Functional Impact of Sequence Alterations Found in BRCA1 Promoter/5'UTR Region in Breast/Ovarian Cancer Families from Upper Silesia, Poland

The 5' region of BRCA1 contains multiple regulatory sequences flanking the two alternative promoters α and β and two alternative, non-coding exons, 1a and 1b. Aberrations within the 5' region BRCA1 (encompassing two alternative promoters α and β and exons 1a and 1b) may be associated with an increased risk of breast and ovarian cancer. In this study we screened 150 patients for polymorphism and mutations in this region of BRCA1. All probands came from familial breast and/or ovarian cancer that had been found to be mutation-negative in a previous search for founder mutations in BRCA1 (185delAG, C61G, 4153delA, 5382insC) or BRCA2 (6174delT, 9631delC). In our study we found several sequence alterations within the non-coding region of BRCA1 by using direct DNA sequencing and allele-specific PCR amplification. Three families with a polymorphic deletion in BRCA1 exon 1b (2223delAAAAA, Acc. U37574) were found. Moreover, two linked nucleotide substitutions (2642A>T, 2743T>C, Acc. U37574) in BRCA1 intron 1 were detected in 16 patients. In order to assess the functional significance of these two sequence variants, we constructed a reporter vector encoding firefly luciferase under the transcriptional and translational control of wild type and altered BRCA1 promoter region. The reporter assay was performed using a lung cancer cell line (NCI-H1299) and a breast cancer cell line (MCF7). We have demonstrated that the analysed sequence variants have no functional significance in our experimental system. However, we have found that the BRCA1 promoter has lower relative activity in the breast cancer cell line compared with the lung cancer cell line. Based on the results of our functional experiments we conclude that the polymorphic deletion 2223delAAAAA and two linked substitutions 2642A>T and 2743T>C do not significantly alter BRCA1 expression and are probably not disease-causing mutations.

I In nt tr ro od du uc ct ti io on n The human BRCA1 gene is under the transcriptional control of two different promoters, α and β that drive the transcription of exon 1a and 1b, respectively [22].
At the RNA level each of the alternative first exons is linked by splicing with exon 2 [21]. However, the translational initiation site is the same for the two mRNA variants and is located in exon 2 [11]. The BRCA1 5`UTR region coded by exon 1b contains three Functional Impact of Sequence Alterations Found in BRCA1 Promoter/5'UTR Region in Breast/Ovarian Cancer Families from Upper Silesia, Poland additional ATG codons upstream of the major translation initiation site [21]. The promoter α is bidirectional and shared with the NBR2 gene [4,21]. BRCA1 contains multiple transcription factor binding sites identified in 5` flanking regions of exon 1a and exon 1b [17,18]. The different transcripts of the BRCA1 gene are present at different levels in various normal and tumour tissues and may have distinct biological functions [21]. Expression of transcripts α and β of the BRCA1 gene may be co-regulated by use of a dual promoter system. Moreover, the two mRNAs may differ in their stability or translational efficiency [21].
Germline mutations within the BRCA1 gene are responsible for familial cancer and reduced expression of the BRCA1 gene is frequently observed in sporadic breast [12,16,20] and ovarian tumours [23]. Various mechanisms such as methylation of the CpG islands within the promoter region [2,6,10,13], allelic deletion of the BRCA1 locus and sequence alterations identified outside the BRCA1 coding region, especially within the positive regulatory region (PRR) of the BRCA1 promoter, can modulate the level of BRCA1 expression [17,19]. There are also other mechanisms responsible for breast and ovarian cancer pathogenesis [5,15]. Expression patterns of BRCA1 mRNAs and differences in their translatability [14] and disruption of the DNAprotein complexes [18] may also contribute to breast/ovarian cancer susceptibility.
Our aim was to investigate the functional effect of sequence alterations within the BRCA1 promoter/5'UTR region using luciferase reporter gene assay.
M Ma at te er ri ia al l a an nd d m me et th ho od ds s P Pa at ti ie en nt ts s One hundred and fifty patients from families resident in Upper Silesia, Poland, were screened for deletions in the BRCA1 promoter/5'UTR region using genomic DNA extracted from peripheral blood lymphocytes using the phenol-chloroform method [7]. Each patient was selected after clinical genetic counselling in which they completed a detailed questionnaire, including family history, after signing an informed consent document. Each person selected for the study was diagnosed with breast and/or ovarian cancer and had a positive family history of breast and/or ovarian cancer.
S Sc cr re ee en ni in ng g f fo or r n ne ew w s se eq qu ue en nc ce e v va ar ri ia an nt ts s w wi it th hi in n B BR RC CA A1 1 p pr ro om mo ot te er r/ /5 5' 'U UT TR R Eighty-seven patients diagnosed with breast and/or ovarian cancer were selected for BRCA1 promoter/5'UTR (GenBank accession no. U37574) screening by direct DNA sequencing. All patients were mutation-negative for founder mutations in the BRCA1 gene (185delAG, 300T/G, 4153delA, 5382insC) and in the BRCA2 gene (6174delT, 9631delC) using ASA-PCR and RFLP PCRs analyses [8,9].
Allele-specific PCR amplification was used to estimate the frequency of the polymorphic deletion 2223delAAAAA in an additional sixty-three patients of breast/ovarian cancer patients fulfilling the above criteria. The following primers were used: (5'→3')TTTAAAAACGTCGGCTGGTC (forward), TCCCACAAAATCCTGTCTCC (reverse) and CAGCCGGTGTGTTTTGTTTT (reverse) with 'touch-down' PCR: denaturation at 95°C for 5 min. followed by 10 cycles of 94°C 20s, 65°C 25s (at this point temperature decreased 0.7°C per cycle), 72°C 30s and followed by 30 cycles at 94°C 20s, 58°C 25s, 72°C 30s ending with a final extension of 72°C for 7 min. and a quick chill to 4°C. PCR reactions were performed in 15 µl reactions containing 1 µl 50-150 ng DNA, 1xPCR buffer II (50 mM KCl, 10 mM Tris-HCl pH 8.3), 1.5 mM MgCl, 50 pmol each primer and 1U of AmpliTaq DNA Polymerase (Applied Biosystem). The PCR product was amplified using a Mastercycler ep ® gradient S (Eppendorf) thermal cycler. The amplified products were separated in 2% agarose gel. The expected size of the PCR fragment containing a polymorphic deletion within exon 1b was 261 bp.
F Fu un nc ct ti io on na al l a an na al ly ys se es s o of f r re eg gi io on n B BR RC CA A1 1p pr ro om mo ot te er r/ /5 5' 'U UT TR R P Pl la as sm mi id ds s. . The 1.5 kb DNA region, encompassing minimal BRCA1 promoter (promoter α), alternative promoter (β), exons 1a, 1b and intron 1, in wild type and in polymorphic forms, was amplified using the primers 5'→3': TTTTGCTAGCCTTTATGGCAAACTCAGGTAG and TTTTAAGCTTTCTGTTCCAATGAACTTTAAC. The downstream and upstream primers were designed to include NheI and HindIII sites, respectively (underlined). The amplified products were digested with NheI and HindIII and ligated into pGL3-Basic reporter vector (Promega) digested with NheI and HindIII. The pGL3-BRCA1-prom plasmids contain the firefly luciferase gene (luc) under the transcriptional and translational control of either the wild type or polymorphic BRCA1 promoter/5'UTR region ( Figure 2). The identity of BRCA1 promoter constructs was confirmed by sequencing. The inserts' nucleotide sequences were compared with the sequence U37574 from GeneBank.
C Ce el ll l c cu ul lt tu ur re e, , t tr ra an ns sf fe ec ct ti io on n a an nd d l lu uc ci if fe er ra as se e a as ss sa ay y. . Functional analysis of the BRCA1 promoter/5'UTR region was carried out in human non-small cell lung cancer cell line NCI-H1299 and breast cancer cell line MCF7 (obtained from ATCC). Cells were cultured in DMEM or RPMI-1640 medium (respectively) supplemented with 10% foetal calf serum and kept at 37°C and 5% CO 2 . Cell cultures were plated in 12well culture dishes at 24 hours prior to transfection. At 40% confluence, lung cancer NCI-H1299 and breast cancer MCF7 cells were transfected with 0.5 µg DNA of wild type or polymorphic reporter vectors using FuGene6 (Roche) transfection reagent according to the manufacturer's instructions. pRL-TK reporter vector coding for Renilla luciferase (Promega) was cotransfected with pGL3-BRCA1-prom plasmids and served as an internal control. The cells were incubated with FuGene6-DNA for 24 hours. Subsequently the cells were washed in phosphatate buffered saline, lysed in 250 µl 1x Passive Lysis Buffer and 20 µl of the cell lysates were assayed using the Dual-Luciferase Reporter Assay System (Promega). Firefly luciferase activity was divided by Renilla luciferase activity, which yielded normalized firefly luciferase activity. This normalization helps to minimize the confounding influence of differences in cell number, transfection efficiency, etc. Each pGL3-BRCA1-prom plasmid version was transfected to the three wells of the 12-well plate. The mean and standard deviation from three luciferase measurements were calculated and the statistical significance of the differences were estimated using the t-test.
R Re es su ul lt ts s a an nd d d di is sc cu us ss si io on n One hundred and fifty patients with breast and/or ovarian cancer from Upper Silesia in Poland were screened for sequence alterations in the 5' region of BRCA1.
The functional impact of the most frequent sequence variants within the 5' region of BRCA1 was analysed by the Dual-Luciferase Reporter Assay System (Promega) in the lung cancer cell line (NCI-H1299) and breast cancer cell line (MCF-7). Normalized firefly luciferase activity was significantly lower in the MCF7 cell line compared with the NCI-H1299 cell line ( Figure 3).
All tested variants of the BRCA1 promoter/5`UTR induced expression of the reporter gene at levels very similar to the wild-type sequence in NCI-H1299 cell line (2.15±0.32 and 2.02±0.27 versus 1.84±0.123; P=0.19, t-test; Figure 3). The polymorphic sequences slightly reduced expression of reporter luc gene compared with wild-type BRCA1 promoter/5`UTR in MCF7 cell line (0.51±0.024 and 0.55±0.012 versus 0.6±0.07); however, the differences were not significant (P= 0.089, P=0.263, t-test, respectively; Figure 3). The evidence from this study suggests that the first polymorphism under investigation could only slightly modulate the levels of expression of the BRCA1 gene while the second polymorphism (deletion of 5 nucleotides) did not demonstrate any change in functional activity in the experimental system used in this study.
The 5' region of BRCA1 contains multiple functional domains which may regulate translation, transcription and alternative splicing of BRCA1 [21,22]. In this study we analysed the BRCA1 5` region and detected several sequence alterations. We cloned the region of interest of the BRCA1 gene into the reporter plasmid in order to find out if the sequence alterations modulate the expression of the reporter gene. The deletion of five adenines is a major sequence change. It is located in exon 1b, which is an alternative exon present in the mRNA mostly in cancer cells [21,14]. It may change the secondary structure of the 5'UTR of the alternative mRNA, influencing translation efficiency. However, we did not detect its influence on the reporter gene in either of the two cancer cell lines that we used for the assay. The two linked substitutions are located at the 3' end of intron 1. In principle, they may modulate the efficiency or accuracy of RNA splicing. However, in the case of these linked sequence changes, we observed no influence on reporter gene expression. Therefore, we conclude that the sequence alterations have no major functional impact on BRCA1 expression. However, we cannot rule out the possibility that they change regulation of BRCA1 expression in normal cells or when present in their proper chromatin environment.
Interestingly, we noticed that the activity of the reporter gene controlled by BRCA1 promoter is significantly lower in the MCF7 breast cancer cell line compared with the lung cancer cell line (Fig. 3). Normalized firefly luciferase activity can be regarded as a ratio of experimental promoter activity (BRCA1 in this case) to the control promoter activity (thymidine kinase gene promoter from herpes simplex virus). This ratio is significantly lower in MCF7 cells. This is consistent with the observation of decreased BRCA1 protein level in breast cancer cell lines and primary breast carcinomas associated with the increased expression of negative regulators of BRCA1 promoter [1]. Methylation of the BRCA1 promoter region also decreases the expression level of the protein [3], but this mechanisms is found in a small number of BRCA1 negative breast cancer specimens [1].