Germline polymorphisms in genes involved in the Hippo pathway as recurrence biomarkers in stages II/III colon cancer

Pharmacogenomics J. 2016 Aug;16(4):312-9. doi: 10.1038/tpj.2015.64. Epub 2015 Sep 15.

Abstract

The Hippo pathway regulates tissue growth and cell fate. In colon cancer, Hippo pathway deregulation promotes cellular quiescence and resistance to 5-Fluorouracil (5-Fu). In this study, 14 polymorphisms in 8 genes involved in the Hippo pathway (MST1, MST2, LATS1, LATS2, YAP, TAZ, FAT4 and RASSF1A) were evaluated as recurrence predictors in 194 patients with stages II/III colon cancer treated with 5-Fu-based adjuvant chemotherapy. Patients with a RASSF1A rs2236947 AA genotype had higher 3-year recurrence rate than patients with CA/CC genotypes (56 vs 33%, hazard ratio (HR): 1.87; P=0.017). Patients with TAZ rs3811715 CT or TT genotypes had lower 3-year recurrence rate than patients with a CC genotype (28 vs 40%; HR: 0.66; P=0.07). In left-sided tumors, this association was stronger (HR: 0.29; P=0.011) and a similar trend was found in an independent Japanese cohort. These promising results reveal polymorphisms in the Hippo pathway as biomarkers for stages II and III colon cancer.The Pharmacogenomics Journal advance online publication, 15 September 2015; doi:10.1038/tpj.2015.64.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acyltransferases
  • Aged
  • Antimetabolites, Antineoplastic / therapeutic use
  • Biomarkers, Tumor / genetics*
  • California
  • Chemotherapy, Adjuvant
  • Colectomy
  • Colonic Neoplasms / genetics*
  • Colonic Neoplasms / pathology
  • Colonic Neoplasms / therapy
  • Female
  • Fluorouracil / therapeutic use
  • Genetic Association Studies
  • Genetic Predisposition to Disease
  • Heterozygote
  • Homozygote
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local*
  • Neoplasm Staging
  • Phenotype
  • Polymorphism, Single Nucleotide*
  • Proportional Hazards Models
  • Risk Factors
  • Signal Transduction / genetics*
  • Time Factors
  • Tokyo
  • Transcription Factors / genetics*
  • Treatment Outcome
  • Tumor Suppressor Proteins / genetics*

Substances

  • Antimetabolites, Antineoplastic
  • Biomarkers, Tumor
  • RASSF1 protein, human
  • Transcription Factors
  • Tumor Suppressor Proteins
  • Acyltransferases
  • TAFAZZIN protein, human
  • Fluorouracil