MDM4 SNP34091 (rs4245739) and its effect on breast-, colon-, lung-, and prostate cancer risk
Liv B Gansmo1,2, Pål Romundstad3, Einar Birkeland1,2
1Section of Oncology, Department of Clinical Science, University of Bergen, Bergen, Norway.
Abstract:
The MDM4 protein plays an important part in the negative regulation of the tumor suppressor p53 through its interaction with MDM2. In line with this, MDM4 amplification has been observed in several tumor forms. A polymorphism (rs4245739 A>C; SNP34091) in the MDM4 3' untranslated region has been reported to create a target site for hsa-miR-191, resulting in decreased MDM4 mRNA levels. In this population-based case-control study, we examined the potential association between MDM4 SNP34091, alone and in combination with the MDM2 SNP309T>G (rs2279744), and the risk of breast-, colon-, lung-, and prostate cancer in Norway. SNP34091 was genotyped in 7,079 cancer patients as well as in 3,747 gender- and age-matched healthy controls. MDM4 SNP34091C was not associated with risk for any of the tumor forms examined, except for a marginally significant association with reduced risk for breast cancer in a recessive model (OR = 0.77: 95% CI = 0.59-0.99). Stratifying according to MDM2 SNP309 status, we observed a reduced risk for breast cancer related to MDM4 SNP34091CC among individuals harboring the MDM2 SNP309GG genotype (OR = 0.41; 95% CI = 0.21-0.82). We conclude, MDM4 SNP34091 status to be associated with reduced risk of breast cancer, in particular in individuals carrying the MDM2 SNP309GG genotype, but not to be associated with either lung-, colon- or prostate cancer.
Insights
The MDM4 gene variant (SNP34091) may reduce breast cancer risk, particularly when combined with a specific MDM2 gene variant (SNP309GG). This genetic interaction was not linked to lung, colon, or prostate cancer risk.
Area of Science:
- Genetics and Oncology
- Cancer Risk Factors
- Molecular Biology
Background:
- MDM4 protein regulates tumor suppressor p53 via MDM2 interaction.
- MDM4 amplification is observed in various cancers.
- A specific MDM4 polymorphism (SNP34091) may affect mRNA levels via microRNA binding.
Purpose of the Study:
- To investigate the association between MDM4 SNP34091 and cancer risk.
- To examine the combined effect of MDM4 SNP34091 and MDM2 SNP309 on cancer risk.
- To assess risk for breast, colon, lung, and prostate cancers in a Norwegian population.
Main Methods:
- Population-based case-control study.
- Genotyping of MDM4 SNP34091 and MDM2 SNP309 in 7,079 cancer patients and 3,747 controls.
- Statistical analysis of genetic associations and interactions.
Main Results:
- MDM4 SNP34091 was not associated with risk for colon, lung, or prostate cancer.
- A marginally significant reduced risk for breast cancer was observed with MDM4 SNP34091C in a recessive model.
- A significantly reduced risk for breast cancer was found for MDM4 SNP34091CC in individuals with the MDM2 SNP309GG genotype.
Conclusions:
- MDM4 SNP34091 status is associated with a reduced risk of breast cancer, especially in conjunction with the MDM2 SNP309GG genotype.
- No association was found between MDM4 SNP34091 and the risk of lung, colon, or prostate cancer.
- The findings suggest a potential gene-gene interaction influencing breast cancer susceptibility.
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