Absence of association with cancer risk and low frequency of alterations at a p53 responsive PIG3 gene polymorphism in breast and lung carcinomas

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Abstract

The mechanisms of p53-dependent apoptosis involve a set of genes that possess the ability to modulate oxidative stress. One of them PIG3, is induced by p53 through a microsatellite in its promoter region. This microsatellite was found to acquire its full structure and p53-functional dependence only in Hominoidea (apes and humans) and has been proposed to represent an evolutionary adaptation of tumor suppressor mechanisms. Microsatellite instability and genetic constitution, comprising the presence of the low repetition allele (10 TGYCC repeats), at this locus have been hypothesized to provide an increased risk for cancer development. Therefore, in the present analysis we examined this polymorphism in two common human cancers, lung and breast and compared it with corresponding control cases. Furthermore, for lung cancer we employed two different ethnic groups, Greek and British. Analysis of this locus in this types of tumors showed: (1) a very low frequency of microsatellite instability and loss of heterozygosity (1.4% and 4%, respectively) in the examined carcinomas, (2) the homozygous presence of the 10 repeats allele only in the control cases, and (3) a non-significant increase of the most frequent allele (15 repeats) in the cancer groups as compared to control ones. The last two observations were found in both Greek and British populations. Taken together, these data do not support the notion that this PIG3 polymorphism is associated with an increased risk for cancer susceptibility. Larger studies including other types of cancer should also be performed.

Introduction

Apoptosis is a vital process for tissue homeostasis that is frequently disturbed in several pathological conditions, including cancer. It has been shown that p53-dependent apoptosis involves the induction of a series of genes called PIGs (p53-inducible gene(s)) [1]. These genes participate in this process through reactive oxygen species (ROS) modulation [1]. Interestingly, for one of them, assigned as PIG3 [1], induction has been shown to be mediated by p53 mainly through a microsatellite present in its 5′-upstream regulatory region and not through a classical El-Deiry consensus sequence [2]. This microsatellite acquired its polymorphic structure and p53-dependent functional ability to induce this gene, recently in the evolutionary history of biological species [3]. Specifically, although it is present in lower primates its full length and function appears only in Hominoidea (apes and humans).

In humans this microsatellite represents a pentanucleotide (TGYCC)n polymorphism, where Y = C or T, and with four alleles of 10, 15, 16 and 17 repetitions [2]. Furthermore, the extent of transcriptional activation of PIG3 by p53 correlates directly with the number of repeats. Given that PIG3 is associated with reactive oxygen species-dependent apoptosis [1], the recent evolutionary control of this gene by p53 raises two important points, as Contente et al. comment [3]. First, they suggest that the evolutionary appearance of this polymorphism represents a continuous adaptation of tumor suppressor mechanism(s), and second, they draw caution on the comparative interpretation of gene expression results from animal models and human cancers. However, what is not clear yet, is first if there is any potential mechanism(s) by which this gene may be implicated in human carcinogenesis, and second what is its exact role during tumorigenesis.

As previously hypothesized, the nature of this polymorphism indicates two possible ways that may account for PIG3 involvement in tumorigenesis [2]. In neoplasias, as it is well known, microsatellites are frequently prone to alterations emerging from instability at these loci. Microsatellite instability (MI) usually involves a change in the number of repetitions at a polymorphic locus in the neoplastic areas. Therefore, any aberrations affecting the structural integrity of this polymorphism should affect the ability to induce PIG3 by p53 and maybe consequently the ROS-dependent apoptotic process. A second mechanism that is cancer-prone represents the genetic constitution of an individual. Taking into consideration that alleles with low number of repetitions (specifically the 10 repetitions one) are less able to induce PIG3 expression by p53 [2], it is expected that combination(s) of such alleles provide an increased cancer risk for an individual. Therefore, cancer patient cohorts may have a different frequency distribution as compared to control cases, with low repetition alleles expected to have a higher penetrance.

Intrigued by these collective results and observations we have investigated this polymorphism in two common human cancers, lung and breast, but characterized by their different tumor biology. Furthermore, two different populations of lung cancer patients, Greek and British, where examined to assess possible ethnical differences.

Section snippets

Patients and sample collection

For our analysis individuals from Greek and British populations were enrolled. The Greek population consisted of 330 healthy case controls (173 females and 157 males), 210 female breast cancer patients and 72 lung cancer patients (5 females and 67 males), while from the British 190 healthy case controls (64 females and 126 males) and 176 lung cancer patients (71 females and 105 males) were used. DNA was extracted from blood samples with the QIAamp Blood kit (Qiagen) following the manufacturer's

Allelotype and genotype analysis of the PIG polymorphism in Greek and British populations

  • (1)

    Greek population. Our analysis showed the presence of the previously described four alleles at this locus, in the samples examined [2] (Table 1). The most interesting and unexpected result was the presence of 7 control cases that where homozygous for allele 10 (10/10). On the other hand no such cases were found in the breast or lung cancer patients examined (Table 3). Analysis of allele frequency distribution in the control and cancer groups, after gender correction, showed that the proportion

Discussion

The mechanisms underlying the development of p53-dependent apoptosis are largely unknown. Recently, a set of genes has been shown to be markedly induced by p53 in this process [1]. One of them PIG3, has the unique feature to be induced by p53 through a microsatellite in its promoter region [2]. Despite the presence of PIG3 gene homologs in other species, including plants [1], [2], [3], this microsatellite appears evolutionary in a functional form only in Hominoidea (apes and humans) [3].

Acknowledgments

We would like to thank Ms Virginia Stogia for her expert help during collection and processing of the blood samples. We also wish to acknowledge the support of the Hellenic Anticancer Institute.

References (14)

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