Association of PARP1 polymorphisms with response to chemotherapy in patients with high-risk neuroblastoma

Marianna Avitabile1,2, Vito Alessandro Lasorsa1,2, Sueva Cantalupo3

  • 1Dipartimento di Medicina Molecolare e Biotecnologie Mediche, Università degli Studi di Napoli Federico II, Naples, Italy.

Insights

A specific gene variant (rs907187) in the PARP1 gene is linked to poor treatment response in high-risk neuroblastoma (NB). This finding may explain therapeutic failures and guide future neuroblastoma treatment strategies.

Area of Science:

  • Genetics
  • Oncology
  • Molecular Biology

Background:

  • High-risk neuroblastoma (NB) lacks understanding regarding its genetic causes and molecular mechanisms.
  • Many high-risk NB patients do not respond to current induction therapy, often due to tumor cell resistance mediated by DNA repair systems.
  • Poly(ADP-ribose) polymerase 1 (PARP1) is a key DNA damage sensor crucial for genomic stability.

Purpose of the Study:

  • To investigate the role of PARP1 in high-risk neuroblastoma.
  • To identify genetic variants within PARP1 associated with chemotherapy response and patient prognosis.
  • To explore the functional impact of identified single nucleotide polymorphisms (SNPs) on PARP1 expression and transcription factor binding.

Main Methods:

  • Analysis of PARP1 mRNA levels in neuroblastoma patient datasets and cell lines.
  • Genotyping of two selected PARP1 SNPs (rs907187 and rs2048426) in 121 Italian high-risk NB patients.
  • Correlation analysis between SNP genotypes, PARP1 mRNA levels, and clinical response to induction therapy.
  • In silico prediction of SNP effects on transcription factor binding sites (E2F1).

Main Results:

  • Elevated PARP1 mRNA levels were associated with unfavorable prognosis in multiple neuroblastoma datasets.
  • The minor G allele of the PARP1 promoter SNP rs907187 was significantly associated with a poorer response to induction chemotherapy (P = 0.02).
  • The G allele of rs907187 was linked to decreased PARP1 mRNA levels in NB cell lines (P = 0.003) and predicted to reduce E2F1 transcription factor binding.
  • No significant association was found for the SNP rs2048426.

Conclusions:

  • The PARP1 genetic variant rs907187 is a potential risk factor associated with induction therapy failure in high-risk neuroblastoma.
  • Altered E2F1 binding due to rs907187 may influence PARP1 expression, contributing to poor prognosis in neuroblastoma patients.
  • These findings highlight the importance of genetic factors in neuroblastoma treatment resistance and suggest rs907187 as a potential biomarker.