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Polymorphisms of MLH1 in benign prostatic hyperplasia and sporadic prostate cancer
Yuichiro Tanaka1, Mohd S Zaman, Shahana Majid
1Department of Surgery/Urology (112F), Veterans Affairs Medical Center, University of California, 4150 Clement St., San Francisco, CA 94121, USA. Yuichiro.tanaka@ucsf.edu
Abstract:
Mismatch repair is one of several DNA repair pathways of which defects may lead to cancer. We hypothesize that polymorphisms of the MLH1 gene can be a risk factor for benign prostatic hyperplasia (BPH) and prostate cancer. The genetic distribution of MLH1 polymorphisms that lead to amino acid changes at codons 132, 219, 384, and 723 were analyzed in BPH and sporadic prostate cancer patients, and compared to healthy controls from an Asian population. These experiments demonstrate a protective role for the codon 384 variant allele against prostate cancer (P=0.031) but not BPH when compared to normal controls and furthermore, an inverse association was observed with stage (P=0.074) and grade (P=0.056) of cancer. This is the first report that demonstrates a protective effect for the race-related MLH1 polymorphism at codon 384 against prostate cancer and these results are important in understanding their role in this disease.
Insights
Genetic variations in the MLH1 gene may influence cancer risk. A specific MLH1 gene variant (codon 384) shows a protective effect against developing prostate cancer in an Asian population.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- DNA repair pathways, including mismatch repair, are crucial in preventing cancer.
- Defects in mismatch repair genes, such as MLH1, are implicated in various cancers.
- The role of MLH1 gene polymorphisms in benign prostatic hyperplasia (BPH) and prostate cancer risk is not fully understood.
Purpose of the Study:
- To investigate the association between MLH1 gene polymorphisms and the risk of BPH and sporadic prostate cancer.
- To analyze the genetic distribution of MLH1 polymorphisms at specific codons (132, 219, 384, 723) in an Asian population.
Main Methods:
- Genotyping analysis of MLH1 polymorphisms at codons 132, 219, 384, and 723.
- Comparison of allele frequencies between patients with BPH, prostate cancer, and healthy controls.
- Statistical analysis to determine the association between polymorphisms and disease risk, stage, and grade.
Main Results:
- The MLH1 codon 384 variant allele demonstrated a statistically significant protective effect against prostate cancer (P=0.031).
- No significant association was found between the codon 384 variant and BPH risk.
- An inverse association was observed between the codon 384 variant and prostate cancer stage (P=0.074) and grade (P=0.056).
Conclusions:
- MLH1 polymorphism at codon 384 may play a protective role against prostate cancer in the studied Asian population.
- These findings contribute to understanding the role of MLH1 variants in prostate cancer development and progression.
- Further research is warranted to elucidate the mechanisms underlying this protective effect.
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