The role of endothelial nitric oxide synthase gene polymorphisms in patients with lung cancer

Clin Respir J. 2020 Oct;14(10):948-955. doi: 10.1111/crj.13228. Epub 2020 Jul 20.

Abstract

Objectives: Lung cancer is a disease characterized by uncontrolled cell growth in the lung tissues. The most common causes of lung cancer include smoking, exposure to radon gas, asbestos, environmental pollutants as well as genetic factors. Nitric oxide (NO) has potential mutagenic and carcinogenic activity and may play an important role in lung cancer. Endothelial NO, synthesized from L-arginine by endothelial NO synthase (eNOS), inhibits apoptosis and promotes angiogenesis and tumor cell proliferation. The aim of the present study was to examine the possible relationship between eNOS gene intron 4 variable number of tandem repeat (VNTR) and exon 7-G894T (Glu298Asp) polymorphisms and lung cancer risk.

Methods: DNA was extracted from peripheral blood leukocytes of 107 lung cancer patients and 100 control subjects. Designated polymorphisms were identified by polymerase chain reaction (PCR) and/or restriction fragment length polymorphism (RFLP).

Results: Our study showed that the frequencies of the b/b genotype and b allele of eNOS gene intron 4 VNTR polymorphism were significantly higher in lung cancer patients than in controls (P < 0.05). However, there was no significant association between eNOS gene G894T polymorphism and lung cancer risk (P > 0.05).

Conclusion: These results suggest that the presence of the intron 4 VNTR* b allele and b/b genotype may be a genetic risk factor for development of lung cancer. Further larger-scale studies are needed to confirm these findings.

Keywords: endothelial nitric oxide synthase; lung cancer; nitric oxide; polymorphism.

MeSH terms

  • Case-Control Studies
  • Gene Frequency
  • Genotype
  • Humans
  • Lung Neoplasms* / genetics
  • Minisatellite Repeats
  • Nitric Oxide
  • Nitric Oxide Synthase Type III* / genetics
  • Polymorphism, Genetic

Substances

  • Nitric Oxide
  • Nitric Oxide Synthase Type III