Cell cycle checkpoint kinase 2 (CHEK2) is a transducer of cellular responses to DNA damage. The CHEK2 1100delC has previously been shown to be a low-penetrance breast cancer susceptibility allele. We have evaluated the role of another CHEK2 variant, I157T in the FHA domain of the gene, for association with breast cancer. I157T was found at a significantly higher frequency in the population- CHEK2 is a checkpoint kinase that plays an important role in the DNA-damage signaling network. 1 The CHEK2 protein consists of an N-terminal SQ/TQ-rich region, an FHA (fork head associated) domain and a Ser/Thr kinase domain, all of which are characteristic for the CHEK2/Rad53/Cds1 family of proteins. 2 In response to ionizing radiation-induced DNA damage, ATM (ataxia telangiectasia mutated) phosphorylates CHEK2 at multiple sites in the SQ/TQ region. 1,3 Once activated, CHEK2 is capable of phosphorylating several substrates including BRCA1, Cdc25A, Cdc25C and p53, contributing to checkpoint activation and cell cycle arrest. 1 Germ line mutations or variants in the CHEK2 gene have been reported in cancer families or patients. 4 -9 Most notably, a protein truncating mutation in exon 10 in the kinase domain of CHEK2, 1100delC that abolishes the kinase function of the CHEK2 protein, 10 has been recently shown to be strongly associated with familial breast cancer. 11,12 Another variant, I157T (470 T3 C) in the FHA domain has been previously detected in families with classical or variant Li-Fraumeni syndrome (LFS), 4 -6 in breast cancer families and patients as well as in the normal Finnish population 5,13 but its association with breast cancer risk has not been studied previously. Functional studies have indicated that the binding of p53, 14 BRCA1 15 and Cdc25A 16 by CHEK2 is deleteriously affected by the I157T mutation. We have analyzed the frequency of the I157T variant among unselected as well as familial breast cancer patients and healthy population controls.
MATERIAL AND METHODS
PatientsThe frequency of the I157T variant was analyzed in a series of 1,035 breast cancer patients unselected for family history, in a series of 507 patients selected for a positive family history, and in 1885 healthy population controls from the Finnish Red Cross Blood Transfusion Service. These series were used previously to determine the frequency of the CHEK2 1100delC mutation in exon 10. 12 The population based series was drawn from the Helsinki (N ϭ 627) and Tampere (N ϭ 408) University Hospitals and covers 82% (87% in Helsinki and 75% in Tampere) of all newly diagnosed breast cancer patients in these hospital districts over the period 1997-1999. 17 The familial breast cancer series includes 507 breast cancer patients (index cases of the families) from 507 BRCA1/2 mutation-negative families identified by screening of family history at the Helsinki University Central Hospital. The screening for BRCA1 and BRCA2 mutations has been described previously. 5,18 -20 This familial series includes 216 breast cancer patients with a stronger family histo...