GA GENOTYPE OF THE ARG280HIS POLYMORPHISM ON THE XRCC1 GENE: GENETIC SUSCEPTIBILITY GENOTYPE IN DIFFERENTIATED THYROID CARCINOMAS?
Kirnap NG1,*, Tutuncu NB1,2, Yalcin Y2, Cebi HPB2, Tutuncu T2,3, Nar A1, Verdi H2, Atac FB2
*Corresponding Author: Nazlı G. Kirnap, M.D., Department of Endocrinology and Metabolism, Başkent University Faculty of Medicine, Taskent Caddesi No. 77, Bahcelievler, 06490, Ankara, Turkey. Tel.: +90-(0)312-203-6868. Fax: +90-(0)312-304-2700. E-mail: kirnapnazli@hotmail.com
page: 73

RESULTS

The baseline characteristics [age, sex, body mass index (BMI), family history of thyroid cancer, presence of Hashimoto’s thyroiditis, smoking status, thyroid stimulating hormone (TSH) levels of both case and control groups] are shown in Table 1. None of the patients enrolled in our study had radiation exposure to the neck. There was no significant difference in terms of BMI between DTC and the healthy control group (p = 0.056). The genotype frequencies of the three XRCC1 polymorphisms (Arg194Trp, Arg280His, and Arg399Gln) in all cases are given in Table 2. Genotype frequency of GA in XRCC1 Arg280His polymorphism in the DTC group was significantly higher than the BTN group (p <0.001) and healthy control group (p <0.0001). Genotype frequency of AA in XRCC1 Arg280His polymorphism was significantly higher in the BTN group (65.0%) and highest in the healthy control group (96.8%). The genotype frequency of AA in XRCC1 Arg280His polymorphism was the lowest in the DTC group (35.5%). The difference was statistically significant (p <0.001) (Table 2; Figure 1). In XRCC1 Arg194Trp polymorphism, genotype frequency of CC was high in all three groups. However, the genotype frequency of CT in XRCC1 Arg194Trp polymor- phism was less in all groups (2.2, 3.0 and 10.8%, respectively). Moreover, the CT genotype was significantly more common in the healthy control group when compared to DTC and BTN groups (p = 0.001 and p = 0.032, respectively) [Table 2; Figure 1(b)]. The distribution of genotype frequencies in the XRCC1 Arg399Gln polymorphism were similar in all three groups (p = 0.064). Distributions of the three XRCC1 genotypes were similar among obese, overweight and normal-weight individuals. Furthermore, the coexistence of obesity and any of the three genotypes of XRCC1 were not correlated with the presence of thyroid cancer. The highest frequency of Hashimoto’s thyroiditis was encountered in the BTN group (25.0%), which was statistically significant (p = 0.004). The coexistence of Hashimoto’s thyroiditis and any of the XRCC1 genotypes was not found to be correlated with the presence of thyroid cancer. The frequency of those with a family history of thyroid cancer was 7.9% (n = 18) in the DTC group and 1.0% (n = 1) in the BTN group. The difference was statistically significant (p = 0.014). There was no case with a family history of thyroid cancer in the healthy control group, which caused a statistically significant difference among the groups (p = 0.005). Of the cases with XRCC1 Arg280His polymorphism among those with a family history of thyroid cancer, 78.9% had the GA genotype and 21.1% had the AA genotype, but none had the GG genotype (p = 0.004). There was no significant difference in terms of the distribution of Arg399Gln and Arg194Trp polymorphisms of XRCC1 between those with and without a family history of thyroid cancer (p = 0.704, p = 0.346, respectively) (Table 3). Among the DTC cases, regarding the histological type of thyroid cancer, there was no difference in the frequency of the three genotypes of XRCC1 (Arg280His, Arg194Trp, Arg399Gln) in those with papillary and follicular thyroid cancer.



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