Genetic polymorphisms at TIMP3 are associated with survival of adenocarcinoma of the gastroesophageal junction

The poor survival of adenocarcinomas of the gastroesophageal junction (GEJ) makes them clinically important. Discovery of host genetic factors that affect outcome may guide more individualized treatment. This study tests whether constitutional genetic variants in matrix metalloproteinases (MMP) and...

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Veröffentlicht in:PloS one 2013-03, Vol.8 (3), p.e59157-e59157
Hauptverfasser: Bashash, Morteza, Shah, Amil, Hislop, Greg, Treml, Martin, Bretherick, Karla, Janoo-Gilani, Rozmin, Leach, Stephen, Le, Nhu, Bajdik, Chris, Brooks-Wilson, Angela
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creator Bashash, Morteza
Shah, Amil
Hislop, Greg
Treml, Martin
Bretherick, Karla
Janoo-Gilani, Rozmin
Leach, Stephen
Le, Nhu
Bajdik, Chris
Brooks-Wilson, Angela
description The poor survival of adenocarcinomas of the gastroesophageal junction (GEJ) makes them clinically important. Discovery of host genetic factors that affect outcome may guide more individualized treatment. This study tests whether constitutional genetic variants in matrix metalloproteinases (MMP) and tissue inhibitors of metalloproteinases (TIMP) genes are associated with outcome of GEJ adenocarcinoma. Single nucleotide polymorphisms (SNPs) at four TIMP (TIMP1-4) and three MMP genes (MMP2, MMP7 and MMP9) were genotyped in DNA samples from a prospective cohort of patients with primary adenocarcinoma of the GEJ admitted to the British Columbia Cancer Agency. Cox proportional hazards regression, with adjustment for patient, disease and treatment variables, was used to estimate the association of SNPs with survival. Genotypes for 85 samples and 48 SNPs were analyzed. Four SNPs across TIMP3, (rs130274, rs715572, rs1962223 and rs5754312) were associated with survival. Interaction analyses revealed that the survival associations with rs715572 and rs5754312 are specific and significant for 5FU+cisplatin treated patients. Sanger sequencing of the TIMP3 coding and promoter regions revealed an additional SNP, rs9862, also associated with survival. TIMP3 genetic variants are associated with survival and may be potentially useful in optimizing treatment strategies for individual patients.
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Discovery of host genetic factors that affect outcome may guide more individualized treatment. This study tests whether constitutional genetic variants in matrix metalloproteinases (MMP) and tissue inhibitors of metalloproteinases (TIMP) genes are associated with outcome of GEJ adenocarcinoma. Single nucleotide polymorphisms (SNPs) at four TIMP (TIMP1-4) and three MMP genes (MMP2, MMP7 and MMP9) were genotyped in DNA samples from a prospective cohort of patients with primary adenocarcinoma of the GEJ admitted to the British Columbia Cancer Agency. Cox proportional hazards regression, with adjustment for patient, disease and treatment variables, was used to estimate the association of SNPs with survival. Genotypes for 85 samples and 48 SNPs were analyzed. Four SNPs across TIMP3, (rs130274, rs715572, rs1962223 and rs5754312) were associated with survival. 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drug therapy</topic><topic>Adenocarcinoma - genetics</topic><topic>Adenocarcinoma - mortality</topic><topic>Adenocarcinoma - pathology</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angiogenesis</topic><topic>Base Sequence</topic><topic>Biology</topic><topic>Cancer therapies</topic><topic>Chemotherapy</topic><topic>Cisplatin</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>DNA methylation</topic><topic>DNA sequencing</topic><topic>Esophageal cancer</topic><topic>Esophageal Neoplasms - drug therapy</topic><topic>Esophageal Neoplasms - genetics</topic><topic>Esophageal Neoplasms - mortality</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Esophagogastric Junction - pathology</topic><topic>Female</topic><topic>Gelatinase A</topic><topic>Gelatinase B</topic><topic>Gene Order</topic><topic>Genes</topic><topic>Genetic aspects</topic><topic>Genetic diversity</topic><topic>Genetic factors</topic><topic>Genetic testing</topic><topic>Genetic variance</topic><topic>Genomes</topic><topic>Genotype</topic><topic>Genotypes</topic><topic>Hazards</topic><topic>Humans</topic><topic>Kinases</topic><topic>Male</topic><topic>Matrilysin</topic><topic>Matrix metalloproteinases</topic><topic>Medical prognosis</topic><topic>Medical treatment</topic><topic>Medicine</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Molecular Sequence Data</topic><topic>Neoplasm Staging</topic><topic>Oncology</topic><topic>Patients</topic><topic>Polymorphism, Genetic</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Population</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Single nucleotide polymorphisms</topic><topic>Single-nucleotide polymorphism</topic><topic>Stomach Neoplasms - 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Discovery of host genetic factors that affect outcome may guide more individualized treatment. This study tests whether constitutional genetic variants in matrix metalloproteinases (MMP) and tissue inhibitors of metalloproteinases (TIMP) genes are associated with outcome of GEJ adenocarcinoma. Single nucleotide polymorphisms (SNPs) at four TIMP (TIMP1-4) and three MMP genes (MMP2, MMP7 and MMP9) were genotyped in DNA samples from a prospective cohort of patients with primary adenocarcinoma of the GEJ admitted to the British Columbia Cancer Agency. Cox proportional hazards regression, with adjustment for patient, disease and treatment variables, was used to estimate the association of SNPs with survival. Genotypes for 85 samples and 48 SNPs were analyzed. Four SNPs across TIMP3, (rs130274, rs715572, rs1962223 and rs5754312) were associated with survival. 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source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS) Journals Open Access; PubMed Central; Free Full-Text Journals in Chemistry
subjects Adenocarcinoma
Adenocarcinoma - drug therapy
Adenocarcinoma - genetics
Adenocarcinoma - mortality
Adenocarcinoma - pathology
Aged
Aged, 80 and over
Angiogenesis
Base Sequence
Biology
Cancer therapies
Chemotherapy
Cisplatin
Deoxyribonucleic acid
DNA
DNA methylation
DNA sequencing
Esophageal cancer
Esophageal Neoplasms - drug therapy
Esophageal Neoplasms - genetics
Esophageal Neoplasms - mortality
Esophageal Neoplasms - pathology
Esophagogastric Junction - pathology
Female
Gelatinase A
Gelatinase B
Gene Order
Genes
Genetic aspects
Genetic diversity
Genetic factors
Genetic testing
Genetic variance
Genomes
Genotype
Genotypes
Hazards
Humans
Kinases
Male
Matrilysin
Matrix metalloproteinases
Medical prognosis
Medical treatment
Medicine
Metastasis
Middle Aged
Molecular Sequence Data
Neoplasm Staging
Oncology
Patients
Polymorphism, Genetic
Polymorphism, Single Nucleotide
Population
Public health
Regression analysis
Single nucleotide polymorphisms
Single-nucleotide polymorphism
Stomach Neoplasms - drug therapy
Stomach Neoplasms - genetics
Stomach Neoplasms - mortality
Stomach Neoplasms - pathology
Survival
Tissue inhibitor of metalloproteinase 1
Tissue inhibitor of metalloproteinase 3
Tissue Inhibitor of Metalloproteinase-3 - chemistry
Tissue Inhibitor of Metalloproteinase-3 - genetics
Treatment Outcome
title Genetic polymorphisms at TIMP3 are associated with survival of adenocarcinoma of the gastroesophageal junction
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