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Identification of modifier genes for cutaneous malignant melanoma in melanoma-prone families with and without CDKN2A mutations
International Journal of Cancer, 07/27/09
Yang XR et al. – These findings support the hypothesis that common genetic polymorphisms in DNA repair, apoptosis and immune response pathways may modify the risk of cutaneous malignant melanoma (CMM) in CMM-prone families with or without CDKN2A mutations.
Methods- Aim was to identify modifier genes for CMM in CMM-prone families with or w/o CDKN2A mutations
- 537 individuals (107 CMM) from 28 families (19 CDKN2A+, 9 CDKN2A-)
- They were genotyped for 1,536 SNPs in 152 genes involved in DNA repair, apoptosis and immune response pathways
- Conditional logistic regression: to account for family ascertainment and differences in disease prevalence among families
- Pathway- and gene-based permutation analyses to assess the risk of CMM associated with genes in the 5 pathways: DNA repair, apoptosis, TNF/NFB, TH1:TH2 and other immune regulation
- Some candidate genes such as FAS, BCL7A, CASP14, TRAF6, WRN, IL9, IL10RB, TNFSF8, TNFRSF9 and JAK3 were associated with CMM risk
- After correction for multiple comparisons, IL9 remained significant
- Effects of some genes were stronger in CDKN2A-positive families (BCL7A and IL9); some were stronger in CDKN2A-negative families (BCL2L1)
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