Skip to main content

Advertisement

Log in

Haplotype structures and functional polymorphic variants of the drug target enzyme aromatase (CYP19A1) in South Indian population

  • Original Paper
  • Published:
Medical Oncology Aims and scope Submit manuscript

Abstract

CYP19A1 gene product aromatase (CYP19A1) is a 58-kDa protein and belongs to the member of the cytochrome P450 superfamily, which facilitates the bioconversion of estrogens from androgens. Single-nucleotide polymorphisms (SNPs) of CYP19A1 affect the activity of the enzyme and have been implicated in the association of estrogen-dependent disease, prognosis, therapeutic efficacy, and toxicity of third-generation aromatase inhibitors (AIs). Based on ethnicity, the frequency distribution of CYP19A1 alleles will differ, and until now, no data are available for Indians. Using qRT-PCR with TaqMan assays, the frequencies of functionally important polymorphic variants of CYP19A1 gene were determined in 163 healthy subjects of South Indian origin. The observed frequencies of the CYP19A1 minor alleles for the SNPs rs4646 (T), rs10046 (T), rs700519 (T), rs700518 (G), rs727479 (G), rs4775936 (T), rs10459592 (G), rs749292 (A), rs6493497 (T), and rs7176005 (A) are 41.1 (35.8–46.4), 20.0 (15.6–24.3), 33.7 (28.6–38.9), 17.8 (13.6–21.9), 25.8 (21.0–30.5), 19.9 (15.6–24.3), 33.7 (28.6–38.9), 24.9 (20.2–29.5), 35.9 (30.7–41.1), and 35.9 (30.7–41.1), respectively. Strong linkage disequilibrium existed between CYP19A1 SNPs, and sixteen different haplotype structures with a frequency >1 % were derived from all the 10 SNPs tested. The most common being the haplotype (H1) GCTATCTGTG with a frequency of about 17.8 %. Gender-specific assessment showed significant difference in the allele frequency for rs749292 (p < 0.04), and greater inter-ethnic variation was detected in the distribution of CYP19A1 variants except for rs727479. Our results could provide preliminary insight for further pharmacogenetic investigations of AIs as well as for subsequent molecular epidemiological studies on the contribution of these variants to the occurrence and development of estrogen-dependent disease in South Indians.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Simpson ER, et al. Aromatase cytochrome P450, the enzyme responsible for estrogen biosynthesis. Endocr Rev. 1994;15:342–55.

    PubMed  CAS  Google Scholar 

  2. Bulun SE, Sebastian S, Takayama K, Suzuki T, Sasano H, Shozu M. The human CYP19 (aromatase P450) gene: update on physiologic roles and genomic organization of promoters. J Steroid Biochem Mol Biol. 2003;86:219–24.

    Article  PubMed  CAS  Google Scholar 

  3. Bulun SE, Takayama K, Suzuki T, Sasano H, Yilmaz B, Sebastian S. Organization of the human aromatase p450 (CYP19) gene. Semin Reprod Med. 2004;22:5–9.

    Article  PubMed  CAS  Google Scholar 

  4. Wang L, et al. Functional genetic polymorphisms in the aromatase gene CYP19 vary the response of breast cancer patients to neoadjuvant therapy with aromatase inhibitors. Cancer Res. 2010;70:319–28.

    Article  PubMed  CAS  Google Scholar 

  5. Ma X, et al. Association between CYP19 polymorphisms and breast cancer risk: results from 10,592 cases and 11,720 controls. Breast Cancer Res Treat. 2010;122:495–501.

    Article  PubMed  CAS  Google Scholar 

  6. Berstein LM, et al. CYP19 gene polymorphism in endometrial cancer patients. J Cancer Res Clin Oncol. 2001;127:135–8.

    Article  PubMed  CAS  Google Scholar 

  7. Gulyaeva LF, et al. Comparative analysis of SNP in estrogen-metabolizing enzymes for ovarian, endometrial, and breast cancers in Novosibirsk, Russia. Adv Exp Med Biol. 2008;617:359–66.

    Article  PubMed  CAS  Google Scholar 

  8. Paynter RA, Hankinson SE, Colditz GA, Kraft P, Hunter DJ, De Vivo I. CYP19 (aromatase) haplotypes and endometrial cancer risk. Int J Cancer. 2005;116:267–74.

    Article  PubMed  CAS  Google Scholar 

  9. Tao MH, et al. Polymorphisms in the CYP19A1 (aromatase) gene and endometrial cancer risk in Chinese women. Cancer Epidemiol Biomarkers Prev. 2007;16:943–9.

    Article  PubMed  CAS  Google Scholar 

  10. Goodman MT, Lurie G, Thompson PJ, McDuffie KE, Carney ME. Association of two common single-nucleotide polymorphisms in the CYP19A1 locus and ovarian cancer risk. Endocr Relat Cancer. 2008;15:1055–60.

    Article  PubMed  CAS  Google Scholar 

  11. Kado N, et al. Association of the CYP17 gene and CYP19 gene polymorphisms with risk of endometriosis in Japanese women. Hum Reprod. 2002;17:897–902.

    Article  PubMed  CAS  Google Scholar 

  12. Vietri MT, et al. CYP17 and CYP19 gene polymorphisms in women affected with endometriosis. Fertil Steril. 2009;92:1532–5.

    Article  PubMed  CAS  Google Scholar 

  13. Modugno F, et al. Allelic variants of aromatase and the androgen and estrogen receptors: toward a multigenic model of prostate cancer risk. Clin Cancer Res. 2001;7:3092–6.

    PubMed  CAS  Google Scholar 

  14. Onsory K, et al. Hormone receptor-related gene polymorphisms and prostate cancer risk in North Indian population. Mol Cell Biochem. 2008;314:25–35.

    Article  PubMed  CAS  Google Scholar 

  15. Suzuki K, et al. Genetic polymorphisms of estrogen receptor alpha, CYP19, catechol-O-methyltransferase are associated with familial prostate carcinoma risk in a Japanese population. Cancer. 2003;98:1411–6.

    Article  PubMed  CAS  Google Scholar 

  16. Riancho JA, Valero C, Naranjo A, Morales DJ, Sanudo C, Zarrabeitia MT. Identification of an aromatase haplotype that is associated with gene expression and postmenopausal osteoporosis. J Clin Endocrinol Metab. 2007;92:660–5.

    Article  PubMed  CAS  Google Scholar 

  17. Baghaei F, et al. The CYP19 gene and associations with androgens and abdominal obesity in premenopausal women. Obes Res. 2003;11:578–85.

    Article  PubMed  CAS  Google Scholar 

  18. Chace C, et al. Variants in CYP17 and CYP19 cytochrome P450 genes are associated with onset of Alzheimer’s disease in women with down syndrome. J Alzheimers Dis. 2012;28:601–12.

    PubMed  CAS  Google Scholar 

  19. Iivonen S, et al. Polymorphisms in the CYP19 gene confer increased risk for Alzheimer disease. Neurology. 2004;62:1170–6.

    Article  PubMed  CAS  Google Scholar 

  20. Ghosh J, Joshi G, Pradhan S, Mittal B. Potential role of aromatase over estrogen receptor gene polymorphisms in migraine susceptibility: a case control study from North India. PLoS ONE. 2012;7:e34828.

    Article  PubMed  CAS  Google Scholar 

  21. Shimodaira M, et al. Association study of aromatase gene (CYP19A1) in essential hypertension. Int J Med Sci. 2008;5:29–35.

    Google Scholar 

  22. Dunning AM, et al. Polymorphisms associated with circulating sex hormone levels in postmenopausal women. J Natl Cancer Inst. 2004;96:936–45.

    Article  PubMed  CAS  Google Scholar 

  23. Haiman CA, et al. Genetic variation at the CYP19A1 locus predicts circulating estrogen levels but not breast cancer risk in postmenopausal women. Cancer Res. 2007;67:1893–7.

    Article  PubMed  CAS  Google Scholar 

  24. Tworoger SS, et al. Association of CYP17, CYP19, CYP1B1, and COMT polymorphisms with serum and urinary sex hormone concentrations in postmenopausal women. Cancer Epidemiol Biomarkers Prev. 2004;13:94–101.

    Google Scholar 

  25. Hadfield KD, Newman WG. Pharmacogenetics of aromatase inhibitors. Pharmacogenomics. 2012;13:699–707.

    Article  PubMed  CAS  Google Scholar 

  26. Turkistani A, Marsh S. Pharmacogenomics of third-generation aromatase inhibitors. Expert Opin Pharmacother. 2012;13:1299–307.

    Article  PubMed  CAS  Google Scholar 

  27. Ma CX, et al. Human aromatase: gene resequencing and functional genomics. Cancer Res. 2005;65:11071–82.

    Article  PubMed  CAS  Google Scholar 

  28. Lee SJ, Kim WY, Choi JY, Lee SS, Shin JG. Identification of CYP19A1 single-nucleotide polymorphisms and their haplotype distributions in a Korean population. J Hum Genet. 2010;55:189–93.

    Article  PubMed  Google Scholar 

  29. Arun Kumar AS, et al. Haplotype structures of common variants of CYP2C8, CYP2C9, and ADRB1 genes in a South Indian population. Genet Test Mol Biomarkers. 2011;15:407–13.

    Article  PubMed  CAS  Google Scholar 

  30. Umamaheswaran G, Praveen RG, Arunkumar AS, Das AK, Shewade DG, Adithan C. Genetic analysis of OCT1 gene polymorphisms in an Indian population. Indian J Hum Genet. 2011;17:164–8.

    Article  PubMed  CAS  Google Scholar 

  31. Krishnakumar D, et al. Genetic polymorphisms of drug-metabolizing phase I enzymes CYP2E1, CYP2A6 and CYP3A5 in South Indian population. Fundam Clin Pharmacol. 2012;26:295–306.

    Article  PubMed  CAS  Google Scholar 

  32. Umamaheswaran G, et al. Inter and intra-ethnic differences in the distribution of the molecular variants of TPMT, UGT1A1 and MDR1 genes in the South Indian population. Mol Biol Rep. 2012;39:6343–51.

    Article  PubMed  CAS  Google Scholar 

  33. Umamaheswaran G, Krishna Kumar D, Adithan, C. Distribution of genetic polymorphisms of genes encoding drug metabolizing enzymes and drug transporters—a review with Indian perspective. Indian J Med Res. 2013 (In Press).

  34. Soni A, et al. Association of androgen receptor, prostate-specific antigen, and CYP19 gene polymorphisms with prostate carcinoma and benign prostatic hyperplasia in a north Indian population. Genet Test Mol Biomarkers. 2012;16:835–40.

    Article  PubMed  CAS  Google Scholar 

  35. Samson M, Rama R, Swaminathan R, Sridevi V, Nancy KN, Rajkumar T. CYP17 (T34C), CYP19 (Trp39Arg), and FGFR2 (C906T) polymorphisms and the risk of breast cancer in south Indian women. Asian Pac J Cancer Prev. 2009;10:111–4.

    PubMed  Google Scholar 

  36. Suryanaryana VV, Rao L, Kanakavalli MK, Padmalatha VV, Deenadayal M, Singh L. Role of CYP17 and CYP19 polymorphisms in idiopathic recurrent miscarriages among South Indian women. Reprod Biomed Online. 2007;14:341–7.

    Article  PubMed  CAS  Google Scholar 

  37. Reich D, Thangaraj K, Patterson N, Price AL, Singh L. Reconstructing Indian population history. Nature. 2009;461:489–94.

    Article  PubMed  CAS  Google Scholar 

  38. Colomer R, et al. A single-nucleotide polymorphism in the aromatase gene is associated with the efficacy of the aromatase inhibitor letrozole in advanced breast carcinoma. Clin Cancer Res. 2008;14:811–6.

    Article  PubMed  CAS  Google Scholar 

  39. Garcia-Casado Z, et al. A polymorphism at the 3′-UTR region of the aromatase gene defines a subgroup of postmenopausal breast cancer patients with poor response to neoadjuvant letrozole. BMC Cancer. 2010;10:36.

    Article  PubMed  Google Scholar 

  40. Fasching PA, et al. Single nucleotide polymorphisms of the aromatase gene (CYP19A1), HER2/neu status, and prognosis in breast cancer patients. Breast Cancer Res Treat. 2008;112:89–98.

    Article  PubMed  CAS  Google Scholar 

  41. Park IH, et al. Single nucleotide polymorphisms of CYP19A1 predict clinical outcomes and adverse events associated with letrozole in patients with metastatic breast cancer. Cancer Chemother Pharmacol. 2011;68:1263–71.

    Article  PubMed  CAS  Google Scholar 

  42. Ferraldeschi R, et al. Polymorphisms of CYP19A1 and response to aromatase inhibitors in metastatic breast cancer patients. Breast Cancer Res Treat. 2012;133:1191–8.

    Article  PubMed  CAS  Google Scholar 

  43. Straume AH, Knappskog S, Lonning PE. Effect of CYP19 rs6493497 and rs7176005 haplotype status on in vivo aromatase transcription, plasma and tissue estrogen levels in postmenopausal women. J Steroid Biochem Mol Biol. 2012;128:69–75.

    Article  PubMed  CAS  Google Scholar 

  44. Kadouri D, et al. Effect of single-nucleotide polymorphisms in the CYP19 gene on response to Letrozole among breast cancer patients (Supplement). J Clin Oncol. 2008;26:22096.

    Google Scholar 

  45. Mao JJ, et al. Association of functional polymorphisms in CYP19A1 with aromatase inhibitor associated arthralgia in breast cancer survivors. Breast Cancer Res. 2011;13:R8.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

The study was financially supported by Indian Council of Medical Research (ICMR), New Delhi (Grant Order No. 53/17/2003-BMS dt.12.03.2007). We thank and deeply appreciate the effort of Mr. Srinivasa Rao K, Miss. T. Padmapriya, and Mr. A.S. Arunkumar, PhD Scholars, Department of Pharmacology, JIPMER, in recruiting the study subjects as well as in DNA extraction.

Conflict of interest

The authors declare no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gurusamy Umamaheswaran.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Umamaheswaran, G., Dkhar, S.A., Kalaivani, S. et al. Haplotype structures and functional polymorphic variants of the drug target enzyme aromatase (CYP19A1) in South Indian population. Med Oncol 30, 665 (2013). https://doi.org/10.1007/s12032-013-0665-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12032-013-0665-x

Keywords

Navigation