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Cytotoxic T lymphocyte antigen-4 promoter variants in breast cancer
N Erfani1, M Razmkhah, A R Talei
1Department of Immunology, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract:
CTLA4 is a coinhibitory molecule expressed mainly on activated T lymphocytes. To test the putative involvement of CTLA-4 in inhibitory state of immunity to breast cancer, we genotyped 283 patients and 245 healthy control subjects for -1722 T/C, -1661 A/G, and -318 C/T single nucleotide polymorphisms in the promoter region of the CTLA4 gene. There were no significant differences in genotype, allele, or haplotype frequencies in all three loci between patients and healthy controls. Moreover, the incidence of the most frequent haplotype combination (TAC/TAC, T -1722, A -1661, C -318) was only slightly higher among healthy controls than patients (68.4 vs. 64.8%, P = 0.2). This haplotype combination was associated with lower stages of the disease (P = 0.0007), however, and higher estrogen receptor (ER) expression in patients (P = 0.006). Association with tumor prognostic or predictive factors was also observed with certain genotypes: the -1661 AA genotype was associated with lesser lymph node (LN) involvement (P = 0.017) and higher ER expression (P = 0.004), and the -318 CC genotype with lesser LN involvement (P = 0.007). These results suggest that CTLA4 promoter variants participate in the progression of breast cancer rather than in its initial development.
Insights
Genetic variations in the CTLA4 gene promoter may influence breast cancer progression. Specific CTLA4 promoter genotypes were linked to lower disease stage and higher estrogen receptor expression, suggesting a role in tumor development rather than initial onset.
Area of Science:
- Immunogenetics
- Oncology
Background:
- Cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) is a key coinhibitory molecule on activated T cells.
- Its role in the immune response to breast cancer, particularly in immune suppression, requires further investigation.
Purpose of the Study:
- To investigate the association between single nucleotide polymorphisms (SNPs) in the CTLA4 gene promoter and breast cancer.
- To determine if CTLA4 promoter variants influence disease progression and patient outcomes.
Main Methods:
- Genotyping of three CTLA4 promoter SNPs (-1722 T/C, -1661 A/G, -318 C/T) in 283 breast cancer patients and 245 healthy controls.
- Analysis of genotype, allele, and haplotype frequencies.
- Correlation of CTLA4 variants with clinical parameters like disease stage, lymph node involvement, and estrogen receptor (ER) status.
Main Results:
- No significant differences in overall genotype, allele, or haplotype frequencies were found between patients and controls.
- A specific common haplotype (TAC/TAC) was associated with lower disease stage and higher ER expression.
- The -1661 AA genotype correlated with less lymph node involvement and higher ER expression.
- The -318 CC genotype was associated with less lymph node involvement.
Conclusions:
- CTLA4 promoter variants do not appear to influence the initial development of breast cancer.
- These variants are associated with breast cancer progression and specific tumor characteristics, such as disease stage and ER status.
- CTLA4 promoter polymorphisms may play a role in modulating the tumor microenvironment and disease advancement.
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