PMID- 33382535 OWN - NLM STAT- MEDLINE DCOM- 20220126 LR - 20240229 IS - 2056-4538 (Electronic) IS - 2056-4538 (Linking) VI - 7 IP - 3 DP - 2021 May TI - Chromosome 2q gain and epigenetic silencing of GATA3 in microglandular adenosis of the breast. PG - 220-232 LID - 10.1002/cjp2.195 [doi] AB - Microglandular adenosis (MGA) represents a rare neoplasm of the mammary gland, which in a subset of cases may be associated with triple-negative breast cancer (BC). The biology of MGA is poorly understood. In this study, eight MGA cases (n = 4 with and n = 4 without associated BC) were subjected to a comprehensive characterization using immunohistochemistry, genome-wide DNA copy number (CN) profiling, fluorescence in situ hybridization (FISH), next-generation sequencing (NGS), and DNA methylation profiling using 850 K arrays and bisulfite pyrosequencing. Median patient age was 61 years (range 57-76 years). MGA lesions were estrogen receptor (ER)-negative, progesterone receptor-negative, HER2-negative, and S100-positive. DNA CN alterations (CNAs) were complex or limited to few gains and losses. CN gain on chromosome 2q was the most common CNA and was validated by FISH in five of eight cases. NGS demonstrated an average of two mutations per case (range 0-5) affecting 10 different genes (ARID1A, ATM, CTNNB1, FBXW7, FGFR2, MET, PIK3CA, PMS2, PTEN, and TP53). CNAs and mutations were similar in MGA and adjacent BC, indicating clonal relatedness. DNA methylation profiling identified aberrant hypermethylation of CpG sites within GATA3, a key transcription factor required for luminal differentiation. Immunohistochemistry showed regular GATA3 protein expression in the normal mammary epithelium and in ER-positive BC. Conversely, GATA3 was reduced or lost in all MGA cases tested (8/8). In conclusion, MGA is characterized by common CN gain on chromosome 2q and loss of GATA3. Epigenetic inactivation of GATA3 may provide a new clue to the peculiar biology of this rare neoplasia. CI - (c) 2020 The Authors. The Journal of Pathology: Clinical Research published by The Pathological Society of Great Britain and Ireland & John Wiley & Sons, Ltd. FAU - Radner, Martin AU - Radner M AUID- ORCID: 0000-0001-6913-8380 AD - Institute of Pathology, Hannover Medical School, Hannover, Germany. FAU - van Luttikhuizen, Jana Lisa AU - van Luttikhuizen JL AD - Department of Human Genetics, Hannover Medical School, Hannover, Germany. FAU - Bartels, Stephan AU - Bartels S AUID- ORCID: 0000-0002-8903-2345 AD - Institute of Pathology, Hannover Medical School, Hannover, Germany. FAU - Bublitz, Janin AU - Bublitz J AD - Department of Human Genetics, Hannover Medical School, Hannover, Germany. FAU - Grote, Isabel AU - Grote I AD - Institute of Pathology, Hannover Medical School, Hannover, Germany. FAU - Rieger, Luisa AU - Rieger L AD - Institute of Pathology, Hannover Medical School, Hannover, Germany. FAU - Christgen, Henriette AU - Christgen H AD - Institute of Pathology, Hannover Medical School, Hannover, Germany. FAU - Stark, Helge AU - Stark H AUID- ORCID: 0000-0002-2668-8056 AD - Institute of Pathology, Hannover Medical School, Hannover, Germany. FAU - Werlein, Christopher AU - Werlein C AD - Institute of Pathology, Hannover Medical School, Hannover, Germany. FAU - Lafos, Marcel AU - Lafos M AD - Institute of Pathology, Hannover Medical School, Hannover, Germany. FAU - Steinemann, Doris AU - Steinemann D AD - Department of Human Genetics, Hannover Medical School, Hannover, Germany. FAU - Lehmann, Ulrich AU - Lehmann U AD - Institute of Pathology, Hannover Medical School, Hannover, Germany. FAU - Christgen, Matthias AU - Christgen M AD - Institute of Pathology, Hannover Medical School, Hannover, Germany. FAU - Kreipe, Hans AU - Kreipe H AD - Institute of Pathology, Hannover Medical School, Hannover, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20201231 PL - England TA - J Pathol Clin Res JT - The journal of pathology. Clinical research JID - 101658534 RN - 0 (Biomarkers, Tumor) RN - 0 (GATA3 Transcription Factor) RN - 0 (GATA3 protein, human) SB - IM MH - Aged MH - Biomarkers, Tumor/analysis/*genetics MH - *Chromosome Aberrations MH - *Chromosomes, Human, Pair 2 MH - *DNA Methylation MH - Female MH - Fibrocystic Breast Disease/chemistry/*genetics/pathology MH - GATA3 Transcription Factor/*genetics MH - *Gene Silencing MH - Humans MH - Middle Aged MH - Molecular Diagnostic Techniques MH - Precancerous Conditions/*genetics/metabolism/pathology MH - Triple Negative Breast Neoplasms/chemistry/*genetics/pathology PMC - PMC8073017 OTO - NOTNLM OT - DNA methylation OT - breast cancer precursor OT - epigenetic alteration OT - luminal differentiation OT - stem cell OT - triple-negative breast cancer EDAT- 2021/01/01 06:00 MHDA- 2022/01/27 06:00 PMCR- 2020/12/31 CRDT- 2020/12/31 12:10 PHST- 2020/11/06 00:00 [revised] PHST- 2020/08/31 00:00 [received] PHST- 2020/11/20 00:00 [accepted] PHST- 2021/01/01 06:00 [pubmed] PHST- 2022/01/27 06:00 [medline] PHST- 2020/12/31 12:10 [entrez] PHST- 2020/12/31 00:00 [pmc-release] AID - CJP2195 [pii] AID - 10.1002/cjp2.195 [doi] PST - ppublish SO - J Pathol Clin Res. 2021 May;7(3):220-232. doi: 10.1002/cjp2.195. Epub 2020 Dec 31.