BRCA1 is expressed in the cells of breast and other tissue, where it helps repair damaged DNA, or destroy cells if DNA cannot be repaired. If BRCA1 itself is damaged, damaged DNA is not repaired properly and this increases risks for cancers.
The protein encoded by the BRCA1 gene combines with other tumor suppressors, DNA damage sensors, and signal transducers to form a large multi-subunit protein complex known as the BRCA1-associated genome surveillance complex (BASC). The BRCA1 protein associates with RNA polymerase II, and through the C-terminal domain, also interacts with histone deacetylase complexes. Thus, this protein plays a role in transcription, DNA repair of double-stranded breaks ubiquitination, transcriptional regulation as well as other functions.
In the nucleus of many types of normal cells, the BRCA1 protein interacts with RAD51 during repair of DNA double-strand breaks. These breaks can be caused by natural radiation or other exposures, but also occur when chromosomes exchange genetic material (homologous recombination, e.g., "crossing over" during meiosis). The BRCA2 protein, which has a function similar to that of BRCA1, also interacts with the RAD51 protein. By influencing DNA damage repair, these three proteins play a role in maintaining the stability of the human genome.
BRCA1 directly binds to DNA, with higher affinity for branched DNA structures. This ability to bind to DNA contributes to its ability to inhibit the nuclease activity of the MRN complex as well as the nuclease activity of Mre11 alone. This may explain a role for BRCA1 to promote higher fidelity DNA repair by non-homologous end joining (NHEJ). BRCA1 also colocalizes with γ-H2AX (histone H2AX phosphorylated on serine-139) in DNA double-strand break repair foci, indicating it may play a role in recruiting repair factors.
These mutations can be changes in one or a small number of DNA base pairs (the building-blocks of DNA). Those mutations can be identified with PCR and DNA sequencing.
In some cases, large segments of DNA are rearranged. Those large segments, also called large rearrangements, can be a deletion or a duplication of one or several exons in the gene. Classical methods for mutations detection (sequencing) are unable to reveal those mutations. Other methods are proposed: Q-PCR, Multiplex Ligation-dependent Probe Amplification (MLPA), and Quantitative Multiplex PCR of Shorts Fluorescents Fragments (QMPSF). New methods have been recently proposed: heteroduplex analysis (HDA) by multi-capillary electrophoresis or also dedicated oligonucleotides array based on comparative genomic hybridization (array-CGH).
Some results suggest that hypermethylation of the BRCA1 promoter, which has been reported in some cancers, could be considered as an inactivating mechanism for BRCA1 expression.
A mutated BRCA1 gene usually makes a protein that does not function properly because it is abnormally short. Researchers believe that the defective BRCA1 protein is unable to help fix mutations that occur in other genes. These defects accumulate and may allow cells to grow and divide uncontrollably to form a tumor.
BRCA1 mRNA 3' UTR can be bound by an miRNA, Mir-17 microRNA. It has been suggested that variations in this miRNA along with Mir-30 microRNA could confer susceptibility to breast cancer.
In addition to breast cancer, mutations in the BRCA1 gene also increase the risk of ovarian, fallopian tube, and prostate cancers. Moreover, precancerous lesions (dysplasia) within the Fallopian tube have been linked to BRCA1 gene mutations. Pathogenic mutations anywhere in a model pathway containing BRCA1 and BRCA2 greatly increase risks for a subset of leukemias and lymphomas.
Women having inherited a defective BRCA1 or BRCA2 gene have risks for breast and ovarian cancer that are so high and seem so selective that many mutation carriers choose to have prophylactic surgery. There has been much conjecture to explain such apparently striking tissue specificity. Major determinants of where BRCA1/2 hereditary cancers occur are related to tissue specificity of the cancer pathogen, the agent that causes chronic inflammation or the carcinogen. The target tissue may have receptors for the pathogen, become selectively exposed to an inflammatory process or to a carcinogen. An innate genomic deficit in a tumor suppressor gene impairs normal responses and exacerbates the susceptibility to disease in organ targets. This theory also fits data for several tumor suppressors beyond BRCA1 or BRCA2. A major advantage of this model is that it suggests there may be some options in addition to prophylactic surgery.
{| class="wikitable" |- ! Population or subgroup !! BRCA1 mutation(s) !! Reference(s) |- | African-Americans || 943ins10, M1775R || |- | Ashkenazi Jewish || 185delAG, 188del11, 5382insC || |- | Austrians || 2795delA, C61G, 5382insC, Q1806stop || |- | Belgians || 2804delAA, IVS5+3A>G || |- | Dutch || Exon 2 deletion, exon 13 deletion, 2804delAA || |- | Finns || 3745delT, IVS11-2A>G || |- | French || 3600del11, G1710X || |- | French Canadians || C4446T || |- | Germans || 5382insC || 4184del4 Ref. http://mutview.dmb.med.keio.ac.jp/MutationView/jsp/mutview/html/brca1.html |- | Greeks || 5382insC || |- | Hungarians || 300T>G, 5382insC, 185delAG || |- | Italians || 5083del19 || |- | Japanese || L63X, Q934X || |- | Native North Americans || 1510insG, 1506A>G || |- | Northern Irish || 2800delAA || |- | Norwegians || 816delGT, 1135insA, 1675delA, 3347delAG || |- | Pakistanis || 2080insA, 3889delAG, 4184del4, 4284delAG, IVS14-1A>G || |- | Polish || 300T>G, 5382insC, C61G, 4153delA || |- | Russians || 5382insC, 4153delA || |- | Scottish || 2800delAA || |- | South Africans || E881X || |- | Spanish || R71G || |- | Swedish || Q563X, 3171ins5, 1201del11, 2594delC || |}
Category:Genes on chromosome 17 Category:Tumor markers Category:Tumor suppressor genes
ca:BRCA1 de:BRCA1 es:BRCA1 fr:BRCA1 it:BRCA1 nl:BRCA1 ja:BRCA1 pl:BRCA1 pt:BRCA1 fi:BRCA1 ur:برسا 1This text is licensed under the Creative Commons CC-BY-SA License. This text was originally published on Wikipedia and was developed by the Wikipedia community.
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