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A functional single-nucleotide polymorphism in the human cytidine deaminase gene contributing to ara-C sensitivity

Lijie Yue1, Yutaka Saikawa, Kazuhisa Ota

  • 1Division of Cardiovascular Medicine, Vascular Medicine, Angiogenesis and Vascular Development, Department of Pediatrics, Kanazawa University Graduate School of Medical Science, Ishikawa, Japan.

Pharmacogenetics
|January 25, 2003
PubMed

Insights

Investigating human cytidine deaminase (HDCA) gene polymorphisms revealed a novel G208A variant. This variant, HCDA-70T, exhibits reduced enzyme activity, potentially increasing sensitivity to ara-C cancer treatment.

Area of Science:

  • Pharmacogenomics
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Genetic variations in drug-metabolizing enzymes can influence cancer treatment efficacy.
  • Understanding gene-based information is crucial for personalized cancer therapy.

Purpose of the Study:

  • To investigate functional single-nucleotide polymorphisms (SNPs) in the human cytidine deaminase (HDCA) gene.
  • To determine the impact of these polymorphisms on enzyme activity and potential drug response in cancer patients.

Main Methods:

  • Direct sequencing of HDCA cDNA from leukemia/lymphoma samples and controls.
  • Functional analysis of identified polymorphisms by introducing polymorphic HDCA genes into yeast CDA-null mutants.
  • Assessing enzyme activity with cytidine and ara-C substrates and determining IC50 values.

Main Results:

  • Three HDCA gene polymorphisms (A79C, G208A, T435C) were identified with specific allelic frequencies.
  • A novel G208A polymorphism resulted in an alanine to threonine substitution (A70T) in the catalytic domain.
  • The HCDA-70T variant showed significantly reduced activity (40% for cytidine, 32% for ara-C) and a lower IC50 for ara-C in yeast models (P < 0.01).

Conclusions:

  • The G208A polymorphism (HCDA-70T) may confer increased sensitivity to ara-C treatment in certain populations.
  • Identifying and characterizing gene polymorphisms involved in drug metabolism offers potential for risk-stratified cancer treatment strategies.
  • This research supports the development of gene-based therapeutic approaches for childhood malignancies.

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