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Published on: August 4, 2019
Association between TP53 gene Arg72Pro polymorphism and Wilms' tumor risk in a Chinese population
Wen Fu1, Zhen-Jian Zhuo2, Wei Jia1
1Department of Pediatric Urology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, Guangdong; Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, Guangdong.
Insights
The TP53 gene Arg72Pro polymorphism shows no overall association with Wilms' tumor risk in Chinese children. However, it may increase risk in younger children, suggesting an age-related effect.
Area of Science:
- Genetics
- Oncology
- Pediatrics
Background:
- Wilms' tumor is a common pediatric cancer.
- TP53 gene mutations are linked to cancer development.
- TP53 Arg72Pro polymorphism is a potential cancer risk factor.
Purpose of the Study:
- To investigate the association between TP53 Arg72Pro polymorphism and Wilms' tumor risk in Chinese children.
- To explore potential age-related effects of this polymorphism on Wilms' tumor susceptibility.
Main Methods:
- Genotyping of the TP53 Arg72Pro polymorphism (rs1042522 C>G) using Taqman methodology.
- Case-control study involving 145 Wilms' tumor patients and 531 cancer-free controls.
- Stratified analysis based on age at diagnosis.
Main Results:
- No significant overall association was found between TP53 Arg72Pro polymorphism and Wilms' tumor risk.
- A statistically significant increased risk of Wilms' tumor was observed in children aged 18 months or younger carrying CG/GG genotypes (OR=2.04, P=0.049).
Conclusions:
- The TP53 Arg72Pro polymorphism may not be a major risk factor for Wilms' tumor in general.
- An age-dependent association suggests a potential role in early-onset Wilms' tumor.
- Further validation in larger, diverse populations is warranted.
Abstract:
Wilms' tumor is one of the most prevalent pediatric malignancies, ranking fourth in childhood cancer worldwide. TP53 is a critical tumor suppressor gene, which encodes a 53 kDa protein, p53. The p53 functions to protect against cancer by regulating cell cycle and apoptosis and maintaining DNA integrity. TP53 gene is highly polymorphic. Several TP53 gene polymorphisms have been considered to be associated with cancer risk. Of them, a nonsynonymous polymorphism, Arg72Pro (rs1042522 C>G), has been most extensively studied for the association with cancer risk; however, few studies have investigated its effect on Wilms' tumor. Because of the central role of p53 in cell cycle control, the TP53 gene Arg72Pro polymorphism is also a good potential candidate predisposition locus for this pediatric cancer. We genotyped this polymorphism in 145 patients and 531 cancer-free controls recruited from Chinese children by Taqman methodology. Overall, our result suggested a lack of association between the TP53 gene Arg72Pro polymorphism and Wilms' tumor. In the stratified analysis, we found that carriers of CG/GG genotypes had a significantly increased Wilms' tumor risk in children not older than 18 months (adjusted odds ratio =2.04, 95% confidence interval =1.003-4.13, P=0.049) compared with CC genotype carriers. Our study indicated that the TP53 gene Arg72Pro polymorphism may have a weak, age-related effect on Wilms' tumor risk in Chinese children. These findings need further validations in other populations with larger sample size.
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