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2008 Barcelona - European Society of Human Genetics

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Cancer genetics<br />

P04.179<br />

molecular genetic analysis <strong>of</strong> apparently sporadic<br />

pheochromocytomas and paraganglioma in czech patients<br />

Z. Musil 1 , J. Vesela 1 , A. Krepelova 1,2 , A. Panczak 1 , J. Widimsky 3 , T. Zelinka 3 , A.<br />

Puchmajerova 2 , M. Simandlova 2 , Z. Frysak 4 , J. Vaclavik 4 , M. Kohoutova 1 ;<br />

1 Institute <strong>of</strong> Biology and Medical <strong>Genetics</strong> <strong>of</strong> the First Faculty <strong>of</strong> Medicine,<br />

Prague, Czech Republic, 2 Institute <strong>of</strong> Biology and Medical <strong>Genetics</strong>, 2nd Faculty<br />

<strong>of</strong> Medicine and Teaching Hospital at Motol, Prague, Czech Republic, 3 3rd<br />

Medical Department - Clinical Department <strong>of</strong> Endocrinology and Metabolism,<br />

1st Faculty <strong>of</strong> Medicine, Prague, Czech Republic, 4 3rd Clinical Department,<br />

Faculty <strong>of</strong> Medicine and Faculty Hospital, Palacky University, Olomouc, Czech<br />

Republic.<br />

Pheochromocytoma is a tumor arising in adrenal or extra-adrenal sites<br />

and occurs as a sporadic form or, less frequently, in familial setting as<br />

a part <strong>of</strong> inherited syndromes . Paraganglioma <strong>of</strong> the head and neck<br />

occurs mostly sporadically and also in syndromic or non-syndromic<br />

familial settings . To date, four susceptibility genes for pheochromocytoma<br />

have been reported that included RET proto-oncogene, VHL tumor<br />

suppressor gene, and recently identified genes SDHB and SDHD<br />

for succinate dehydrogenase subunit B and D, respectively . Mutations<br />

in these genes can predispose an individual to pheochromocytoma<br />

and/or paraganglioma . All these genes were analyzed to investigate<br />

possible genetic cause <strong>of</strong> pheochromocytoma and paraganglioma in<br />

population <strong>of</strong> Czech patients . Among 147 patients two novel germline<br />

(missense) mutations were found in the VHL gene . Further, one novel<br />

coding single nucleotide polymorphism and one inversion, both in<br />

SDHB gene, were detected . In one case <strong>of</strong> isolated pediatric onset <strong>of</strong><br />

neuroblastoma and paraganglioma we detected a novel splice site mutation<br />

in SDHB gene . In addition, in one examined patient with paraganglioma<br />

we detected mutation <strong>of</strong> the start codon in SDHD gene .<br />

Supported by the grant project MSMT CR MSM0021620808<br />

P04.180<br />

carriers <strong>of</strong> germline c.1710+1355G>c substitution in the PML<br />

gene are at an increased risk <strong>of</strong> gastrointestinal cancer<br />

P. Plevova 1,2 , S. Walczyskova 1 , I. Jeziskova 1 , A. Krepelova 3 , K. Langova 4 , E.<br />

Silhanova 1 ;<br />

1 Department <strong>of</strong> Medical <strong>Genetics</strong>, Faculty Hospital, Ostrava, Czech Republic,<br />

2 Medical Faculty, Palacky University, Olomouc, Czech Republic, 3 3. Institute <strong>of</strong><br />

<strong>Genetics</strong>, 2nd Medical Faculty, Charles University, Prague, Czech Republic,<br />

4 Institute <strong>of</strong> Biophysics, Palacky University, Olomouc, Czech Republic.<br />

Introduction: PML (promyelocytic leukemia) is a tumor suppressor gene .<br />

We studied occurrence <strong>of</strong> c .1710+1355G>C (p .A570+232>P570+232)<br />

substitution in alternatively spliced exon 7b <strong>of</strong> the PML gene in cancer<br />

patients .<br />

Patients and methods: Sporadic and hereditary breast, colon and<br />

stomach cancer and multiple colon polyposis patients were included<br />

into the study . The control group included 100 non-cancer patients .<br />

The c .1710+1355G>C substitution was analyzed in genomic DNA using<br />

restriction analysis . Its occurrence in each cancer versus control<br />

groups was correlated using chí-square test.<br />

Results: c .1710+1355G>C was found in 7 <strong>of</strong> 64 (11%) non-BRCA1/2<br />

breast cancer (p=0,683), none <strong>of</strong> 24 BRCA1/2-associated breast<br />

cancer (p=0,276), 15 <strong>of</strong> 57 (26%) non-HNPCC colon cancer or multiple<br />

polyposis (p=0,003), none <strong>of</strong> 6 HNPCC-associated colon cancer<br />

(p=0,988, chí-square test with Yates correction), 2 <strong>of</strong> 3 stomach cancer<br />

patients (p=0,025, chí-square test with Yates correction) and 9 <strong>of</strong> 100<br />

(9%) controls .<br />

Conclusion: Our results suggest that germline carriers <strong>of</strong> the<br />

c .1710+1355G>C substitution in alternatively spliced exon 7b <strong>of</strong> the<br />

PML gene might be at an increased risk <strong>of</strong> gastrointestinal cancer or<br />

polyposis .<br />

Acknowledgements: The project was supported by IGA MZ CR<br />

NR/9092-3/2006 .<br />

P04.181<br />

the 8q24 rs10505470 variant is not associated with prostate<br />

cancer risk in patients from the Republic <strong>of</strong> macedonia<br />

N. Matevska 1 , D. Petrovski 2 , S. Dzikova 2 , S. Banev 2 , V. Georgiev 2 , A. Sikole 2 ,<br />

A. J. Dimovski 1 ;<br />

1 Faculty <strong>of</strong> Pharmacy, Skopje, The former Yugoslav Republic <strong>of</strong> Macedonia,<br />

2 Faculty <strong>of</strong> Medicine, Skopje, The former Yugoslav Republic <strong>of</strong> Macedonia.<br />

Recent compelling evidence demonstrates chromosome 8q24 as<br />

a prostate cancer (PC) susceptibility locus . Multiple variants within<br />

three adjacent regions at 8q24 have been identified to impact the risk<br />

<strong>of</strong> PC . Most commonly assessed variants are rs1447295 (region1),<br />

rs16901979 (region2) and rs6983267 (region3) . Although regions 1<br />

and 3 are close together, they are separated by a recombination hotspot<br />

among individuals <strong>of</strong> <strong>European</strong> ancestry . Hence, all three neighboring<br />

regions seem to contribute independently to the PC risk, and<br />

the combined effects <strong>of</strong> SNPs across regions follow a multiplicative<br />

model . In order to examine the association between the PC risk and all<br />

three regions <strong>of</strong> 8q24 we designed a case-control study <strong>of</strong> randomly<br />

selected PC patients and controls without history <strong>of</strong> any malignant disease<br />

. Herein, we present the results <strong>of</strong> the association <strong>of</strong> PC risk and<br />

rs10505470 variant which is known to be in strong LD with rs6983267<br />

in region 3 . The rs10505470 genotypes were determined using custom<br />

designed TaqMan SNP genotyping assay on a Real-time PCR<br />

analyzer (MxPro 3005P) . We did not observe a difference in overall allelic<br />

frequencies and genotype distribution {(A allele 0 .518 for patients;<br />

0 .516 for controls); (AA 28 .24%, AG 47 .06%, GG 24 .71% for patients;<br />

AA 27 .60%, AG 47 .92%, GG 24 .48% for controls)} . Furthermore there<br />

was no significant difference after stratification <strong>of</strong> patients in subgroups<br />

according to age and Gleason score. Our findings led us to conclude<br />

that rs10505470 variant is not implicated with PC risk, time <strong>of</strong> onset or<br />

PC aggressiveness in Macedonian population .<br />

P04.182<br />

Alpha-methylacyl-CoA racemase, a novel specific biomarker for<br />

prostate cancer<br />

R. O. Dumache 1 , B. G. Bumbacila 1 , A. Anghel 1 , F. Miclea 2 , M. Puiu 3 ;<br />

1 ’Victor Babes’ University <strong>of</strong> Medicine and Pharmacy, Faculty <strong>of</strong> Medicine,<br />

Biochemistry Department, Timisoara, Romania, 2 ’Victor Babes’ University <strong>of</strong><br />

Medicine and Pharmacy, Faculty <strong>of</strong> Medicine, Urology Department, Timisoara,<br />

Romania, 3 ’Victor Babes’ University <strong>of</strong> Medicine and Pharmacy, Faculty <strong>of</strong><br />

Medicine, Medical <strong>Genetics</strong> Department, Timisoara, Romania.<br />

Alpha-methylacyl-CoA racemase, abbreviated in data bases as AM-<br />

ACR or P504S, is a 382 amino acid protein that plays a critical role in<br />

peroxisomal and mitochondrial beta oxidation <strong>of</strong> branched chain fatty<br />

acid and bile acid intermediates, dihydroxycholestanoic acid and trihydroxycholestanoic<br />

acid, molecules. Specifically, it catalyses the conversion<br />

<strong>of</strong> (R) α - methyl branched chain fatty acyl CoAs to their (S)<br />

stereoisomers, because only stereoisomers with the 2-methyl group<br />

in the (S) position can be metabolized by peroxisomal oxidases, the<br />

first enzymes in the ß oxidation pathway . It is well known that the main<br />

sources <strong>of</strong> branched chain fatty acids are the dairy products and red<br />

meet pork and beef, the consumption <strong>of</strong> which has been associated<br />

with an increased risk for prostate cancer in men, in multiple studies .<br />

We evaluated the AMACR gene expression in 32 patients aged 55 to<br />

80, with total PSA values in a range <strong>of</strong> 2 to 40 ng/ml . 26 patients were<br />

diagnosed positive for prostate intraepithelial carcinoma and they had<br />

PSA values greater than 11 ng/ml . In these 26 men, we found by using<br />

PCR and micro array techniques on needle biopsies that they had<br />

an over expressed gene for AMACR, too . The other 6 patients with<br />

total PSA values smaller than 11 ng/ml, had normal expression <strong>of</strong> the<br />

AMACR gene .<br />

According to our results, we propose the use <strong>of</strong> AMACR as an important<br />

marker <strong>of</strong> prostate cancer in Urology Clinics beside PSA and<br />

morphopathological diagnostic .<br />

P04.183<br />

cAG repeat number in androgen receptor gene and prostate<br />

cancer<br />

S. Trivodalieva 1 , N. Matevska 2 , A. Dimovski 2 , G. D. Efremov 1 , D. Plaseska-<br />

Karanfilska 1 ;<br />

1 Macedonian Academy <strong>of</strong> Sciences and Arts, Research Centre for Genetic<br />

Engineering and Biotechnology, Skopje, The former Yugoslav Republic <strong>of</strong><br />

Macedonia, 2 Faculty <strong>of</strong> Farmacy, Farmacogenetic laboratory, Skopje, The former<br />

Yugoslav Republic <strong>of</strong> Macedonia.<br />

Prostate cancer (PC) is the second leading cause <strong>of</strong> cancer deaths<br />

among men . The effects <strong>of</strong> androgens on prostatic tissue are mediated<br />

by the androgen receptor (AR) through the androgen receptorandrogen<br />

complex . The 5’ end <strong>of</strong> exon 1 <strong>of</strong> the AR gene includes a<br />

polymorphic CAG triplet repeat that varies in number between 10 to

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