Although the agents and the mechanisms that cause breast cancer are still uncertain, there is substantial evidence that breast cancer risk is strongly dependent on endocrinological and reproductive conditions, such as early menarche, late menopause, and nulliparity. An early first full term pregnancy, on he other hand, confers a lifetime protection. Experimentally we have demonstrated that the protection conferred by pregnancy is mediated by induction of breast differentiation, which is manifested through obular development, reduced cell proliferation and steroid hormone receptor content, and a """"""""genomic signature"""""""" that is associated with refractoriness to chemically induced carcinogenesis. This application proposes to test the hypothesis that early pregnancy imprints in the breast permanent genomic changes that reduce the lifetime risk of the developing breast cancer. This hypothesis will be demonstrated through the following specific aims: 1: To characterize the specific gene expression profile of women at """"""""low"""""""" and 'high"""""""" risk of developing breast cancer because of reproductive history. Gene expression in normal breast tissue obtained from postmenopausal women with a history of one or more early full term pregnancies will he compared to gene expression in normal breast tissue from postmenopausal women who are nulliparous. For this purpose we will perform a large-scale analysis of gene expression using available human cDNA libraries for determining the expression pattern of known and unknown (ESTs) genes. 2: To determine if gene clusters differentially expressed in women at risk of developing breast cancer because of reproductive history (identified in Specific aim 1) are differentially expressed in the breast issue of postmenopausal women with breast cancer compared to postmenopausal women who do not have breast cancer. For this purpose we will perform a case-control study to compare gene expression profiles in the normal, breast tissue of postmenopausal women with invasive breast cancer vs. postmenopausal women with benign breast disease. Knowledge gained through these studies will allow us to identify the """"""""genomic signature"""""""" induced by an early pregnancy, and that if proven to be functionally relevant would serve as molecular markers for assessing breast cancer risk in large populations.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA093599-02
Application #
6613026
Study Section
Epidemiology and Disease Control Subcommittee 2 (EDC)
Program Officer
Patel, Appasaheb1 R
Project Start
2002-07-15
Project End
2007-06-30
Budget Start
2003-07-01
Budget End
2004-06-30
Support Year
2
Fiscal Year
2003
Total Cost
$700,486
Indirect Cost
Name
Fox Chase Cancer Center
Department
Type
DUNS #
073724262
City
Philadelphia
State
PA
Country
United States
Zip Code
19111
Santucci-Pereira, Julia; George, Christina; Armiss, David et al. (2013) Mimicking pregnancy as a strategy for breast cancer prevention. Breast Cancer Manag 2:283-294
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Russo, Jose; Balogh, Gabriela A; Russo, Irma H (2008) Full-term pregnancy induces a specific genomic signature in the human breast. Cancer Epidemiol Biomarkers Prev 17:51-66
Balogh, Gabriela A; Russo, Jose; Mailo, Daniel A et al. (2007) The breast of parous women without cancer has a different genomic profile compared to those with cancer. Int J Oncol 31:1165-75
Russo, Jose; Balogh, Gabriela; Mailo, Daniel et al. (2007) The genomic signature of breast cancer prevention. Recent Results Cancer Res 174:131-50
Balogh, G A; Russo, I H; Spittle, C et al. (2007) Immune-surveillance and programmed cell death-related genes are significantly overexpressed in the normal breast epithelium of postmenopausal parous women. Int J Oncol 31:303-12
Balogh, Gabriela A; Heulings, Rebecca; Mailo, Daniel et al. (2007) Methodological approach to study the genomic profile of the human breast. Int J Oncol 31:253-60
Russo, Jose; Balogh, Gabriela A; Chen, Jinqiang et al. (2006) The concept of stem cell in the mammary gland and its implication in morphogenesis, cancer and prevention. Front Biosci 11:151-72
Russo, Jose; Balogh, Gabriela A; Heulings, Rebecca et al. (2006) Molecular basis of pregnancy-induced breast cancer protection. Eur J Cancer Prev 15:306-42
Balogh, Gabriela A; Heulings, Rebecca; Mailo, Daniel A et al. (2006) Genomic signature induced by pregnancy in the human breast. Int J Oncol 28:399-410

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