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Published on: September 7, 2013
Polymorphisms in the DNA repair genes XPC, XPD, and XPG and risk of cutaneous melanoma: a case-control analysis
Chunying Li1, Zhibin Hu, Zhensheng Liu
1Department of Epidemiology, The University of Texas M. D. Anderson Cancer Center, Unit 1365, 1515 Holcombe Boulevard, Houston, TX 77030, USA.
Abstract:
Sunlight causes DNA damage, including bulky lesions that are removed effectively by the nucleotide-excision repair (NER) pathway. There are at least eight core NER proteins participating in the pathway, and genetic variations in their genes may alter NER functions. We hypothesized that some NER variants are associated with risk of cutaneous melanoma. In a hospital-based case-control study of 602 non-Hispanic White patients with cutaneous melanoma and 603 age- and sex-matched cancer-free controls, we genotyped five common non-synonymous single-nucleotide polymorphisms identified to date and assessed their associations with risk of cutaneous melanoma. We found that a significantly increased risk of cutaneous melanoma was associated with XPD 751Lys/Gln [adjusted odds ratio (OR), 1.55 and 95% confidence interval (95% CI), 1.12-2.16] and XPD 751Gln/Gln (OR, 1.66; 95% CI, 1.03-2.68) genotypes compared with the XPD 751Lys/Lys genotype as well as XPD312Asp/Asn (OR, 1.54; 95% CI, 1.11-2.12) and XPD312Asn/Asn (OR, 1.75; 95% CI, 1.05-2.90) genotypes compared with the XPD 312Asp/Asp genotype. This increased risk was not observed in the other three XPC and XPG single-nucleotide polymorphisms. Moreover, the number of the observed XPD at-risk genotypes (i.e., 312Asn/Asn+Asn/Asp and 751Gln/Gln+Lys/Gln) was associated with cutaneous melanoma risk in a dose-response manner (OR, 1.47; 95% CI, 0.97-2.23 for one at-risk genotype; OR, 1.83; 95% CI, 1.29-2.61 for two at-risk genotypes; P(trend) < 0.001). However, we found no evidence of any interaction between XPD genotypes with XPC and XPG genotypes or the known risk factors. We concluded that genetic variants of the XPD gene might serve as biomarkers for susceptibility to cutaneous melanoma.
Insights
Genetic variations in the XPD gene are linked to an increased risk of developing cutaneous melanoma. Specific XPD genotypes, particularly those affecting DNA repair, show a dose-response relationship with melanoma susceptibility.
Area of Science:
- Genetics
- Dermatology
- Molecular Biology
Background:
- Sunlight exposure induces DNA damage, primarily repaired by the nucleotide-excision repair (NER) pathway.
- Genetic variations in NER proteins can influence DNA repair efficiency and potentially cancer risk.
- Cutaneous melanoma is a significant public health concern linked to DNA damage from UV radiation.
Purpose of the Study:
- To investigate the association between common genetic variants in NER pathway genes and the risk of cutaneous melanoma.
- To identify specific single-nucleotide polymorphisms (SNPs) within NER genes that may confer susceptibility to melanoma.
Main Methods:
- A hospital-based case-control study was conducted with 602 non-Hispanic White cutaneous melanoma patients and 603 matched cancer-free controls.
- Genotyping was performed for five common non-synonymous SNPs in NER genes, including XPD, XPC, and XPG.
- Statistical analyses assessed the association between genotypes and melanoma risk, including dose-response effects and gene-gene interactions.
Main Results:
- Significantly increased cutaneous melanoma risk was associated with specific XPD genotypes (XPD 751Lys/Gln, XPD 751Gln/Gln, XPD312Asp/Asn, XPD312Asn/Asn) compared to reference genotypes.
- The number of identified XPD at-risk genotypes showed a dose-response association with melanoma risk.
- No increased risk was observed for the studied XPC and XPG SNPs, nor were interactions found with other risk factors.
Conclusions:
- Genetic variants in the XPD gene are associated with an elevated risk of cutaneous melanoma.
- XPD gene variants may serve as potential biomarkers for predicting susceptibility to cutaneous melanoma.
- Further research is warranted to elucidate the functional mechanisms underlying XPD's role in melanoma development.
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