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Gene & Protein in Disease                                              Association of GST1 with lung cancer



            and two SNVs from the list of 22: rs2207950 and rs743590,   patients, were included. We collected 10 mL of peripheral
            which potentially regulate the XMGs GSTA1 and SULT1A1,   blood  from  each  participant  under  the  supervision  of
            respectively. GSTA1 encodes an enzyme involved in adding   collaborating clinicians, after obtaining informed consent.
            glutathione to target electrophilic compounds, including   The study, involving human subjects, was conducted at
            carcinogens, as an important step in their detoxification.   the University of Calcutta, IPGME&R, Kolkata, and Saroj
            GSTA1 is known to protect cells from reactive oxygen   Gupta Cancer Centre and Research Institute, with approval
            species and the products of lipid peroxidation. SULT1A1   from their respective Ethics Committees. The approvals
            catalyzes the sulfate conjugation of various compounds,   were as follows:
            including xenobiotics. Sulfonation increases the water   i.   University of Calcutta Ethics Committee (Ref No:
            solubility of most xenobiotic compounds, thereby      0024/16-117/1434; dated: October 24, 2016)
            facilitating their renal excretion. Polymorphisms in both   ii.  IPGME&R Ethics Committee (Memo No. Inst/
            genes can influence their detoxification abilities.   IEC/2015/545; dated: December 10, 2015)
            2. Materials and methods                           iii.  Saroj Gupta Cancer Centre and Research Institute
                                                                  Ethics Committee (IEC SGCCRI Ref No-2017/MS/1;
            2.1. Selection of genes and SNVs                      dated: October 11, 2017)
            Utilizing a plethora of omics datasets such as the Regulatory   The study complied with the regulations of the Indian
            Elements Database, GTEx, Roadmap Epigenomics, and   Council of Medical Research (ICMR) and adhered to the
            TCGA, along with predictive tools such as rSNPbase,   principles of the Declaration of Helsinki, 1964. Genomic
            RegulomeDB, and HaploReg, we analyzed a list of 2,984   DNA was isolated using the conventional phenol-
            DNAse hypersensitive sites for 23 XMGs and 25 DRGs.   chloroform method.  Due to a lack of sufficient DNA
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            These genes are known to be differentially expressed   samples, the number of smoker controls had to be reduced
            between healthy smokers and smokers with lung cancer.   from the original study.
            From this analysis, we identified 22 regulatory variants
            potentially responsible for modulating 14 candidate genes   2.3. Genotyping of SNVs
            expressed in the lungs.  For the current study, we selected   Genotyping  was carried  out utilizing polymerase  chain
                              17
            two rSNVs from the XMGs – GSTA1 and SULT1A1 – to   reaction (PCR) followed by restriction fragment length
            investigate their genetic association with lung cancer in   polymorphism (RFLP) analysis. Primers were designed
            an eastern Indian cohort. The SNP rs2207950 (A/G) is   using the freely available Primer3 software and procured
            located in the insulator region of GSTA1, while rs743590   from IDT (United States). PCR was performed in a 20 μL
            (A/G) is located in the active enhancer region of SULT1A1.   reaction volume containing 30 – 50 ng of genomic DNA,
            Figure 1 illustrates a violin plot representing a genotype-  20 pM of each primer, and 10 μL of 2× GoTaq PCR Master
            specific expression of GSTA1 (left) and SULT1A1 (right)   Mix (Promega, United States) and nuclease-free water
            for varying genotypes of rs2207950 and rs743590  from   (Milli-Q grade) in a Biorad T100 thermocycler (Biorad,
            the GTEx portal. The plot illustrates the expression   United States). Following PCR amplification, products were
            distributions of homozygous reference, heterozygous, and   digested with the appropriate restriction enzymes, after
            homozygous alternative alleles in lung tissue. In this plot,   quality assessment via polyacrylamide gel electrophoresis
            major and minor alleles are represented by G and A, with   (PAGE),  following  the  manufacturer’s  protocol  (NEB,
            subject counts for each genotype. Statistically significant   United  States).  The  digested  PCR  products  were  then
            alterations in genotype-specific eQTLs are highlighted   electrophoresed  on 8%  polyacrylamide gels alongside  a
            (P-value).                                         100 bp DNA marker. Only PCR products showing a single

            2.2. Selection of study subjects, collection of blood   amplification product, with no non-specific amplification,
            samples, and isolation of DNA                      were  used  for  subsequent  RFLP  analysis  and  genotype
                                                               calling.
            This case–control analysis study included 101 lung cancer
            patients and 252 smoker controls, selected from a larger   For  the  GSTA1  rs2207950  variant  (229  bp),  PCR
            pool of 401 subjects as specified in Sengupta  et al.    products were digested with HaeIII (NEB, USA) at 37°C
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            Study participants were recruited from the Saroj Gupta   overnight. After digestion, the AA genotype yielded a
            Cancer Centre and Research Institute, while the controls   single 229 bp band; the AG genotype yielded fragments
            comprised smokers recruited from  the Department of   of 229  bp, 206  bp, and 23  bp, while the GG genotype
            Chest Medicine at IPGME&R in Kolkata, India. Clinico-  yielded fragments of 206 bp and 23 bp. For the SULT1A1
            radiologically established healthy smokers over 55  years   rs743590 variant (327 bp), PCR products were digested
            of age,  residing in the same geographical region as the   with BseYI (NEB, USA) at 37°C. The AA genotype
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            Volume 3 Issue 3 (2024)                         3                               doi: 10.36922/gpd.3928
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