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p53 codon 72 polymorphism in patients affected with ulcerative colitis.

Maria Teresa Vietri1, Gabriele Riegler, Antonietta Ursillo

  • 1Department of General Pathology, Chair of Clinical Pathology, Second Medical School of Naples, Via L De Crecchio, 7-80138, Naples, Italy.

Journal of Gastroenterology
|August 3, 2007
PubMed
Summary

The p53 Arg72Pro polymorphism is linked to ulcerative colitis (UC) duration and clinical course. Pro homozygosity is associated with longer disease duration and a higher risk of colorectal cancer in UC patients.

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Area of Science:

  • Genetics
  • Oncology
  • Gastroenterology

Background:

  • The p53 tumor suppressor protein is crucial for genomic integrity, cell cycle arrest, and apoptosis.
  • Polymorphisms in the p53 gene, particularly at codon 72, have been controversially linked to cancer predisposition.
  • The role of p53 Arg72Pro polymorphism in ulcerative colitis (UC) clinical parameters requires further investigation.

Purpose of the Study:

  • To investigate the association between the p53 Arg72Pro polymorphism and clinical parameters in patients with ulcerative colitis (UC).

Main Methods:

  • A cohort of 243 UC outpatients and 142 healthy controls were genotyped for the p53 Arg72Pro polymorphism.
  • Clinical data, including disease duration and family history of colorectal carcinoma (CRC), were collected and analyzed.

Main Results:

  • p53 Pro/Pro genotype was significantly associated with longer disease duration (odds ratio, 55.8) and continuous disease course in UC patients.
  • Patients with Pro homozygosity showed a higher prevalence of long-standing UC (>7 years) compared to Arg/Arg and Arg/Pro genotypes.
  • p53 Pro/Pro was also significantly linked to a positive family history of CRC (odds ratio, 38.1) among UC patients.

Conclusions:

  • The p53 Arg72Pro polymorphism appears to influence the clinical course of UC.
  • p53 Pro homozygosity is associated with continuous disease and may indicate an increased risk for colorectal carcinoma in UC patients.