Aberrant CDKN1A transcriptional response associates with abnormal sensitivity to radiation treatment

Normal tissue reactions to radiation therapy vary in severity among patients and cannot be accurately predicted, limiting treatment doses. The existence of heritable radiosensitivity syndromes suggests that normal tissue reaction severity is determined, at least in part, by genetic factors and these...

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Veröffentlicht in:British journal of cancer 2008-06, Vol.98 (11), p.1845-1851
Hauptverfasser: Badie, C, Dziwura, S, Raffy, C, Tsigani, T, Alsbeih, G, Moody, J, Finnon, P, Levine, E, Scott, D, Bouffler, S
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container_issue 11
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container_title British journal of cancer
container_volume 98
creator Badie, C
Dziwura, S
Raffy, C
Tsigani, T
Alsbeih, G
Moody, J
Finnon, P
Levine, E
Scott, D
Bouffler, S
description Normal tissue reactions to radiation therapy vary in severity among patients and cannot be accurately predicted, limiting treatment doses. The existence of heritable radiosensitivity syndromes suggests that normal tissue reaction severity is determined, at least in part, by genetic factors and these may be revealed by differences in gene expression. To test this hypothesis, peripheral blood lymphocyte cultures from 22 breast cancer patients with either minimal (11) or very severe acute skin reactions (11) have been used to analyse gene expression. Basal and post-irradiation expression of four radiation-responsive genes ( CDKN1A , GADD45A , CCNB1 , and BBC3 ) was determined by quantitative real-time PCR in T-cell cultures established from the two patient groups before radiotherapy. Relative expression levels of BBC3 , CCNB1 , and GADD45A 2 h following 2 Gy X-rays did not discriminate between groups. However, post-irradiation expression response was significantly reduced for CDKN1A ( P
doi_str_mv 10.1038/sj.bjc.6604381
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The existence of heritable radiosensitivity syndromes suggests that normal tissue reaction severity is determined, at least in part, by genetic factors and these may be revealed by differences in gene expression. To test this hypothesis, peripheral blood lymphocyte cultures from 22 breast cancer patients with either minimal (11) or very severe acute skin reactions (11) have been used to analyse gene expression. Basal and post-irradiation expression of four radiation-responsive genes ( CDKN1A , GADD45A , CCNB1 , and BBC3 ) was determined by quantitative real-time PCR in T-cell cultures established from the two patient groups before radiotherapy. Relative expression levels of BBC3 , CCNB1 , and GADD45A 2 h following 2 Gy X-rays did not discriminate between groups. However, post-irradiation expression response was significantly reduced for CDKN1A ( P &lt;0.002) in severe reactors compared to normal. Prediction of reaction severity of ∼91% of individuals sampled was achieved using this end point. Analysis of TP53 Arg72Pro and CDKN1A Ser31Arg single nucleotide polymorphisms did not show any significant association with reaction sensitivity. 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source MEDLINE; Springer Journals; Nature Journals Online; PubMed Central; EZB Electronic Journals Library
subjects Adult
Aged
Apoptosis Regulatory Proteins - genetics
Ataxia
Biomedical and Life Sciences
Biomedicine
Breast cancer
Breast Neoplasms - genetics
Breast Neoplasms - radiotherapy
Cancer Research
Cancer therapies
Cyclin B - genetics
Cyclin B1
Cyclin-Dependent Kinase Inhibitor p21 - genetics
Drug Resistance
Epidemiology
Female
Gene expression
Genes, p53
Humans
Lymphocytes
Medical research
Middle Aged
Molecular Diagnostics
Molecular Medicine
Oncology
Polymorphism, Single Nucleotide
Proto-Oncogene Proteins - genetics
Radiation therapy
Radiation Tolerance
Skin
Toxicity
Transcription, Genetic
title Aberrant CDKN1A transcriptional response associates with abnormal sensitivity to radiation treatment
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