14 results on '"Zlatina Gospodinova"'
Search Results
2. Amino Acid Functionalization of Multi-Walled Carbon Nanotubes for Enhanced Apatite Formation and Biocompatibility
- Author
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Ahmed Haroun, Zlatina Gospodinova, and Natalia Krasteva
- Subjects
carbon nanotubes ,amino acids ,nanocomposites ,biomaterials ,in vitro cytotoxicity ,Biology (General) ,QH301-705.5 ,Medicine - Abstract
The limitation in bone tissue engineering is the lack of available natural or synthetic biomaterials to replace bone tissue under need. Carbon nanotubes have great potential as bone tissue scaffolds because of their remarkable mechanical and electrical properties combined with high aspect ratio. In this work, we demonstrated for the first time a novel approach based on the sol-gel technique for functionalization of multi-walled carbon nanotubes (MWCNTs) with two amino acids: L-arginine, L(+) Arg and L-aspargine, L(+) Asp. We have examined the effect of both functionalities on physico-chemical properties of MWCNTs, cytotoxicity in osteosarcoma MG63 and normal fibroblastic BJ cells and the ability to induce nucleation and growth of hydroxyapatite (HA) crystals in vitro under physiological concentrations of Ca2+ and PO4+ (SBF). The scaffolds were characterized using Fourier transform infrared spectroscopy (FTIR-ATR), dynamic light scattering technique (DLS), X-ray diffraction (XRD), thermogravimetric analysis (TGA) and scanning electron microscopy (SEM). The results showed that both functionalized MWCNTs have a particle size of 269 and 411 nm, a zeta potential of –12.8 and –8.8 mV, respectively, high colloidal stability, enhanced biocompatibility, and enhanced formation of an apatite layer on the scaffolds surface in comparison to ox-MWCNTs. Altogether, the results confirmed the important role of the amino acids L(+) Arg and L(+) Asp in ox-MWCNTs-based composites for bone tissue engineering applications.
- Published
- 2021
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3. Antiviral, Cytotoxic and Antioxidant Effects of Tanacetum Vulgare L. Crude Extract In Vitro
- Author
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Neli Vilhelmova, Lora Simeonova, Nadya Nikolova, Elitsa Pavlova, Zlatina Gospodinova, Georgi Antov, Angel Galabov, and Ivanka Nikolova
- Subjects
antioxidant activity ,CVB1 ,H3N2 ,HSV-1 ,Tanacetum ,Medicine - Abstract
Introduction: Due to the high prevalence of viral infections having no specific treatment and the constant emergence of resistant viral strains, searching for effective antiviral compounds is crucial. The present study explores in vitro the antiviral activity of ethanolic extract from aerial parts of Tanacetum vulgare L. against viral strains of three taxonomic groups, including agents that cause socially significant diseases in humans for which antiviral chemotherapy is indicated, namely coxsackievirus B1 (family Picornaviridae), herpes simplex virus type 1 (family Herpesviridae) and influenza A virus (family Orthomyxoviridae). Aim: The aim of the current study was to evaluate antiviral activity of ethanolic extract from herbaceous plant Tanacetum vulgare L. against some important human viruses for which antiviral chemotherapy is needed and to characterize extract for its antioxidant activity in vitro. Materials and methods: The crude aqueous ethanolic extract from aerial parts of Tanacetum vulgare L. contained flavonoids determined as apigenin, coumarins determined as aesculin, tannic compounds determined as tannin, and others. Antiviral activity of ethanolic extract from herbaceous plant Tanacetum vulgare L. against coxsackievirus B1, influenza A and herpes simplex virus type 1 was evaluated by viral yield reduction technique. The total antioxidant activity was determined by measuring the capacity of the sample to inhibit the generation of thiobarbituric acid reactive substances (TBARS). Results: The results show that the extract has the lowest toxicity on the MDBK cell line and similar cytotoxicity in Hep-2, whereas in the MDCK cells it has more than twice the highest toxicity. Testing the antiviral activity of Tanacetum vulgare L. extract revealed a slight inhibition of replication of HSV-1 with a selective index of 7.07 and IAV/H3N2 (SI = 3.69) but no specific antiviral effect against CVB1 replication was found. The evaluation of the antioxidant activity showed great antioxidant activity of the ethanolic extract from T. vulgare – 26 mmol/l for the applied 20 mg/ml extract. Conclusion: The crude extract from aerial parts of the medicinal plant Tanacetum vulgare L. demonstrated low cytotoxicity in Hep-2, MDBK and moderate cytotoxic effects in MDCK cells. It exerted significant antiviral activity against HSV-1 as determined by the recorded inhibition of viral replication, the blockage of virus entry - absorption stage and direct virucidal effects on extracellular virions. The observed effect when testing Tanacetum’s extract on influenza A H3N2 virus infection in vitro was milder, which probably resulted from the interference with the cellular pathways involved in the replication cycle. The presence of virucidal and adsorption-suppressing activity but the absence of viral replication inhibitory effects against CBV-1 suggests a possible interaction of the extract’s components with viral capsid proteins or related cell receptors.
- Published
- 2020
- Full Text
- View/download PDF
4. PEGylated Nanographene Oxide in Combination with Near-Infrared Laser Irradiation as a Smart Nanocarrier in Colon Cancer Targeted Therapy
- Author
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Milena Georgieva, Zlatina Gospodinova, Milena Keremidarska-Markova, Trayana Kamenska, Galina Gencheva, and Natalia Krasteva
- Subjects
nano-graphene oxide (nGO) ,nGO-PEG ,near-infrared (NIR) light ,phototherapy ,colon cancer ,Pharmacy and materia medica ,RS1-441 - Abstract
Anti-cancer therapies that integrate smart nanomaterials are the focus of cancer research in recent years. Here, we present our results with PEGylated nanographene oxide particles (nGO-PEG) and have studied their combined effect with near-infrared (NIR) irradiation on low and high invasive colorectal carcinoma cells. The aim is to develop nGO-PEG as a smart nanocarrier for colon cancer-targeted therapy. For this purpose, nGO-PEG nanoparticles’ size, zeta potential, surface morphology, dispersion stability, aggregation, and sterility were determined and compared with pristine nGO nanoparticles (NPs). Our results show that PEGylation increased the particle sizes from 256.7 nm (pristine nGO) to 324.6 nm (nGO-PEG), the zeta potential from −32.9 to −21.6 mV, and wrinkled the surface of the nanosheets. Furthermore, nGO-PEG exhibited higher absorbance in the NIR region, as compared to unmodified nGO. PEGylated nGO demonstrated enhanced stability in aqueous solution, improved dispensability in the culture medium, containing 10% fetal bovine serum (FBS) and amended biocompatibility. A strong synergic effect of nGO-PEG activated with NIR irradiation for 5 min (1.5 W/cm−2 laser) was observed on cell growth inhibition of low invasive colon cancer cells (HT29) and their wound closure ability while the effect of NIR on cellular morphology was relatively weak. Our results show that PEGylation of nGO combined with NIR irradiation holds the potential for a biocompatible smart nanocarrier in colon cancer cells with enhanced physicochemical properties and higher biological compatibility. For that reason, further optimization of the irradiation process and detailed screening of nGO-PEG in combination with NIR and chemotherapeutics on the fate of the colon cancer cells is a prerequisite for highly efficient combined nanothermal and photothermal therapy for colon cancer.
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- 2021
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5. Antitumor activity of Bulgarian herb Tribulus terrestris L. on human breast cancer cells
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Svetla Angelova, Zlatina Gospodinova, Maria Krasteva, Georgi Antov, Valentin Lozanov, Tsanko Markov, Stefan Bozhanov, Elena Georgieva, and Vanio Mitev
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Tribulus terrestris L. ,saponins ,breast cancer cell line ,antitumor activity ,apoptosis ,Biotechnology ,TP248.13-248.65 ,Biology (General) ,QH301-705.5 - Abstract
Medicinal plants have been intensively studied as a source of antitumor compounds. Due to the beneficial climate conditions Bulgarian herbs have high pharmacological potential. Currently, the antitumor effect of the Bulgarian medicinal plant Tribulus terrestris L. on human cancer cell lines is not studied. The main active compounds of the plant are the steroid saponins.The present study aims to analyze the effect on cell viability and apoptotic activity of total extract and saponin fraction of Bulgarian Tribulus terrestris L. on human breast cancer (MCF7) and normal (MCF10A) cell lines. Antitumor effect was established by МТТ cell viability assay and assessment of apoptotic potential was done through analysis of genomic integrity (DNA fragmentation assay) and analysis of morphological cell changes (Fluorescence microscopy). The results showed that total extract of the herb has a marked dose-dependent inhibitory effect on viability of MCF7 cells (half maximal inhibitory concentration is 15 μg/ml). Cell viability of MCF10A was moderately decreased without visible dose-dependent effect. The saponin fraction has increased inhibitory effect on breast cancer cells compared to total extract. Morphological changes and DNA fragmentation were observed as markers for early and late apoptosis predominantly in tumor cells after treatment. Apoptotic processes were intensified with the increase of treatment duration.The obtained results are the first showing selective antitumor activity of Bulgarian Tribulus terrestris L. on human cancer cells in vitro. Apoptotic processes are involved in the antitumor mechanisms induced by the herb. This results give directions for future investigations concerning detailed assessment of its pharmacological potential.
- Published
- 2013
6. Cotinus coggygria Scop. induces cell cycle arrest, apoptosis, genotoxic effects, thermodynamic and epigenetic events in MCF7 breast cancer cells
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Imre Ocsovszki, Vasilissa Manova, Maria Krasteva, Mariyana Georgieva, István Zupkó, Zlatina Gospodinova, Svetla Todinova, Noémi Bózsity, and Stefka G. Taneva
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0303 health sciences ,Cell cycle checkpoint ,Chemistry ,DNA damage ,Cancer ,Cell cycle ,medicine.disease ,General Biochemistry, Genetics and Molecular Biology ,In vitro ,03 medical and health sciences ,0302 clinical medicine ,Apoptosis ,030220 oncology & carcinogenesis ,medicine ,Cancer research ,Epigenetics ,Clonogenic assay ,030304 developmental biology - Abstract
Current plant-derived anticancer therapeutics aim to reach higher effectiveness, to potentiate chemosensitivity and minimize the toxic side effects compared to conventional chemotherapy. Cotinus coggygria Scop. is a herb with high pharmacological potential, widely applied in traditional phytotherapy. Our previous study revealed that leaf aqueous ethanolic extract from C. coggygria exerts in vitro anticancer activity on human breast, ovarian and cervical cancer cell lines. The objective of the present research was to investigate possible molecular mechanisms and targets of the antitumor activity of the extract in breast cancer MCF7 cells through analysis of cell cycle and apoptosis, clonogenic ability assessment, evaluation of the extract genotoxic capacity, characterization of cells thermodynamic properties, and analysis on the expression of genes involved in cellular epigenetic processes. The obtained results indicated that in MCF7 cells C. coggygria extract causes S phase cell cycle arrest and triggers apoptosis, reduces colony formation, induces DNA damage, affects cellular thermodynamic parameters, and tends to inhibit the relative expression of DNMT1, DNMT3a, MBD3, and p300. Further studies on the targeted molecules and the extract anti-breast cancer potential on animal experimental model system, need to be performed in the future.
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- 2020
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7. Antiviral, Cytotoxic and Antioxidant Effects of Tanacetum Vulgare L. Crude Extract In Vitro
- Author
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Zlatina Gospodinova, Neli Vilhelmova, Georgi Antov, Lora Simeonova, Ivanka Nikolova, Elitsa L. Pavlova, N. Nikolova, and Angel S. Galabov
- Subjects
Antioxidant ,Tanacetum vulgare L ,Traditional medicine ,Chemistry ,viruses ,medicine.medical_treatment ,lcsh:R ,antioxidant activity ,lcsh:Medicine ,General Medicine ,H3N2 ,Herbaceous plant ,HSV-1 ,In vitro ,Tanacetum ,Cell culture ,Toxicity ,medicine ,Cytotoxic T cell ,CVB1 ,Cytotoxicity - Abstract
Introduction: Due to the high prevalence of viral infections having no specific treatment and the constant emergence of resistant viral strains, searching for effective antiviral compounds is crucial. The present study explores in vitro the antiviral activity of ethanolic extract from aerial parts of Tanacetum vulgare L. against viral strains of three taxonomic groups, including agents that cause socially significant diseases in humans for which antiviral chemotherapy is indicated, namely coxsackievirus B1 (family Picornaviridae), herpes simplex virus type 1 (family Herpesviridae) and influenza A virus (family Orthomyxoviridae). Aim: The aim of the current study was to evaluate antiviral activity of ethanolic extract from herbaceous plant Tanacetum vulgare L. against some important human viruses for which antiviral chemotherapy is needed and to characterize extract for its antioxidant activity in vitro. Materials and methods: The crude aqueous ethanolic extract from aerial parts of Tanacetum vulgare L. contained flavonoids determined as apigenin, coumarins determined as aesculin, tannic compounds determined as tannin, and others. Antiviral activity of ethanolic extract from herbaceous plant Tanacetum vulgare L. against coxsackievirus B1, influenza A and herpes simplex virus type 1 was evaluated by viral yield reduction technique. The total antioxidant activity was determined by measuring the capacity of the sample to inhibit the generation of thiobarbituric acid reactive substances (TBARS). Results: The results show that the extract has the lowest toxicity on the MDBK cell line and similar cytotoxicity in Hep-2, whereas in the MDCK cells it has more than twice the highest toxicity. Testing the antiviral activity of Tanacetum vulgare L. extract revealed a slight inhibition of replication of HSV-1 with a selective index of 7.07 and IAV/H3N2 (SI = 3.69) but no specific antiviral effect against CVB1 replication was found. The evaluation of the antioxidant activity showed great antioxidant activity of the ethanolic extract from T. vulgare – 26 mmol/l for the applied 20 mg/ml extract. Conclusion: The crude extract from aerial parts of the medicinal plant Tanacetum vulgare L. demonstrated low cytotoxicity in Hep-2, MDBK and moderate cytotoxic effects in MDCK cells. It exerted significant antiviral activity against HSV-1 as determined by the recorded inhibition of viral replication, the blockage of virus entry - absorption stage and direct virucidal effects on extracellular virions. The observed effect when testing Tanacetum’s extract on influenza A H3N2 virus infection in vitro was milder, which probably resulted from the interference with the cellular pathways involved in the replication cycle. The presence of virucidal and adsorption-suppressing activity but the absence of viral replication inhibitory effects against CBV-1 suggests a possible interaction of the extract’s components with viral capsid proteins or related cell receptors.
- Published
- 2020
- Full Text
- View/download PDF
8. PEGylated nanographene oxide-based nanoparticles as smart nanocarriers for colon cancer photothermal therapy
- Author
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Milena Keremidarska-Markova, Trayana Kamenska, G. Gencheva, Natalia Krasteva, Milena Georgieva, and Zlatina Gospodinova
- Subjects
chemistry.chemical_compound ,Materials science ,chemistry ,Colorectal cancer ,medicine ,Oxide ,Nanoparticle ,Nanotechnology ,Photothermal therapy ,Nanocarriers ,medicine.disease - Published
- 2021
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9. PEGylated graphene oxide nanoparticles as a tool for the regulation of cancer cell invasion and growth
- Author
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Trayana Kamenska, Milena Georgieva, Natalia Krasteva, G. Gencheva, and Zlatina Gospodinova
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chemistry.chemical_compound ,chemistry ,Graphene ,law ,Cancer cell ,Oxide ,Nanoparticle ,Nanotechnology ,law.invention - Published
- 2021
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10. Antiproliferative Properties Against Human Breast, Cervical and Ovarian Cancer Cell Lines, and Antioxidant Capacity of Leaf Aqueous Ethanolic Extract from Cotinus coggygria Scop
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István Zupkó, Maria Krasteva, Milena Nikolova, Noémi Bózsity, and Zlatina Gospodinova
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antioxidant activity ,01 natural sciences ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,cotinus coggygria scop ,cancer cell lines ,Traditional medicine ,biology ,business.industry ,General Medicine ,biology.organism_classification ,medicine.disease ,0104 chemical sciences ,010404 medicinal & biomolecular chemistry ,Antioxidant capacity ,Cotinus ,antiproliferative effect ,Cell culture ,030220 oncology & carcinogenesis ,Immunology ,Cancer cell lines ,Antiproliferative effect ,business ,Ovarian cancer ,Human breast - Abstract
Cotinus coggygria Scop. leaf aqueous ethanolic extract was examined for its in vitro antiproliferative and antioxidant activity. Antiproliferative effect was assessed on four human gynecological cancer cell lines: breast (MCF7, T47D), cervical (HeLa) and ovarian (A2780) and compared to the cell growth inhibitory effect on non-cancerous breast epithelial cell line MCF10A using MTT cell proliferation assay. Radical scavenging assay with DPPH was applied to evaluate antioxidant potential of the extract. The obtained results showed that the herb inhibited cell growth of all of the tested cancer cell lines and the highest was the cytostatic effect on A2780 cells with a half maximal inhibitory concentration (IC50) value of 30.8 μg/ml. For the other cell lines the IC50 values were in the range of 55-122.7 μg/ml. Additionally, the extract exerted considerably weaker reduction in cell proliferation of the non-cancerous cell line MCF10A compared to cancer cells, which indicates for antiproliferative selectivity. C. coggygria extract showed high free radical scavenging activity with an IC50 value of 11.2 μg/ml. The obtained data provide evidence for pharmacological potential of the tested extract and future more detailed studies concerning the molecular mechanisms of the anticancer effect of the herb are needed.
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- 2017
11. Antiviral, Cytotoxic and Antioxidant Effects of
- Author
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Neli, Vilhelmova, Lora, Simeonova, Nadya, Nikolova, Elitsa, Pavlova, Zlatina, Gospodinova, Georgi, Antov, Angel, Galabov, and Ivanka, Nikolova
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Microbial Viability ,Ethanol ,Cell Survival ,Plant Extracts ,Influenza A Virus, H3N2 Subtype ,Virion ,Epithelial Cells ,Herpesvirus 1, Human ,In Vitro Techniques ,Plant Components, Aerial ,Virus Replication ,Thiobarbituric Acid Reactive Substances ,Antioxidants ,Enterovirus B, Human ,Madin Darby Canine Kidney Cells ,Tanacetum ,Dogs ,Influenza A virus ,Solvents ,Animals ,Humans - Abstract
Due to the high prevalence of viral infections having no specific treatment and the constant emergence of resistant viral strains, searching for effective antiviral compounds is crucial. The present study explores in vitro the antiviral activity of ethanolic extract from aerial parts of.The aim of the current study was to evaluate antiviral activity of ethanolic extract from herbaceous plant.The crude aqueous ethanolic extract from aerial parts of.The results show that the extract has the lowest toxicity on the MDBK cell line and similar cytotoxicity in Hep-2, whereas in the MDCK cells it has more than twice the highest toxicity. Testing the antiviral activity of.The crude extract from aerial parts of the medicinal plant.
- Published
- 2019
12. PEGylation of graphene oxide nanosheets modulate cancer cell motility and proliferative ability
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G. Gencheva, Trayana Kamenska, Milena Georgieva, Natalia Krasteva, and Zlatina Gospodinova
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History ,chemistry.chemical_compound ,Chemistry ,Graphene ,law ,Cancer cell ,PEGylation ,Biophysics ,Oxide ,Motility ,Computer Science Applications ,Education ,law.invention - Abstract
Recently, graphene oxide (GO) has been increasingly investigated for its biomedical and biological applications, including cancer research. The interest is set on GO chemical modifications and their implications in the development of therapeutic approaches for various diseases. Recent data have demonstrated that PEGylation of nanoparticles (NPs) improves NPs solubility and stability in physiological solutions and alters their reactivity toward cancer cells. In this work, we have evaluated the effect of PEGylated GO nanosheets on the migratory and proliferation ability of A375 melanoma cells, used as a cancer cell model and have compared it to normal kidney MDCK cells. Both types of GOs, pristine and PEGylated, demonstrated an inhibitory effect on the cancer cells proliferation and mobility while on normal MDCK cells the effect of GO was significantly weaker at 48 hours of exposure suggesting that cancer A375 cells were more sensitive to GO and GO-PEG treatment. In general, PEGylation mitigates the inhibitory effect of GO on the growth and migratory ability of melanoma cells. Our results prove that the effects of both GOs NPs on cancer cells proliferation and mobility are dose-, NPs- and cell-type-dependent, hence providing a rationale for future design and use of graphene-based nanomaterials for cancer research.
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- 2021
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13. Breast cancer patients with hypermethylation in the promoter of BRCA1 gene exhibit favorable clinical status
- Author
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S G Angelov, G G Antov, Zlatina Gospodinova, Maria Krasteva, and Stefan Bozhanov
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Adult ,Oncology ,Cancer Research ,medicine.medical_specialty ,Class I Phosphatidylinositol 3-Kinases ,Bisulfite sequencing ,Genes, BRCA1 ,Breast Neoplasms ,Cell Cycle Proteins ,Ataxia Telangiectasia Mutated Proteins ,Kaplan-Meier Estimate ,Protein Serine-Threonine Kinases ,Gene mutation ,Biology ,Bioinformatics ,Phosphatidylinositol 3-Kinases ,Breast cancer ,Internal medicine ,medicine ,Humans ,Clinical significance ,Bulgaria ,Promoter Regions, Genetic ,Aged ,Proportional Hazards Models ,Chi-Square Distribution ,Proportional hazards model ,Tumor Suppressor Proteins ,Carcinoma, Ductal, Breast ,Hazard ratio ,Methylation ,DNA Methylation ,Genes, erbB-2 ,Middle Aged ,Genes, p53 ,medicine.disease ,Neoplasm Proteins ,DNA-Binding Proteins ,Carcinoma, Lobular ,Receptors, Estrogen ,DNA methylation ,Female ,Receptors, Progesterone - Abstract
Promoter hypermethylation was shown to be involved in human cancerogenesis through silencing gene expression. Several studies were dedicated to explore the frequency and clinical significance of BRCA1 hypermethylation in sporadic breast cancer to identify a specific molecular and clinico-pathological phenotype. However the available data are limited and rather too heterogeneous. In this study we investigated the level of methylation in the promoter region of BRCA1 and its correlation with clinico-pathological and molecular characteristics in a group of 135 Bulgarian patients. Methylation specific PCR was applied to determine methylation status of tumor samples. Clinical impact of BRCA1 hypermethylation was estimated using standard statistical methods including Fisher's exact and the Chi-squared tests, the Kaplan-Meier method, the univariate and multivariate Cox proportional hazards regression model. We found that hypermethylation was present in 17.04% of the cases (23/135). Patients with hypermethylation in BRCA1 displayed favorable clinical status as their tumors were smaller in size (P = 0.066), lacked p53 gene mutations (P = 0.073) and were of lobular type (P = 0.046). The presence of hypermethylation was weakly associated with better overall survival (P = 0.2) with a hazard ratio of 0.47 (95% CI 0.14-1.54, P= 0.213). Our study provides the first data on the BRCA1 hypermethylation of Bulgarian patients and contributes to elucidation of its clinical significance in sporadic breast cancer.
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- 2012
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14. CHEK2 gene alterations independently increase the risk of death from breast cancer in Bulgarian patients
- Author
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Elena I. Georgieva, Svetla Angelova, Zlatina Gospodinova, and Maria Krasteva
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Risk ,Oncology ,Cancer Research ,medicine.medical_specialty ,Breast Neoplasms ,Protein Serine-Threonine Kinases ,Breast cancer ,Internal medicine ,Humans ,Medicine ,Clinical significance ,Promoter Regions, Genetic ,skin and connective tissue diseases ,CHEK2 ,Checkpoint Kinase 2 ,business.industry ,DNA Methylation ,medicine.disease ,Progesterone Receptor Positive ,CpG site ,Mutation ,DNA methylation ,Cancer research ,CpG Islands ,Female ,business ,Breast carcinoma - Abstract
Checkpoint kinase 2 (CHEK2) is a DNA damage-activated protein kinase implicated in cell cycle checkpoint control. The significance of CHEK2 alterations for breast cancer incidence and clinical behavior is not clear. In this study we determined the mutational spectrum and the level of promoter hypermethylation of CHEK2 gene in a group of 145 Bulgarian patients with breast cancer. A special emphasis was put on the clinical impact of CHEK2 alterations for breast cancerogenesis. PCR-SSCP-sequencing analysis of the entire coding sequence of CHEK2 gene was performed to estimate the mutational profile of tumor samples. Methylation-sensitive SSCP was applied to determine the methylation status in CpG clusters implicated in CHEK2 silencing. Clinical significance of CHEK2 alterations was evaluated using standard statistical methods. Mutations in CHEK2 were identified in 9.65 % of the patients. Two novel missense substitutions Thr476Met (C >T) and Ala507Gly (C>G), and a novel silent variant Glu79Glu (A>G) were registered. However, hypermethylation was not found in any of the studied cases. Comparison with clinical characteristics showed that CHEK2 positive women have predominantly lobular type of breast carcinoma (р=0.04) and PR+ status (p=0.092). CHEK2 mutations correlated significantly with ATM+ status (p=0.046). All patients with the Glu79Glu variant were progesterone receptor positive (p=0.004). A decrease in overall survival (p = 0.6301) and a threefold increased independent risk of death (HR = 3.295, 95%CI 0.850-12.778, p = 0.085) in CHEK2+patients was found. Our data indicate the significance of CHEK2 gene alterations in contrast to promoter hypermethylation in breast cancerogenesis. Specificity of CHEK2 mutational profile for the Bulgarian population was found. Though CHEK2 mutational status correlated with more favorable clinical characteristics, including positive progesterone receptor and lobular histological type, it independently increased the risk of death in these patients.
- Published
- 2012
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