Research Papers:

Variations within 3'-UTR of MDM4 gene contribute to clinical outcomes of advanced non-small cell lung cancer patients following platinum-based chemotherapy

Yang Yang, Wen Gao, Xi Ding, Wen Xu, Di Liu, Bo Su _ and Yifeng Sun

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Oncotarget. 2017; 8:16313-16324. https://doi.org/10.18632/oncotarget.10771

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Yang Yang1, Wen Gao1, Xi Ding2, Wen Xu2, Di Liu2, Bo Su2, Yifeng Sun1

1Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, 200030, P.R. China

2Central Laboratory, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, 200433, P.R. China

Correspondence to:

Bo Su, email: [email protected]

Yifeng Sun, email: [email protected]

Keywords: chemotherapy, non-small cell lung cancer, MDM4, platinum, single nucleotide polymorphisms

Received: March 05, 2016     Accepted: June 17, 2016     Published: July 22, 2016


Single-nucleotide polymorphism (SNPs) in microRNA (miRNA)-binding sites may modulate the posttranscriptional regulation of gene expression and explain individual sensitivity to platinum agents. This study aimed to investigate the impact of SNPs located at 3’-untranslated region (UTR) of MDM4 gene, on clinical outcomes of advanced non-small cell lung cancer (NSCLC) patients. Four SNPs were genotyped by using DNA from blood samples of advanced NSCLC patients (642 in the Discovery set and 330 in the Replication set) and were analyzed the relationships with clinical outcomes. Carriers with rs10900598 CC genotype and rs4245739 AC genotype showed increased overall survival (OS) than those with AA genotype (P = 0.017 and P = 0.037, respectively) in the Discovery set and after pooling results from the Replication set. A combined effect on survival of variant alleles was also concluded and validated. Stratification analysis revealed that the effect of MDM4 SNPs was more pronounced in lung adenocarcinoma (LAC) subgroups. A reduced expression of the reporter gene for the C allele of rs4245739 was observed in NSCLC cells using luciferase reporter gene assays. Taken together, our results demonstrate that genetic variations in 3’-UTR of MDM4 gene may influence outcomes of advanced NSCLC by miRNAs-mediated regulation.

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