Mutations in CHEK2 Associated with Prostate Cancer Risk

• Published in: American journal of human genetics 2003-02, Vol.72 (2), p.270-280
• Main Authors: Dong, Xiangyang, Wang, Liang, Taniguchi, Ken, Wang, Xianshu, Cunningham, Julie M., McDonnell, Shannon K., Qian, Chiping, Marks, Angela F., Slager, Susan L., Peterson, Brett J., Smith, David I., Cheville, John C., Blute, Michael L., Jacobsen, Steve J., Schaid, Daniel J., Tindall, Donald J., Thibodeau, Stephen N., Liu, Wanguo
• Format: Article
• Language: English
• Subjects: Age of Onset; Aged; Biological and medical sciences; Cell Line, Transformed; Checkpoint Kinase 2; DNA, Neoplasm - analysis; Frameshift Mutation; Gene Expression; Genes, p53; Genes, Regulator; Genetic Testing; Germ-Line Mutation; Humans; Male; Medical sciences; Middle Aged; Mutation; Nephrology. Urinary tract diseases; Pedigree; Prostatic Neoplasms - epidemiology; Prostatic Neoplasms - genetics; Protein Kinases - genetics; Protein-Serine-Threonine Kinases; Risk Factors; Tumors of the urinary system; Urinary tract. Prostate gland
• ISSN: 0002-9297; 1537-6605
• DOI: 10.1086/346094

The DNA-damage–signaling pathway has been implicated in all human cancers. However, the genetic defects and the mechanisms of this pathway in prostate carcinogenesis remain poorly understood. In this study, we analyzed CHEK2, the upstream regulator of p53 in the DNA-damage–signaling pathway, in several groups of patients with prostate cancer. A total of 28 (4.8%) germline CHEK2 mutations (16 of which were unique) were found among 578 patients. Additional screening for CHEK2 mutations in 149 families with familial prostate cancer revealed 11 mutations (5 unique) in nine families. These mutations included two frameshift and three missense mutations. Importantly, 16 of 18 unique CHEK2 mutations identified in both sporadic and familial cases were not detected among 423 unaffected men, suggesting a pathological effect of CHEK2 mutations in prostate cancer development. Analyses of the two frameshift mutations in Epstein Barr virus–transformed cell lines, using reverse-transcriptase polymerase chain reaction and western blot analysis, revealed abnormal splicing for one mutation and dramatic reduction of CHEK2 protein levels in both cases. Overall, our data suggest that mutations in CHEK2 may contribute to prostate cancer risk and that the DNA-damage–signaling pathway may play an important role in the development of prostate cancer.