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The effect of folate-related SNPs on clinicopathological features,response to neoadjuvant treatment and survival in pre- and postmenopausal breast cancer patients
Authors:Nataliya Babyshkina  Elena Malinovskaya  Mariya Nazarenko  Mariya Koval  Polina Gervas  Olga Potapova  Elena Slonimskaya  Nadejda Cherdyntseva
Affiliation:1. Department of Experimental Oncology, Cancer Research Institute of Siberian Branch of Russian Academy of Medical Sciences, Tomsk, 634050, Russian Federation;2. Department of General Oncology, Cancer Research Institute of Siberian Branch of Russian Academy of Medical Sciences, Tomsk, 634050, Russian Federation;3. Research Institute of Medical Genetics of Siberian Branch of Russian Academy of Medical Sciences, Tomsk, 634050, Russian Federation;4. Cureline, Inc., South San Francisco, CA 94080, USA
Abstract:This study aimed to investigate the relationship of ten single nucleotide polymorphisms (SNPs) in the MTHFR, MTR, MTRR, DHFR, MTHFD1, TS, RFC1 and DNMT3b genes with cancer survival, therapeutic response to neoadjuvant chemotherapy and clinicopathological characteristics in 300 pre- and postmenopausal breast cancer patients of a Russian Western Siberian population. We found that the MTHFR 677CT genotype as well as combination of MTHFR 677CT and 677TT genotype was related to tumor size and estrogen-positive status in postmenopausal group. The RFC1 80А allele was associated with an increased risk of lymph node metastases among postmenopausal women. The MTHFR 677TT genotype was significantly correlated with a better progression-free survival in premenopausal patients. In contrast, a worse outcome was observed in this group patient with MTHFD1 1958AA genotype. In the multivariate analysis, the MTHFD1 1958AA genotype was identified as an independent prognostic factor for premenopausal breast cancer survival. Our findings provide evidence for associations of breast cancer survival with folate-related SNPs in a population of Western Siberian region of Russia and the MTHFD1 (1958G>A) may have additional prognostic value especially among premenopausal patients.
Keywords:BMI, body mass index   95% CI, confidence intervals   CMF, cyclophosphamide, methotrexate and 5-fluorouracil   DNMT3b, DNA methyltransferase   DHFR, dihydrofolate reductase   ER, estrogen receptor   FAC, 5-fluorouracil, adriamycin and cyclophosphamide   HER2, human epidermal growth factor receptor 2   MTHFD1, methylenetetrahydrofolate dehydrogenase   MTHFR, methylenetetrahydrofolate reductase   MTR, methionine synthase   MTRR, methionine synthase reductase   OR, odds ratios   PCR-RFLP, polymerase chain reaction restriction fragment length polymorphism   PFS, progression-free survival   PR, progesterone receptor   RFC1, reduce folate carrier 1   SNP, single nucleotide polymorphism   TS, thymidylate synthetase
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