BACKGROUND
p53 plays a critical role in cellular anti-cancer mechanisms, and has been correlated with second primary malignancy (SPM) development. A common polymorphism in codon 72 of the p53 results in an amino acid substitution and could influence p53 function. We hypothesized that p53 codon 72 polymorphism may be associated with risk of SPMs and SPM-free survival among patients with squamous cell carcinoma of the head and neck (SCCHN).
METHODS
A total of 1,271 patients, who were diagnosed with incident SCCHN between May 1995 and January 2007, were genotyped and followed for SPM development. Log-rank test and Cox proportional hazard models were used to compare SPM-free survival and SPM risk between the different genotype groups.
RESULTS
We found a significantly reduced SPM-free survival for patients with variant Pro72 allele compared with patients with Arg 72 homozygous genotype (Log-rank test, p = 0.005). Compared to SCCHN patients with the p53 72Arg/Arg genotype, there was a significantly greater risk of SPM associated with the p53 72Arg/Pro genotype (HR, 1.75, 95% CI, 1.17–2.61) and the combined p53 72Arg/Pro + Pro/Pro (HR, 1.58, 95%CI, 1.07–2.34). Furthermore, stratification analyses showed that the risk of SPM associated with p53 variant genotypes (Arg/Pro + Pro/Pro) was more pronounced in several subgroups.
CONCLUSIONS
Our findings suggest that p53 codon 72 polymorphism could be a risk marker for genetic susceptibility to SPM of patients with primary SCCHN.