Abstract
Correct repair of DNA double strand breaks (DSBs) is central to the maintenance of the genome integrity, since errors give rise to translocations, deletions, duplications, and expansions, thereby accelerating the multistep process of tumorigenesis. Altered DSB repair activities have been closely linked to the development of both inherited and sporadic breast carcinomas, as indicated by frequent mutations or abnormal expression of DSB repair-related genes. Mammary epithelium appears particularly dependent on proper p53 function as indicated by the high frequency of TP53 mutations in sporadic breast cancers and the high incidence of breast cancer among Li-Fraumeni syndrome patients with mutated p53. Convergent studies demonstrated that p53 regulates recombinative DSB repair independently of classic tumor suppressor functions in transactivating target genes that are implicated in growth control or apoptosis. Moreover, physical and genetic links were established between p53 and recombination factors, such as Rad51, BRCA1 and BRCA2. Mechanistically, p53 restrains DNA exchange events involving imperfectly homologous sequences, thereby suppressing error-prone genome rearrangements. p53 as a DNA repair factor may, therefore, significantly contribute to the suppression of mammary tumor development, which is supported by the observation that the functional status of p53 as a tumor suppressor closely parallels its regulatory activities in recombination.
Keywords: Breast cancer, double strand break repair, Li-Fraumeni, p53, recombination
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RARE CASES IN GYNECOLOGY-OBSTETRICS
With the development of diagnostic and therapeutic techniques (such as ART techniques) and the immersion of new pathologies (such as COVID19), we are witnessing an increase in the incidence of pathologies that were previously described as rare or exceptional. the practitioner sometimes confronts difficult situations in these cases in diagnostic ...read more
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