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Inherited polymorphisms in hyaluronan synthase 1 predict risk of systemic B-cell malignancies but not of breast cancer.
[waldenström macroglobulinemia]
Genetic
variations
in
the
hyaluronan
synthase
1
gene
(
HAS
1
)
influence
HAS
1
aberrant
splicing
.
HAS
1
is
aberrantly
spliced
in
malignant
cells
from
multiple
myeloma
(
MM
)
and
Waldenstrom
macroglobulinemia
(
WM
)
,
but
not
in
their
counterparts
from
healthy
donors
.
The
presence
of
aberrant
HAS
1
splice
variants
predicts
for
poor
survival
in
multiple
myeloma
(
MM
)
.
We
evaluated
the
influence
of
inherited
HAS
1
single
nucleotide
polymorphisms
(
SNP
)
on
the
risk
of
having
a
systemic
B
cell
malignancy
in
1414
individuals
compromising
832
patients
and
582
healthy
controls
,
including
familial
analysis
of
an
Icelandic
kindred
.
We
sequenced
HAS
1
gene
segments
from
181
patients
with
MM
,
98
with
monoclonal
gammopathy
of
undetermined
significance
(
MGUS
)
,
72
with
Waldenstrom
macroglobulinemia
(
WM
)
,
169
with
chronic
lymphocytic
leukemia
(
CLL
)
,
as
well
as
34
members
of
a
monoclonal
gammopathy-prone
Icelandic
family
,
212
age-matched
healthy
donors
and
a
case-control
cohort
of
295
breast
cancer
patients
with
353
healthy
controls
.
Three
linked
single
nucleotide
polymorphisms
(
SNP
)
in
HAS
1
intron
3
are
significantly
associated
with
B-
cell
malignancies
(
range
p
 
=
 
0
.
007
to
p
 
=
 
10
(
-
5
)
)
,
but
not
MGUS
or
breast
cancer
,
and
predict
risk
in
a
34
member
Icelandic
family
(
p
 
=
 
0
.
005
,
Odds
Ratio
 
=
 
5
.
8
(
OR
)
)
,
a
relatively
homogeneous
cohort
.
In
contrast
,
exon
3
SNPs
were
not
significantly
different
among
the
study
groups
.
Pooled
analyses
showed
a
strong
association
between
the
linked
HAS
1
intron
3
SNPs
and
B-
cell
malignancies
(
OR
 
=
 
1
.
78
)
,
but
not
for
sporadic
MGUS
or
for
breast
cancer
(
OR
<
1
.
0
)
.
The
minor
allele
genotypes
of
HAS
1
SNPs
are
significantly
more
frequent
in
MM
,
WM
,
CLL
and
in
affected
members
of
a
monoclonal
gammopathy-prone
family
than
they
are
in
breast
cancer
,
sporadic
MGUS
or
healthy
donors
.
These
inherited
changes
may
increase
the
risk
for
systemic
B-
cell
malignancies
but
not
for
solid
tumors
.
Diseases
Validation
Diseases presenting
"single nucleotide polymorphisms"
symptom
adrenomyeloneuropathy
alpha-thalassemia
benign recurrent intrahepatic cholestasis
congenital adrenal hyperplasia
dentin dysplasia
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
hirschsprung disease
neonatal adrenoleukodystrophy
oculocutaneous albinism
oligodontia
pendred syndrome
primary effusion lymphoma
scrub typhus
triple a syndrome
waldenström macroglobulinemia
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