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Patricia E. Berg

Patricia E. Berg

George Washington University Medical Center, USA

Title: Activation of BP1 is associated with Aggressive Breast Cancer

Biography

Patricia Berg received her bachelor’s degree in mathematics from the University of Chicago, her Ph.D. in microbiology from the Illinois Institute of Technology, then pursued Post Doctoral studies at the University of Chicago. Research at the National Institutes of Health followed. Currently she is a Professor of Biochemistry and Molecular Medicine at George Washington University in Washington, DC, where she is director of a cancer research laboratory. Her work, which centers on BP1, has been published in major journals and has been featured on network television and in major media, including the New York Times and Washington Post.

Abstract

BP1, a transcription factor (TF) we identified in cancer, is encoded by a homeobox gene. BP1 is overexpressed in breast cancer, prostate cancer, ovarian cancer, acute myeloid leukemia, non-small cell lung cancer, and possibly other malignancies as well. Important characteristics of BP1 in breast cancer, a focus in our laboratory, include findings that: (1) BP1 is expressed in 80% of invasive ductal breast tumors, including 89% of the tumors of African American women compared with 57% of the tumors of Caucasian women. (2) BP1 expression correlates with the progression of breast tumors, from 0% in normal breast tissue to 21% in hyperplasia and 46% in ductal carcinoma in situ. (3) Expression of BP1 is associated with larger tumor size in both women and mice. (4) BP1 appears to be associated with metastasis. Forty-six cases of inflammatory breast cancer were examined and all were positive for BP1 expression, as well as matched lymph nodes in the nine metastatic cases. (5) BP1 overexpression induces oncogene expression. BP1 activates the BCL-2 gene; high BCL-2 protein levels are associated with resistance to drug and radiation therapy. BP1 also activates VEGF and c-MYC, as well as other genes important in angiogenesis, invasion and metastasis. Interestingly, BP1 down-regulates BRCA1. (6) BP1 up-regulates ER alpha, inducing estrogen independence and tamoxifen resistance. In summary, BP1 appears to confer properties on breast cancer cells that lead to a more invasive and aggressive phenotype. Since the functions of homeotic TF are highly conserved, it is likely that BP1 regulates many of the same processes and genes in other malignancies in which it is active.