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Significance of MDM2 and P14 ARF polymorphisms in susceptibility to differentiated thyroid carcinoma
Fenghua Zhang1, Li Xu, Qingyi Wei
1Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Background:
Murine double minute 2 (MDM2) oncoprotein and p14(ARF) tumor suppressor play pivotal roles in regulating p53 and function in the MAPK pathway, which is mutated frequently in differentiated thyroid carcinoma (DTC). We hypothesized that functional polymorphisms in the promoters of MDM2 and p14(ARF) contribute to the interindividual difference in predisposition to DTC.
Methods:
MDM2-rs2279744, MDM2-rs937283, p14(ARF)-rs3731217, and p14(ARF)-rs3088440 were genotyped in 303 patients with DTC and 511 cancer-free healthy controls. Multivariate logistic regression analysis was performed to calculate odds ratios (ORs) and 95% confidence intervals (CIs).
Results:
MDM2-rs2279744 and p14(ARF)-rs3731217 were associated with a significantly increased risk of DTC (MDM2-rs2279744: TT versus TG/GG; OR, 1.5; 95% CI, 1.1-2.0; p14(ARF)-rs3731217: TG/GG versus TT; OR, 1.7; 95% CI, 1.2-2.3). No association was found for MDM2-rs937283 or p14(ARF)-rs3088440. Individuals carrying 3-4 risk genotypes of MDM2 and p14(ARF) had 2.2 times (95% CI, 1.4-3.5) the risk for DTC of individuals carrying 0-1 risk genotypes (P trend = .021). The combined effect of MDM2 and p14(ARF) on risk of DTC was confined to young subjects (≤ 45 years), nonsmokers, nondrinkers, and subjects with a first-degree family history of cancer. These associations were quite similar in strength when cases were restricted to those with papillary thyroid cancer.
Conclusion:
Our results suggest that polymorphisms of MDM2 and p14(ARF) contribute to the interindividual difference in susceptibility to DTC, either alone or more likely jointly. The observed associations warrant further confirmation in independent studies.
Insights
Genetic variations in MDM2 and p14ARF influence differentiated thyroid carcinoma (DTC) risk. Specific polymorphisms in MDM2 and p14ARF, particularly when combined, increase DTC susceptibility, especially in younger, healthier individuals.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- Differentiated thyroid carcinoma (DTC) involves mutations in the MAPK pathway.
- Murine double minute 2 (MDM2) oncoprotein and p14ARF tumor suppressor regulate p53 and MAPK pathway activity.
- Functional polymorphisms in MDM2 and p14ARF promoter regions may influence individual susceptibility to DTC.
Purpose of the Study:
- To investigate the association between specific genetic polymorphisms in MDM2 and p14ARF and the risk of developing DTC.
- To determine if combined genotypes of MDM2 and p14ARF confer a differential risk for DTC.
Main Methods:
- Genotyping of MDM2-rs2279744, MDM2-rs937283, p14ARF-rs3731217, and p14ARF-rs3088440 in 303 DTC patients and 511 controls.
- Multivariate logistic regression analysis to calculate odds ratios (ORs) and 95% confidence intervals (CIs).
Main Results:
- MDM2-rs2279744 (TT genotype) and p14ARF-rs3731217 (TG/GG genotype) were significantly associated with increased DTC risk (OR=1.5 and 1.7, respectively).
- Individuals with 3-4 risk genotypes of MDM2 and p14ARF had a 2.2-fold increased risk of DTC.
- The combined effect was more pronounced in younger individuals (≤45 years), nonsmokers, nondrinkers, and those with a family history of cancer.
Conclusions:
- Polymorphisms in MDM2 and p14ARF contribute to interindividual differences in DTC susceptibility, acting either independently or jointly.
- The findings suggest a potential genetic predisposition to DTC linked to these gene variants, particularly in specific demographic subgroups.
- Further validation in independent populations is recommended to confirm these associations.
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