Thymidylate synthetase allelic imbalance in clear cell renal carcinoma

Davide Colavito1, Giuseppe Cartei, Massimo Dal Bianco

  • 1Research and Innovation S.p.A., Via Svizzera 16, Padua 35127, Italy. microarray@researchinnovation.com

Abstract

Insights

This study reveals loss of chromosome regions 18p11.32 and 18p11.31 in renal cell carcinoma (RCC). These thymidylate synthetase (TYMS) gene allelic imbalances may impact 5-fluorouracil (5-FU) treatment response in advanced RCC patients.

Area of Science:

  • Oncology
  • Genetics
  • Pharmacogenomics

Background:

  • The thymidylate synthetase (TYMS) gene is crucial for 5-fluorouracil (5-FU) chemotherapy efficacy.
  • TYMS variants, like the VNTR in the 5'-untranslated region, are being investigated to personalize 5-FU treatment.
  • No data existed on TYMS allele frequency alterations in renal cell carcinoma (RCC).

Purpose of the Study:

  • To investigate the allelic status of the TYMS gene at chromosome band 18p11.32 in renal cell carcinoma.
  • To determine if TYMS gene variants influence treatment response in advanced RCC.

Main Methods:

  • Collected blood and tumor samples from 41 clear cell RCC patients.
  • Determined TYMS VNTR genotype using PCR and fragment analysis in heterozygotes.
  • Confirmed allelic imbalance using microsatellite markers D18S59 and D18S476 at 18p11.32 and 18p11.31.

Main Results:

  • Germ-line TYMS VNTR distribution showed variations: 2R/2R (19.5%), 2R/3R (36.6%), and 3R/3R (43.9%).
  • Allelic imbalance of the TYMS tandem repeat region was found in 26.6% of heterozygote patients.
  • Overall allelic imbalance was 35% for 18p11.32 and 28% for 18p11.31.

Conclusions:

  • This study provides the first evidence of 18p11.32 and 18p11.31 loss in renal cell carcinomas.
  • Allelic imbalances at the TYMS locus may significantly affect 5-FU responsiveness.
  • Findings may help explain variable patient responses to fluoropyrimidine-based chemotherapies in advanced RCC.

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