1. MDM2 polymorphism associated with the development of cervical lesions in women infected with Human papillomavirus and using of oral contraceptives
- Author
-
Carolina Mm Amaral, Maria Tc Muniz, Rita de Cássia Pereira de Lima, Bárbara Simas Chagas, Jacinto da Costa Silva-Neto, Valdir de Queiroz Balbino, Antonio Carlos de Freitas, Katerina Cetkovska, Ana Pad Gurgel, Sérgio Sl Paiva Júnior, Luiz Af Silva, and Marcus V. Cardoso
- Subjects
Oncology ,HPV ,Cancer Research ,medicine.medical_specialty ,Epidemiology ,Population ,Single-nucleotide polymorphism ,Cervical intraepithelial neoplasia ,03 medical and health sciences ,0302 clinical medicine ,MDM2 ,Internal medicine ,Genotype ,Medicine ,education ,Cervix ,030304 developmental biology ,Cervical cancer ,0303 health sciences ,education.field_of_study ,Oral contraceptives ,business.industry ,Genitourinary system ,HPV infection ,medicine.disease ,3. Good health ,Infectious Diseases ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Immunology ,business ,Research Article - Abstract
Background The MDM2 gene is the major negative regulator of p53, a tumor suppressor protein. Single nucleotide polymorphism in promoter region of MDM2 gene leads to increased expression resulting in higher levels of MDM2 protein. This event increases the attenuation of the p53 pathway. Polymorphisms in this gene can interfere in the regulation of cellular proliferation. We evaluated whether MDM2 SNP309 (rs2278744) associated or not with the use of oral contraceptive can heighten susceptibility to development of cervical lesions in women HPV infected. Methods MDM2 SNP309 (rs2278744) was genotyped in a total of 287 patients using the PCR-RFLP technique. The results were analyzed by UNPHASED v.3.121 and SNPStats programs. Results The three groups (SIL, LSIL and HSIL) showed no significant differences in either genotype or allelic frequencies for MDM2 polymorphisms, except when HSIL was compared with LSIL (p = 0.037; OR = 1.81). Furthermore, in the analysis of contraceptives, a significant association was found between the use of contraceptives and the MDM2 variant in the development of high-grade cervical lesions for the TG genotype (p = 0.019; OR = 2.21) when HSIL was compared with control. When HSIL was compared with LSIL (p = 0.006; OR = 2.27). Conclusion The results of this study suggest that MDM2 SNP309 might be a good marker for assessing the progression of LSIL to HSIL. In addition, they also show that oral contraceptives alone, did not have any effect on the progression or development of cervical lesions. However, they may act synergistically with MDM2 SNP309 (rs2278744) and HPV infection in the development of cervical lesions.
- Published
- 2014
- Full Text
- View/download PDF