Affiliation:
1. Belgorod Regional Oncological Dispensary
2. Belgorod State National Research University
Abstract
Aim: to investigate an association between polymorphism in the MMP2, MMP8, MMP9 genes and severe breast cancer (BC).Materials and Methods. Retrospective comparative study was conducted by assessing a cohort of 345 BC patients: 254 patients at stage I–II and 91 at stage III–IV. Genotyping of the three single nucleotide polymorphisms in the MMP2 (C>T rs243865), MMP8 C>T rs1940475), and ММР9 (C>T rs3918242) genes was performed. A comparative analysis of the genetic characteristics of patients with stage I–II and stage III–IV of the disease was performed.Results. The allele variant T rs1940475 (C>T) of the MMP8 gene in BC patients at stage I–II (0.512) was found by 1.2-fold more often compared with patients at stage III–IV of the disease (0.428; pperm = 0.05). According to allelic (odds ratio (OR) = 0.71; 95 % confidence interval (CI) = 0.51–1.00; pperm = 0.05) and additive (OR = 0.69; 95 % CI = 0.48–0.99; pperm = 0.05) genetic models, the allele T rs1940475 (C>T) of the MMP8 gene has protective effect for developing stage III–IV BC. The polymorphic locus rs1940475 (C>T) determines the amino acid substitution in the MMP8 protein (p.K87E) and DNA binding to the transcription factors NF-AT1, MYC and CIZ, is associated with the expression of the genes MMP27 and RP11-817J15.3 acting as an enhancer regulatory site in primary breast epithelial cells. Single nucleotide polymorphism in the MMP2 (C>T rs243865), ММР9 (C>T rs3918242) genes is not associated with severe BC (stages III–IV).Conclusion. The single nucleotide polymorphism rs1940475 in the MMP8 gene is a protective factor protecting against severe BC course.
Subject
Obstetrics and Gynecology,Embryology,Reproductive Medicine
Reference35 articles.
1. Ferlay J., Colombet M., Soerjomataram I. et al. Cancer statistics for the year 2020: An overview. Int J Cancer. 2021;149(4):778–89. https://doi.org/10.1002/ijc.33588.
2. Health care in Russia. 2021. Statistical digest/Rosstat. [Zdravoohranenie v Rossii. 2021. Statisticheskij sbornik/Rosstat]. Moscow, 2021. 171 p. (In Russ.). Available at: https://rosstat.gov.ru/storage/mediabank/Zdravoohran-2021pdf. [Accessed: 10.06.2022].
3. Malignant neoplasms in Russia in 2018 (morbidity and mortality). Eds. A.D. Kaprin, V.V. Starinskiy, G.V. Petrova. [Zlokachestvennye novoobrazovaniya v Rossii v 2018 godu (zabolevaemost' i smertnost'). Pod red. A.D. Kaprina, V.V. Starinskogo, G.V. Petrovoj]. Moscow, 2019. 250 p. (In Russ.). Available at: https://oncology-association.ru/wp-content/uploads/2020/09/2018.pdf. [Accessed: 10.06.2022].
4. Mucci L.A, Hjelmborg J.B., Harris J.R. et al. Familial risk and heritability of cancer among twins in Nordic countries. JAMA. 2016;315(1):68–76. https://doi.org/10.1001/jama.2015.17703.
5. Lilyquist J., Ruddy K.J., Vachon C.M., Couch F.J. Common genetic variation and breast cancer risk – past, present, and future. Cancer Epidemiol Biomarkers Prev. 2018;27(4):380–94. https://doi.org/10.1158/1055-9965.EPI-17-1144.