The INK4a/ARF locus encodes two unrelated cell cycle-regulatory proteins th
at both function in tumor suppression, p16INK4a and p14ARF. In human tumors
including breast cancer, alterations affecting selectively p14ARF have bee
n poorly analysed. We have performed a comprehensive analysis of the inacti
vation mechanisms (mutation, homozygous and hemizygous deletion, and promot
er hypermethylation) in a large series of 100 primary breast carcinomas. RT
-PCR showed expression variable of the p14ARF transcript, with 17% demonstr
ating overexpression and 26% demonstrating decreased expression. No detecta
ble alterations were observed in the majority of cases with overexpressed p
14ARF mRNA, but 77% of tumors with decreased expression presented at least
one of these genetic/ epigenetic alterations. Nevertheless, a statistically
significant correlation was observed between decreased p14ARF expression a
nd several poor prognostic parameters.