1. CyclinD1 and interleukin-1 receptor antagonist polymorphisms are associated with prognosis in neoadjuvant-treated gastric carcinoma
- Author
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Katja Ott, Alexander Hapfelmeier, Nils Henningsen, Stefan Hois, Karen Becker, Susanne Plaschke, Heinz Höfler, Florian Lordick, Gisela Keller, and Gertraud Stocker
- Subjects
Adult ,Male ,Cancer Research ,medicine.medical_specialty ,DNA Repair ,Genotype ,medicine.medical_treatment ,Antineoplastic Agents ,Kaplan-Meier Estimate ,Adenocarcinoma ,Polymerase Chain Reaction ,Polymorphism, Single Nucleotide ,Gastroenterology ,Young Adult ,Gene Frequency ,Stomach Neoplasms ,Internal medicine ,medicine ,Humans ,Cyclin D1 ,Allele ,Stomach cancer ,Alleles ,Aged ,Neoplasm Staging ,Chemotherapy ,business.industry ,Cell Cycle ,Cancer ,Interleukin ,Middle Aged ,medicine.disease ,Neoadjuvant Therapy ,Survival Rate ,Interleukin 1 Receptor Antagonist Protein ,Interleukin 1 receptor antagonist ,Oncology ,Multivariate Analysis ,Immunology ,Female ,Fluorouracil ,Cisplatin ,ERCC1 ,business - Abstract
Purpose We evaluated DNA polymorphisms in genes related to DNA repair, cell-cycle control and tumour microenvironment to determine possible associations with response and survival in neoadjuvant-treated gastric cancer patients. Patients and methods One hundred and seventy eight patients who received platinum/5FU-based chemotherapy were genotyped for 10 polymorphisms in nine genes ( ERCC1 : Asn118Asn, C > T ; ERCC1 : 8092C>A; TP53 : Arg72Pro, G ; cyclinD1 : Pro241Pro, G > A ; STK15 : Phe31Ile, A > T ; VEGF : 936 C > T ; TNF-α : -308 G > A ; interleukin-1b (IL-1B) : -511 C > T ; IL-1 receptor antagonist (IL-1RN) : variable tandem repeat; IL-8 : -251 T > A ). Genotypes were correlated with histopathological and clinical response and overall (OS) and progression-free survival (PFS). Results Only the cyclinD1 genotypes were associated with clinical response ( P χ 2 = 0.044 ). Significantly worse survival rates were noted in patients homozygous for the G-allele as compared to patients with the AG or AA genotypes of the cyclinD1 polymorphism (OS: P log-rank =0.024; PFS: P log-rank =0.007) and in patients homozygous for the short allele compared to all other genotypes at the IL-1RN polymorphic locus (OS: P log-rank =0.026; PFS: P log-rank =0.013). The combination of both unfavourable genotypes demonstrated strong prognostic relevance (OS: P log-rank =0.006; PFS: P log-rank =0.001). Multivariate analysis for OS in the group of completely resected patients ( n =139) revealed statistical significance for ypM ( P P cyclinD1/IL-1RN genotypes ( P =0.043). Conclusion The cyclinD1 and IL-1RN polymorphisms were associated with survival. The combination of specific cyclinD1 and IL-1RN genotypes showed a particular prognostic relevance and should be considered an independent prognostic marker for neoadjuvant-treated gastric cancer patients.
- Published
- 2009