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Analysis of DNA repair gene polymorphisms and survival in low-grade and anaplastic gliomas

  • Clinical Study – Patient Study
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Abstract

The purpose of this study was to explore the variation in DNA repair genes in adults with WHO grade II and III gliomas and their relationship to patient survival. We analysed a total of 1,458 tagging single-nucleotide polymorphisms (SNPs) that were selected to cover DNA repair genes, in 81 grade II and grade III gliomas samples, collected in Sweden and Denmark. The statistically significant genetic variants from the first dataset (P < 0.05) were taken forward for confirmation in a second dataset of 72 grade II and III gliomas from northern UK. In this dataset, eight gene variants mapping to five different DNA repair genes (ATM, NEIL1, NEIL2, ERCC6 and RPA4) which were associated with survival. Finally, these eight genetic variants were adjusted for treatment, malignancy grade, patient age and gender, leaving one variant, rs4253079, mapped to ERCC6, with a significant association to survival (OR 0.184, 95% CI 0.054–0.63, P = 0.007). We suggest a possible novel association between rs4253079 and survival in this group of patients with low-grade and anaplastic gliomas that needs confirmation in larger datasets.

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References

  1. Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Burger PC, Jouvet A, Scheithauer BW, Kleihues P (2007) The 2007 WHO classification of tumours of the central nervous system. Acta Neuropathol 114:97–109. doi:10.1007/s00401-007-0243-4

    Article  PubMed  Google Scholar 

  2. Ohgaki H, Kleihues P (2005) Epidemiology and etiology of gliomas. Acta Neuropathol 109:93–108. doi:10.1007/s00401-005-0991-y

    Article  PubMed  Google Scholar 

  3. Reifenberger G, Louis DN (2003) Oligodendroglioma: toward molecular definitions in diagnostic neuro-oncology. J Neuropathol Exp Neurol 62:111–126

    PubMed  CAS  Google Scholar 

  4. Dubbink HJ, Taal W, van Marion R, Kros JM, van Heuvel I, Bromberg JE, Zonnenberg BA, Zonnenberg CB, Postma TJ, Gijtenbeek JM, Boogerd W, Groenendijk FH, Smitt PA, Dinjens WN, van den Bent MJ (2009) IDH1 mutations in low-grade astrocytomas predict survival but not response to temozolomide. Neurology 73:1792–1795. doi:10.1212/WNL.0b013e3181c34ace

    Article  PubMed  CAS  Google Scholar 

  5. van den Bent MJ, Dubbink HJ, Marie Y, Brandes AA, Taphoorn MJ, Wesseling P, Frenay M, Tijssen CC, Lacombe D, Idbaih A, van Marion R, Kros JM, Dinjens WN, Gorlia T, Sanson M (2010) IDH1 and IDH2 mutations are prognostic but not predictive for outcome in anaplastic oligodendroglial tumors: a report of the European organization for research and treatment of cancer brain tumor group. Clin Cancer Res 16:1597–1604. doi:1078-0432.CCR-09-2902

    Article  PubMed  Google Scholar 

  6. Pignatti F, van den Bent M, Curran D, Debruyne C, Sylvester R, Therasse P, Afra D, Cornu P, Bolla M, Vecht C, Karim AB (2002) Prognostic factors for survival in adult patients with cerebral low-grade glioma. J Clin Oncol 20:2076–2084

    Article  PubMed  Google Scholar 

  7. van den Bent MJ, Afra D, de Witte O, Ben Hassel M, Schraub S, Hoang-Xuan K, Malmstrom PO, Collette L, Pierart M, Mirimanoff R, Karim AB (2005) Long-term efficacy of early versus delayed radiotherapy for low-grade astrocytoma and oligodendroglioma in adults: the EORTC 22845 randomised trial. Lancet 366:985–990. doi:10.1016/S0140-6736(05)67070-5

    Article  PubMed  Google Scholar 

  8. Weichselbaum RR, Beckett MA, Schwartz JL, Dritschilo A (1988) Radioresistant tumor cells are present in head and neck carcinomas that recur after radiotherapy. Int J Radiat Oncol Biol Phys 15:575–579

    Article  PubMed  CAS  Google Scholar 

  9. Fernet M, Hall J (2004) Genetic biomarkers of therapeutic radiation sensitivity. DNA Repair (Amst) 3:1237–1243. doi:10.1016/j.dnarep.2004.03.019

    Article  CAS  Google Scholar 

  10. Soffietti R, Baumert BG, Bello L, von Deimling A, Duffau H, Frenay M, Grisold W, Grant R, Graus F, Hoang-Xuan K, Klein M, Melin B, Rees J, Siegal T, Smits A, Stupp R, Wick W (2010) Guidelines on management of low-grade gliomas: report of an EFNS-EANO* Task Force. Eur J Neurol 17:1124–1133. doi:10.1111/j.1468-1331.2010.03151.x

    Article  PubMed  CAS  Google Scholar 

  11. Cardis E, Richardson L, Deltour I, Armstrong B, Feychting M, Johansen C, Kilkenny M, McKinney P, Modan B, Sadetzki S, Schuz J, Swerdlow A, Vrijheid M, Auvinen A, Berg G, Blettner M, Bowman J, Brown J, Chetrit A, Christensen HC, Cook A, Hepworth S, Giles G, Hours M, Iavarone I, Jarus-Hakak A, Klaeboe L, Krewski D, Lagorio S, Lonn S, Mann S, McBride M, Muir K, Nadon L, Parent ME, Pearce N, Salminen T, Schoemaker M, Schlehofer B, Siemiatycki J, Taki M, Takebayashi T, Tynes T, van Tongeren M, Vecchia P, Wiart J, Woodward A, Yamaguchi N (2007) The INTERPHONE study: design, epidemiological methods, and description of the study population. Eur J Epidemiol 22:647–664. doi:10.1007/s10654-007-9152-z

    Article  PubMed  Google Scholar 

  12. Andersson U, Osterman P, Sjostrom S, Johansen C, Henriksson R, Brannstrom T, Broholm H, Christensen HC, Ahlbom A, Auvinen A, Feychting M, Lonn S, Kiuru A, Swerdlow A, Schoemaker M, Roos G, Malmer B (2009) MNS16A minisatellite genotypes in relation to risk of glioma and meningioma and to glioblastoma outcome. Int J Cancer 125:968–972. doi:10.1002/ijc.24363

    Article  PubMed  CAS  Google Scholar 

  13. Hepworth SJ, Schoemaker MJ, Muir KR, Swerdlow AJ, van Tongeren MJ, McKinney PA (2006) Mobile phone use and risk of glioma in adults: case-control study. BMJ 332:883–887. doi:10.1136/bmj.38720.687975.55

    Article  PubMed  Google Scholar 

  14. Wood RD, Mitchell M, Lindahl T (2005) Human DNA repair genes, 2005. Mutat Res 577:275–283. doi:10.1016/j.mrfmmm.2005.03.007

    Article  PubMed  CAS  Google Scholar 

  15. Kent WJ, Sugnet CW, Furey TS, Roskin KM, Pringle TH, Zahler AM, Haussler D (2002) The human genome browser at UCSC. Genome Res 12:996–1006. doi:10.1101/gr.229102

    PubMed  CAS  Google Scholar 

  16. Gibbs RA, Belmont JW, Hardenbol P, Willis TD, Yu F, Yang H, Ch’ang LY et al (2003) The International HapMap Project. Nature 426: 789–796 doi:10.1038/nature02168

    Google Scholar 

  17. Carlson CS, Eberle MA, Rieder MJ, Yi Q, Kruglyak L, Nickerson DA (2004) Selecting a maximally informative set of single-nucleotide polymorphisms for association analyses using linkage disequilibrium. Am J Hum Genet 74:106–120. doi:10.1086/381000

    Article  PubMed  CAS  Google Scholar 

  18. Conde L, Vaquerizas JM, Dopazo H, Arbiza L, Reumers J, Rousseau F, Schymkowitz J, Dopazo J (2006) PupaSuite: finding functional single nucleotide polymorphisms for large-scale genotyping purposes. Nucleic Acids Res 34:W621–625. doi:10.1093/nar/gkl071

    Article  PubMed  CAS  Google Scholar 

  19. Andersson U, McKean-Cowdin R, Hjalmars U, Malmer B (2009) Genetic variants in association studies–review of strengths and weaknesses in study design and current knowledge of impact on cancer risk. Acta Oncol 48:948–954. doi:10.1080/02841860903124648

    Article  PubMed  Google Scholar 

  20. Bethke L, Webb E, Murray A, Schoemaker M, Johansen C, Christensen HC, Muir K, McKinney P, Hepworth S, Dimitropoulou P, Lophatananon A, Feychting M, Lonn S, Ahlbom A, Malmer B, Henriksson R, Auvinen A, Kiuru A, Salminen T, Swerdlow A, Houlston R (2008) Comprehensive analysis of the role of DNA repair gene polymorphisms on risk of glioma. Hum Mol Genet 17:800–805. doi:10.1093/hmg/ddm351

    Article  PubMed  CAS  Google Scholar 

  21. Lystig TC (2003) Adjusted P values for genome-wide scans. Genetics 164:1683–1687

    PubMed  Google Scholar 

  22. Sjostrom S, Andersson U, Liu Y, Brannstrom T, Broholm H, Johansen C, Collatz-Laier H, Henriksson R, Bondy M, Melin B (2010) Genetic variations in EGF and EGFR and glioblastoma outcome. Neuro Oncol doi:10.1093/neuonc/noq018

  23. Liu Y, Shete S, Etzel CJ, Scheurer M, Alexiou G, Armstrong G, Tsavachidis S, Liang FW, Gilbert M, Aldape K, Armstrong T, Houlston R, Hosking F, Robertson L, Xiao Y, Wiencke J, Wrensch M, Andersson U, Melin BS, Bondy M (2010) Polymorphisms of LIG4, BTBD2, HMGA2, and RTEL1 genes involved in the double-strand break repair pathway predict glioblastoma survival. J Clin Oncol 28:2467–2474. doi:10.1200/JCO.2009.26.6213

    Article  PubMed  CAS  Google Scholar 

  24. Duffau H (2005) Lessons from brain mapping in surgery for low-grade glioma: insights into associations between tumour and brain plasticity. Lancet Neurol 4:476–486. doi:10.1016/S1474-4422(05)70140-X

    Article  PubMed  Google Scholar 

  25. Compostella A, Tosoni A, Blatt V, Franceschi E, Brandes AA (2007) Prognostic factors for anaplastic astrocytomas. J Neurooncol 81:295–303. doi:10.1007/s11060-006-9232-z

    Article  PubMed  CAS  Google Scholar 

  26. Jaeckle KAZL, Lee PS, Connor T, Ali-Osman F (1999) ERCC6 mutations in human malignant astrocytomas. Neuro-Oncology 1:317

    Google Scholar 

  27. Sasaki H, Zlatescu MC, Betensky RA, Ino Y, Cairncross JG, Louis DN (2001) PTEN is a target of chromosome 10q loss in anaplastic oligodendrogliomas and PTEN alterations are associated with poor prognosis. Am J Pathol 159:359–367

    Article  PubMed  CAS  Google Scholar 

  28. Dabholkar MD, Berger MS, Vionnet JA, Overton L, Thompson C, Bostick-Bruton F, Yu JJ, Silber JR, Reed E (1996) Comparative analyses of relative ERCC3 and ERCC6 mRNA levels in gliomas and adjacent non-neoplastic brain. Mol Carcinog 17:1–7. doi:10.1002/(SICI)1098-2744(199609)17:1<1:AID-MC1>3.0.CO;2-M

    Article  PubMed  CAS  Google Scholar 

  29. Troelstra C, van Gool A, de Wit J, Vermeulen W, Bootsma D, Hoeijmakers JH (1992) ERCC6, a member of a subfamily of putative helicases, is involved in Cockayne’s syndrome and preferential repair of active genes. Cell 71:939–953. doi:10.1016/0092-8674(92)90390-X

    Article  PubMed  CAS  Google Scholar 

  30. Wong HK, Muftuoglu M, Beck G, Imam SZ, Bohr VA, Wilson DM 3rd (2007) Cockayne syndrome B protein stimulates apurinic endonuclease 1 activity and protects against agents that introduce base excision repair intermediates. Nucleic Acids Res 35:4103–4113. doi:10.1093/nar/gkm404

    Article  PubMed  CAS  Google Scholar 

  31. Matakidou A, el Galta R, Webb EL, Rudd MF, Bridle H, Eisen T, Houlston RS (2007) Genetic variation in the DNA repair genes is predictive of outcome in lung cancer. Hum Mol Genet 16:2333–2340. doi:10.1093/hmg/ddm190

    Article  PubMed  CAS  Google Scholar 

  32. Chiu CF, Tsai MH, Tseng HC, Wang CL, Tsai FJ, Lin CC, Bau DT (2008) A novel single nucleotide polymorphism in ERCC6 gene is associated with oral cancer susceptibility in Taiwanese patients. Oral Oncol 44:582–586. doi:10.1016/j.oraloncology.2007.07.006

    Article  PubMed  CAS  Google Scholar 

  33. Chang CH, Chiu CF, Wang HC, Wu HC, Tsai RY, Tsai CW, Wang RF, Wang CH, Tsou YA, Bau DT (2009) Significant association of ERCC6 single nucleotide polymorphisms with bladder cancer susceptibility in Taiwan. Anticancer Res 29:5121–5124

    PubMed  CAS  Google Scholar 

  34. Grunda JM, Fiveash J, Palmer CA, Cantor A, Fathallah-Shaykh HM, Nabors LB, Johnson MR (2010) Rationally designed pharmacogenomic treatment using concurrent capecitabine and radiotherapy for glioblastoma; gene expression profiles associated with outcome. Clin Cancer Res 16:2890–2898. doi:10.1158/1078-0432.CCR-09-3151

    Article  PubMed  CAS  Google Scholar 

  35. Radford IR, Murphy TK, Radley JM, Ellis SL (1994) Radiation response of mouse lymphoid and myeloid cell lines. Part II. Apoptotic death is shown by all lines examined. Int J Radiat Biol 65:217–227

    Article  PubMed  CAS  Google Scholar 

  36. Hartwell LH, Kastan MB (1994) Cell cycle control and cancer. Science 266:1821–1828

    Article  PubMed  CAS  Google Scholar 

  37. Keles GE, Lamborn KR, Berger MS (2001) Low-grade hemispheric gliomas in adults: a critical review of extent of resection as a factor influencing outcome. J Neurosurg 95:735–745. doi:10.3171/jns.2001.95.5.0735

    Article  PubMed  CAS  Google Scholar 

  38. Pouratian N, Schiff D (2010) Management of low-grade glioma. Curr Neurol Neurosci Rep 10:224–231. doi:10.1007/s11910-010-0105-7

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

The Swedish centre was supported by the Swedish Research Council, the Cancer Foundation of Northern Sweden, The Cancer Foundation at the Uppsala University Hospital, the Swedish Cancer Society, and The Nordic Cancer Union and The Umeå University Hospital Excellence grant and Young career research reward at Umeå University. Melin was supported by Acta Oncologica through the Royal Swedish Academy of Science. The Danish centre was supported by the Danish Cancer Society. The cases were identified through the Interphone study and supported by the European Union Fifth Framework Program “Quality of life and Management of Living Resources” (contract number QLK4-CT-1999-01563), and the International Union against Cancer (UICC). The UICC received funds for this purpose from the Mobile Manufacturers’ Forum and GSM Association. Provision of funds to the INTERPHONE study investigators via the UICC was governed by agreements that guaranteed INTERPHONE’s complete scientific independence. These agreements are publicly available at http://www.iarc.fr/en/research-groups/RAD/RCAd.html. We are grateful to all patients and individuals for their participation. We would also like to thank the clinicians and other hospital staff, cancer registries and study staff and the funding bodies who contributed to the blood sample and data collection for this study and who are listed in our previous publications. The views expressed in the publication are those of the authors and not necessarily those of the funding bodies.

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Correspondence to Shala Ghaderi Berntsson.

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Berntsson, S.G., Wibom, C., Sjöström, S. et al. Analysis of DNA repair gene polymorphisms and survival in low-grade and anaplastic gliomas. J Neurooncol 105, 531–538 (2011). https://doi.org/10.1007/s11060-011-0614-5

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