Abstract:
Objective: To investigate the methylation status of retinoic acid receptor beta 2 (RAR-β 2) gene in breast cancer patients and precancerous lesions of breast cancer, and to analyze the relationship among the clinicopathologic pa-rameters, the promoter hypermethylation and mRNA expression of the RAR-β 2 gene. Methods:Semi-quantitative reverse transcription PCR (RT-PCR) was used to detect the expression of RAR-β 2 gene in 120 cases with breast tumor tissues and 20cases with non-neoplastic breast tissues. Hemi-nested methylation-specific PCR (hn-MSP) was applied to evaluate the promoter methylation status of RAR-β 2 gene. Breast cancer cell lines MCF-7 and T- 47D were treated with demethyl-ation agent5-aza-2'-deoxycytidine ( 5-aza-DC). Results: At the mRNA level , the expression of RAR-β 2 mRNA was found in 17of the 60breast cancer samples. The expression of RAR-β 2 gene was lower in breast cancer patients than in the adja -cent normal tissues or fibroadenoma samples ( P<0.05). No methylation of RAR-β 2 was detected in 20 non-neoplastic breast tissues. The promoter hypermethylation of RAR-β 2 gene was seen in 27of the 60(45%) cases with breast cancer, 14of the 40(35% ) cases with precancerous lesions of breast cancer, and only 2 of the 20cases with adenofibroma tis -sues. The posi tive rate of aberrant methylation of RAR-β 2 gene was higher in breast cancer than in the adjacent normal tis-sues ( P<0.05). There were no signi ficant di fferences in RAR-β 2 methylation level between breast cancer and precancerous lesions of breast cancer ( χ2=0.99, P>0.05). A negative correlation was found between the gene expression and methylation status of RAR-β 2 (P<0.05). No correlation was found among the methylation status, the tumor size, lymph node metasta -sis, pathological stage and histological grade, or expression of ER and PR in breast cancer (P>0.05). The expression of RAR-β 2 was restored in MCF- 7 and T- 47D after treated with 5-aza-DC. MSP detection confirmed its demethylation status in the gene. Conclusion:DNA methylation is one of mechanisms regulating the expression of RAR-β 2. The downregulation of gene expression casused by the promotor methylation of RAR-β 2 may play an important role in the carcinogenesis of breast cancer.