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Molecular Cancer
Article . 2024 . Peer-reviewed
License: CC BY
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Molecular Cancer
Article . 2024
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Molecular Cancer
Article . 2024
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Unmutated RRAS2 emerges as a key oncogene in post-partum-associated triple negative breast cancer

Authors: Claudia Cifuentes; Clara L. Oeste; Isabel Fernández-Pisonero; Alejandro M. Hortal; Carmen García-Macías; Jeanne Hochart; Regina Rubira; +4 Authors

Unmutated RRAS2 emerges as a key oncogene in post-partum-associated triple negative breast cancer

Abstract

Abstract Background Breast cancer (BC) is the most common cancer in women, with triple negative BC (TNBC) accounting for 20% of cases. While early detection and targeted therapies have improved overall life expectancy, TNBC remains resistant to current treatments. Although parity reduces the lifetime risk of developing BC, pregnancy increases the risk of developing TNBC for years after childbirth. Although numerous gene mutations have been associated with BC, no single gene alteration has been identified as a universal driver. RRAS2 is a RAS-related GTPase rarely found mutated in cancer. Methods Conditional knock-in mice were generated to overexpress wild type human RRAS2 in mammary epithelial cells. A human sample cohort was analyzed by RT-qPCR to measure RRAS2 transcriptional expression and to determine the frequency of both a single-nucleotide polymorphism (SNP rs8570) in the 3’UTR region of RRAS2 and of genomic DNA amplification in tumoral and non-tumoral human BC samples. Results Here we show that overexpression of wild-type RRAS2 in mice is sufficient to develop TNBC in 100% of females in a pregnancy-dependent manner. In human BC, wild-type RRAS2 is overexpressed in 68% of tumors across grade, location, and molecular type, surpassing the prevalence of any previously implicated alteration. Still, RRAS2 overexpression is notably higher and more frequent in TNBC and young parous patients. The increased prevalence of the alternate C allele at the SNP position in tumor samples, along with frequent RRAS2 gene amplification in both tumors and blood of BC patients, suggests a cause-and-effect relationship between RRAS2 overexpression and breast cancer. Conclusions Higher than normal expression of RRAS2 not bearing activating mutations is a key driver in the majority of breast cancers, especially those of the triple-negative type and those linked to pregnancy.

Keywords

RRAS2, SNP, Triple Negative Breast Neoplasms, Mice, Transgenic, Polymorphism, Single Nucleotide, Mice, Breast cancer, Driver gene, Pregnancy, Animals, Humans, Gene Knock-In Techniques, RAS proteins, Genetic marker, RC254-282, Monomeric GTP-Binding Proteins, Research, Postpartum Period, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, Membrane Proteins, Oncogenes, Gene Expression Regulation, Neoplastic, Parity, Disease Models, Animal, Mutation, ras Proteins, Female, TNBC

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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