Combined effects of IL-8 and CXCR2gene polymorphisms on breast cancer susceptibility and aggressiveness

Autor: Kaouther Snoussi, Wijden Mahfoudh, Meriem Fekih, Ahmed Noureddine Helal, Hedi Khairi, Lotfi Chouchane, Noureddine Bouaouina
Jazyk: angličtina
Předmět:
Cancer Research
Time Factors
Kaplan-Meier Estimate
Polymerase Chain Reaction
Receptors
Interleukin-8B
Gene Frequency
Risk Factors
Genotype
Odds Ratio
CXC chemokine receptors
hemic and immune systems
Middle Aged
respiratory system
Prognosis
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Phenotype
Oncology
Female
Breast carcinoma
Research Article
Adult
Tunisia
Breast Neoplasms
Single-nucleotide polymorphism
Biology
Risk Assessment
lcsh:RC254-282
Disease-Free Survival
Young Adult
Breast cancer
medicine
Carcinoma
Genetics
Humans
Genetic Predisposition to Disease
Neoplasm Invasiveness
Interleukin 8
Aged
Neoplasm Staging
Proportional Hazards Models
Chi-Square Distribution
Polymorphism
Genetic
Interleukin-8
Haplotype
medicine.disease
biological factors
Logistic Models
Case-Control Studies
Immunology
Cancer research
Zdroj: BMC Cancer, Vol 10, Iss 1, p 283 (2010)
BMC Cancer
ISSN: 1471-2407
DOI: 10.1186/1471-2407-10-283
Popis: Background Interleukin-8 (IL-8/CXCL-8) is a prototype of the ELR+CXC chemokines that play an important role in the promotion and progression of many human cancers including breast cancer. We have recently showed the implication of polymorphism (-251) T/A of IL-8 gene in the susceptibility and prognosis of breast carcinoma. IL-8 acts through its CXCR1 and CXCR2 receptors. CXCR2, expressed on the endothelial cells, is the receptor involved in mediating the angiogenic effects of ELR+CXC chemokines and in particular IL-8. In the current study, we investigated the susceptibility and prognostic implications of the genetic variation in CXCR2 in breast carcinoma. We also confirmed the implication of IL-8 (-251) T/A polymorphism in a larger cohort. Finally, we combined the IL-8 and CXCR2 variant alleles and analyzed their effects in breast cancer risk and prognosis. Methods We used the allele-specific polymerase chain reaction to characterize the variation of IL-8 and CXCR2 for 409 unrelated Tunisian patients with breast carcinoma and 301 healthy control subjects. To estimate the relative risks, Odds ratios and 95% confidence intervals were calculated using unconditional logistic regression after adjusting for the known risk factors for breast cancer. Associations of the genetic marker with the rates of breast carcinoma-specific overall survival and disease-free survival were assessed using univariate and multivariate analyses. Results A highly significant association was found between the homozygous CXCR2 (+ 1208) TT genotype (adjusted OR = 2.89; P = 0.008) and breast carcinoma. A significantly increased risk of breast carcinoma was associated with IL-8 (-251) A allele (adjusted OR = 1.86; P = 0.001). The presence of two higher risk genotypes (the TA and TT in IL-8, and the TT in CXCR2) significantly increased the risk of developing breast carcinoma (adjusted OR = 4.15; P = 0.0004). The CXCR2 (+ 1208) T allele manifested a significant association with an aggressive phenotype of breast carcinoma as defined by a large tumor size, a high histological grade, and auxiliary's lymph node metastasis. A significant association between the IL-8 (-251) A allele and the aggressive form of breast carcinoma was also found. Moreover, the presence of the IL-8 (-251) A and/or the CXCR2 (+ 1208) T allele showed a significant association with a decreased overall survival and disease-free survival in breast carcinoma patients. Conclusion Our results indicated that the polymorphisms in IL-8 and CXCR2 genes are associated with increased breast cancer risk, as well as disease progress, supporting our hypothesis for IL-8 and ELR+CXC chemokine receptor (CXCR2) involvement in breast cancer pathogenesis.
Databáze: OpenAIRE
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