Germline variation in TP53 regulatory network genes associates with breast cancer survival and treatment outcome
INTERNATIONAL JOURNAL OF CANCER
Authors: Jamshidi, Maral; Schmidt, Marjanka K.; Doerk, Thilo; Garcia-Closas, Montserrat; Heikkinen, Tuomas; Cornelissen, Sten; van den Broek, Alexandra J.; Schuermann, Peter; Meyer, Andreas; Park-Simon, Tjoung-Won; Figueroa, Jonine; Sherman, Mark; Lissowska, Jolanta; Keong, Garrett Teoh Hor; Irwanto, Astrid; Laakso, Marko; Hautaniemi, Sampsa; Aittomaki, Kristiina; Blomqvist, Carl; Liu, Jianjun; Nevanlinna, Heli
Abstract
Germline variation in the TP53 network genes PRKAG2, PPP2R2B, CCNG1, PIAS1 and YWHAQ was previously suggested to have an impact on drug response in vitro. Here, we investigated the effect on breast cancer survival of germline variation in these genes in 925 Finnish breast cancer patients and further analyzed five single nucleotide polymorphisms (SNPs) in PRKAG2 (rs1029946, rs4726050, rs6464153, rs7789699) and PPP2R2B (rs10477313) for 10-year survival in breast cancer patients, interaction with TP53 R72P and MDM2-SNP309, outcome after specific adjuvant therapy and correlation to tumor characteristics in 4,701 invasive cases from four data sets. We found evidence for carriers of PRKAG2-rs1029946 and PRKAG2-rs4726050 having improved survival in the pooled data (HR 0.53, 95% CI 0.30.9; p = 0.023 for homozygous carriers of the rare G-allele and HR 0.85, 95% CI 0.70.9; p = 0.049 for carriers of the rare G allele, respectively). PRKAG2-rs4726050 showed a significant interaction with MDM2-SNP309, with PRKAG2-rs4726050 rare G-allele having a dose-dependent effect for better breast cancer survival confined only to MDM2 SNP309 rare G-allele carriers (HR 0.45, 95% CI 0.20.7; p = 0.001). This interaction also emerged as an independent predictor of better survival (p = 0.047). PPP2R2B-rs10477313 rare A-allele was found to predict better survival (HR 0.82, 95% CI 0.60.9; p = 0.018), especially after hormonal therapy (HR 0.66, 95% CI 0.50.9; p = 0.048). These findings warrant further studies and suggest that genetic markers in TP53 network genes such as PRKAG2 and PPP2R2B might affect prognosis and treatment outcome in breast cancer patients.
SCA12: An unusual mutation leads to an unusual spinocerebellar ataxia
BRAIN RESEARCH BULLETIN
Authors: Holmes, SE; O'Hearn, E; Ross, CA; Margolis, RL
Abstract
Spinocerebellar ataxia type 12 (SCA12) is an autosomal dominant neurodegenerative disorder which has been described in pedigrees of German American and Indian descent. The phenotype typically begins with tremor in the fourth decade, progressing to include ataxia and other cerebellar and cortical signs. SCA12 is associated with an expansion of a CAG repeat in the 5' region of the gene PPP2R2B, which encodes a brain-specific regulatory subunit of the protein phosphatase PP2A. The repeat size ranges from 55 to 78 triplets in the mutant allele of affected individuals, and from 9 to 28 triplets in normal alleles. It is possible that an expansion mutation in PPP2R2B may influence PPP2R2B expression, perhaps altering the activity of PP2A, an enzyme implicated in multiple cellular functions, including cell cycle regulation, tau phosphorylation, and apoptosis. (C) 2001 Elsevier Science Inc.