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Prepublished online as a Blood First Edition Paper on July 18, 2002; DOI 10.1182/blood-2002-04-1152.
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Blood, 15 November 2002, Vol. 100, No. 10, pp. 3761-3766
NEOPLASIA
The genotype distribution of the XRCC1
gene indicates a role for base excision repair in the development of
therapy-related acute myeloblastic leukemia
Claire Seedhouse,
Rowena Bainton,
Michael Lewis,
Alexander Harding,
Nigel Russell, and
Emma Das-Gupta
From the Division of Haematology, School of Clinical
Laboratory Sciences, University of Nottingham, and Nottingham City
Hospital, Nottingham, United Kingdom.
Polymorphisms in several DNA repair genes have been described.
These polymorphisms may affect DNA repair capacity and modulate cancer
susceptibility by means of gene-environment interactions. We
investigated DNA repair capacity and its association with acute myeloblastic leukemia (AML). We studied polymorphisms in 3 DNA repair
genes: XRCC1, XRCC3, and XPD. We
also assessed the incidence of a functional polymorphism in the
NQO1 gene, which is involved in protection of cells from
oxidative damage. We genotyped the polymorphisms by using polymerase
chain reaction-restriction fragment-length polymorphism analysis in
134 patients with de novo AML, 34 with therapy-related AML
(t-AML), and 178 controls. The distributions of the
XRCC3 Thr241Met and NQO1 Pro187Ser genotypes
were not significantly different in patients and controls. However, the
distribution of the XRCC1 Arg399Gln genotypes was
significantly different when comparing the t-AML and control groups
( 2, P = .03). The presence of at least one
XRCC1 399Gln allele indicated a protective effect for the
allele in controls compared with patients with t-AML (odds ratio 0.44;
95% confidence interval, 0.20-0.93). We found no interactions between
the XRCC1 or XRCC3 and NQO1
genotypes. We also found no differences in the distribution of the XPD
Lys751Gln or XRCC1 Arg194Trp genotypes. Our data provide
evidence of a protective effect against AML in individuals with at
least one copy of the variant XRCC1 399Gln allele
compared with those homozygous for the common allele.

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