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Tumor Discovery                                                SNPs rs9929218 and rs6983267 in Kurdish CRC



            Cadherin 1 (CDH1) gene and rs6983267 in the 8q24 region   This study aims to assess the prevalence of rs9929218 in
            are  two  such  variants  that  have  garnered  considerable   the CDH1 gene and rs6983267 in the 8q24 region among
            attention. 4,5                                     Kurdish CRC patients. By elucidating the distribution of
              The CDH1 gene encodes E-cadherin, a protein essential   these SNPs within a specific ethnic group, we aim to fill
            for cell-cell adhesion and the maintenance of epithelial   the existing research gap and enhance the understanding
            integrity. Mutations and polymorphisms in  CDH1 have   of CRC genetics. Furthermore, our findings may support
            been implicated in various cancers, including CRC,   the  advancement  of personalized  medicine  in  oncology,
            due  to  their  role  in  tumor  progression, invasion,  and   leading to improved outcomes for patients across diverse
            metastasis.  Specifically,  rs9929218  has  been  associated   populations.
            with an increased risk of colorectal adenomas and cancer.   2. Methods
            This variant may influence the expression or function of
            E-cadherin,  thereby contributing  to  tumorigenesis.  As   2.1. Sample populations
                                                      6,7
            a  biomarker, rs9929218 holds  potential  for  identifying   As part of a self-funded project, 290 blood samples
            individuals at higher risk for CRC and for informing   were collected from CRC patients at Hiwa Hospital in
            tailored prevention strategies. 8
                                                               Sulaymaniyah to investigate the presence of two SNPs. In
              The 8q24 region, often described as a “gene desert,” lacks   addition, 100 blood samples were obtained from healthy
            protein-coding genes but contains regulatory elements   individuals (54 males and 46 females), aged 37 – 79 years
            that  influence  the  expression  of  nearby  oncogenes,  such   (median age: 59). CRC cases were selected based on the
            as MYC. The SNP rs6983267, located in this region, has   availability of clinicopathological data and the presence
            been robustly linked to an elevated risk of several cancers,   of at least 50% tumor tissue in the biopsy specimens and
            including CRC.  Functional studies suggest that the G   tumor block. The clinicopathological characteristics of the
                         9,10
            allele of rs6983267 enhances the binding of transcription   CRC patients are presented in Table 1.
            factors, such as TCF7L2,  leading to increased MYC
            expression and subsequent tumorigenesis.  In addition,   2.2. DNA extraction
                                              11
            rs6983267’s role in long-range chromatin interactions   DNA was extracted from 0.4  mL of blood collected in
            underscores  the  importance  of  non-coding  regulatory   EDTA tubes using the QIAamp DNA Blood Kit (Qiagen,
            regions in cancer genetics. The association of this SNP with   Germany), following the manufacturer’s protocol. The
            CRC highlights the potential for targeting non-coding   extracted DNA was eluted in 100 µL of buffer and stored at
            elements in future therapeutic interventions. 12   −20°C until further use.
              Recent studies highlight the necessity of population-  2.3. Primer design and thermal cycling conditions
            specific research to enhance our understanding of the
            genetic epidemiology of CRC. 13-16  While polymorphisms   For detecting both SNPs in this study, single specific primer
            such  as  rs9929218  and  rs6983267  have  been  extensively   (SSP)-polymerase chain reaction (PCR) was employed.
            investigated, their prevalence and impact vary across ethnic   For each SNP, two forward primers were designed – one
            groups, and data remain limited for several populations.    specific for the mutant allele and another for the wild-type
                                                         15
            Most genetic association studies have predominantly   allele – along with a common reverse primer. This primer
            focused on European and East Asian populations,  leaving   design strategy  was applied to both  SNPs.  The  genomic
                                                   16
            the genetic landscape of understudied groups, such as the   sequences of both SNPs were obtained from the National
                                                                                             1
            Kurdish population, largely unexplored.            Center for Biotechnology Information . Primer design was
                                                               performed using Primer3 software . Primer specificity was
                                                                                          2
              The Kurdish population, characterized by its unique   evaluated using UCSC in silico PCR  and MFEprimer-2.0
                                                                                                             4
                                                                                            3
            genetic background and potential founder effects,   to exclude potential primer-dimer formations. To confirm
            presents an opportunity to investigate these associations   the results, a subset of samples containing both wild-type
            further. Understanding the distribution and role of   and mutant alleles was selected for direct, bidirectional
            rs9929218 and rs6983267 among Kurdish individuals   Sanger  sequencing.  Additional  primer  sets  were  used  to
            affected by CRC could provide valuable insights into   amplify the SNP regions for sequencing. PCR products
            the  genetic  underpinnings  of  CRC  in  this  population
            and contribute to the development of tailored screening   1   http://www.ncbi.nlm.nih.gov/pubmed/
            and prevention strategies. Addressing this gap through   2   http://biotools.umassmed.edu/bioapps/primer3_www.cgi
            diverse, population-based research is crucial for a more   3   http://genome.ucsc.edu/cgi-bin/hgPcr?command=start
            comprehensive understanding of CRC susceptibility and   4    http://biocompute.bmi.ac.cn/CZlab/MFEprimer-2.0/index.
            risk stratification.                                 cgi/check_dimer


            Volume 4 Issue 2 (2025)                         83                           doi: 10.36922/TD025110021
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