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Updated: Apr 16, 2026

Establishment of Cancer Stem Cell Cultures from Human Conventional Osteosarcoma
Published on: October 14, 2016
Translesion polymerase genes polymorphisms and haplotypes influence survival of osteosarcoma patients
Katja Goričar1, Viljem Kovač, Janez Jazbec
11 Pharmacogenetics Laboratory, Institute of Biochemistry , Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia .
Abstract:
Cytotoxic activity of most chemotherapeutic agents is based on their ability to induce DNA damage. Interstrand crosslinks are among the most detrimental forms of DNA damage as both DNA strands are affected. As translesion polymerases participate in their repair, they may be important for response to chemotherapeutic agents that induce such lesions, including commonly used cisplatin. Altered expression of translesion polymerase genes REV1 and REV3L may modify sensitivity to cisplatin. As osteosarcoma patients are commonly treated with cisplatin-based chemotherapy, our aim was to investigate if REV1 and REV3L polymorphisms influence survival of osteosarcoma patients treated with cisplatin-based chemotherapy. We determined the genotypes of common functional tag REV1 and REV3L polymorphisms in 66 osteosarcoma patients. Cox regression was used for survival analysis. Carriers of at least one polymorphic REV1 rs3087403 allele had significantly shorter EFS and overall survival (OS) (p = 0.004; HR = 3.79; 95%CI = 1.53-9.35 and p < 0.001; HR = 4.44; 95%CI = 1.92-10.27, respectively). Combination of REV1 rs3087403 and REV3L rs462779 polymorphisms was also significantly associated with shorter OS (ptrend<0.001) and shorter EFS (ptrend = 0.003). The results of this first study on polymorphisms in translesion polymerase genes in osteosarcoma suggest they could help predict outcome of cisplatin-based chemotherapy in osteosarcoma patients.
Insights
Specific gene variants in translesion polymerases REV1 and REV3L may predict how well osteosarcoma patients respond to cisplatin chemotherapy, impacting their survival outcomes.
Area of Science:
- Genetics and Molecular Biology
- Oncology
- Pharmacogenomics
Background:
- Chemotherapeutic agents like cisplatin induce DNA damage, crucial for their cytotoxic effect.
- Translesion polymerases (TLPs) are involved in repairing DNA interstrand crosslinks, a severe form of DNA damage.
- Altered TLP gene expression can influence sensitivity to DNA-damaging agents.
Purpose of the Study:
- To investigate the association between polymorphisms in translesion polymerase genes REV1 and REV3L and survival in osteosarcoma patients treated with cisplatin-based chemotherapy.
- To determine if specific REV1 and REV3L gene variants can serve as predictive biomarkers for treatment outcomes.
Main Methods:
- Genotyping of common functional tag polymorphisms in REV1 (rs3087403) and REV3L (rs462779) was performed in 66 osteosarcoma patients.
- Survival analysis, including event-free survival (EFS) and overall survival (OS), was conducted using Cox regression.
- The impact of individual polymorphisms and their combinations on patient survival was assessed.
Main Results:
- Carriers of at least one polymorphic REV1 rs3087403 allele showed significantly shorter EFS and OS.
- A significant association was found between the REV1 rs3087403 polymorphism and reduced survival.
- The combined effect of REV1 rs3087403 and REV3L rs462779 polymorphisms was significantly associated with shorter OS and EFS.
Conclusions:
- Polymorphisms in translesion polymerase genes REV1 and REV3L may influence the survival of osteosarcoma patients undergoing cisplatin-based chemotherapy.
- These genetic variations could potentially serve as predictive biomarkers for treatment response and patient outcomes.
- This study highlights the importance of pharmacogenomics in personalizing osteosarcoma treatment strategies.
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