Evidence map›Paper›PMID 23626689›Full record

ArticlePloS one2013

MTHFR Glu429Ala and ERCC5 His46His polymorphisms are associated with prognosis in colorectal cancer patients: analysis of two independent cohorts from Newfoundland.

Amit A Negandhi, Angela Hyde, Elizabeth Dicks, William Pollett, Banfield H Younghusband, Patrick Parfrey, Roger C Green, Sevtap Savas

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In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

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26citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Glutathione S-transferase M1 null genotype related to poor prognosis of colorectal cancer.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2016
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  18. Journal of Cancer · 2016
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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Amit A NegandhiDiscipline of Genetics, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
Angela Hyde
Elizabeth Dicks
William Pollett
Banfield H Younghusband
Patrick Parfrey
Roger C Green
Sevtap Savas

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

introductionIn this study, 27 genetic polymorphisms that were previously reported to be associated with clinical outcomes in colorectal cancer patients were investigated in relation to overall survival (OS) and disease free survival (DFS) in colorectal cancer patients from Newfoundland.

methodsThe discovery and validation cohorts comprised of 532 and 252 patients, respectively. Genotypes of 27 polymorphisms were first obtained in the discovery cohort and survival analyses were performed assuming the co-dominant genetic model. Polymorphisms associated with disease outcomes in the discovery cohort were then investigated in the validation cohort.

resultsWhen adjusted for sex, age, tumor stage and microsatellite instability (MSI) status, four polymorphisms were independent predictors of OS in the discovery cohort MTHFR Glu429Ala (HR: 1.72, 95%CI: 1.04-2.84, p = 0.036), ERCC5 His46His (HR: 1.78, 95%CI: 1.15-2.76, p = 0.01), SERPINE1 -675indelG (HR: 0.52, 95%CI: 0.32-0.84, p = 0.008), and the homozygous deletion of GSTM1 gene (HR: 1.4, 95%CI: 1.03-1.92, p = 0.033). In the validation cohort, the MTHFR Glu429Ala polymorphism was associated with shorter OS (HR: 1.71, 95%CI: 1.18-2.49, p = 0.005), although with a different genotype than the discovery cohort (CC genotype in the discovery cohort and AC genotype in the validation cohort). When stratified based on treatment with 5-Fluorouracil (5-FU)-based regimens, this polymorphism was associated with reduced OS only in patients not treated with 5-FU. In the DFS analysis, when adjusted for other variables, the TT genotype of the ERCC5 His46His polymorphism was associated with shorter DFS in both cohorts (discovery cohort: HR: 1.54, 95%CI: 1.04-2.29, p = 0.032 and replication cohort: HR: 1.81, 95%CI: 1.11-2.94, p = 0.018).

conclusionsIn this study, associations of the MTHFR Glu429Ala polymorphism with OS and the ERCC5 His46His polymorphism with DFS were identified in two colorectal cancer patient cohorts. Our results also suggest that the MTHFR Glu429Ala polymorphism may be an adverse prognostic marker in patients not treated with 5-FU.

Indexed as

Polymorphism, GeneticAdultAgedAmino Acid SubstitutionAntimetabolites, AntineoplasticCohort StudiesColorectal NeoplasmsDNA-Binding ProteinsDNA Excision Repair Protein ERCC-5EndonucleasesFemaleFluorouracilGenotypeHumansMaleMethylenetetrahydrofolate Reductase (NADPH2)Antimetabolites, AntineoplasticDNA-Binding ProteinsDNA Excision Repair Protein ERCC-5EndonucleasesFluorouracilMethylenetetrahydrofolate Reductase (NADPH2)MTHFR protein, humanNeoplasm ProteinsNuclear ProteinsTranscription Factors

Identifiers

PMID23626689
PMCPMC3634085

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.