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Published on: September 20, 2016
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
Purpose:
To investigate the allelic status of the thymidylate synthetase (TYMS) gene, located at chromosome band 18p11.32, in renal cell carcinoma (RCC). TYMS is a key target of the 5-fluorouracil (5-FU)-based class of drugs, frequently considered in combination therapies in advanced RCC. TYMS variants, such as the TYMS polymorphic 5'-untranslated region variable number tandem repeat sequence (VNTR), are under investigation to guide 5-FU treatment. Yet, no information is available with regard to changes in TYMS allele frequencies in RCC malignances.
Methods:
Blood and matched tumor samples were collected from 41 histological proven clear cell RCC affected patients (30 males, 11 females.). TYMS VNTR genotype was first determined in blood to identify heterozygotes employing PCR techniques. To evaluate for allelic imbalance, fragment analysis was performed both in blood and matched tumor DNA of the heterozygote patients. Microsatellite analysis, employing the markers D18S59 and D18S476 mapping, respectively, at the TYMS locus (18p11.32) and 1.5 Mb downstream of the TYMS gene sequence (18p11.31), was performed to confirm TYMS allelic imbalance in tumors.
Results:
Germ-line TYMS VNTR distribution was: 2R/2R (19.5%), TYMS 2R/3R (36.6%) and TYMS 3R/3R (43.9%). Allelic imbalance for the TYMS tandem repeat region was detected in 26.6% of the heterozygote patients. Microsatellite analysis confirmed the allelic imbalance detected by TYMS VNTR analysis and revealed that the overall frequence of allelic imbalance of chromosome band 18p11.32 was 35%, while the overall allelic imbalance of chromosome band 18p11.31 was 28%.
Conclusions:
By focusing on the TYMS polymorphic variants in renal cancer, we here provide evidence, to our knowledge, for the first time showing loss of 18p11.32 and 18p11.31 in renal cell carcinomas. As allelic imbalances involving TYMS locus may be an important variable affecting 5-FU responsiveness, this study may contribute to explain different responses of advanced RCC in combined chemotherapeutic regimens incorporating fluoropyridines.
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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