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© 1993 Oxford University Press

RESEARCH-ARTICLE

Androgen receptor gene mutation in male breast cancer

Jean-Marc Lobaccaro1, Serge Lumbroso1, Charles Belon1,+, Florence Galtier-Dereure2, Jacques Bringer2, Thierry Lesimple3, Moïse Namer4, Bruno F. Cutull5, Henri Pujol6 and Charles Sultan1,7,*

1Institut National de la Santé et de la Recherche Médicale, INSERM U58, 60 rue de Navacelles, 34090 Montpellier, and Unité de Biochimie Endocnnienne du Développement et de la Reproduction, Hôpital Lapeyronie Montpellier 2Service d'Endocnnologie, Hôpital Lapeyronie Montpellier 3Service d'Oncologie Médicale Rennes 4Centre Régional de Lutte contre le Cancer Nice 5Centre Régional de Lutte contre le Cancer Strasbourg 6Centre Régional de Lutte contre le Cancer Montpellier 7Endocnnologie et Gynécologie Pédiatnques, Service de Pédiatne I, Hôpital A. de Vaieneuve MontpeSier, France

*To whom correspondence should be addressed at: INSERM U58, 60 rue de Navacelles, 34090 Montpellier, France

Received August 5, 1993; Revised September 14, 1993; Accepted September 14, 1993

We screened thirteen male breast cancers for the presence of germline mutations in exons 2 and 3 encoding the DNA-binding domain of the androgen receptor. These two exons were amplified from genomic DNA extracted from patients' white blood cells. In one of these thirteen patients, single strand conformation polymorphism and direct sequencing detected a guanine-adenine point mutation at nucleotide 2185 that changes Arg608 into Lys in a highly conserved region of the second zinc finger of the androgen receptor. This mutation occurred in a 38 year old man with partial androgen insensitivity syndrome and normal androgen-binding capacity in cultured genital skin fibroblasts. To our knowledge, only one germline Arg to Gin androgen receptor gene mutation has been previously reported at position 607 in male breast cancer. This androgen receptor mutation along with the Arg608 into Lys mutation we describe, suggests that this genetic abnormality is not fortuitous: a decrease in androgen action within the breast cells could account for the development of male breast cancer by the loss of a protective effect of androgens on these cells. Activation of estrogen regulated genes by the change of DNA-binding characteristics of the mutant androgen receptor cannot, however, be ruled out.


+Permanent address: Laboratoire de Biochimie, Faculté de Pharmacie, Montpellier, France


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