PMID- 26959740 OWN - NLM STAT- MEDLINE DCOM- 20170131 LR - 20181113 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 7 IP - 14 DP - 2016 Apr 5 TI - A single-nucleotide polymorphism in the 3'-UTR region of the adipocyte fatty acid binding protein 4 gene is associated with prognosis of triple-negative breast cancer. PG - 18984-98 LID - 10.18632/oncotarget.7920 [doi] AB - Triple-negative breast cancer (TNBC) is a subtype of breast cancer with poor prognosis and high heterogeneity. The aim of this study was to screen patients for single-nucleotide polymorphisms (SNPs) associated with the prognosis of TNBC. Database-derived SNPs (NextBio, Ensembl, NCBI and MirSNP) located in the 3'-untranslated regions (3'-UTRs) of genes that are differentially expressed in breast cancer were selected. The possible associations between 111 SNPs and progression risk among 323 TNBC patients were investigated using a two-step case-control study with a discovery cohort (n=162) and a validation cohort (n=161). We identified the rs1054135 SNP in the adipocyte fatty acid binding protein 4 (FABP4) gene as a predictor of TNBC recurrence. The G allele of rs1054135 was associated with a reduced risk of disease progression as well as a prolonged disease-free survival time (DFS), with a hazard ratio (HR) for recurrence in the combined sample of 0.269 [95%CI: 0.098-0.735;P=0.001]. Notably, for individuals having the rs1054135 SNP with the AA/AG genotype, the magnitude of increased tumour recurrence risk for overweight patients (BMI>/=25kg/m2) was significantly elevated (HR2.53; 95%CI: 1.06-6.03). Immunohistochemical staining of adipocytes adjacent to TNBC tissues showed that the expression level of FABP4 was statistically significantly lower in patients with the rs1054135-GG genotype and those in the disease-free group (P=0.0004 and P=0.0091, respectively). These results suggested that the expression of a lipid metabolism-related gene and an important SNP in the 3'-UTR of FABP4 are associated with TNBC prognosis, which may aid in the screening of high-risk patients with TNBC recurrence and the development of novel chemotherapeutic agents. FAU - Wang, Wenmiao AU - Wang W AD - Department of Medical Oncology, Cancer Institute and Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, P.R. China. AD - Phase I Clinical Trial Center, Beijing Shijitan Hospital, Capital Medical University, The 9th Clinical College, Beijing, P.R. China. FAU - Yuan, Peng AU - Yuan P AD - Department of Medical Oncology, Cancer Institute and Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, P.R. China. FAU - Yu, Dianke AU - Yu D AD - Department of Etiology and Carcinogenesis, Cancer Institute and Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, P.R. China. FAU - Du, Feng AU - Du F AD - Department of Medical Oncology, Cancer Institute and Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, P.R. China. FAU - Zhu, Anjie AU - Zhu A AD - Department of Medical Oncology, Cancer Institute and Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, P.R. China. FAU - Li, Qing AU - Li Q AD - Department of Medical Oncology, Cancer Institute and Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, P.R. China. FAU - Zhang, Pin AU - Zhang P AD - Department of Medical Oncology, Cancer Institute and Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, P.R. China. FAU - Lin, Dongxin AU - Lin D AD - Department of Etiology and Carcinogenesis, Cancer Institute and Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, P.R. China. FAU - Xu, Binghe AU - Xu B AD - Department of Medical Oncology, Cancer Institute and Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, P.R. China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (3' Untranslated Regions) RN - 0 (FABP4 protein, human) RN - 0 (Fatty Acid-Binding Proteins) SB - IM MH - 3' Untranslated Regions MH - Adipocytes/metabolism/pathology MH - Adult MH - Case-Control Studies MH - Cohort Studies MH - Disease-Free Survival MH - Fatty Acid-Binding Proteins/*genetics/metabolism MH - Female MH - Genotype MH - Humans MH - Polymorphism, Single Nucleotide MH - Prognosis MH - Triple Negative Breast Neoplasms/*genetics/metabolism/pathology PMC - PMC4951346 OTO - NOTNLM OT - 3'-untranslated regions OT - FABP4 OT - genetic variant OT - prognosis OT - triple-negative breast cancer COIS- CONFLICTS OF INTEREST The authors declare no conflicts of interest. EDAT- 2016/03/10 06:00 MHDA- 2017/02/01 06:00 PMCR- 2016/04/05 CRDT- 2016/03/10 06:00 PHST- 2015/07/13 00:00 [received] PHST- 2016/01/29 00:00 [accepted] PHST- 2016/03/10 06:00 [entrez] PHST- 2016/03/10 06:00 [pubmed] PHST- 2017/02/01 06:00 [medline] PHST- 2016/04/05 00:00 [pmc-release] AID - 7920 [pii] AID - 10.18632/oncotarget.7920 [doi] PST - ppublish SO - Oncotarget. 2016 Apr 5;7(14):18984-98. doi: 10.18632/oncotarget.7920.