gene polymorphism as a poor prognostic factor for papillary thyroid cancer

This is the first study to investigate the effect of vitamin D receptor ( VDR ) gene single-nucleotide polymorphisms on the clinicopathologic features of papillary thyroid cancer in Turkey. A total of 165 patients with papillary thyroid cancer and 172 controls were included in this case–control stud...

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Main Authors: Selvihan Beysel, Nilnur Eyerci, Ferda Alparslan Pinarli, Mahmut Apaydin, Muhammed Kizilgul, Mustafa Caliskan, Ozgur Ozcelik, Seyfullah Kan, Erman Cakal
Format: Article
Language:English
Published: SAGE Publishing 2018-11-01
Series:Tumor Biology
Online Access:https://doi.org/10.1177/1010428318811766
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author Selvihan Beysel
Nilnur Eyerci
Ferda Alparslan Pinarli
Mahmut Apaydin
Muhammed Kizilgul
Mustafa Caliskan
Ozgur Ozcelik
Seyfullah Kan
Erman Cakal
author_facet Selvihan Beysel
Nilnur Eyerci
Ferda Alparslan Pinarli
Mahmut Apaydin
Muhammed Kizilgul
Mustafa Caliskan
Ozgur Ozcelik
Seyfullah Kan
Erman Cakal
author_sort Selvihan Beysel
collection DOAJ
description This is the first study to investigate the effect of vitamin D receptor ( VDR ) gene single-nucleotide polymorphisms on the clinicopathologic features of papillary thyroid cancer in Turkey. A total of 165 patients with papillary thyroid cancer and 172 controls were included in this case–control study. VDR gene single-nucleotide polymorphisms FokI (rs2228570), BsmI (rs1544410), ApaI (rs7975232), and TaqI (rs731236) were evaluated using reverse-transcription polymerase chain reaction. VDR gene polymorphisms BsmI, ApaI, and TaqI did not differ between the papillary thyroid cancer group and control group (p > 0.05, each). BsmI, ApaI, and TaqI were not associated with papillary thyroid cancer risk. The VDR gene FokI CT/TT genotype was associated with an increased papillary thyroid cancer risk (CT vs CC: odds ratio = 1.71, 95% confidence interval = 1.15–2.76, p = 0.028; TT vs CC: odds ratio = 2.44, 95% confidence interval = 1.29–4.62, p = 0.005; CT/TT vs CC: odds ratio = 1.88, 95% confidence interval = 1.20–2.96, p = 0.006; CT/CC vs TT: odds ratio = 1.80, 95% confidence interval = 1.05–3.20, p = 0.041). VDR gene polymorphisms were not in linkage disequilibrium. The FokI TT genotype was associated with having T3 and T4, stage III/IV, extra-thyroidal invasion. The FokI CT/TT or TT genotype was associated with developing N1 status, multifocality, tumor size ≥10 mm, and treatment with radioiodine therapy. Persistence/recurrence did not differ between the FokI genotypes. Carriers of the FokI T allele were at an increased risk of more advanced tumor-node-metastasis stage, greater tumor size, multifocality, and extra-thyroidal invasion of papillary thyroid cancer compared with the CC genotype. VDR gene FokI T allele and TT genotype correlated with aggressiveness of papillary thyroid cancer; thus, FokI could be useful as a poor prognostic factor to assess the high risk of papillary thyroid cancer.
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spelling doaj-art-a2c6cf1dfedd449eb3134c76ef29456d2025-08-20T03:35:54ZengSAGE PublishingTumor Biology1423-03802018-11-014010.1177/1010428318811766gene polymorphism as a poor prognostic factor for papillary thyroid cancerSelvihan Beysel0Nilnur Eyerci1Ferda Alparslan Pinarli2Mahmut Apaydin3Muhammed Kizilgul4Mustafa Caliskan5Ozgur Ozcelik6Seyfullah Kan7Erman Cakal8Department of Endocrinology and Metabolism, Afyonkarahisar Saglik Bilimleri University, Afyonkarahisar, TurkeyDepartment of Genetic Research, Ankara Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, TurkeyDepartment of Genetic Research, Ankara Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, TurkeyDepartment of Endocrinology and Metabolism, Ankara Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, TurkeyDepartment of Endocrinology and Metabolism, Ankara Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, TurkeyDepartment of Endocrinology and Metabolism, Ankara Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, TurkeyDepartment of Endocrinology and Metabolism, Ankara Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, TurkeyDepartment of Endocrinology and Metabolism, Ankara Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, TurkeyDepartment of Endocrinology and Metabolism, Ankara Diskapi Yildirim Beyazit Teaching and Research Hospital, Ankara, TurkeyThis is the first study to investigate the effect of vitamin D receptor ( VDR ) gene single-nucleotide polymorphisms on the clinicopathologic features of papillary thyroid cancer in Turkey. A total of 165 patients with papillary thyroid cancer and 172 controls were included in this case–control study. VDR gene single-nucleotide polymorphisms FokI (rs2228570), BsmI (rs1544410), ApaI (rs7975232), and TaqI (rs731236) were evaluated using reverse-transcription polymerase chain reaction. VDR gene polymorphisms BsmI, ApaI, and TaqI did not differ between the papillary thyroid cancer group and control group (p > 0.05, each). BsmI, ApaI, and TaqI were not associated with papillary thyroid cancer risk. The VDR gene FokI CT/TT genotype was associated with an increased papillary thyroid cancer risk (CT vs CC: odds ratio = 1.71, 95% confidence interval = 1.15–2.76, p = 0.028; TT vs CC: odds ratio = 2.44, 95% confidence interval = 1.29–4.62, p = 0.005; CT/TT vs CC: odds ratio = 1.88, 95% confidence interval = 1.20–2.96, p = 0.006; CT/CC vs TT: odds ratio = 1.80, 95% confidence interval = 1.05–3.20, p = 0.041). VDR gene polymorphisms were not in linkage disequilibrium. The FokI TT genotype was associated with having T3 and T4, stage III/IV, extra-thyroidal invasion. The FokI CT/TT or TT genotype was associated with developing N1 status, multifocality, tumor size ≥10 mm, and treatment with radioiodine therapy. Persistence/recurrence did not differ between the FokI genotypes. Carriers of the FokI T allele were at an increased risk of more advanced tumor-node-metastasis stage, greater tumor size, multifocality, and extra-thyroidal invasion of papillary thyroid cancer compared with the CC genotype. VDR gene FokI T allele and TT genotype correlated with aggressiveness of papillary thyroid cancer; thus, FokI could be useful as a poor prognostic factor to assess the high risk of papillary thyroid cancer.https://doi.org/10.1177/1010428318811766
spellingShingle Selvihan Beysel
Nilnur Eyerci
Ferda Alparslan Pinarli
Mahmut Apaydin
Muhammed Kizilgul
Mustafa Caliskan
Ozgur Ozcelik
Seyfullah Kan
Erman Cakal
gene polymorphism as a poor prognostic factor for papillary thyroid cancer
Tumor Biology
title gene polymorphism as a poor prognostic factor for papillary thyroid cancer
title_full gene polymorphism as a poor prognostic factor for papillary thyroid cancer
title_fullStr gene polymorphism as a poor prognostic factor for papillary thyroid cancer
title_full_unstemmed gene polymorphism as a poor prognostic factor for papillary thyroid cancer
title_short gene polymorphism as a poor prognostic factor for papillary thyroid cancer
title_sort gene polymorphism as a poor prognostic factor for papillary thyroid cancer
url https://doi.org/10.1177/1010428318811766
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