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MDM2 promoter SNP285 and SNP309; phylogeny and impact on cancer risk
Stian Knappskog1, Per E Lønning
1Section of Oncology, Institute of Medicine, University of Bergen, 5020 Bergen, Norway. Stian.Knappskog@med.uib.no
Abstract:
MDM2 plays a key role to physiological processes like growth arrest, senescence and apoptosis. It binds to and inhibits key proteins like p53 and the RB protein, and MDM2 amplification as well as protein overexpression without amplification is seen in many solid tumors. An MDM2 promoter polymorphism (SNP309T>G) has been found associated with enhanced Sp1 transcription factor binding and elevated MDM2 transcription. While 309G has been found associated with elevated cancer risk and young age at diagnosis of different cancers, results in Caucasians have been at variance. Recently, we reported a second polymorphism (SNP285G>C) located on the 309G allele. The 285C/309G haplotype accounts for about 12% of all 309G alleles among Norwegians, Dutch and British habitants. Assessing Sp1 binding to the MDM2 promoter using surface plasmon resonance technology, we found SNP309G to enhance Sp1 binding by 22% while SNP285C reduced Sp1 binding by 51%. SNP285C reduced the risk of breast cancer and ovarian cancer among 309TG/309GG carriers by 21 and 26%, respectively, but in particular the risk of ovarian cancer among 309TG heterozygotes (reduction by 37%). The fact that the 285C/309G haplotype accounted for only 1.9% of all 309G alleles among Finns and was absent in Chinese indicate 285C to be a young polymorphism.
Insights
The MDM2 gene
Area of Science:
- Molecular biology and cancer genetics.
- Focuses on gene regulation and its impact on cancer risk.
Background:
- MDM2 protein regulates cell growth, senescence, and apoptosis by inhibiting p53 and RB proteins.
- MDM2 amplification or overexpression is common in solid tumors.
- MDM2 promoter polymorphism (SNP309T>G) affects Sp1 transcription factor binding and MDM2 expression.
Purpose of the Study:
- To investigate the functional impact of a newly identified MDM2 promoter polymorphism (SNP285G>C) on Sp1 binding and cancer risk.
- To evaluate the combined effect of SNP285G>C and SNP309T>G on breast and ovarian cancer risk.
Main Methods:
- Surface plasmon resonance technology was used to assess Sp1 transcription factor binding to the MDM2 promoter.
- Genotyping of SNP309T>G and SNP285G>C polymorphisms in patient cohorts.
- Statistical analysis to determine the association between genotypes/haplotypes and cancer risk.
Main Results:
- SNP309G enhanced Sp1 binding by 22%, while SNP285C reduced Sp1 binding by 51%.
- The 285C/309G haplotype, present in ~12% of European populations, was associated with reduced breast cancer risk (21%) and ovarian cancer risk (26%).
- A significant reduction in ovarian cancer risk (37%) was observed in 309TG heterozygotes carrying the 285C allele.
Conclusions:
- The MDM2 SNP285C polymorphism significantly modulates Sp1 binding and reduces breast and ovarian cancer risk, particularly in combination with SNP309G.
- The 285C/309G haplotype appears to be a relatively young polymorphism, with lower frequency in Asian populations.
- These findings highlight the complex interplay between genetic variations in the MDM2 promoter and cancer susceptibility.
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