Abstract
Background:
Ovarian cancer is the most lethal gynecologic
cancer. Although most
patients respond adequately to the first-line
therapy, up to 85% experience a
recurrence of
disease, which carries a poor
prognosis. Mitotic arrest
deficiency 1 is a
protein that helps in the assembly of the
mitotic spindle assembly checkpoint by preventing
anaphase until all
chromatids are properly aligned. A single-
nucleotide polymorphism in the MAD1L1
gene is prevalent in
patients with advanced
epithelial ovarian cancer and alters the way in which it responds to
chemotherapy.
Objective:
The objective of the study was to study the relationship between the rs1801368 polymorphism of MAD1L1 and
prognosis of ovarian
adenocarcinoma.
Methods:
A total of 118
patients in whom the MAD1L1
gene was sequenced were analyzed using descriptive and comparative
statistics.
Results:
Patients carrying the wild-type
genotype had a higher distribution of early-stage
disease. Having a MAD1L1 polymorphic
allele increased the
risk of being non-sensitive to
chemotherapy. The median
disease-free survival for
patients with the wild-type MAD1L1 was 46.93 months, compared to 10.4 months for
patients with at least one polymorphic
allele.
Conclusions:
The rs1801368 polymorphism of MAD1L1
gene worsens
prognosis in
patients with ovarian
adenocarcinoma. Traditional
therapy for
ovarian cancer might not be optimal in
patients carrying this polymorphism.