognostic markers in breast cancer.
Date Issued
2005-11-28
Date Acceptance
2005-08-23
Citation
British Journal of Cancer, 2005, 93 (11), pp.1295-1300
URI
http://hdl.handle.net/10044/1/72453
URL
https://www.nature.com/articles/6602829
DOI
https://www.dx.doi.org/10.1038/sj.bjc.6602829
ISSN
0007-0920
Publisher
Springer Nature [academic journals on nature.com]
Start Page
1295
End Page
1300
Journal / Book Title
British Journal of Cancer
Volume
93
Issue
11
Copyright Statement
© 2005 Cancer Research UK. From twelve months after its original publication, this work is licensed under the Creative Commons Attribution-NonCommercial-Share Alike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000233462600014&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Oncology
Ki67
Mcm2
MCM
geminin
DNA replication licensing
breast cancer
MINICHROMOSOME MAINTENANCE PROTEIN-2
STEM-CELLS
PROLIFERATIVE STATE
PROGNOSTIC MARKERS
HISTOLOGICAL GRADE
PREDICTIVE FACTORS
CANCER
GEMININ
EXPRESSION
INHIBITION
Publication Status
Published
Date Publish Online
2005-11-08
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