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Updated: Jun 23, 2026

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
Risk of MDM2 SNP309 alone or in combination with the p53 codon 72 polymorphism in acute myeloid leukemia
Xiujuan Xiong1, Min Wang, Lin Wang
1State Key Laboratory of Experimental Hematology, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin 300020, People's Republic of China.
Abstract:
A single nucleotide polymorphism (SNP) in the promoter of MDM2 gene, SNP309 T>G (a T-G exchange at nucleotide 309 in the first intron), can increase the expression level of MDM2, thereby causing an impairment of p53 tumor suppressor activity. A G-C exchange at p53 codon 72 polymorphism results in a substitution of proline (Pro) for arginine (Arg) in the transactivation domain, which was shown to alter the primary structure of the p53 protein. Both polymorphisms have been implicated in cancer. To investigate whether that MDM2 SNP309 and p53 codon 72 polymorphism should be at least partially responsible for genetic susceptibility to acute myeloid leukemia (AML), both polymorphisms were determined in a case-control study consisting of 231 AML patients and 128 normal individuals. The MDM2 SNP309G allele was associated with increased risk of AML. Furthermore, the p53 codon 72 and MDM2 SNP309 polymorphisms did not associate with age of onset and any other clinical parameters studied. When the p53 and MDM2 polymorphisms were combined, no multiplicative joint effect between the MDM2 GG and p53 Pro/Pro genotypes exists in the risk of developing AML. These results suggest that the MDM2 SNP309 homozygous GG genotype may be a genetic susceptibility factor in the pathogenesis of AML.
Insights
The MDM2 SNP309G allele increases acute myeloid leukemia (AML) risk. The homozygous GG genotype for MDM2 SNP309 may be a genetic factor in AML development, but p53 codon 72 interaction was not significant.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- Single nucleotide polymorphisms (SNPs) in MDM2 (SNP309 T>G) and p53 (codon 72) are linked to cancer.
- MDM2 SNP309 affects MDM2 expression, potentially impairing p53 tumor suppressor activity.
- p53 codon 72 polymorphism alters p53 protein structure.
Purpose of the Study:
- To investigate the association between MDM2 SNP309 and p53 codon 72 polymorphisms and genetic susceptibility to acute myeloid leukemia (AML).
- To determine if these polymorphisms influence AML onset or clinical parameters.
- To explore potential joint effects of these polymorphisms on AML risk.
Main Methods:
- A case-control study was conducted with 231 AML patients and 128 healthy controls.
- Genotyping was performed to determine the MDM2 SNP309 and p53 codon 72 polymorphisms.
- Statistical analysis was used to assess associations and combined effects.
Main Results:
- The MDM2 SNP309G allele was significantly associated with an increased risk of AML.
- No association was found between these polymorphisms and age of onset or other clinical parameters.
- No multiplicative joint effect was observed between MDM2 GG and p53 Pro/Pro genotypes in AML risk.
Conclusions:
- The MDM2 SNP309 homozygous GG genotype may contribute to the pathogenesis of AML.
- MDM2 SNP309 and p53 codon 72 polymorphisms do not appear to jointly influence AML risk.
- Further research is needed to fully elucidate the role of MDM2 SNP309 in AML susceptibility.
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