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Background
The breast cancer associated genes BRCA1 and 2 are critical for repair of double stranded DNA damage in all cells. Silencing or decreased transcription due to increased DNA methylation of BRCA promoters is involved causally in sporadic breast and ovarian cancer. Such silencing increases genomic instability and hence underpins the tumorigenic process.
Interventions that prevent methylation of the BRCA genes may, therefore, reduce the risk of cancer. Folate is a critical cofactor in 1-carbon metabolism linked to DNA methylation. Folate status has been shown to be negatively associated with risk of some cancers including breast and ovarian.
However, there is uncertainty in the literature as to whether the synthetic folate, folic acid protects against or promotes cancer. We have shown previously that folic acid supplementation of juvenile rats induced a tissue-specific, persistent changes in the methylation of BRCA1 which were associated with altered mRNA and protein expression. Such tissue-specific effects may underlie the conflicting reports of about the effect of folic acid on cancer risk.
Hypothesis
To address this, we tested the hypothesis that: folic acid treatment induces, through altered epigenetic regulation, dose-dependent, cell-specific changes in BRCA1 and BRCA2 transcription, and so modifies capacity for protection against DNA damage.
Methods and results
Normal cells and their cancer counterparts were treated with physiological concentrations of folic acid. We found that FA treatment induced dose-related increase in BRCA1 mRNA expression in liver (HepG2), breast epithelial (Hs578T) carcinomas, and in BRCA2 in liver (HepG2), breast (Hs578T, MCF7 and MDA-MB-157) cancer cells.
Folic acid did not affect the corresponding normal cells or on any of the leukocyte or ovarian cell lines tested. Folic acid induced increased BRCA1 protein expression in Hs578T, but not HepG2 cells, while BRCA2 protein levels were undetectable. Folic acid treatment did not alter DNA repair in liver-derived cells, while there were transient effects on breast-derived cells.
There was no effect of FA treatment on BRCA1 or 2 DNA methylation, although there was some variation in the methylation of specific CpG loci between cell lines. Overall, these findings show that the effects of folic on BRCA-related outcomes differ between cells lines, but the biological consequences of induced changes in BRCA expression appear to be limited.
Thus it appears unlikely that altered epigenetic regulation of BRCA1 or 2 is the primary mechanism underlying the effects of folic acid on tumorigenesis. In order to gain novel insights into the differential effects of FA on cancer cells, we analysed the expression of the transcriptome of two breast cancer cell lines and compared these with the findings with a non-cancer cell line.
We found that the three major pathways that were altered by FA treatment in all three cell types showed marked, cell type-related differences in the expression of individual genes within these pathways. This provides highly novel information about the mechanism by which FA may induce different responses in different cell types.