Abstract
BCL2 apoptosis regulator (BCL2) is a cause of tumorigenesis whose CA-repeat promoter polymorphisms has inconsistent association with various types of cancers. The association of BCL2 polymorphism with breast cancer was investigated in the Isfahan province of Iran. PCRamplification of the CA-repeat was followed by polyacrylamide gel electrophoresis and direct sequencing for 120 breast cancer women and an equal number of corresponding healthy control individuals. Seven different alleles, ranging from 11 to 17 CA-repeats were observed. Short alleles with 11 to 14 repeats were protective (OR 0.363, P = 0.001), but large alleles with 15 to 17 repeats were threatening against breast cancer development (OR 2.780, P = 0.001). Accordingly, genotypes with large alleles showed a higher risk of breast cancer development (OR 3.400, P = 0.004). ERS1\ERBB2 positive breast cancer patients, but not PGRpositive ones, showed protection against breast cancer (OR 0.405, OR 0.346 respectively). In conclusion, women with at least one large allele of BCL2 were 3.4 times at higher risk of breast cancer development in the Isfahan province of Iran.
Similar content being viewed by others
Data Availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
Bagshaw ATM (2017) Functional mechanisms of microsatellite DNA in eukaryotic genomes. Genome Biol Evol 9:2428–2443. https://doi.org/10.1093/gbe/evx164
Brinckerhoff CE (2017) Matrix metalloproteinases in health and disease. World Scientific Publishing, New York
Chen HY et al (2016) The mechanism of transactivation regulation due to polymorphic short tandem repeats (STRs) using IGF1 promoter as a model. Sci Rep 6:38225. https://doi.org/10.1038/srep38225
Cory S, Adams JM (2002) The Bcl2 family: regulators of the cellular life-or-death switch. Nat Rev Cancer 2:647–656. https://doi.org/10.1038/nrc883
Dashti S, Taherian-Esfahani Z, Keshtkar A, Ghafouri-Fard S (2019) Associations between XRCC3 Thr241Met polymorphisms and breast cancer risk: systematic-review and meta-analysis of 55 case-control studies. BMC Med Genet 20:79. https://doi.org/10.1186/s12881-019-0809-8
Debnath J, Mills KR, Collins NL, Reginato MJ, Muthuswamy SK, Brugge JS (2002) The role of apoptosis in creating and maintaining luminal space within normal and oncogene-expressing mammary acini. Cell 111:29–40. https://doi.org/10.1016/s0092-8674(02)01001-2
Dias C, Elzein S, Sladek R, Goodyer CG (2019) Sex-specific effects of a microsatellite polymorphism on human growth hormone receptor gene expression. Mol Cell Endocrinol 492:110442. https://doi.org/10.1016/j.mce.2019.05.001
Dumbovic G, Forcales SV, Perucho M (2017) Emerging roles of macrosatellite repeats in genome organization and disease development. Epigenetics 12:515–526. https://doi.org/10.1080/15592294.2017.1318235
Edinger AL, Thompson CB (2003) Defective autophagy leads to cancer. Cancer Cell 4:422–424. https://doi.org/10.1016/s1535-6108(03)00306-4
Fatehi Z, Amirmahani F, Tavassoli M (2019) Association study of TAAAA polymorphism in the first intron of p53 gene with risk of colorectal cancer in Iranian population. Egypt J Med Hum Genet 20:19. https://doi.org/10.1186/s43042-019-0024-3
Fotsing SF et al (2019) The impact of short tandem repeat variation on gene expression. Nat Genet 51:1652–1659. https://doi.org/10.1038/s41588-019-0521-9
Frankel SR, Chi D-C (2017) Anti-apoptotic Bcl-2. In: Marshall JL (ed) Cancer therapeutic targets. Springer, New York, pp 833–850
Gupta PK, Balyan HS, Sharma PC, Ramesh B (1996) Microsatellites in plants: a new class of molecular markers. Curr Sci 70:45–54
Gymrek M et al (2016) Abundant contribution of short tandem repeats to gene expression variation in humans. Nat Genet 48:22–29. https://doi.org/10.1038/ng.3461
Jamalvandi M, Motovali-Bashi M, Amirmahani F, Darvishi P, Jamshidi Goharrizi K (2018) Association of T/A polymorphism in miR-1302 binding site in CGA gene with male infertility in Isfahan population. Mol Biol Rep 45:413–417. https://doi.org/10.1007/s11033-018-4176-x
Javadi M, Hematti S, Tavassoli M (2012) Polymorphic CA repeat length in insulin-like growth factor 1 and risk of breast cancer in Iranian women. Med Oncol 29:516–520. https://doi.org/10.1007/s12032-011-9936-6
Lee JH, Jeon MH, Seo YJ, Lee YJ, Ko JH, Tsujimoto Y, Lee JH (2004) CA repeats in the 3’-untranslated region of bcl-2 mRNA mediate constitutive decay of bcl-2 mRNA. J Biol Chem 279:42758–42764. https://doi.org/10.1074/jbc.M407357200
Lu D-L, Ren Z-J, Zhang Q, Ren P-W, Yang B, Liu L-R, Dong Q (2018) Meta-analysis of the association between the inflammatory potential of diet and urologic cancer risk. PLoS ONE 13:e0204845
Mohammadpour-Gharehbagh A et al (2019) Genetic and epigenetic analysis of the BAX and BCL2 in the placenta of pregnant women complicated by preeclampsia. Apoptosis 24:301–311. https://doi.org/10.1007/s10495-018-1501-8
Nafissi N, Khayamzadeh M, Zeinali Z, Pazooki D, Hosseini M, Akbari ME (2018) Epidemiology and histopathology of breast cancer in Iran versus other Middle Eastern Countries. Middle East J Cancer 9:243–251. https://doi.org/10.30476/mejc.2018.42130
Nückel H et al (2007) Association of a novel regulatory polymorphism (− 938C> A) in the BCL2 gene promoter with disease progression and survival in chronic lymphocytic leukemia. Blood 109:290–297. https://doi.org/10.1182/blood-2006-03-007567
Onel B, Carver M, Wu G, Timonina D, Kalarn S, Larriva M, Yang D (2016) A new G-quadruplex with hairpin loop immediately upstream of the human BCL2 P1 promoter modulates transcription. J Am Chem Soc 138:2563–2570. https://doi.org/10.1021/jacs.5b08596
Ramos J et al (2019) Shedding light on the interaction of Human anti-apoptotic Bcl-2 protein with ligands through biophysical and in silico studies. Int J Mol Sci 20:860. https://doi.org/10.3390/ijms20040860
Safa AR (2016) Resistance to cell death and its modulation in cancer stem cells. Crit Rev Oncog 21:203–219. https://doi.org/10.1615/CritRevOncog.2016016976
Safaeian L, Abed A, Vaseghi G (2014) The role of Bcl-2 family proteins in pulmonary fibrosis. Eur J Pharmacol 741:281–289. https://doi.org/10.1016/j.ejphar.2014.07.029
Sawaya S, Bagshaw A, Buschiazzo E, Kumar P, Chowdhury S, Black MA, Gemmell N (2013) Microsatellite tandem repeats are abundant in human promoters and are associated with regulatory elements. PLoS ONE 8:e54710. https://doi.org/10.1371/journal.pone.0054710
Sharma VK, Brahmachari SK, Ramachandran S (2005) (TG/CA)n repeats in human gene families: abundance and selective patterns of distribution according to function and gene length. BMC Genom 6:83. https://doi.org/10.1186/1471-2164-6-83
Sharma VK, Kumar N, Brahmachari SK, Ramachandran S (2007) Abundance of dinucleotide repeats and gene expression are inversely correlated: a role for gene function in addition to intron length. Physiol Genom 31:96–103. https://doi.org/10.1152/physiolgenomics.00183.2006
Yao Z, Yang B, Liu Z, Li W, He Q, Peng X (2017) Genetic polymorphisms of Bcl-2 promoter in cancer susceptibility and prognosis: a meta-analysis. Oncotarget 8:25270–25278. https://doi.org/10.18632/oncotarget.15751
Zhang N et al (2011) BCL-2 (-938C> A) polymorphism is associated with breast cancer susceptibility. BMC Med Genet 12:48. https://doi.org/10.1186/1471-2350-12-48
Zhang W, He L, Liu W, Sun C, Ratain MJ (2009) Exploring the relationship between polymorphic (TG/CA) n repeats in intron 1 regions and gene expression. Hum Genom 3:236. https://doi.org/10.1186/1479-7364-3-3-236
Zhang X et al (2014) Role of Bcl-2 -938 C>A polymorphism in susceptibility and prognosis of cancer: a meta-analysis. Sci Rep 4:7241. https://doi.org/10.1038/srep07241
Acknowledgements
This study has been conducted at the University of Isfahan, Iran and was supported financially by the Departments of Research, Technology and Graduate Offices (Grant No. 23456). The authors sincerely thank the volunteers for their participation.
Author information
Authors and Affiliations
Contributions
FG: Conception, design, collection, and/or assembly of data, data analysis. S-MJ: Conception, design, data analysis, interpretation, financial supports, drafting the manuscript, revising it critically for important intellectual content, and final approval of the manuscript. FA: Data analysis, interpretation, and drafting of the manuscript. ZF: Data analysis, interpretation, and drafting of the manuscript. MT: Conception, design, data analysis, interpretation, financial supports, drafting the manuscript, revising it critically for important intellectual content, and final approval of the manuscript.
Corresponding authors
Ethics declarations
Conflict of interest
None of the authors has any conflicts of interest to disclose and all authors support submission to this journal.
Ethical Approval
The study was approved by University of Isfahan Committee for Ethics. All experiments involving participants were performed in accordance with the seventh edition of the Helsinki declaration. Informed consent, including the aims, methods, and sources of funding, institutional affiliations of the researchers, the anticipated benefits and potential risks of the study, and post-study provisions, was obtained for each participant. We also informed each participant of their right to refuse.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Ghorbani, F., Javadirad, SM., Amirmahani, F. et al. Associations of BCL2 CA-Repeat Polymorphism and Breast Cancer Susceptibility in Isfahan Province of Iran. Biochem Genet 59, 506–515 (2021). https://doi.org/10.1007/s10528-020-10013-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10528-020-10013-y