miR-608 rs4919510 C>G polymorphism decreased the risk of breast cancer in an Iranian subpopulation

Aim: MicroRNAs (miRNAs) are small noncoding RNAs that function as oncogene or tumor suppressors. The single nucleotide polymorphisms in miRNAs potentially can alter miRNA-binding sites on target genes as well as affecting miRNAs expression. The present study aimed to evaluate the impact of miR-608...

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Datum:2016
Hauptverfasser: Hashemi, M., Sanaei, S., Rezaei, M., Bahari, G., Hashemi, S.M., Mashhadi, M.A., Taheri, M., Ghavami, S.
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Veröffentlicht: Інститут експериментальної патології, онкології і радіобіології ім. Р.Є. Кавецького НАН України 2016
Schriftenreihe:Experimental Oncology
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Zitieren:miR-608 rs4919510 C>G polymorphism decreased the risk of breast cancer in an Iranian subpopulation / M. Hashemi, S. Sanaei, M. Rezaei, G. Bahari, S.M. Hashemi, M.A. Mashhadi, M. Taheri,S. Ghavami // Experimental Oncology. — 2016 — Т. 38, № 1. — С. 57-59. — Бібліогр.: 31 назв. — англ.

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spelling irk-123456789-1400892018-06-23T03:03:13Z miR-608 rs4919510 C>G polymorphism decreased the risk of breast cancer in an Iranian subpopulation Hashemi, M. Sanaei, S. Rezaei, M. Bahari, G. Hashemi, S.M. Mashhadi, M.A. Taheri, M. Ghavami, S. Short communications Aim: MicroRNAs (miRNAs) are small noncoding RNAs that function as oncogene or tumor suppressors. The single nucleotide polymorphisms in miRNAs potentially can alter miRNA-binding sites on target genes as well as affecting miRNAs expression. The present study aimed to evaluate the impact of miR-608 rs4919510 C>G variant on breast cancer (BC) risk. Materials and Methods: This case-control study conducted on 160 women with BC and 192 age-matched healthy women. Genotyping of miR608 rs4919510 was done using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method. Results: Our findings showed that GC genotype significantly decreased the risk of BC (odds ratio (OR) = 0.49, 95% confidence interval (CI) 0.28–0.88, p = 0.018) compared to CC genotype. Furthermore the G allele decreased the risk of BC (OR = 0.53, 95%CI 0.30–0.92, p = 0.024). No significant association was found between miR-609 genotypes and clinicopathological characteristics of BC patients (p > 0.05). Conclusion: Our findings indicate that miR-608 polymorphism might be associated with decreased risk of BC in an Iranian subpopulation. Further large-scale studies with different ethnicities are needed to verify our findings. 2016 Article miR-608 rs4919510 C>G polymorphism decreased the risk of breast cancer in an Iranian subpopulation / M. Hashemi, S. Sanaei, M. Rezaei, G. Bahari, S.M. Hashemi, M.A. Mashhadi, M. Taheri,S. Ghavami // Experimental Oncology. — 2016 — Т. 38, № 1. — С. 57-59. — Бібліогр.: 31 назв. — англ. 1812-9269 http://dspace.nbuv.gov.ua/handle/123456789/140089 en Experimental Oncology Інститут експериментальної патології, онкології і радіобіології ім. Р.Є. Кавецького НАН України
institution Digital Library of Periodicals of National Academy of Sciences of Ukraine
collection DSpace DC
language English
topic Short communications
Short communications
spellingShingle Short communications
Short communications
Hashemi, M.
Sanaei, S.
Rezaei, M.
Bahari, G.
Hashemi, S.M.
Mashhadi, M.A.
Taheri, M.
Ghavami, S.
miR-608 rs4919510 C>G polymorphism decreased the risk of breast cancer in an Iranian subpopulation
Experimental Oncology
description Aim: MicroRNAs (miRNAs) are small noncoding RNAs that function as oncogene or tumor suppressors. The single nucleotide polymorphisms in miRNAs potentially can alter miRNA-binding sites on target genes as well as affecting miRNAs expression. The present study aimed to evaluate the impact of miR-608 rs4919510 C>G variant on breast cancer (BC) risk. Materials and Methods: This case-control study conducted on 160 women with BC and 192 age-matched healthy women. Genotyping of miR608 rs4919510 was done using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method. Results: Our findings showed that GC genotype significantly decreased the risk of BC (odds ratio (OR) = 0.49, 95% confidence interval (CI) 0.28–0.88, p = 0.018) compared to CC genotype. Furthermore the G allele decreased the risk of BC (OR = 0.53, 95%CI 0.30–0.92, p = 0.024). No significant association was found between miR-609 genotypes and clinicopathological characteristics of BC patients (p > 0.05). Conclusion: Our findings indicate that miR-608 polymorphism might be associated with decreased risk of BC in an Iranian subpopulation. Further large-scale studies with different ethnicities are needed to verify our findings.
format Article
author Hashemi, M.
Sanaei, S.
Rezaei, M.
Bahari, G.
Hashemi, S.M.
Mashhadi, M.A.
Taheri, M.
Ghavami, S.
author_facet Hashemi, M.
Sanaei, S.
Rezaei, M.
Bahari, G.
Hashemi, S.M.
Mashhadi, M.A.
Taheri, M.
Ghavami, S.
author_sort Hashemi, M.
title miR-608 rs4919510 C>G polymorphism decreased the risk of breast cancer in an Iranian subpopulation
title_short miR-608 rs4919510 C>G polymorphism decreased the risk of breast cancer in an Iranian subpopulation
title_full miR-608 rs4919510 C>G polymorphism decreased the risk of breast cancer in an Iranian subpopulation
title_fullStr miR-608 rs4919510 C>G polymorphism decreased the risk of breast cancer in an Iranian subpopulation
title_full_unstemmed miR-608 rs4919510 C>G polymorphism decreased the risk of breast cancer in an Iranian subpopulation
title_sort mir-608 rs4919510 c>g polymorphism decreased the risk of breast cancer in an iranian subpopulation
publisher Інститут експериментальної патології, онкології і радіобіології ім. Р.Є. Кавецького НАН України
publishDate 2016
topic_facet Short communications
url http://dspace.nbuv.gov.ua/handle/123456789/140089
citation_txt miR-608 rs4919510 C>G polymorphism decreased the risk of breast cancer in an Iranian subpopulation / M. Hashemi, S. Sanaei, M. Rezaei, G. Bahari, S.M. Hashemi, M.A. Mashhadi, M. Taheri,S. Ghavami // Experimental Oncology. — 2016 — Т. 38, № 1. — С. 57-59. — Бібліогр.: 31 назв. — англ.
series Experimental Oncology
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fulltext Experimental Oncology 38, 57–59, 2016 (March) 57 miR-608 rs4919510 C>G POLYMORPHISM DECREASED THE RISK OF BREAST CANCER IN AN IRANIAN SUBPOPULATION M. Hashemi1,2,*, S. Sanaei2, M. Rezaei2, G. Bahari2, S.M. Hashemi3, M.A. Mashhadi3, M. Taheri4, S. Ghavami5 1Cellular and Molecular Research Center, Zahedan University of Medical Sciences, Zahedan 98167–431758, Iran 2Department of Clinical Biochemistry, School of Medicine, Zahedan University of Medical Sciences, Zahedan 98167–431758, Iran 3Department of Internal Medicine, School of Medicine, Zahedan University of Medical Sciences, Zahedan 98167–431758, Iran 4Genetic of Non-Communicable Disease Research Center, Zahedan University of Medical Sciences, Zahedan 98167–431758, Iran 5Department of Human Anatomy and Cell Science, College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba R3E 0J9, Canada Aim: MicroRNAs (miRNAs) are small noncoding RNAs that function as oncogene or tumor suppressors. The single nucleotide polymorphisms in miRNAs potentially can alter miRNA-binding sites on target genes as well as affecting miRNAs expression. The present study aimed to evaluate the impact of miR-608 rs4919510 C>G variant on breast cancer (BC) risk. Materials and Me thods: This case-control study conducted on 160 women with BC and 192 age-matched healthy women. Genotyping of miR- 608 rs4919510 was done using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method. Results: Our findings showed that GC genotype significantly decreased the risk of BC (odds ratio (OR) = 0.49, 95% confidence interval (CI) 0.28–0.88, p = 0.018) compared to CC genotype. Furthermore the G allele decreased the risk of BC (OR = 0.53, 95%CI 0.30–0.92, p = 0.024). No significant association was found between miR-609 genotypes and clinicopathological charac- teristics of BC patients (p > 0.05). Conclusion: Our findings indicate that miR-608 polymorphism might be associated with decreased risk of BC in an Iranian subpopulation. Further large-scale studies with different ethnicities are needed to verify our findings. Key Words: miR-608, breast cancer, polymorphism. Breast cancer (BC) is one of the most prevalent types of cancer in women. It is a major public and global health problem and accounts for 14% of total cancer deaths worldwide annually [1]. Similarly, BC is among the most common malignancies amongst Iranian women [2]. Al- though causes of BC are not yet completely understood, genetic factors are indicated to play key roles in the pathogenesis and progress of this malignancy [3–8]. MicroRNAs (miRNAs) are a highly conserved class of small (~ 22 nucleotides), endogenous, non-coding RNAs suppressing posttranscriptional gene expres- sion by base pairing with their target messenger RNAs (mRNAs) and inducing either translational repression or mRNA degradation [9–11]. Loss of heterozygos- ity in the 10q24 locus has been described in numeral of human cancers [12–15]. Hsa-mir-608 lies within an intron of SEMA4G in this region. Several single nucleotide polymorphisms in the sequences of pre- miRNAs such as miR-196a2 (rs11614913 T>C), miR– 499 (rs3746444 A>G), and miR-125a (rs12975333 G>T) were associated with significantly increased risks of BC in some but not all studies [7, 16–18]. It has been proposed that rs4919510 C>G variant in miR-608 can alter its binding to target genes [19]. The expected targets of miR-608 include insulin recep- tor (INSR), interleukin-1 alpha (IL1A), growth hormone receptor (GHR), and TP53 [19]. Several studies examined the impact of miR- 608 rs4919510 C>G on the risk of various cancers, but the results were inconsistent [20–26]. To the best of our knowledge, limited studies evaluated associa- tion between miR-608 rs4919510 polymorphism and BC risk [21, 27, 28]. So, this case-control study was designed to assess the possible association between miR-608 rs4919510 polymorphism and susceptibility to BC in an Iranian subpopulation. MATERIALS AND METHODS This case-control study was done on 160 BC patients and 192 age-matched healthy women with no history of cancer of any type (as the control group) in Zahe- dan, southeast Iran. Ethical approvals for recruitment were taken from local Ethics Committee of Zahedan University of Medical Sciences, and informed consent was obtained from all patients and healthy individu- als. The study design and enrolment procedure were described previously [29–31]. Genotyping of miR-608 rs4919510 C>G was done by PCR–RFLP methods. Briefly, forward and reverse primers were 5´-TCTGGCTAGGTAATGGCTCC-3´ and 5´-GCATCTGTGGCCTTCCATGA-3´, respectively. The PCR product was digested by PvuII restriction en- zyme (Fermentas). G allele digested and produced 242-bp and 117-bp pattern, while C allele undigested and produced 359-bp fragment (Figure). Submitted: January 07, 2016. *Correspondence: E-mail: hashemim@zaums.ac.ir Abbreviation used: BC — breast cancer; CI — confidence interval; miRNAs — microRNAs; mRNAs — messenger RNAs; OR — odds ratio. Exp Oncol 2016 38, 1, 57–59 58 Experimental Oncology 38, 57–59, 2016 (March) M 1 2 3 4 100 bp — 200 bp — 300 bp — 400 bp — 500 bp — Figure. Photograph of miR608 rs4919510 C>G polymorphism using PCR-RFLP method. G allele digested by PvuII restriction enzyme and produced 242-bp and 117-bp pattern, while C allele was undigested (359-bp fragment). M — DNA marker; lanes 1 and 3 — CC; lane 2 and 4 — CG Statistical analysis. Statistical analysis was done using statistical package SPSS 20 software. The categorical and continuous data were analyzed using χ2 and t-test, respectively. The association between genotypes and BC were assessed by computing the odds ratio (OR) and 95% confidence intervals (CI) from logistic regression analyses. A p-value of < 0.05 was considered to be statistically significant. RESULTS The study group consisted of 160 BC patients with an average age of 48.5 ± 10.8 years and 192 healthy women with a mean age of 49.5 ± 12.4 years. No sig- nificant difference was found between the groups regarding age (p = 0.424). The genotype and allele frequencies of miR- 608 rs4919510 C>G polymorphism in BC patients and healthy women are shown. Our findings showed that rs4919510 variant significantly decreased the risk of BC (OR = 0.49, 95% CI 0.28–0.88, p = 0.018, CG vs CC) (Table 1). Moreover, the G allele significantly decreased the risk of BC (OR = 0.53, 95% CI 0.30–0.92, p = 0.024) compared with C allele. No significant association was found between miR-609 genotypes and clinicopatho- logical characteristics of BC patients (p > 0.05). Table 1. Association of miR-608 rs4919510 C>G polymorphism and risk of BC miR608 rs4919510 C>G Case, n (%) Control, n (%) OR (95% CI) p Genotype CC 140 (87.5) 149 (77.6) 1.00 − GC 20 (12.5) 43 (22.4) 0.49 (0.28–0.88) 0.018 GG 0 (0.0) 0 (0.0) − − Allele C 300 (93.8) 341 (88.8) 1.00 − G 20 (6.2) 43 (11.2) 0.53 (0.30–0.92) 0.024 Hardy — Weinberg equilibrium (HWE) was as- sessed by chi-square test. The genotype of miR- 608 rs4919510 polymorphism in both controls and cases were in HWE (χ2 = 3.05, p = 0.081 and χ2 = 0.71, p = 0.399, respectively). As shown in Table 2, miR-608 rs4919510 polymor- phism was not associated with clinicopathological characteristics, including age, tumor size, tumor stage, tumor grade, lymph node metastasis, estrogen and progesterone receptors (ER, PgR) status, and human epidermal growth factor receptor 2 (HER2/ neu) (p > 0.05). Table 2. Association between miR-608 rs4919510 C>G variant and clini- copathological characteristics of BC patients Variables miR-608 rs4919510 pCC CG Age 0.943 ≤ 50 82 12 > 50 58 8 Tumor size, cm 0.467 ≤ 2 49 9 > 2 86 11 Lymph node metastasis status 0.793 Yes 83 13 No 39 5 Grade 0.811 I 23 4 II 71 10 III + IV 19 4 Stage 0.994 I 24 3 II 55 8 III 39 6 IV 21 3 Histology 0.611 Ductal carcinoma 91 12 Others 43 8 ER 0.799 Positive 82 12 Negative 50 6 PgR 0.311 Positive 78 8 Negative 54 10 HER2/neu 0.244 Positive 74 7 Negative 65 12 DISCUSSION In the present study we inspected the impact of miR-608 rs4919510 variant on the risk of BC risk in a sample of Iranian population. Our data showed that rs4919510 polymorphism significantly decreased the risk of BC in our population. We found no significant associa- tion between miR-608 rs4919510 genotypes and clinico- pathological characteristics of BC patients (p > 0.05). Huang et al. [27] identified that the mir- 608 rs4919510 was not associated with BC risk, but CG/GG genotypes were specifically associated with increased risk of HER2-positive BC (OR = 1.97, 95% CI 1.34–22.90). Variant G allele was the risk allele with OR of 1.62 (95% CI 1.23–22.15). They found that patients carrying GG-genotype also had larger HER2- positive tumors. They concluded that rs4919510 poly- morphism in mature miR-608 may influence HER2- positive BC risk and proliferation of tumor. Jiao et al. [21] have found no significant association between miR-608 rs4919510 polymorphism and BC survival in Chinese population. Dai et al. [28] observed that miR-608 rs4919510 was not associated with BC risk. Experimental Oncology 38, 57–59, 2016 (March) 59 In summary, our findings proposed that miR- 608 rs4919510 polymorphism decreased the risk of BC in a sample of Iranian population. However, we found no significant association between this variant and the clinicopathological characteristics of BC patients. Population based studies with larger sample sizes with different ethnicities and long-term follow-up are required to confirm our finding. ACKNOwLEDGEMENT This paper was funded by a research grant from the Deputy for Research, Zahedan University of Medical Sciences. CONFLICTING INTERESTS The Authors declare that there is no conflict of in- terest to disclose. REFERENCES 1. Jemal A, Bray F, Center MM, et al. Global cancer sta- tistics. CA Cancer J Clin 2011; 61: 69–90. 2. Harirchi I, Kolahdoozan S, Karbakhsh M, et al. Twenty years of breast cancer in Iran: downstaging without a formal screening program. Ann Oncol 2011; 22: 93–7. 3. Hashemi M, Fazaeli A, Ghavami S, et al. Functional polymorphisms of FAS and FASL gene and risk of breast cancer — pilot study of 134 cases. PloS One 2013; 8: e53075. 4. Hashemi M, Eskandari-Nasab E, Fazaeli A, et al. As- sociation between polymorphisms of glutathione S-transferase genes (GSTM1, GSTP1 and GSTT1) and breast cancer risk in a sample Iranian population. Biomark Med 2012; 6: 797–803. 5. Hashemi M, Eskandari-Nasab E, Fazaeli A, et al. Bi- directional PCR allele-specific amplification (bi-PASA) for detection of caspase-8 -652 6N ins/del promoter polymor- phism (rs3834129) in breast cancer. Gene 2012; 505: 176–9. 6. Eskandari-Nasab E, Hashemi M, Rezaei H, et al. Evaluation of UDP-glucuronosyltransferase 2B17 (UGT2B17) and dihydrofolate reductase (DHFR) genes deletion and the expression level of NGX6 mRNA in breast cancer. Mol Biol Rep 2012; 39: 10531–9. 7. Omrani M, Hashemi M, Eskandari-Nasab E, et al. hsa-mir-499 rs3746444 gene polymorphism is associated with susceptibility to breast cancer in an Iranian population. Biomark Med 2014; 8: 259–67. 8. Amininia S, Hashemi M, Ebrahimi M, et al. Association between CCNE1 polymorphisms and the risk of breast cancer in a sample of southeast Iranian population. Medical Oncol 2014; 31: 189. 9. Bartel DP. MicroRNAs: genomics, biogenesis, mecha- nism, and function. Cell 2004; 116: 281–97. 10. Esquela-Kerscher A, Slack FJ. Oncomirs — microR- NAs with a role in cancer. Nat Rev Cancer 2006; 6: 259–69. 11. Lynam-Lennon N, Maher SG, Reynolds JV. The roles of microRNA in cancer and apoptosis. Biol Rev Camb Philos Soc 2009; 84: 55–71. 12. Bashyam MD, Bair R, Kim YH, et al. Array-based comparative genomic hybridization identifies localized DNA amplifications and homozygous deletions in pancreatic cancer. Neoplasia 2005; 7: 556–62. 13. Daido S, Takao S, Tamiya T, et al. Loss of heterozy- gosity on chromosome 10q associated with malignancy and prognosis in astrocytic tumors, and discovery of novel loss regions. Oncol Rep 2004; 12: 789–95. 14. Kim JH, Dhanasekaran SM, Mehra R, et al. Integrative analysis of genomic aberrations associated with prostate cancer progression. Cancer Res 2007; 67: 8229–39. 15. Wang X, Zbou C, Qiu G, et al. Screening of new tumor suppressor genes in sporadic colorectal cancer patients. Hepa- togastroenterology 2008; 55: 2039–44. 16. Hu Z, Liang J, Wang Z, et al. Common genetic variants in pre-microRNAs were associated with increased risk of breast cancer in Chinese women. Hum Mutat 2009; 30: 79–84. 17. Li W, Duan R, Kooy F, et al. Germline mutation of microRNA-125a is associated with breast cancer. J Med Genet 2009; 46: 358–60. 18. Peterlongo P, Caleca L, Cattaneo E, et al. The rs12975333 variant in the miR-125a and breast cancer risk in Ger- many, Italy, Australia and Spain. J Med Genet 2011; 48: 703–4. 19. Landi D, Gemignani F, Barale R, et al. A catalog of polymorphisms falling in microRNA-binding regions of cancer genes. DNA Cell Biol 2008; 27: 35–43. 20. Wei WJ, Wang YL, Li DS, et al. Association study of single nucleotide polymorphisms in mature microRNAs and the risk of thyroid tumor in a Chinese population. Endocrine 2015; 49: 436–44. 21. Jiao L, Zhang J, Dong Y, et al. Association between miR-125a rs12976445 and survival in breast cancer patients. Am J Transl Res 2014; 6: 869–75. 22. Kupcinskas J, Bruzaite I, Juzenas S, et al. Lack of as- sociation between miR-27a, miR-146a, miR-196a-2, miR- 492 and miR-608 gene polymorphisms and colorectal cancer. Scient Rep 2014; 4: 5993. 23. Lin M, Gu J, Eng C, et al. Genetic polymorphisms in microRNA-related genes as predictors of clinical outcomes in colorectal adenocarcinoma patients. Clin Cancer Res 2012; 18: 3982–91. 24. Ryan BM, McClary AC, Valeri N, et al. rs4919510 in hsa- mir-608 is associated with outcome but not risk of colorectal cancer. PloS One 2012; 7: e36306. 25. Wang R, Zhang J, Ma Y, et al. Association study of miR149 rs2292832 and miR608 rs4919510 and the risk of hepatocellular carcinoma in a largescale population. Mol Med Rep 2014; 10: 2736–44. 26. Zhang P, Wang J, Lu T, et al. miR-449b rs10061133 and miR-4293 rs12220909 polymorphisms are associated with decreased esophageal squamous cell carcinoma in a Chinese population. Tumour Biol 2015; 36: 8789–95. 27. Huang AJ, Yu KD, Li J, et al. Polymorphism rs4919510:C>G in mature sequence of human micro- RNA-608 contributes to the risk of HER2-positive breast cancer but not other subtypes. PloS One 2012; 7: e35252. 28. Dai ZM, Kang HF, Zhang WG, et al. The associations of single nucleotide polymorphisms in miR196a2, miR-499, and miR-608 with breast cancer susceptibility: A STROBE- Compliant Observational Study. Medicine 2016; 95: e2826. 29. Hashemi M, Amininia S, Ebrahimi M, et al. Association between hTERT polymorphisms and the risk of breast cancer in a sample of Southeast Iranian population. BMC Res Notes, 2014. 895 p. 30. Hashemi M, Sanaei S, Mashhadi MA, et al. Associa- tion study of hsa-mir-603 rs11014002 polymorphism and risk of breast cancer in a sample of Iranian population. Cell Mol Biol (Noisy-le-grand) 2015; 61: 69–73. 31. Hashemi M, Yousefi J, Hashemi SM, et al. Association between programmed cell death 6 interacting protein insertion/ deletion polymorphism and the risk of breast cancer in a sample of Iranian Population. Dis Markers 2015; 2015: 854621. Copyright © Experimental Oncology, 2016