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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: BACKGROUND, METHODS, RESULTS. Meshes: Base Sequence, Breast Neoplasms, DNA Methylation, DNA Primers, Genes, p16, Humans, Immunohistochemistry, Neoplasm Invasiveness, Polymerase Chain Reaction, Promoter Regions, Genetic, Tubulin.
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Do increased gamma-tubulin expression and P16INK4A promoter methylation occur together in preinvasive lesions and carcinomas of the breast? Context: Loss of p16(INK4A) due to promoter hypermethylation is correlated with the ability to acquire centrosomal abnormalities in variant human mammary epithelial cells. gamma-Tubulin is a highly conserved component of centrosome in most animal cells and gamma-tubulin protein overexpression could lead to centrosome aberration. A large series of breast premalignant lesions and carcinoma was analyzed. Real-time quantitative PCR and immunohistochemistry were carried out to measure gamma-tubulin copy numbers and protein expression. MethyLight and immunohistochemistry were carried out to determine p16(INK4A) methylation and protein expression. gamma-Tubulin protein expression was concordant with gene amplification; both of them were found to increase with atypical ductal hyperplasia-carcinoma sequence. The median value and positive rate of p16(INK4a) methylation increased while protein expression displayed a decreasing trend. P16(INK4a) methylation showed a firm association with gamma-tubulin gene amplification.
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gamma-Tubulin gene amplification and the concomitant protein overexpression present not only in invasive carcinoma but also in a significant fraction of atypical hyperplasia and in situ carcinomas. P16(INK4a) methylation and gamma-tubulin gene amplification had a synergistic effect on tumor progression. The synergism might arise as a result of the combined influence that p16(INK4a) and gamma-tubulin have on the G1-S cell cycle checkpoints and centrosome. Final Decision: yes