PMID- 29631685 OWN - NLM STAT- MEDLINE DCOM- 20180911 LR - 20191210 IS - 1165-158X (Electronic) IS - 0145-5680 (Linking) VI - 64 IP - 4 DP - 2018 Mar 31 TI - DNA repair and apoptosis: Roles in radiotherapy-related acute reactions in breast cancer patients. PG - 64-70 AB - Normal tissue reactions are therapy limiting factor for the effectiveness of the radiotherapy in cancer patients. DNA repair and apoptosis are estimated to be critical players of adverse effects in response to radiotherapy. Our aim was to define the association of DNA repair (ERCC1 and XPC) and apoptotic (BCL2, CASP3 and NFKB1) gene expression, DNA damage levels, apoptosis changes and DNA repair gene variations with the risk of acute side effects in breast cancer patients. The study included 100 women with newly diagnosed breast cancer; an experimental case group (n=50) with acute side effects and the control group (n=50) without side effects. Gene expression was analyzed by reverse transcriptase-quantitative polymerase chain reaction (RT-qPCR). Micronucleus (MN) and 8-hydroxy-2'-deoxyguanosine (8-OHdG) assays were performed to compare the DNA damage levels. Apoptosis was examined by TDT-mediated dUTP-biotin nick end-labeling (TUNEL) staining. ERCC1 rs3212986 and XPC rs3731055 polymorphisms were genotyped by real-time PCR technique. No significantly correlation of DNA repair and apoptosis gene expression and DNA damage levels with acute side effects in response to radiotherapy. Also, there was no association between apoptosis levels and acute effects. ERCC1 rs3212986 CC genotype showed a protective effect against radiotherapy-induced acute reactions (p<0.001; OR: 0.21; 95% CI= 0.08-0.52). Our results suggest that apoptosis and DNA damage levels are not associated with acute radiosensitivity. DNA repair may affect the risk of acute reactions. Further studies are needed to validate the current findings. FAU - Batar, Bahadir AU - Batar B AD - Department of Medical Biology, Namik Kemal University Medical Faculty, Tekirdag, Turkey. FAU - Mutlu, Tuba AU - Mutlu T AD - Department of Medical Biology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. FAU - Bostanci, Merve AU - Bostanci M AD - Department of Medical Biology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. FAU - Akin, Mustafa AU - Akin M AD - Department of Clinical Radiation Oncology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. FAU - Tuncdemir, Matem AU - Tuncdemir M AD - Department of Medical Biology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. FAU - Bese, Nuran AU - Bese N AD - Department of Clinical Radiation Oncology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. FAU - Guven, Mehmet AU - Guven M AD - Department of Medical Biology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. LA - eng PT - Journal Article DEP - 20180331 PL - France TA - Cell Mol Biol (Noisy-le-grand) JT - Cellular and molecular biology (Noisy-le-Grand, France) JID - 9216789 RN - 0 (BCL2 protein, human) RN - 0 (DNA-Binding Proteins) RN - 0 (NF-kappa B p50 Subunit) RN - 0 (NFKB1 protein, human) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 156533-34-5 (XPC protein, human) RN - 88847-89-6 (8-Hydroxy-2'-Deoxyguanosine) RN - EC 3.1.- (ERCC1 protein, human) RN - EC 3.1.- (Endonucleases) RN - EC 3.4.22.- (CASP3 protein, human) RN - EC 3.4.22.- (Caspase 3) RN - G9481N71RO (Deoxyguanosine) SB - IM MH - 8-Hydroxy-2'-Deoxyguanosine MH - Adult MH - Apoptosis/radiation effects MH - Breast Neoplasms/genetics/metabolism/pathology/*radiotherapy MH - Carcinoma, Ductal/genetics/metabolism/pathology/*radiotherapy MH - Carcinoma, Lobular/genetics/metabolism/pathology/*radiotherapy MH - Caspase 3/genetics/metabolism MH - DNA Fragmentation/radiation effects MH - DNA Repair/radiation effects MH - DNA-Binding Proteins/*genetics/metabolism MH - Deoxyguanosine/analogs & derivatives/metabolism MH - Endonucleases/*genetics/metabolism MH - Female MH - Gamma Rays/*adverse effects MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - In Situ Nick-End Labeling MH - Micronucleus Tests MH - Middle Aged MH - NF-kappa B p50 Subunit/genetics/metabolism MH - Polymorphism, Single Nucleotide MH - Proto-Oncogene Proteins c-bcl-2/genetics/metabolism MH - Radiation Tolerance MH - Signal Transduction MH - Skin/metabolism/pathology/*radiation effects OTO - NOTNLM OT - Acute side effects OT - Apoptosis OT - Breast cancer OT - DNA damage OT - DNA repair OT - ERCC1 OT - Radiotherapy. EDAT- 2018/04/11 06:00 MHDA- 2018/09/12 06:00 CRDT- 2018/04/11 06:00 PHST- 2017/11/02 00:00 [received] PHST- 2018/02/12 00:00 [accepted] PHST- 2018/02/16 00:00 [revised] PHST- 2018/04/11 06:00 [entrez] PHST- 2018/04/11 06:00 [pubmed] PHST- 2018/09/12 06:00 [medline] PST - epublish SO - Cell Mol Biol (Noisy-le-grand). 2018 Mar 31;64(4):64-70.