Inflammatory breast cancer (IBC) is a rare but particularly aggressive form of primary breast cancer. In contrast to noninflammatory breast cancer (non IBC), the molecular alterations underlying IBC are poorly known. We postulated that the kind and frequency of these alterations might differ between IBC and non IBC and account for its particular aggressiveness. We investigated allelic losses associated with primary breast cancer (on chromosome arms 1p, 3p, 6p, 6q, 7q, 8p, 9p, 11p, 11q, 16q, 17p and 17q) by analyzing 71 microsatellite markers in 66 cases of IBC. Loss of heterozygosity (LOH) was frequent, with a mean fractional allelic loss (FAL) index of 52%. Relative to published data on non IBC, allelic loss was particularly frequent at 3p21-p14, 6p, 8p22, 11q, 13q14 and 17q21, suggesting the presence of genes that are markedly altered in IBC. In contrast, the DNA amplification levels of ERBB2, MYC and CCND1, as measured by real-time quantitative PCR, did not differ between IBC and non IBC.
Key words: inflammatory breast cancer; LOH; tumor suppressor genesInflammatory breast cancer (IBC), which accounts for less than 5% of all diagnosed breast cancers, is a unique clinical diagnosis. It requires the presence of rapidly progressing signs such as localized or generalized induration, redness and edema of the breast. Its extremely high metastastic potential makes IBC the most severe form of primary breast tumor. 1 Very little is known of the biologic mechanisms underlying IBC, for several reasons. First, IBC is rare. Second, tumor samples are difficult to obtain, as IBC does not qualify for initial surgery. Third, because of its similar outcome and treatment, IBC is rarely studied separately from other forms of locally advanced breast cancer (LABC), despite differences in incidence, clinical presentation and histology. IBC is more frequently estrogen receptor (ER) negative and may have higher proliferation rates than non IBC, including other forms of LABC. 2 Some authors have described more amplification and/or overexpression of the ERBB2 and EGFR oncogenes and more p53 protein overexpression in IBC than in noninflammatory breast cancer (non IBC). 3-5 Other oncogenes and tumor suppressor genes (TSGs) are likely to be involved in IBC. 6 Recurrent loss of heterozygosity (LOH) at specific loci is frequent in breast cancer and might point to TSGs with roles in breast carcinogenesis. LOH has not previously been studied in IBC.We postulated that distinct genetic features might explain some of the clinical, histologic and prognostic disparities between IBC and non IBC. We screened a series of 66 IBC for LOH/allelic imbalance (AI) on some of the most frequently deleted chromosome arms in breast tumors (1p, 3p, 6p, 6q, 7q, 8p, 9p, 11p, 11q, 13q, 16q, 17p and 17q), by using multiplex PCR (MPCR) and 71 polymorphic markers. Frequencies of LOH in IBC were compared with median frequencies at the same loci in non IBC, as deduced from published data. Because of their highest frequencies of amplification in primary breast tumors,...