Abstract | BACKGROUND: The etiology of secondary cancer in childhood cancer survivors is largely unclear. Exposure of normal somatic cells to radiation and/or chemotherapy can damage DNA and if not all DNA lesions are properly fixed, the mis-repair may lead to pathological consequences. It is plausible to assume that genetic differences, i.e. in the pathways responsible for cell cycle control and DNA repair, play a critical role in the development of secondary cancer. METHODOLOGY/FINDINGS: To identify factors that may influence the susceptibility for second cancer formation, we recruited 20 individuals who survived a childhood malignancy and then developed a second cancer as well as 20 carefully matched control individuals with childhood malignancy but without a second cancer. By antibody microarrays, we screened primary fibroblasts of matched patients for differences in the amount of representative DNA repair-associated proteins. We found constitutively decreased levels of RAD9A and several other DNA repair proteins in two- cancer patients, compared to one- cancer patients. The RAD9A protein level increased in response to DNA damage, however to a lesser extent in the two- cancer patients. Quantification of mRNA expression by real-time RT PCR revealed lower RAD9A mRNA levels in both untreated and 1 Gy γ-irradiated cells of two- cancer patients. CONCLUSIONS/SIGNIFICANCE: Collectively, our results support the idea that modulation of RAD9A and other cell cycle arrest and DNA repair proteins contribute to the risk of developing a second malignancy in childhood cancer patients.
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Authors | Eva Weis, Holger Schoen, Anja Victor, Claudia Spix, Marco Ludwig, Brigitte Schneider-Raetzke, Nicolai Kohlschmidt, Oliver Bartsch, Aslihan Gerhold-Ay, Nils Boehm, Franz Grus, Thomas Haaf, Danuta Galetzka |
Journal | PloS one
(PLoS One)
Vol. 6
Issue 10
Pg. e25750
( 2011)
ISSN: 1932-6203 [Electronic] United States |
PMID | 21991345
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Cell Cycle Proteins
- RNA, Messenger
- rad9 protein
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Topics |
- Adolescent
- Adult
- Blotting, Western
- Cell Cycle Proteins
(genetics, metabolism)
- Child
- Child, Preschool
- DNA Damage
(genetics)
- DNA Repair
(genetics)
- Fibroblasts
(metabolism)
- Gene Expression Regulation, Neoplastic
- Genome, Human
(genetics)
- Humans
- Infant
- Infant, Newborn
- Neoplasms, Second Primary
(genetics)
- Protein Array Analysis
- RNA, Messenger
(genetics, metabolism)
- Young Adult
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