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      Role of monoamine-oxidase-A-gene variation in the development of glioblastoma in males: a case control study

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          Abstract

          Background

          The Mono-amine oxidase-A (MAO-A) enzyme is involved in the degradation and regulation of catecholamines such as serotonin, dopamine, epinephrine and nor-epinephrine. Preclinical studies suggest that this enzyme may contribute to an environment favorable for growth of malignant glioma. The MAO-A gene is located on the X-chromosome and has at least one functional genetic polymorphism. The aim of the present study was to explore possible effects of MAO-A genotype on development of glioblastoma in males.

          Methods

          Genotypes for 437 glioma cases and 876 population-based controls from the Swedish Glioma International Case–Control study (GICC) were compared. We analyzed the germline DNA using the Illumina Oncoarray. We selected seven single nucleotide polymorphisms (SNPs) located in the MAO-A gene, and imputed genotypes based on data from the 1000 genomes project. We used 1579 male glioblastoma cases and 1875 controls comprising the whole GICC cohort for subsequent validation of findings.

          Results

          The rs144551722 SNP was a significant predictor of development of glioblastoma in males (p-value = 0.0056) but not in females even after correction for multiple testing. We conducted haplotype analysis to confirm an association between MAO-A gene and risk of glioblastoma (p-value = 0.016). We found similar results in the validation sample.

          Conclusions

          These results suggest the possibility of a role for the MAO-A enzyme and the MAO-A gene in the development of glioblastoma in males.

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          Most cited references22

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          A functional polymorphism in the monoamine oxidase A gene promoter.

          We describe a new polymorphism upstream of the gene for monoamine oxidase A (MAOA), an important enzyme in human physiology and behavior. The polymorphism, which is located 1.2 kb upstream of the MAOA coding sequences, consists of a 30-bp repeated sequence present in 3, 3.5, 4, or 5 copies. The polymorphism is in linkage disequilibrium with other MAOA and MAOB gene markers and displays significant variations in allele frequencies across ethnic groups. The polymorphism has been shown to affect the transcriptional activity of the MAOA gene promoter by gene fusion and transfection experiments involving three different cell types. Alleles with 3.5 or 4 copies of the repeat sequence are transcribed 2-10 times more efficiently than those with 3 or 5 copies of the repeat, suggesting an optimal length for the regulatory region. This promoter region polymorphism may be useful as both a functional and an anonymous genetic marker for MAOA.
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            Abnormal behavior associated with a point mutation in the structural gene for monoamine oxidase A

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              Neural mechanisms of genetic risk for impulsivity and violence in humans.

              Neurobiological factors contributing to violence in humans remain poorly understood. One approach to this question is examining allelic variation in the X-linked monoamine oxidase A (MAOA) gene, previously associated with impulsive aggression in animals and humans. Here, we have studied the impact of a common functional polymorphism in MAOA on brain structure and function assessed with MRI in a large sample of healthy human volunteers. We show that the low expression variant, associated with increased risk of violent behavior, predicted pronounced limbic volume reductions and hyperresponsive amygdala during emotional arousal, with diminished reactivity of regulatory prefrontal regions, compared with the high expression allele. In men, the low expression allele is also associated with changes in orbitofrontal volume, amygdala and hippocampus hyperreactivity during aversive recall, and impaired cingulate activation during cognitive inhibition. Our data identify differences in limbic circuitry for emotion regulation and cognitive control that may be involved in the association of MAOA with impulsive aggression, suggest neural systems-level effects of X-inactivation in human brain, and point toward potential targets for a biological approach toward violence.
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                Author and article information

                Contributors
                +46 90 785 00 00 , Rickard.sjoberg@umu.se
                Journal
                J Neurooncol
                J. Neurooncol
                Journal of Neuro-Oncology
                Springer US (New York )
                0167-594X
                1573-7373
                25 September 2019
                25 September 2019
                2019
                : 145
                : 2
                : 287-294
                Affiliations
                [1 ]GRID grid.12650.30, ISNI 0000 0001 1034 3451, Department of Clinical Science, Neuroscience, , Umeå University, ; Umeå, Sweden
                [2 ]GRID grid.412215.1, ISNI 0000 0004 0623 991X, Department of Neurosurgery, , University Hospital of Northern Sweden, ; 901 85 Umeå, Sweden
                [3 ]GRID grid.12650.30, ISNI 0000 0001 1034 3451, Department of Radiation Sciences, Oncology, , Umeå University, ; Umeå, Sweden
                [4 ]GRID grid.39382.33, ISNI 0000 0001 2160 926X, Department of Medicine, Section of Epidemiology and Population Sciences, Dan L. Duncan Comprehensive Cancer Center, , Baylor College of Medicine, ; Houston, TX USA
                Author information
                http://orcid.org/0000-0002-8258-0699
                Article
                3294
                10.1007/s11060-019-03294-w
                6856259
                31556016
                2a34fb1d-167c-4e86-a629-4f9e758a7e79
                © The Author(s) 2019

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 1 August 2019
                : 16 September 2019
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100004886, Cancer Research Foundation in Northern Sweden;
                Funded by: FundRef http://dx.doi.org/10.13039/100000054, National Cancer Institute;
                Award ID: R01CA139020
                Award Recipient :
                Categories
                Clinical Study
                Custom metadata
                © Springer Science+Business Media, LLC, part of Springer Nature 2019

                Oncology & Radiotherapy
                maoa genetics glioblastoma males
                Oncology & Radiotherapy
                maoa genetics glioblastoma males

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