SNPs in genes implicated in radiation response are associated with radiotoxicity and evoke roles as predictive and prognostic biomarkers

Biomarkers are needed to individualize cancer radiation treatment. Therefore, we have investigated the association between various risk factors, including single nucleotide polymorphisms (SNPs) in candidate genes and late complications to radiotherapy in our nasopharyngeal cancer patients. A cohort...

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Veröffentlicht in:Radiation oncology (London, England) England), 2013-05, Vol.8 (1), p.125-125
Hauptverfasser: Alsbeih, Ghazi, El-Sebaie, Medhat, Al-Harbi, Najla, Al-Hadyan, Khaled, Shoukri, Mohamed, Al-Rajhi, Nasser
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container_title Radiation oncology (London, England)
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creator Alsbeih, Ghazi
El-Sebaie, Medhat
Al-Harbi, Najla
Al-Hadyan, Khaled
Shoukri, Mohamed
Al-Rajhi, Nasser
description Biomarkers are needed to individualize cancer radiation treatment. Therefore, we have investigated the association between various risk factors, including single nucleotide polymorphisms (SNPs) in candidate genes and late complications to radiotherapy in our nasopharyngeal cancer patients. A cohort of 155 patients was included. Normal tissue fibrosis was scored using RTOG/EORTC grading system. A total of 45 SNPs in 11 candidate genes (ATM, XRCC1, XRCC3, XRCC4, XRCC5, PRKDC, LIG4, TP53, HDM2, CDKN1A, TGFB1) were genotyped by direct genomic DNA sequencing. Patients with severe fibrosis (cases, G3-4, n = 48) were compared to controls (G0-2, n = 107). Univariate analysis showed significant association (P < 0.05) with radiation complications for 6 SNPs (ATM G/A rs1801516, HDM2 promoter T/G rs2279744 and T/A rs1196333, XRCC1 G/A rs25487, XRCC5 T/C rs1051677 and TGFB1 C/T rs1800469). In addition, Kaplan-Meier analyses have also highlighted significant association between genotypes and length of patients' follow-up after radiotherapy. Multivariate logistic regression has further sustained these results suggesting predictive and prognostic roles of SNPs. Univariate and multivariate analysis suggest that radiation toxicity in radiotherapy patients are associated with certain SNPs, in genes including HDM2 promoter studied for the 1st time. These results support the use of SNPs as genetic predictive markers for clinical radiosensitivity and evoke a prognostic role for length of patients' follow-up after radiotherapy.
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Therefore, we have investigated the association between various risk factors, including single nucleotide polymorphisms (SNPs) in candidate genes and late complications to radiotherapy in our nasopharyngeal cancer patients. A cohort of 155 patients was included. Normal tissue fibrosis was scored using RTOG/EORTC grading system. A total of 45 SNPs in 11 candidate genes (ATM, XRCC1, XRCC3, XRCC4, XRCC5, PRKDC, LIG4, TP53, HDM2, CDKN1A, TGFB1) were genotyped by direct genomic DNA sequencing. Patients with severe fibrosis (cases, G3-4, n = 48) were compared to controls (G0-2, n = 107). Univariate analysis showed significant association (P &lt; 0.05) with radiation complications for 6 SNPs (ATM G/A rs1801516, HDM2 promoter T/G rs2279744 and T/A rs1196333, XRCC1 G/A rs25487, XRCC5 T/C rs1051677 and TGFB1 C/T rs1800469). In addition, Kaplan-Meier analyses have also highlighted significant association between genotypes and length of patients' follow-up after radiotherapy. Multivariate logistic regression has further sustained these results suggesting predictive and prognostic roles of SNPs. Univariate and multivariate analysis suggest that radiation toxicity in radiotherapy patients are associated with certain SNPs, in genes including HDM2 promoter studied for the 1st time. These results support the use of SNPs as genetic predictive markers for clinical radiosensitivity and evoke a prognostic role for length of patients' follow-up after radiotherapy.</description><identifier>ISSN: 1748-717X</identifier><identifier>EISSN: 1748-717X</identifier><identifier>DOI: 10.1186/1748-717X-8-125</identifier><identifier>PMID: 23697595</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Analysis ; Biological markers ; Biomarkers ; Biomarkers, Tumor - genetics ; Cancer ; Cancer therapies ; Carcinoma ; Cell cycle ; Chemotherapy ; Confidence intervals ; DNA repair ; Female ; Fibrosis - etiology ; Fibrosis - genetics ; Genealogy ; Genes ; Genomes ; Genotype ; Head &amp; neck cancer ; Humans ; Male ; Medical research ; Medicine, Experimental ; Middle Aged ; Nasopharyngeal cancer ; Nasopharyngeal Carcinoma ; Nasopharyngeal Neoplasms - diagnosis ; Nasopharyngeal Neoplasms - genetics ; Nasopharyngeal Neoplasms - radiotherapy ; Polymorphism, Single Nucleotide ; Prognosis ; Radiation ; Radiation Injuries - genetics ; Radiation therapy ; Radiation Tolerance - genetics ; Radiotherapy - adverse effects ; Reverse Transcriptase Polymerase Chain Reaction ; Single nucleotide polymorphisms ; Statistical analysis ; Studies ; Thermal cycling ; Young Adult</subject><ispartof>Radiation oncology (London, England), 2013-05, Vol.8 (1), p.125-125</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Alsbeih et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2013 Alsbeih et al.; licensee BioMed Central Ltd. 2013 Alsbeih et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3679989/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3679989/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23697595$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alsbeih, Ghazi</creatorcontrib><creatorcontrib>El-Sebaie, Medhat</creatorcontrib><creatorcontrib>Al-Harbi, Najla</creatorcontrib><creatorcontrib>Al-Hadyan, Khaled</creatorcontrib><creatorcontrib>Shoukri, Mohamed</creatorcontrib><creatorcontrib>Al-Rajhi, Nasser</creatorcontrib><title>SNPs in genes implicated in radiation response are associated with radiotoxicity and evoke roles as predictive and prognostic biomarkers</title><title>Radiation oncology (London, England)</title><addtitle>Radiat Oncol</addtitle><description>Biomarkers are needed to individualize cancer radiation treatment. Therefore, we have investigated the association between various risk factors, including single nucleotide polymorphisms (SNPs) in candidate genes and late complications to radiotherapy in our nasopharyngeal cancer patients. A cohort of 155 patients was included. Normal tissue fibrosis was scored using RTOG/EORTC grading system. A total of 45 SNPs in 11 candidate genes (ATM, XRCC1, XRCC3, XRCC4, XRCC5, PRKDC, LIG4, TP53, HDM2, CDKN1A, TGFB1) were genotyped by direct genomic DNA sequencing. Patients with severe fibrosis (cases, G3-4, n = 48) were compared to controls (G0-2, n = 107). Univariate analysis showed significant association (P &lt; 0.05) with radiation complications for 6 SNPs (ATM G/A rs1801516, HDM2 promoter T/G rs2279744 and T/A rs1196333, XRCC1 G/A rs25487, XRCC5 T/C rs1051677 and TGFB1 C/T rs1800469). In addition, Kaplan-Meier analyses have also highlighted significant association between genotypes and length of patients' follow-up after radiotherapy. 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Therefore, we have investigated the association between various risk factors, including single nucleotide polymorphisms (SNPs) in candidate genes and late complications to radiotherapy in our nasopharyngeal cancer patients. A cohort of 155 patients was included. Normal tissue fibrosis was scored using RTOG/EORTC grading system. A total of 45 SNPs in 11 candidate genes (ATM, XRCC1, XRCC3, XRCC4, XRCC5, PRKDC, LIG4, TP53, HDM2, CDKN1A, TGFB1) were genotyped by direct genomic DNA sequencing. Patients with severe fibrosis (cases, G3-4, n = 48) were compared to controls (G0-2, n = 107). Univariate analysis showed significant association (P &lt; 0.05) with radiation complications for 6 SNPs (ATM G/A rs1801516, HDM2 promoter T/G rs2279744 and T/A rs1196333, XRCC1 G/A rs25487, XRCC5 T/C rs1051677 and TGFB1 C/T rs1800469). In addition, Kaplan-Meier analyses have also highlighted significant association between genotypes and length of patients' follow-up after radiotherapy. Multivariate logistic regression has further sustained these results suggesting predictive and prognostic roles of SNPs. Univariate and multivariate analysis suggest that radiation toxicity in radiotherapy patients are associated with certain SNPs, in genes including HDM2 promoter studied for the 1st time. These results support the use of SNPs as genetic predictive markers for clinical radiosensitivity and evoke a prognostic role for length of patients' follow-up after radiotherapy.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23697595</pmid><doi>10.1186/1748-717X-8-125</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Analysis
Biological markers
Biomarkers
Biomarkers, Tumor - genetics
Cancer
Cancer therapies
Carcinoma
Cell cycle
Chemotherapy
Confidence intervals
DNA repair
Female
Fibrosis - etiology
Fibrosis - genetics
Genealogy
Genes
Genomes
Genotype
Head & neck cancer
Humans
Male
Medical research
Medicine, Experimental
Middle Aged
Nasopharyngeal cancer
Nasopharyngeal Carcinoma
Nasopharyngeal Neoplasms - diagnosis
Nasopharyngeal Neoplasms - genetics
Nasopharyngeal Neoplasms - radiotherapy
Polymorphism, Single Nucleotide
Prognosis
Radiation
Radiation Injuries - genetics
Radiation therapy
Radiation Tolerance - genetics
Radiotherapy - adverse effects
Reverse Transcriptase Polymerase Chain Reaction
Single nucleotide polymorphisms
Statistical analysis
Studies
Thermal cycling
Young Adult
title SNPs in genes implicated in radiation response are associated with radiotoxicity and evoke roles as predictive and prognostic biomarkers
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