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Angiotensinogen, Angiotensin-Converting Enzyme, and Chymase Gene Polymorphisms as Biomarkers for Basal Cell Carcinoma
Christos Yapijakis1,2,3,4, Iphigenia Gintoni5,6,7, Sevastiana Charalampidou5,6
1Unit of Orofacial Genetics, 1st Department of Pediatrics, National Kapodistrian University of Athens, "Hagia Sophia" Children's Hospital, Athens, Greece. cyapi@med.uoa.gr.
Introduction:
The intake of angiotensin-converting enzyme (ACE) inhibitors and specific antagonists of angiotensin II receptors, widely used as antihypertensive drugs, significantly reduces the risk of developing basal cell carcinoma (BCC), highlighting the possible tumorigenic role of angiotensin II (AngII). We present here the investigated genetic association between the development of BCC and functional DNA polymorphisms M235T, I/D, and A1903G in the genes of angiotensinogen (AGT), angiotensin-converting enzyme (ACE), and chymase (CMA1), which mediate AngII production levels.
Methods:
DNA samples of 203 unrelated Greeks were studied, including 100 patients with BCC and 103 matched healthy controls.
Results:
The MT genotype of the AGT-M235T polymorphism was significantly more prevalent in the patient group (78.0%) versus the healthy control group (28.3%; p < 0.001). The DD genotype of the ACE-I/D polymorphism was also increased in BCC patients (72.8%) compared to controls (46.2%; p = 0.001). The heterozygous AG genotype of CMA1-A1903G was significantly more frequent in the BCC group (86%) than in the healthy controls (50.5%; p < 0.001).
Conclusions:
The MT, DD, and AG genotypes of the AGT- M235T, ACE-I/D, and CMA1-A1903G polymorphisms, respectively, were significantly increased in frequency within the group of cancer patients compared to the healthy controls. All three genotypes correspond to increased enzyme levels or activity and result in increased levels of AngII; therefore, they may be potentially utilized as reliable biomarkers associated with an individual's increased risk for BCC development.
Insights
Certain genetic variations in angiotensinogen (AGT), angiotensin-converting enzyme (ACE), and chymase (CMA1) genes are linked to an increased risk of basal cell carcinoma (BCC). These polymorphisms correlate with higher angiotensin II (AngII) levels, suggesting a role in BCC development.
Area of Science:
- Genetics
- Dermatology
- Cardiovascular Research
Background:
- Antihypertensive drugs like ACE inhibitors and angiotensin II receptor blockers reduce basal cell carcinoma (BCC) risk.
- This suggests a potential role for angiotensin II (AngII) in BCC tumorigenesis.
Purpose of the Study:
- To investigate the genetic association between BCC development and functional DNA polymorphisms in genes regulating AngII production.
- Specifically examining AGT (M235T), ACE (I/D), and CMA1 (A1903G) polymorphisms.
Main Methods:
- A case-control study was conducted with 203 unrelated Greek individuals.
- The study included 100 patients diagnosed with BCC and 103 healthy controls matched for demographic factors.
Main Results:
- The AGT-M235T polymorphism showed a significantly higher prevalence of the MT genotype in BCC patients (78.0%) compared to controls (28.3%).
- The ACE-I/D polymorphism revealed an increased frequency of the DD genotype in BCC patients (72.8%) versus controls (46.2%).
- The CMA1-A1903G polymorphism demonstrated a significantly higher frequency of the AG genotype in BCC patients (86%) compared to controls (50.5%).
Conclusions:
- The MT, DD, and AG genotypes of AGT, ACE, and CMA1 polymorphisms, respectively, were significantly more frequent in BCC patients.
- These genotypes are associated with increased enzyme activity and elevated AngII levels.
- These findings suggest that these specific genotypes may serve as reliable biomarkers for increased BCC risk.
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