Objectives. The aim of this study was to investigate the association of RCC and Ala16Val polymorphism in Turkish patients with RCC. Materials and Methods. A total of 41 patients with RCC who underwent radical or partial nephrectomy in our clinic and 50 healthy volunteers living in the same geographic area were included in this study. DNA samples from serum of RCC patients and controls were genotyped for MnSOD polymorphism analysis. Genotype ratios and allele frequencies were compared between two groups and odd ratios with 95% confidence intervals were calculated statistically. A value of <0.05 was considered statistically significant. Results. There was a significant difference in the MnSOD genotype distributions between the RCC patients and the controls in terms of Ala/Ala+Ala/Val and Val/Val genotypes ( ). The Ala/Ala+Ala/Val genotypes were found significantly suspicious for RCC with an OR of 2.64 (95% CI = 1.06–6.69, ). In addition, Ala allele was found significantly suspicious for RCC with an OR of 2.26 (95% CI = 1.24–4.12, ). Conclusion. Our study indicated that MnSOD Ala16Val polymorphism may be one of the many genetic factors for renal cancer susceptibility in Turkish patients. 1. Introduction Renal cell carcinoma (RCC) is the most common malignancy of the kidney and it constitutes approximately 3% of all adult malignancies and more than 90% of renal cancers [1]. RCC originates from the tubular structures of the kidney and is classified into 4 main histological types. Of all types, the most common type seen clear cell renal cell carcinoma (ccRCC) accounts for about 75% of all RCC cases [2]. Cigarette smoking, body mass index, and heredity are the most important risk factors that are associated with RCC. Approximately, 4% of all RCC are hereditary as well [3]. Single nucleotide polymorphism (SNP) is defined as a DNA sequence variation occurring when a single nucleotide, A, T, C, or G, in the genome differs between members of a biological species or paired chromosomes in a human [4]. The association of SNPs in genomes with various systemic diseases and malignancies has been shown in many previous studies. In addition to the SNPs in genes which provide production of superoxide dismutase (SOD), glutathione peroxidase (GPX), and paroxonase (PON), a wide range of human diseases like cancer, infectious diseases, autoimmune, neuropsychiatric, sickle-cell anemia, β Thalassemia, and cystic fibrosis may result due to SNPs [5–7]. As a result, the diseases which develop due to different SNPs may become relevant pharmacogenomic targets for drug therapy [8].
References
[1]
S. H. Landis, T. Murray, S. Bolden, and P. A. Wingo, “Cancer Statistics, 1999,” Ca: A Cancer Journal for Clinicians, vol. 49, no. 1, pp. 8–31, 1999.
[2]
S. St?rkel, J. N. Eble, K. Adlakha, et al., “Classification of renal cell carcinoma: workgroup No. 1. Union Internationale Contre le Cancer (UICC) and the American Joint Committee on Cancer (AJCC),” Cancer, vol. 80, pp. 987–989, 1997.
[3]
S. C. Clifford, A. H. Prowse, N. A. Affara, C. H. Buys, and E. R. Maher, “Inactivation of the von Hippel-Lindau (VHL) tumour suppressor gene and allelic losses at chromosome arm 3p in primary renal cell carcinoma: evidence for a VHL-independent pathway in clear cell renal tumourigenesis,” Genes Chromosomes Cancer, vol. 22, pp. 200–209, 1998.
[4]
L. B. Barreiro, G. Laval, H. Quach, E. Patin, and L. Quintana-Murci, “Natural selection has driven population differentiation in modern humans,” Nature Genetics, vol. 40, no. 3, pp. 340–345, 2008.
[5]
V. M. Ingram, “A specific chemical difference between the globins of normal human and sickle-cell an?mia h?moglobin,” Nature, vol. 178, no. 4537, pp. 792–794, 1956.
[6]
J. C. Chang and Y. W. Kan, “β0 thalassemia, a nonsense mutation in man,” Proceedings of the National Academy of Sciences of the United States of America, vol. 76, no. 6, pp. 2886–2889, 1979.
[7]
A. Hamosh, T. M. King, B. J. Rosenstein et al., “Cystic fibrosis patients bearing both the common missense mutation Gly→Asp at codon 551 and the ΔF508 mutation are clinically indistinguishable from ΔF508 homozygotes, except for decreased risk of meconium ileus,” American Journal of Human Genetics, vol. 51, no. 2, pp. 245–250, 1992.
[8]
M. Fareed and M. Afzal, “Single nucleotide polymorphism in genome-wide association of human population: a tool for broad spectrum service,” Egyptian Journal of Medical Human Genetics, vol. 14, no. 2, pp. 123–134, 2013.
[9]
P. E. Thomas, R. Klinger, L. I. Furlong, M. Hofmann-Apitius, and C. M. Friedrich, “Challenges in the association of human single nucleotide polymorphism mentions with unique database identifiers,” BMC Bioinformatics, vol. 12, supplement 4, article S4, 2011.
[10]
I. Fridovich, “The biology of oxygen radicals,” Science, vol. 201, no. 4359, pp. 875–880, 1978.
[11]
J. S. Rosenblum, N. B. Gilula, and R. A. Lerner, “On signal sequence polymorphisms and diseases of distribution,” Proceedings of the National Academy of Sciences of the United States of America, vol. 93, no. 9, pp. 4471–4473, 1996.
[12]
M. Gago-Dominguez, J. E. Castelao, J.-M. Yuan, R. K. Ross, and M. C. Yu, “Lipid peroxidation: a novel and unifying concept of the etiology of renal cell carcinoma (United States),” Cancer Causes and Control, vol. 13, no. 3, pp. 287–293, 2002.
[13]
M. Gago-Dominguez and J. E. Castelao, “Lipid peroxidation and renal cell carcinoma: further supportive evidence and new mechanistic insights,” Free Radical Biology and Medicine, vol. 40, no. 4, pp. 721–733, 2006.
[14]
L. Lusini, S. A. Tripodi, R. Rossi, et al., “Altered glutathione anti-oxidant metabolism during tumor progression in human renal-cell carcinoma,” International Journal of Cancer, vol. 91, pp. 55–59, 2001.
[15]
A. Bag and N. Bag, “Target sequence polymorphism of human manganese superoxide dismutase gene and its association with cancer risk: a review,” Cancer Epidemiology Biomarkers and Prevention, vol. 17, no. 12, pp. 3298–3305, 2008.
[16]
L. W. Oberley and G. R. Buettner, “Role of superoxide dismutase in cancer: a review,” Cancer Research, vol. 39, no. 4, pp. 1141–1149, 1979.
[17]
T.-C. Chuang, J.-Y. Liu, C.-T. Lin et al., “Human manganese superoxide dismutase suppresses HER2/neu-mediated breast cancer malignancy,” FEBS Letters, vol. 581, no. 23, pp. 4443–4449, 2007.
[18]
J. J. Cullen, C. Weydert, M. M. Hinkhouse et al., “The role of manganese superoxide dismutase in the growth of pancreatic adenocarcinoma,” Cancer Research, vol. 63, no. 6, pp. 1297–1303, 2003.
[19]
H. Hu, M.-L. Luo, X.-L. Du et al., “Up-regulated manganese superoxide dismutase expression increases apoptosis resistance in human esophageal squamous cell carcinomas,” Chinese Medical Journal, vol. 120, no. 23, pp. 2092–2098, 2007.
[20]
Y. Soini, M. Vakkala, K. Kahlos, P. P??kk?, and V. Kinnula, “MnSOD expression is less frequent in tumour cells of invasive breast carcinomas than in in situ carcinomas or non-neoplastic breast epithelial cells,” Journal of Pathology, vol. 195, no. 2, pp. 156–162, 2001.
[21]
M. Valko, M. Izakovic, M. Mazur, C. J. Rhodes, and J. Telser, “Role of oxygen radicals in DNA damage and cancer incidence,” Molecular and Cellular Biochemistry, vol. 266, no. 1-2, pp. 37–56, 2004.
[22]
J. E. Klaunig and L. M. Kamendulis, “The role of oxidative stress in carcinogenesis,” Annual Review of Pharmacology and Toxicology, vol. 44, pp. 239–267, 2004.
[23]
J. E. Klaunig, Y. Xu, S. Bachowski, and J. Jiang, “Free-radical oxygen-induced changes in chemical carcinogenesis,” in Free Radical Toxicology, K. B. Wallace, Ed., pp. 375–400, Taylor & Francis, London, UK, 1997.
[24]
A. Gorman, A. McGowan, and T. G. Cotter, “Role of peroxide and superoxide anion during tumour cell apoptosis,” FEBS Letters, vol. 404, no. 1, pp. 27–33, 1997.
[25]
C. F. Nathan and Z. A. Cohn, “Antitumor effects of hydrogen peroxide in vivo,” Journal of Experimental Medicine, vol. 154, no. 5, pp. 1539–1553, 1981.
[26]
M. López-Lázaro, “Dual role of hydrogen peroxide in cancer: possible relevance to cancer chemoprevention and therapy,” Cancer Letters, vol. 252, no. 1, pp. 1–8, 2007.
[27]
A. Sutton, H. Khoury, C. Prip-Buus, C. Cepanec, D. Pessayre, and F. Degoul, “The Ala16Val genetic dimorphism modulates the import of human manganese superoxide dismutase into rat liver mitochondria,” Pharmacogenetics, vol. 13, no. 3, pp. 145–157, 2003.
[28]
R. J. Hung, P. Boffetta, P. Brennan et al., “Genetic polymorphisms of MPO, COMT, MnSOD, NQO1, interactions with environmental exposures and bladder cancer risk,” Carcinogenesis, vol. 25, no. 6, pp. 973–978, 2004.
[29]
M. Bergman, M. Ahnstr?m, P. P. Wegman, and S. Wingren, “Polymorphism in the manganese superoxide dismutase (MnSOD) gene and risk of breast cancer in young women,” Journal of Cancer Research and Clinical Oncology, vol. 131, no. 7, pp. 439–444, 2005.
[30]
J. Zejnilovic, N. Akev, H. Yilmaz, and T. Isbir, “Association between manganese superoxide dismutase polymorphism and risk of lung cancer,” Cancer Genetics and Cytogenetics, vol. 189, no. 1, pp. 1–4, 2009.
[31]
G. Liu, W. Zhou, S. Park et al., “The SOD2 Val/Val genotype enhances the risk of nonsmall cell lung carcinoma by p53 and XRCC1 polymorphisms,” Cancer, vol. 101, no. 12, pp. 2802–2808, 2004.
[32]
J. Dasgupta, S. Subbaram, K. M. Connor et al., “Manganese superoxide dismutase protects from TNF-α-induced apoptosis by increasing the steady-state production of H2O2,” Antioxidants and Redox Signaling, vol. 8, no. 7-8, pp. 1295–1305, 2006.
[33]
S. Landi, F. Gemignani, M. Neri et al., “Polymorphisms of glutathione-S-transferase M1 and manganese superoxide dismutase are associated with the risk of malignant pleural mesothelioma,” International Journal of Cancer, vol. 120, no. 12, pp. 2739–2743, 2007.
[34]
R. C. Millikan, J. Player, A. R. de Cotret et al., “Manganese superoxide dismutase Ala-9Val polymorphism and risk of breast cancer in a population-based case-control study of African Americans and whites,” Breast Cancer Research, vol. 6, no. 4, pp. R264–R274, 2004.
[35]
K. M. Egan, P. A. Thompson, L. Titus-Ernstoff, J. H. Moore, and C. B. Ambrosone, “MnSOD polymorphism and breast cancer in a population-based case-control study,” Cancer Letters, vol. 199, no. 1, pp. 27–33, 2003.
[36]
C. B. Ambrosone, J. L. Freudenheim, P. A. Thompson et al., “Manganese superoxide dismutase (MnSOD) genetic polymorphisms, dietary antioxidants, and risk of breast cancer,” Cancer Research, vol. 59, no. 3, pp. 602–606, 1999.
[37]
D. Kang, K.-M. Lee, K. P. Sue et al., “Functional variant of manganese superoxide dismutase (SOD2 V16A) polymorphism is associated with prostate cancer risk in the prostate, lung, colorectal, and ovarian cancer study,” Cancer Epidemiology Biomarkers and Prevention, vol. 16, no. 8, pp. 1581–1586, 2007.
[38]
H. Ergen, F. Narter, ?. Timirci, and T. Isbir, “Effects of manganase superoxide dismutase Ala-9Val polymorphism on prostate cancer: a case-control study,” Anticancer Research, vol. 27, no. 2, pp. 1227–1230, 2007.
[39]
Z. Arsova-Sarafinovska, N. Matevska, D. Petrovski et al., “Manganese superoxide dismutase (MnSOD) genetic polymorphism is associated with risk of early-onset prostate cancer,” Cell Biochemistry and Function, vol. 26, no. 7, pp. 771–777, 2008.
[40]
B. Mikhak, D. J. Hunter, D. Spiegelman et al., “Manganese superoxide dismutase (MnSOD) gene polymorphism, interactions with carotenoid levels and prostate cancer risk,” Carcinogenesis, vol. 29, no. 12, pp. 2335–2340, 2008.
[41]
K. Woodson, J. A. Tangrea, T. A. Lehman et al., “Manganese superoxide dismutase (MnSOD) polymorphism, α-tocopherol supplementation and prostate cancer risk in the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study (Finland),” Cancer Causes and Control, vol. 14, no. 6, pp. 513–518, 2003.
[42]
J.-F. Yi, Y.-M. Li, T. Liu et al., “Mn-SOD and cuZn-SOD polymorphisms and interactions with risk factors in gastric cancer,” World Journal of Gastroenterology, vol. 16, no. 37, pp. 4738–4746, 2010.