Association between polymorphisms in DNA base excision repair genes XRCC1, APE1, and ADPRT and differentiated thyroid

Feng-Yu Chiang1, Che-Wei Wu, Pi-Jung Hsiao

  • 1Department of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan.

Abstract

Insights

Specific DNA repair gene variants, particularly in XRCC1, increase the risk of developing and progressing papillary thyroid cancer (DTC). These genetic markers, especially when combined with ADPRT variants, significantly elevate susceptibility to DTC and lymph node metastasis.

Area of Science:

  • Genetics
  • Oncology
  • Molecular Biology

Background:

  • The DNA base excision repair (BER) pathway is crucial for maintaining genomic stability and is implicated in carcinogenesis.
  • Polymorphisms in BER genes may influence an individual's susceptibility to cancer development and progression.

Purpose of the Study:

  • To investigate the association between functional polymorphisms in three key BER genes (XRCC1, APE1, and ADPRT) and the risk of papillary thyroid cancer (DTC) and its progression in a Chinese population.
  • To identify specific genetic variants that contribute to DTC development and lymph node metastasis.

Main Methods:

  • Genotyping of five common nonsynonymous single nucleotide polymorphisms (SNPs) in XRCC1, APE1, and ADPRT genes.
  • Case-control study design involving Chinese DTC patients and healthy controls.
  • Statistical analysis including odds ratios, confidence intervals, and haplotype analysis to assess genetic associations and interactions.

Main Results:

  • The XRCC1-194Trp/Trp genotype was significantly associated with an increased risk of DTC (OR=1.85, P=0.018).
  • This association was primarily driven by patients with lymph node (LN) metastasis (OR=4.54, P=0.0001).
  • Combined analysis revealed that XRCC1-194Trp and ADPRT-762Ala variants synergistically increased the risk of DTC (OR=3.18, P=0.046) and particularly DTC with LN metastasis (OR=9.25, P=0.004).

Conclusions:

  • XRCC1 gene polymorphisms, specifically the 194Trp allele, play a role in the development and progression of DTC.
  • The interaction between XRCC1-194Trp and ADPRT-762Ala variants significantly enhances susceptibility to DTC and regional lymph node metastasis.
  • Identification of these genetic risk factors offers insights into DTC pathogenesis and potential strategies for prevention and treatment.

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