Abstract
Hereditary nonpolyposis colorectal cancer (HNPCC) is an autosomal dominant disorder caused by germline mutations in DNA mismatch repair (MMR) genes. Patients with this syndrome are at increased risk for a variety of cancers. Among individuals with MMR mutations, there is considerable variation in the age of cancer onset, probably resulting from a combination of other genetic and environmental factors. This review describes recent advances in identifying these genetic risk factors in HNPCC patients with MMR mutations. Recent research has identified potential modifiers of MMR gene expression that are involved in cell cycle control, DNA repair, and metabolism and the pathways through which these modifiers act. These findings will be important in identifying individuals that are more susceptible to developing cancer at an earlier age and may aid in the development of strategies to prevent HNPCC.
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References and Recommended Reading
de la Chapelle A: The incidence of Lynch syndrome. Fam Cancer 2005, 4:233–237.
Lynch HT, de la ChapelleA: Hereditary colorectal cancer. N Engl J Med 2003, 348:919–932.
Aarnio M, Sankila R, Pukkala E, et al.: Cancer risk in mutation carriers of DNA-mismatch-repair genes. Int J Cancer 1999, 81:214–218.
Peltomaki P: Lynch syndrome genes. Fam Cancer 2005, 4:227–232.
Sherr CJ: Cancer cell cycles. Science 1996, 274:1672–1677.
Donnellan R, Chetty R: Cyclin D1 and human neoplasia. Mol Pathol 1998, 51:1–7.
Sherr CJ: D-type cyclins. Trends Biochem Sci 1995, 20:187–190.
Betticher DC, Thatcher N, Altermatt HJ, et al.: Alternate splicing produces a novel cyclin D1 transcript. Oncogene 1995, 11:1005–1011.
Kong S, Amos CI, Luthra R, et al.: Effects of cyclin D1 polymorphism on age of onset of hereditary nonpolyposis colorectal cancer. Cancer Res 2000, 60:249–252.
Bala S, Peltomaki P: Cyclin D1 as a genetic modifier in hereditary nonpolyposis colorectal cancer. Cancer Res 2001,61:6042–6045.
Levine AJ: p53, the cellular gatekeeper for growth and division. Cell 1997, 88:323–331.
Thomas M, Kalita A, Labrecque S, et al.: Two polymorphic variants of wild-type p53 differ biochemically and biologically. Mol Cell Biol 1999, 19:1092–1100.
Jones JS, Chi X, Gu X, et al.: p53 polymorphism and age of onset of hereditary nonpolyposis colorectal cancer in a Caucasian population. Clin Cancer Res 2004,10: 5845–5849.
Kruger S, Bier A, Engel C, et al.: The p53 codon 72 variation is associated with the age of onset of hereditary non-polyposis colorectal cancer (HNPCC). J Med Genet 2005, 42:769–773.
Sotamaa K, Liyanarachchi S, Mecklin JP, et al.: p53 codon 72 and MDM2 SNP309 polymorphisms and age of colorectal cancer onset in Lynch syndrome. Clin Cancer Res 2005, 11:6840–6844.
Talseth BA, Meldrum C, Suchy J, et al.: Age of diagnosis of colorectal cancer in HNPCC patients is more complex than that predicted by R72P polymorphism in TP53. Int J Cancer 2006, 118:2479–2484.
Momand J, Wu HH, Dasgupta G: MDM2--master regulator of the p53 tumor suppressor protein. Gene 2000, 242:15–29.
Bond GL, Hu W, Bond EE, et al.: A single nucleotide polymorphism in the MDM2 promoter attenuates the p53 tumor suppressor pathway and accelerates tumor formation in humans. Cell 2004, 119:591–602.
Pollak MN, Schernhammer ES, Hankinson SE: Insulin-like growth factors and neoplasia. Nat Rev Cancer 2004, 4:505–518.
Rosen CJ, Kurland ES, Vereault D, et al.: Association between serum insulin growth factor-I (IGF-I) and a simple sequence repeat in IGF-I gene: implications for genetic studies of bone mineral density. J Clin Endocrinol Metab 1998, 83:2286–2290.
Zecevic M, Amos CI, Gu X, et al.: IGF1 gene polymorphism and risk for hereditary nonpolyposis colorectal cancer. J Natl Cancer Inst 2006, 98:139–143. These findings indicate a significant inverse association between IGF1 CA-repeat length and risk for colorectal cancer in HNPCC.
Khanna KK, Lavin MF, Jackson SP, et al.: ATM, a central controller of cellular responses to DNA damage. Cell Death Differ 2001, 8: 1052–1065.
Maillet P, Chappuis PO, Vaudan G, et al.: A polymorphism in the ATM gene modulates the penetrance of hereditary nonpolyposis colorectal cancer. Int J Cancer 2000, 8:928–931.
Jones SJ, Gu X, Lynch PM, et al.: ATM polymorphism and hereditary nonpolyposis colorectal cancer (HNPCC) age of onset (United States). Cancer Causes Control 2005, 16:749–753.
Audebert M, Radicella JP, Dizdaroglu M: Effect of single mutations in the OGG1 gene found in human tumors on the substrate specificity of the Ogg1 protein. Nucleic Acids Res 2000,28:2672–2678.
Bruner SD, Norman DP, Verdine GL: Structural basis for recognition and repair of the endogenous mutagen 8-oxoguanine in DNA. Nature 2000, 403:859–866.
Kim IL, Ku JL, Kang HL, et al.: Mutational analysis of OGG1, MYH, MTH1 in FAP, HNPCC and sporadic colorectal cancer patients: R154H OGG1 polymorphism is associated with sporadic colorectal cancer patients. Human Genet 2004, 115:498–503.
Okano M, Bell DW, Haber DA, et al.: DNA methyltransferases Dnmy3a and Dnmt3b are essential for de novo methylation and mammalian development. Cell 1999, 99:247–257.
Chuang LS, Ian HI, Koh TW, et al.: Human DNA-(cytosine-5) methyltransferase-PCNA complex is a target for p21Waf1. Science 1997, 277:1996–2000.
Shen H, Wang L, Spitz MR, et al.: A novel polymorphism in human cytosine DNA-methyltransferase-3B promoter is associated with an increased risk of lung cancer. Cancer Res 2002, 27:2291–2298.
Wang L, Rodrihuez M, Kim ES, et al.: A novel C/T polymorphism in the core promoter of human de novo cytosine DNA methyltransferase 3B6 is associated with prognosis in head and neck cancer. Int J Oncol 2004, 25:993–999.
Jones JS, Amos CI, Pande M, et al.: DNMT3b polymorphism and hereditary nonpolyposis colorectal cancer age of onset. Cancer Epidemiol Biomarkers Pre 2006, 15:886–891. This study provided the first evidence that the DNMT 3b promoter polymorphism is significantly associated with increased age-associated risk in HNPCC.
Wang Y, Cortez D, Yazdi P, et al.: BASC, a super complex of BRCA1-associated proteins involved in the recognition and repair of aberrant DNA structures. Genes Dev 2000, 14:927–939.
Vineis P, Malats N, Lang M, et al.: eds.: Metabolic polymorphisms and susceptibility to cancer. Lyon: IARC Scientific Publications; 1999.
Moisio AL, Sistonen P, Mecklin JP, et al.: Genetic polymorphisms in carcinogen metabolism and their association to hereditary nonpolyposis colorectal cancer. Gastroenterology 1998, 115:1387–1394.
Heinimann K, Scott RJ, Chappuis P, et al.: N-acetyltransferase 2 influences cancer prevalence in hMLH1/hMSH2 mutation carriers. Cancer Res 1999,59:3038–3040.
Jones JS, Gu X, Campos I, et al.: GSTM1 Polymorphism does not affect hereditary nonpolyposis colorectal cancer age of onset. Cancer Epidemiol 2004, 13:676–678.
Frazier ML, O’Donnell FT, Kong S, et al.: Age-associated risk of cancer among individuals with N-acetyltransferase 2 (NAT2) mutations and mutations in mismatch repair genes. Cancer Res 2001, 61:1269–1271.
Pistorius S, Gorgens H, Kruger S, et al.: N-acetyltransferase (NAT) 2 acetylator status and age of onset in patients with hereditary nonpolyposis colorectal cancer (HNPCC). Cancer Lett 2005, [Epub ahead of print].
Cortessis V, Thomas DC. Toxicokinetic genetics: an approach to gene-environment and gene-gene interactions in complex metabolic pathways. IARC Sci Publ 2004,157:127–150.
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Chen, J., Zhu, J., Pande, M. et al. Modifiers of expression in mutations of mismatch repair gene carriers in hereditary nonpolyposis colorectal cancer. Curr colorectal cancer rep 2, 179–184 (2006). https://doi.org/10.1007/s11888-006-0020-0
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DOI: https://doi.org/10.1007/s11888-006-0020-0