Quantitative Assessment of PALB2 and BRIP1
Genes Expression in the Breast Cancer Cell Line
under the Inuence of Tamoxifen
Hamed Kharrati-Koopaee 1, Seyed Taghi Heydari 2 , Mehdi Dianatpour 3, Kamran Bagheri Lankarani 2
1 Institute of Biotechnology, Shiraz University, Shiraz, Iran
2 Health Policy Research Center, Institute of Heath, Shiraz University of Medical Sciences, Shiraz, Iran
3 Department of Medical Genetics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
GMJ.2023;12:e2483
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Correspondence to:
Seyed Taghi Heydari, Associate Professor in Biostatis-
tics, Health Policy, Research Center, Institute of Health,
Shiraz University of Medical Sciences, Shiraz, Iran.
Telephone Number: +989173034420.
Email Address: heydari.st@gmail.com
Received: 2022-05-21
Revised: 2022-06-06
Accepted: 2022-06-11
Abstract
Background: Breast cancer is considered one of the leading causes of mortality in the world.
Cancer incidence and consequently, drug consumption can strongly inuence gene expressions at
the transcriptome level. Therefore, the assessment of the candidate biomarkers’ gene expression
can accelerate the diagnosis process and increase the chance of treatment and remission.
In this regard, the quantitative assessment of Partner and localizer of BRCA2 (PALB2) and
BRCA1 Interacting Helicase 1 (BRIP1) genes expression in the breast cancer cell line under the
treatment of Tamoxifen (TAM) was executed in this study. Materials and Methods: MCF7 cells
were cultured as TAM-treated and control groups. RNA extraction and cDNA synthesis were
performed based on the instructions of provided kits. qPCR Hi-ROX Master Mix kit was applied
to the Quantitative Real-Time Polymerase Chain Reaction (Q-PCR). The outputs of Q-PCR were
analyzed by REST statistical software. Results: Outcomes derived from data analysis of BRIP1
gene expression did not show any signicant dierence between the gene expression of control
and TAM-treated groups. The expression of PALB2 was signicantly higher in the TAM-treated
group compared to the control group (P<0.05). Conclusion: Our ndings showed a signicant
alteration between PALB2 gene expression in the TAM-treated breast cancer cell line and the
control cell line. The quantitative assessment of mentioned genes as possible markers could be
considered a non-invasive method for breast cancer in the processes of prognostic evaluations,
screening, and treatment monitoring.[GMJ.2023;12:e2483] DOI:10.31661/gmj.v12i.2483
Keywords: Biomarkers; Gene expression; Breast cancer
Introduction
Breast cancer is known as the second lead-
ing cause of cancer-related death among
females [1].
The WHO reported that in 2020, there were
2.3 million women diagnosed with breast
cancer and 685,000 deaths around the world.
Breast cancer is highly heterogeneous, which
occurs due to the cross impacts of hereditary
and environmental risk factors. In addition, it
is pathologically classied based on the key
protein expressions identied through immu-
nohistochemistry [2].
Estrogen receptor (ER, ESR1 gene) that
is called estrogen receptor-positive (ER+),
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Kharrati-Koopaee H, et al. PALB2 and BRIP1 Genes Expression under Tamoxifen
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progesterone receptor (PR, PGR gene), and
human epidermal growth factor receptor 2
(HER2, ERBB2 gene) are included in the
aforementioned classication.
Tumors without these protein markers are
called triple-negative breast cancer (TNBC)
[3].
Patients with breast cancer can be treated
through surgical methods, ray methods, and
endocrine therapy (or anti-estrogen therapy).
Tamoxifen (TAM), the selective estrogen re-
ceptor modulator (SERM) that competes with
estrogens to connect to ER, as well as aro-
matase inhibitors (AIs), such as letrozole, are
implemented in endocrine therapy to block the
conversion of androgens into estrogens [4,5].
TAM is an ER antagonist, which has helped
millions of females with breast cancer since
50 years ago [5].
However, it comes with several issues in-
cluding drug resistance and consequent side
eects. Unfortunately, 30 to 40% of patients
are obstinate and show increased metastatic
cancer [6,7].
Because breast cancer is a heterogeneous
disease, identifying molecular markers, gene
expression proles, and genomic alteration
patterns are considered analytical tools neces-
sary for determining treatment outcomes and
choosing the best treatment approaches [8,9].
Therefore, it is very important to achieve a
good understanding of the cellular and molec-
ular pathways related to breast cancer devel-
opment and progression to improve the treat-
ment conditions and clinical outputs [10].
By interacting with the BRCA2 protein, the
tumor suppressor partner and localizer of
BRCA2 (PALB2) plays a critical part in repair-
ing DNA damage and preventing the growth
of tumors. The mutation in the structure of
PALB2 protein increases the risk of cancer by
14% and 35% among 50- and 70- year old in-
dividuals, respectively [11, 12].
Similarly, the mutant protein of BRCA2 among
80-year-old females increases the risk of can-
cer exposure by 72%. Furthermore, BRCA1
Interacting Helicase 1 (BRIP1) encodes a pro-
tein belonging to RecQ Helicase DEAH.
Similar to PALB2, this gene is on chromosome
17 and repairs DNA damage in a complemen-
tary gene action with BRCA2. Compared to
BRCA2, the importance of mutation in BRIP1
does not increase the risk of cancer exposure;
however, its product is recognized as a tumor
suppressor and also an oncogene protein [12,
13].
In this study, the performance and alterations
in gene expression of PALB2 and BRIP1, as
well as their roles in cancer progression are
investigated through conducting quantitative
assessments.
Materials and Methods
Cancer Cells Culture and Tamoxifen Treat-
ment Implementation
Experimental research was executed to an-
alyze gene expression in breast cancer cell
lines. MCF7 cells (National Cell Bank, Pas-
teur Institute of Iran) were cultured in RPMI
1640 (Bioidea Company) medium with pH
7.4.
The culture medium was supplemented with
10% heat-inactivated fetal bovine serum (Gib-
co-BRL), 1% penicillin (), and streptomycin
() (Biosera). Furthermore, the mentioned cells
were maintained in the 5% humidied atmo-
sphere at 37 .
Cell viability assays were also carried out by
conducting the colorimetric MTT assay (Sig-
ma-Aldrich-UK) for quantifying cell viability
[14].
After 24 hours of the cell culture process,
TAM (Iran-Hormone Company-Tehran, Iran)
was added to the culture mediums at the den-
sity of.
The sampling procedure was conducted after
12 hours for RNA extraction.
RNA Extraction and Qualitative and Quanti-
tative Assessments
Following the guidelines given by Denazist
Asia Company, RNA was extracted from a
cell culture medium. Then, the quantity and
quality of the extracted RNA were assessed
by 1% agarose gel electrophoresis and Nan-
oDrop. The absorption rate of extracted RNA
was assessed on the wavelengths of 280,
230, and 260, as well as rates of 260/280 and
260/230 [15].
Designing a Primer for Q-PCR
In this study, primers were designed by the
gene sequence of PALB2 and BRIP1 with the
PALB2 and BRIP1 Genes Expression under Tamoxifen Kharrati-Koopaee H, et al.
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3
accession numbers XM_017023673 and XM-
011525341 available in the NCBI database.
Also, Primer Quest software was implement-
ed [14].
To assure the specicity of primers, the
BLAST tool was applied in the NCBI data-
base. Finally, the synthesis of primers was
carried out by Macrogen Company, South Ko-
rea. It is noteworthy that GADPH was applied
as the internal control. The primer sequences
are provided in Table-1.
cDNA Synthesis and Determination of
Primers Annealing Temperature
DNaseI enzyme was used (Fermentas Compa-
ny) to remove the DNA contamination from
RNA extracted samples.DNaseI treatment
was carried out on the samples in 30 minutes
at 37 C.
Finally, of 50 milli-molar EDTA was added
to the solution and then, maintained at 65 for
10 minutes to inactivate the DNaseI enzyme.
cDNA synthesis was conducted at the nal vol-
ume of according to the kit instructions pro-
vided by Thermo Company. PCR reaction was
applied to the amplication of 112 bp fragment
of the GADPH gene to conrm the synthesis of
cDNAs.
The polymerase chain reaction was conducted
at the volume of; also, the reaction compo-
nents were autoclaved distilled water, master
mix, each primer at the concentration of 0.6
picomoles, and cDNA at the concentration of
100 nanograms. The amplied product was
conrmed using 1% agarose gel electropho-
resis.
Quantitative Real Time PCR
QPCR Hi-ROX Master Mix kit provided by
Biocompare Company (www.biocompare.
com) was applied to the Q-PCR in this study.
The kit manufacturers instructions were con-
sidered to determine the volume of reactants.
Table-2 represents the Q- PCR thermal cycles
of investigated genes.
Q-PCR Data Analysis
REST software and method were used to an-
alyze the expression data from Q-PCR [16].
The Kolmogorov–Smirnov and the Shapiro–
Wilk tests were used to analyzing the normal-
ity of the expression data.
Dierences between treatments with three
replications including the TAM-treated cell
line and TAM-free cell line were tested us-
ing the independent T-test via SPSS software
(Version 16; SPSS Inc., Chicago, USA) at the
signicant level of 0.05 (P<0.5).
Ethics approval
This study was approved by the ethics com-
mittee of Shiraz University of Medical
Sciences (IR.SUMS.REC.1400.293).
Results
Qualitative and Quantitative Assessments of
RNA extraction
Agarose gel electrophoresis was used to qual-
ify RNA after extraction. The presence of 18s
and 28s fragments and the absence of extra
bands in the extracted samples indicated the
appropriate RNA quality (Figure-1).
Table 1. Sequences of Investigated Genes Primers for Gene Expression Assessment
Gene Length of pieces (bp) Primers sequence
PALB2 133
F: 5´-AGGATCTCTCACCGCAGCTAA-3´
R: 5´- TCAGGCCCAACATCAAGTGTG-3´
BRIP1 144
F: 5’- CTTACCCGTCACAGCTTGCTA-3’
R: 5’- CACTAAGAGATTGTTGCCATGCT -3’
GADPH 112
F: 5’-CTCTCTGCTCCTCCTGTTCG-3`
R: 5’-ACGACCAAATCCGTTGACTC-3’
4GMJ.2023;12:e2483
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Kharrati-Koopaee H, et al. PALB2 and BRIP1 Genes Expression under Tamoxifen
The quantitative assessment of extracted
RNA, as well as the determination of ap-
propriate quantities required for generating
cDNA, were carried out using NanoDrop.
The outcomes revealed that all RNA extracted
samples have appropriate quality and quantity
for cDNA synthesis.
Conrmation of cDNA synthesized
Following Nano dropping and determining
the concentrations of the samples, related
cDNA was generated and then the PCR pro-
cess was conducted using the internal control
gene primers. Finally, the product was investi-
gated using the agarose gel (Figure-2).
The amplication of the 112 bp fragment of
the GADPH gene demonstrated that cDNA
synthesis was performed correctly.
Results of Gene Expression Measurement
The results of the melting curve were applied
to ensure the Q-PCR accuracy and precise
amplication of genes under investigation.
A peak in the melting curve of each designed
primer showed the specic amplication of
genes. Figure-3 shows the melting curve of
PALB2 and BRIP1 genes. The normality of
expression data was approved by normality
tests.
Results of investigating gene expression data
revealed that BRIP1 gene expression of the
control and TAM-treated cell lines were not
signicantly dierent.
In contrast, alterations in PALB2 gene expres-
sion of the TAM-treated and control groups
were associated with a signicant increase
(P<0.05, Figure-4). Results revealed that
PALB2 gene expression in TAM-treated and
control cell lines were respectively deter-
mined to be 7.1836 and 3.810.22.
Discussion
This study revealed that TAM treatment can
increase the expression of the PALB2 gene
compared to the control group in the MCF7
cell line. Investigations indicated that PALB2
increases concurrently with the progression of
breast cancer, which is rational due to its tu-
mor suppression role [17-19]. Wu et al. (2020)
found that PALB2 is the inseparable part of
the required BRCA series for the process of
DNA repair [19]. These ndings may be ex-
plained by the fact that BRCA2 and PALB2
proteins are directly connected to BRCA1
and act as the DNA repair complexes [13].
Another interpretation could be that there is a
putative mechanism as to the PALB2 expres-
Table 2. The Quantitative Real Time Polymerase Chain Reaction (Q-PCR) Thermal Cycles of
Investigated Genes
Gene Number of cycles Time Temperature
(C) Stage
PALB2
1 12 min 94 Initial denaturation
40
1 min 94
Annealing
50 sec 55
40 sec 72
190 sec 72 Final extension
BRIP1
13 min 95 Initial denaturation
40
50 sec 95
Annealing
40 sec 57
5 min 72
190 sec 72 Final extension