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Low frequency of microsatellite instability inBRCA1 mutated breast tumours
  1. CATHERINE VAURS-BARRIÈRE*,
  2. FRÉDÉRIQUE PENAULT-LLORCA,
  3. VALÉRIE LAPLACE-MARIEZE*,
  4. NADÈGE PRESNEAU*,
  5. CHRISTINE M MAUGARD,
  6. MARYSE FICHE§,
  7. AGNÈS HARDOUIN,
  8. YVES-JEAN BIGNON*
  1. *Laboratoire d'Oncologie Moléculaire, CRI 9502 & EA 2145, Centre Jean Perrin, 58 Rue Montalembert, BP 392, 63011 Clermont-Ferrand Cedex 01, France
  2. †Service d'Anatomie et Cytologie Pathologiques, Centre Jean Perrin, 63011 Clermont-Ferrand Cedex 01, France
  3. ‡Centre René Gauducheau, Bd J Monod, 44805 St Herblain, France
  4. §Service d'Anatomie Pathologique, CHU Nantes, Hopital G & R Laënnec, 44093 Nantes Cedex 01, France
  5. ¶Centre François Baclesse, Route de Lion-sur-Mer, BP 5026, 14076 Caen Cedex 5, France
  1. Dr Bignon,Yves-Jean.Bignon{at}cjp.u-clermont1.fr

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EditorBRCA1 is one of the major breast and ovarian cancer susceptibility genes. Many studies have suggested that the BRCA1 protein is multifunctional. Notably, it may play a role in DNA repair, especially in double strand break (DSB) DNA repair by homologous recombination because (1)BRCA1 acts in association with Rad51,1 2 (2) DNA damage induces its phosphorylation and delocalisation from nuclear foci to the DNA replication forks,3 and (3) it contains a zinc finger domain that interacts with BARD1, an effector of DNA repair,4 and two BRCT (BRCA1 C-terminal) domains which are found in various proteins implicated in DNA repair5 6(fig 1A).

Figure 1

(A) Schematic representation of the wild type BRCA1 protein with the regions involved in DNA repair shown in black: (a) zinc finger domain (AA 20-68), (b) interaction with Rad51 (AA 758-1064), (c1 and c2) BRCT motifs (respectively AA 1699-1736 and AA 1818-1855). (B) Schematic representation of the BRCA1 mutated proteins generated by germline mutations in the 10 French breast/ovarian cancer families studied. *A Hardouin, personal communication, †C Maugard, personal communication.

Among the various genetic alterations found in breast tumours, one is called microsatellite instability (MI). MI has been shown in a small fraction of sporadic breast tumours, varying from 0 to 30%,7 and in familial breast tumours conflicting results have been reported with a MI+ tumour frequency of 0% (0/15) according to Lothe et al 8 and 83% (15/18) according to Glebov et al. 9

MI is characterised by expansion …

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