DNA repair capacity is impaired in healthy BRCA1 heterozygous mutation carriers Breast Cancer Research and Treatment Tereza Vaclová1, Gonzalo Gómez-López2, Fernando Setién3, José María García Bueno 4, José Antonio Macías5, Alicia Barroso1, Miguel Urioste6, Manel Esteller3,7,8, Javier Benítez1,9,10, Ana Osorio1,9,* 1 Human Genetics Group, Human Cancer Genetics Programme, Spanish National Cancer Research Centre (CNIO), Madrid, 28029, Spain 2 Bioinformatics Unit, Structural Biology and Biocomputing Programme, Spanish National Cancer Research Centre (CNIO), Madrid, 28029, Spain 3 Cancer Epigenetics Group, Cancer Epigenetics and Biology Program (PEBC), Bellvitge Biomedical Biomedical Research Institute (IDIBELL), Barcelona, 08908, Spain 4 Medical Oncology Section, Complejo Hospitalario Universitario de Albacete, Albacete, 02006, Spain 5 Hereditary Cancer Unit, Medical Oncology Service, Hospital Morales Meseguer, Murcia, 30008, Spain 6 Familial Cancer Unit, Human Cancer Genetics Programme, Spanish National Cancer Research Centre (CNIO), Madrid, 28029, Spain 7 Department of Physiological Sciences II, School of Medicine, University of Barcelona, Barcelona, 08907, Spain 8 Institucio Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, 08010, Spain 9 Spanish Network on Rare Diseases (CIBERER), Madrid, 28029, Spain 10 Genotyping Unit (CEGEN), Human Cancer Genetics Programme, Spanish National Cancer Research Centre (CNIO), Madrid, 28029, Spain *corresponding author aosorio@cnio.es Online Resource 2. (a) Correlation between mRNA and hypo-P BRCA1 protein levels. Statistically significant positive Spearman correlation between gene and protein expression in the panel of lymphoblastoid cell lines. Wild type samples are represented by light grey dots, lymphoblastoid cell lines with missense mutation are shown as grey squares, and cell lines carrying a truncating mutation are displayed as black triangles. (b) BRCA1 dephosphorylation of BRCA1 by Calf Intestinal Alkaline Phosphatase (CIP). Nuclear proteins of sample 11S67-L were subjected to CIP treatment (1U/μg protein) at 37°C for 60min or non-treated. Samples were separated by SDS-PAGE to resolve the upper hyper-phosphorylated and lower hypophosphorylated band of BRCA1 (see Materials and Methods section for details). Immunoblots were probed with mouse monoclonal anti-BRCA1 antibody (Calbiochem, #OP92). Online Resource 3. Effect of the BRCA1 germline mutation on the level of DNA damage and repair. (A) High-throughput microscopy quantification of gamma-H2AX signal intensity in the nuclei of wild type lymphoblastoid cell lines and cells harboring monoallelic missense or truncating mutations in BRCA1. The dots represent signal intensity detected in 240 individual nuclei of each lymphoblastoid cell lines in the group and the red line indicates the mean intensity of the gamma-H2AX signal. The differences between groups were evaluated using the Mann-Whitney U test (*** denotes P<0.001) (B) Average number of RAD51 foci per nucleus in control cells and cells with heterozygous missense or truncating mutations in BRCA1. The bars represent the mean from 240 analyzed nuclei of each lymphoblastoid cell lines in the particular group +/- SEM. The P-value was calculated using the Mann-Whitney U test (** denotes P<0.01). Online Resource 4. BRCA1 is not required to maintain normal RAD51 protein levels in lymphoblastoid cell lines . (A) Western blot analysis of RAD51 expression in a panel of lymphoblastoid cell lines (WT= wild type, MIS = missense, TRUN = truncating). RAD51 was detected using a rabbit polyclonal anti-RAD51 antibody (Santa Cruz; #sc-8349) and β-actin served as a loading control. The first sample in both blots is identical (Wild type cell line 06S179-L) and was used to apply between blot-normalization when analyzing protein band densities by ImageJ. * indicates lymphoblastoid cell lines which could not be included in the final panel of analyzed cell lines. (B) RAD51 protein level in control lymphoblastoid cell lines and cells harboring missense (MIS) or truncating (TRUN) heterozygous mutations (two-tailed Student’s t-test; no significant differences between groups; mean of 1.390 ± 0.24 (SEM) for WT, 1.408 ± 0.12 for MIS, and 1.509 ± 0.12 for TRUN). The intensity of protein bands was quantified by Image-J and normalized to WT sample 06S179-L. Online Resource 5. Unsupervised hierarchical clustering of lymphoblastoid cell lines harboring wild type BRCA1 or heterozygous missense or truncating mutations. Dendrograms derived from unsupervised hierarchical clustering based on expression of the 42807 transcripts that remained after normalization and pre-processing. Color labels define BRCA1 mutation status/type: wild type in blue, missense in red, and truncating in black. Online Resource 6. Description of the 20 genes whose expression strongly differentiates groups of lymphoblastoid cell lines defined by the type of BRCA1 mutation. Comparison Gene symbola Gene name Chromosome logFC Downregulated in adenylate cyclase 1 (brain) plastin 3 interferon, gamma tetraspanin 5 LINE-1 type transposase domain containing 1 interferon regulatory factor 5 inducible T-cell co-stimulator peroxisome proliferator-activated receptor gamma integrin, beta 5 plexin domain containing 2 wingless-type MMTV integration site family, member 11 DEAD (Asp-Glu-Ala-Asp) box polypeptide 43 chronic lymphocytic leukemia up-regulated 1 opposite strand 7 WT vs MIS ADCY1 PLS3 IFNG# TSPAN5 L1TD1 IRF5# ICOS# PPARG ITGB5# PLXDC2 WNT11 DDX43 CLLU1OS 12 4 1 7 2 5 3 10 11 6 12 2.07 2.32 -2.00 -2.02 -2.05 -2.13 -2.13 -2.15 -2.17 -2.26 -2.51 -2.55 -2.81 WT WT MIS MIS MIS MIS MIS MIS MIS MIS MIS MIS MIS WT vs TRUN LY6D MMP7 lymphocyte antigen 6 complex, locus D matrix metallopeptidase 7 (matrilysin, uterine) 8 11 -2.04 -2.14 TRUN TRUN SEPT10 RNF130 TNK1 RAMP1 septin 10 ring finger protein 130 tyrosine kinase, non-receptor, 1 receptor (G protein-coupled) activity modifying protein 1 UDP-N-acetyl-alpha-D-galactosamine:polypeptide acetylgalactosaminyltransferase 14 (GalNAc-T14) 2 5 17 2 2.01 2.22 -2.09 -2.14 TRUN TRUN MIS MIS 2 -2.98 MIS MIS vs TRUN GALNT14 N- X NOTE: logFC, logarithmic fold change. Only differentially expressed genes with |logFC| > 2 are shown. a genes involved in immune response (according to the Reactome_Immune_system gene set) are marked with the # symbol WT= wild type; MIS= Missense; TRUN=Truncating Online Resource 7. Molecular and cellular functions related to genes differentially expressed between wild type cells and cells with a missense mutation in BRCA1. Molecular and cell functions Range of p-value(s) Molecules involved (from our dataset) Cell Death and Survival 1,58E-05-4,48E-02 WNT11,IFNG,ICOS,PPARG,IRF5 Cellular Development 1,95E-05-4,48E-02 ITGB5,IFNG,ICOS,PPARG Cell-To-Cell Signaling and Interaction 1,97E-05-3,61E-02 ITGB5,IFNG,ICOS,PPARG Cellular Movement 5,12E-05-4,94E-02 WNT11,ITGB5,ICOS,IFNG,PPARG Cellular Growth and Proliferation 2,3E-04-4,48E-02 ADCY1,PLS3,ITGB5,IFNG,ICOS,PPARG Amino Acid Metabolism 6,93E-04-6,93E-04 IFNG Cell Cycle 6,93E-04-1,99E-02 IFNG,PPARG Cell Morphology 6,93E-04-4,41E-02 PLS3,ICOS,IFNG,PPARG Cell Signaling 6,93E-04-3,07E-02 ADCY1,IFNG,PPARG Cellular Compromise 6,93E-04-1,17E-02 IFNG,ICOS Cellular Function and Maintenance 6,93E-04-4,35E-02 PLS3,IFNG,ICOS,PPARG DNA Replication, Recombination, and Repair 6,93E-04-2,13E-02 IFNG Gene Expression 6,93E-04-3,85E-02 IFNG,PPARG Lipid Metabolism 6,93E-04-4,74E-02 IFNG,PPARG Molecular Transport 6,93E-04-4,74E-02 IFNG,ICOS,PPARG Nucleic Acid Metabolism 6,93E-04-2,15E-02 DDX43,ADCY1,IFNG Protein Trafficking 6,93E-04-6,93E-04 ICOS Small Molecule Biochemistry 6,93E-04-4,74E-02 DDX43,ADCY1,IFNG,PPARG Drug Metabolism 1,38E-03-1,1E-02 IFNG,PPARG RNA Post-Transcriptional Modification 1,39E-03-3,46E-03 IFNG Cellular Assembly and Organization 2,77E-03-4,41E-02 PLS3,IFNG,ICOS Cellular Response to Therapeutics 2,77E-03-2,77E-03 IFNG Vitamin and Mineral Metabolism 2,77E-03-2,77E-03 IFNG Carbohydrate Metabolism 3,46E-03-2,33E-02 IFNG,PPARG Free Radical Scavenging 1,1E-02-4,08E-02 IFNG Energy Production 3,48E-02-3,48E-02 PPARG Online Resource 8. Involvement of the differentially expressed genes in cells with missense mutations in cell death and inflammatory response pathways. The network shows interaction of 27 cell death pathway genes and 16 inflammatory response pathway genes. Underlined genes belong to the set that were differentially expressed between wild types and cells with missense mutations in BRCA1. The legend specifies the molecule type and type of interaction between molecules. Online Resource 9. Molecular and cellular functions related to genes differentially expressed between wild type cells and cells with truncating mutations in BRCA1. Molecular and cell functions Range of pvalue(s) Molecules involved (from our dataset) Cellular Movement 2.31E-04-1.11E-02 LY6D,MMP7 Cellular Development 3.46E-04-1.2E-02 MMP7 Cellular Growth and Proliferation 3.46E-04-1.2E-02 MMP7 Cell-To-Cell Signaling and Interaction 4.62E-04-4.62E-04 MMP7 Cell Death and Survival 1.31E-02-2.84E-02 MMP7 Post-Translational Modification 1.56E-02-1.56E-02 MMP7 Protein Degradation 1.56E-02-1.56E-02 MMP7 Protein Synthesis 1.56E-02-1.56E-02 MMP7 Online Resource 10. Downstream effect analysis of genes differentially expressed between wild type cells and cells with truncating mutations in BRCA1. The top 5 molecular and cell functions significantly altered in cells carrying heterozygous truncating mutations in BRCA1 are shown. The grey line represents the significance threshold of 0.05.