1. Clinical and biochemical function of polymorphic NR0B1 GGAA-microsatellites in Ewing sarcoma: a report from the Children's Oncology Group.
- Author
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Monument MJ, Johnson KM, McIlvaine E, Abegglen L, Watkins WS, Jorde LB, Womer RB, Beeler N, Monovich L, Lawlor ER, Bridge JA, Schiffman JD, Krailo MD, Randall RL, and Lessnick SL
- Subjects
- Adolescent, Age Factors, Alleles, Case-Control Studies, Cell Transformation, Neoplastic genetics, Child, Child, Preschool, Female, Gene Expression, Genetic Loci, Genomics, Humans, Linkage Disequilibrium, Male, Models, Biological, Oncogene Proteins, Fusion genetics, Oncogene Proteins, Fusion metabolism, Prognosis, Proto-Oncogene Protein c-fli-1 genetics, Proto-Oncogene Protein c-fli-1 metabolism, RNA-Binding Protein EWS genetics, RNA-Binding Protein EWS metabolism, Sarcoma, Ewing mortality, Young Adult, DAX-1 Orphan Nuclear Receptor genetics, Microsatellite Repeats genetics, Nucleotide Motifs, Polymorphism, Genetic, Sarcoma, Ewing diagnosis, Sarcoma, Ewing genetics
- Abstract
Background: The genetics involved in Ewing sarcoma susceptibility and prognosis are poorly understood. EWS/FLI and related EWS/ETS chimeras upregulate numerous gene targets via promoter-based GGAA-microsatellite response elements. These microsatellites are highly polymorphic in humans, and preliminary evidence suggests EWS/FLI-mediated gene expression is highly dependent on the number of GGAA motifs within the microsatellite., Objectives: Here we sought to examine the polymorphic spectrum of a GGAA-microsatellite within the NR0B1 promoter (a critical EWS/FLI target) in primary Ewing sarcoma tumors, and characterize how this polymorphism influences gene expression and clinical outcomes., Results: A complex, bimodal pattern of EWS/FLI-mediated gene expression was observed across a wide range of GGAA motifs, with maximal expression observed in constructs containing 20-26 GGAA motifs. Relative to white European and African controls, the NR0B1 GGAA-microsatellite in tumor cells demonstrated a strong bias for haplotypes containing 21-25 GGAA motifs suggesting a relationship between microsatellite function and disease susceptibility. This selection bias was not a product of microsatellite instability in tumor samples, nor was there a correlation between NR0B1 GGAA-microsatellite polymorphisms and survival outcomes., Conclusions: These data suggest that GGAA-microsatellite polymorphisms observed in human populations modulate EWS/FLI-mediated gene expression and may influence disease susceptibility in Ewing sarcoma.
- Published
- 2014
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