
ASSOCIATION OF E-SELECTIN S128R POLYMORPHISM
WITH HEREDITARY BREAST CARCINOMA
SUSCEPTIBILITY IN TURKISH PATIENTS
WITHOUT BRCA1/2 GERMLINE MUTATIONS Yararbas K, Atalay PB *Corresponding Author: Kanay Yararbas, M.D., Assistant Professor, Department of Medical Genetics, Acibadem Mehmet
Ali Aydinlar University Faculty of Medicine; İçerenköy Mahallesi, Kayisdagi Caddesi, No: 32, 34742, Istanbul, Turkey.
Tel: +90-216-500-4785. Fax: +90-216-500-5076. E-mail: kanay.yararbas@ acibadem.edu.tr page: 27
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DISCUSSION
E-selectin is involved in cancer metastasis by regulating
the adhesion of circulating cancer cells to the endothelial
cells of blood vessels [10]. Currently, several SNPs
of the E-selectin gene have been identified. The S128R
polymorphism (A>C variation), the most common SNP
of the E-selectin gene, facilitates ligand binding, which in
turn increases the adhesion of lymphoid and myeloid cells
to the endothelium. The E-selectin S128R polymorphism
is associated with an increased risk of several cancers
including gastric [25,26], colorectal [27] and pancreatic
[28] cancers. However, a very limited number of studies
investigating the association of the E-selectin S128R polymorphism
with breast cancer susceptibility have revealed
contradictory results. Kontogianni et al. [29] reported
that the E-selectin S128R genotypes (AA, AC, and CC)
were not associated with any of the tumor parameters in
a Caucasian population. On the other hand, Naidu et al.
[30] reported that women carrying the E-selectin S128R
polymorphism showed a significantly increased breast
cancer risk in an Asian population. Different results from
these studies may imply that the effects of the S128R
polymorphism on breast cancer susceptibility may be
population-dependent.
In the present study, we examined whether the S128R
polymorphism is associated with susceptibility to breast
carcinoma in BRCA1/2 mutation non carriers with breast
cancer in the Turkish population. This study is the first to
investigate the association between the E-selectin S128R
polymorphism and breast cancer in the Turkish population
as well as to investigate the association of the E-selectin
S128R polymorphism with development of breast cancer
in the absence of BRCA1/2 mutations. For this purpose,
90 BRCA1/2 mutation non carriers with breast cancer
and 270 controls with no previous cancer history, were
genotyped using RT-PCR. The results of the present study
demonstrated that the E-selectin S128R polymorphism was
not associated with an increased risk of breast cancer in
BRCA1/2 mutation non carriers with breast cancer in the
Turkish population. Further studies with larger sample
sizes are required to reveal the association between the
E-selectin S128R polymorphism and breast cancer risk in
the absence and presence of BRCA1/2 mutations.
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