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Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review ERCC1 (excision repair complementing defective repair in Chinese hamster) Ulla Vogel National Research Centre for the Working Environment, Lerso Parkalle 105, DK-2100 Copenhagen O, Denmark Published in Atlas Database: December 2006 Online updated version: http://AtlasGeneticsOncology.org/Genes/ERCC1ID40481ch19q13.html DOI: 10.4267/2042/38403 This work is licensed under a Creative Commons Attribution-Non-commercial-No Derivative Works 2.0 France Licence. © 2007 Atlas of Genetics and Cytogenetics in Oncology and Haematology heterodimer with XPF (also called ERCC4) to form the endonuclease which makes the 5’ incision during nucleotide excision repair. ERCC1 mRNA levels in lymphocytes correlate positively with DNA repair capacity measured by host cell reactivation. ERCC1 mRNA levels correlate closely with XPD, OGG1 and RAI mRNA levels in lymphocytes. In case-control studies of lung cancer patients, lung cancer patients were shown to have lower mRNA levels and lower DNA repair capacity than healthy controls. This was also found in a case-control study of head and neck cancer. However, in a prospective study of lung cancer, persons, who were later diagnosed with lung cancer did not have a lower ERCC1 mRNA level than those who did not get lung cancer, indicating that the low ERCC1 expression level observed in cancer patients may be a result of the disease rather than a cause. ERCC1 expression seems to be inducible at least at the mRNA level. Thus, the expression of ERCC1 in human lymphocytes correlated with increased solar influx indicating that UV irradiation may induce ERCC1 expression. In mice, X-ray irradiation lead to increased ERCC1 expression in lung tissue, and ingestion of diesel exhaust particles increased ERCC1 expression in liver. This indicates that ERCC1 expression is inducible, and thus that ERCC1 expression levels may rather be a biomarker of the internal dose of DNA damage than a biomarker of DNA repair capacity or a mix of the two. Identity Hugo: ERCC1 Location: 19q13.32. DNA/RNA Description 14 305 bp and 10 exons. Transcription 1,101 bps. Protein Description 297 amino acids. Expression ERCC1 is expressed at higher levels in tumor tissue compared to normal tissue and the expression shows more inter-individual variation among cancer patients than among healthy individuals. ERCC1 expression and ERCC1 protein levels in tumor tissue may predict response to chemotherapy. Thus, non-small cell lung cancer patients with undetectable ERCC1 protein levels in tumor tissue had a longer survival after cisplatinbased adjuvant chemotherapy than patients with detectable ERCC1 protein levels. However, high ERCC1 protein levels were associated with increased survival among patients who were not treated with chemotherapy. Function Mutations ERCC1 was originally identified as a gene that complemented a certain DNA repair defective Chinese Hamster Ovary cells (CHO) UV20. ERCC1 forms a Note: One of the most frequently studied polymorphisms in ERCC1 is ERCC1 Asn118Asn (rs11615). Homozygous carriers of the haplotype Atlas Genet Cytogenet Oncol Haematol. 2007;11(2) 93 ERCC1 (excision repair complementing defective repair in Chinese hamster) ERCC1 Asn118AsnA, ASE-1 G-21AG, PPP1R13L IVS1 A4364GA have been shown to be at increased risk of breast cancer and lung cancer. The ERCC1 Asn118Asn polymorphism was found not to correlate with mRNA levels. ERCC1 C8092A (rs3212986) was found to interact with smoking in relation to risk of lung cancer in a large case-control study. ERCC1 C8092A was found not to correlate with mRNA levels in peripheral blood cells. Colorectal cancer, small cell lung cancer, and non small cell lung cancer Disease Carriers of the variant allele of ERCC1 Asn118Asn were found to have a worse prognosis of colorectal cancer, small cell lung cancer and non-small cell lung cancer, whereas no association with risk of colorectal cancer has been found. References Implicated in Thompson LH, Mooney CL, Burkhart-Schultz K, Carrano AV, Siciliano MJ. Correction of a nucleotide-excision-repair mutation by human chromosome 19 in hamster-human hybrid cells. Somat Cell Mol Genet 1985;11(1):87-92. Breast cancer Prognosis Thus, women who were homozygous carriers of the haplotype had a 9.5-fold higher risk of breast cancer before 55 years of age than women who were not homozygous carriers. Older women and heterozygous carriers were not at an increased risk of breast cancer. Dabholkar M, Bostick-Bruton F, Weber C, Bohr VA, Egwuagu C, Reed E. ERCC1 and ERCC2 expression in malignant tissues from ovarian cancer patients. J Natl Cancer Inst 1992;19:1512-1517. Dabholkar M, Bostick-Bruton F, Weber C, Egwuagu C, Bohr VA, Reed E. Expression of excision repair genes in nonmalignant bone marrow from cancer patients. Mutation Research 1993;293:151-160. Lung cancer Dabholkar M, Vionnet J, Bostick-Bruton F, Yu JJ, Reed E. Messenger RNA levels of XPAC and ERCC1 in ovarian cancer tissue correlate with response to platinum-based chemotherapy. J Clin Invest 1994;94:703-708. Disease Homozygous carriers of the haplotype were found to be at 4.9-fold increased risk of lung cancer in the age interval 50-55 years. The association was stronger among women than among men, although the difference was not statistically significant. In subsequent study including more cases and a larger comparison group, a statistically significant difference between genders was found. Furthermore, it was found that the haplotype interacts with smoking intensity. Thus, among women, who were carriers of the haplotype, additional smoking at high smoking intensity (>20 cigarettes/day) was associated with increased lung cancer risk. This was not seen among women who were not homozygous carriers of the haplotype or among men. The haplotype was not associated with risk of testis cancer or with risk of colorectal adenomas or colorectal cancer. Furthermore, the haplotype was not associated with risk of basal cell carcinoma among older persons (>60 years).These results indicate that the haplotype may be associated with risk of cancer primarily among young and middle aged persons and that it may be specific for women. Matsunaga T, Mu D, Park CH, Reardon JT, Sancar A. Human DNA repair excision nuclease. Analysis of the roles of the subunits involved in dual incisions by using anti-XPG and antiERCC1 antibodies. J Biol Chem 1995;270(35):20862-20869. Park CH, Bessho T, Matsunaga T, Sancar A. Purification and characterization of the XPF-ERCC1 complex of human DNA repair excision nuclease. J Biol Chem 1995;270(39):2265722660. Wei Q, Cheng L, Hong WK, Spitz MR. Reduced DNA repair capacity in lung cancer patients. Cancer Research 1996;56:4103-4107. Cheng L, Spitz MR, Hong WK, Wei Q. Reduced expression levels of nucleotide excision repair genes in lung cancer: a case-control analysis. Carcinogenesis 2000;21(8):1527-1530. Vogel U, Dybdahl M, Frentz G, Nexo BA. DNA repair capacity: inconsistency between effect of over-expression of five NER genes and the correlation to mRNA levels in primary lymphocytes. Mutat Res 2000;461(3):197-210. Vogel U, Møller P, Dragsted L, Loft S, Pedersen A, Sandstrom B. Inter-individual variation, seasonal variation and close correlation of OGG1 and ERCC1 mRNA levels in full blood from healthy volunteers. Carcinogenesis 2002;23(9):15051509. Dybdahl M, Risom L, Moller P, Autrup H, Wallin H, Vogel U, Bornholdt J, Daneshvar B, Dragsted LO, Weimann A, Poulsen HE, Loft S. DNA adduct formation and oxidative stress in colon and liver of Big Blue rats after dietary exposure to diesel particles. Carcinogenesis 2003;24(11):1759-1766. Leukemia and bladder cancer Disease The variant allele of ERCC1 Asn118Asn has also been combined with the polymorphisms XPD Asp312Asn and XPD Lys752Gln in haplotype analysis. Here, the haplotype GAT was associated with increased risk of leukemia and bladder cancer among non-smokers and the ACC haplotype was associated with lowered risk of bladder cancer. Atlas Genet Cytogenet Oncol Haematol. 2007;11(2) Vogel U Nexo BA, Vogel U, Olsen A, Ketelsen T, Bukowy Z, Thomsen BL. Wallin H, Overvad K, Tjonneland A. A specific haplotype of single nucleotide polymorphisms on chromosome 19q13.2-3 encompassing the gene RAI is indicative of postmenopausal breast cancer before age 55. Carcinogenesis 2003;24(5):899904. Park DJ, Zhang W, Stoehlmacher J, Tsao-Wei D, Groshen S, Gil J, Yun J, Sones E, Mallik N, Lenz HJ. ERCC1 gene polymorphism as a predictor for clinical outcome in advanced 94 ERCC1 (excision repair complementing defective repair in Chinese hamster) colorectal cancer patients treated with platinum-based chemotherapy. Clin Adv Hematol Oncol 2003;1(3):162-166. Trichopoulou A, Palli D, Krogh V, Tumino R, Panico S, Buenode-Mesquita HB, Peeters PH, Lund E, Pera G, Martinez C, Dorronsoro M, Barricarte A, Tormo MJ, Quiros JR, Day NE, Key TJ, Saracci R, Kaaks R, Riboli E, Vineis P. DNA repair polymorphisms and cancer risk in non-smokers in a cohort study. Carcinogenesis 2006;27(5):997-1007. Risom L, Dybdahl M, Bornholdt J, Vogel U, Wallin H, Moller P, Loft S. Oxidative DNA damage and defence gene expression in the mouse lung after short-term exposure to diesel exhaust particles by inhalation. Carcinogenesis 2003;24(11):18471852. Moreno V, Gemignani F, Landi S, Gioia-Patricola L, Chabrier A, Blanco I, Gonzalez S, Guino E, Capella G, Canzian F. Polymorphisms in genes of nucleotide and base excision repair: risk and prognosis of colorectal cancer. Clin Cancer Res 2006;12(7 Pt 1):2101-2108. Isla D, Sarries C, Rosell R, Alonso G, Domine M, Taron M, Lopez-Vivanco G, Camps C, Botia M, Nunez L, SanchezRonco M, Sanchez JJ, Lopez-Brea M, Barneto I, Paredes A, Medina B, Artal A, Lianes P. Single nucleotide polymorphisms and outcome in docetaxel-cisplatin-treated advanced nonsmall-cell lung cancer. Ann Oncol 2004;15(8):1194-1203. Olaussen KA, Dunant A, Fouret P, Brambilla E, Andre F, Haddad V, Taranchon E, Filipits M, Pirker R, Popper HH, Stahel R, Sabatier L, Pignon JP, Tursz T, Le Chevalier T, Soria JC. DNA repair by ERCC1 in non-small-cell lung cancer and cisplatin-based adjuvant chemotherapy. N Engl J Med 2006;355(10):983-991. Ryu JS, Hong YC, Han HS, Lee JE, Kim S, Park YM, Kim YC, Hwang TS. Association between polymorphisms of ERCC1 and XPD and survival in non-small-cell lung cancer patients treated with cisplatin combination chemotherapy. Lung Cancer 2004;44(3):311-316. Saebo M, Skjelbred CF, Nexo BA, Wallin H, Hansteen IL, Vogel U, Kure EH. Increased mRNA expression levels of ERCC1, OGG1 and RAI in colorectal adenomas and carcinomas. BMC Cancer 2006;6:208. Vogel U, Laros I, Jacobsen NR, Thomsen BL, Bak H, Olsen A, Bukowy Z, Wallin H, Overvad K, Tjonneland A, Nexo BA, Raaschou-Nielsen O. Two regions in chromosome 19 q13.2-3 are associated with risk of lung cancer. Mutation Research 2004;546:65-74. Skjelbred CF, Saebo M, Nexo BA, Wallin H, Hansteen IL, Vogel U, Kure EH. Effects of polymorphisms in ERCC1, ASE-1 and RAI on the risk of colorectal carcinomas and adenomas: a case control study. BMC Cancer 2006;6:175. Laska MJ, Nexo BA, Vistisen K, Poulsen HE, Loft S, Vogel U. Polymorphisms in RAI and in genes of nucleotide and base excision repair are not associated with risk of testicular cancer. Cancer Lett 2005;225(2):245-251. Vogel U, Nexo BA, Tjonneland A, Wallin H, Hertel O, Raaschou-Nielsen O. ERCC1, XPD and RAI mRNA levels in lymphocytes are not associated with lung cancer risk in a prospective study of Danes. Mutat Res 2006a;593(1-2):88-96. Matullo G, Guarrera S, Sacerdote C, Polidoro S, Davico L, Gamberini S, Karagas M, Casetta G, Rolle L, Piazza A, Vineis P. Polymorphisms/haplotypes in DNA repair genes and smoking: a bladder cancer case-control study. Cancer Epidemiol Biomarkers Prev 2005;14(11 Pt 1):2569-2578. Vogel U, Sorensen M, Hansen RD, Tjonneland A, Overvad K, Wallin H, Nexo BA, Raaschou-Nielsen O. Gene-environment interactions between smoking and a haplotype of RAI, ASE-1 and ERCC1 polymorphisms among women in relation to risk of lung cancer in a population-based study. Cancer Lett 2006b;247:159-165. Vogel U, Olsen A, Wallin H, Overvad K, Tjonneland A, Nexo BA. Effect of polymorphisms in XPD, RAI, ASE-1 and ERCC1 on the risk of basal cell carcinoma among Caucasians after age 50. Cancer Detect Prev 2005;29(3):209-214. Yang M, Kim WH, Choi Y, Lee SH, Kim KR, Lee HS, Tae K. Effects of ERCC1 expression in peripheral blood on the risk of head and neck cancer. Eur J Cancer Prev 2006;15(3):269-273. Zhou W, Liu G, Park S, Wang Z, Wain JC, Lynch TJ, Su L, Christiani DC. Gene-Smoking Interaction Associations for the ERCC1 Polymorphisms in the Risk of Lung Cancer. Cancer Epidemiol Biomarkers Prev 2005;14(2):491-496. This article should be referenced as such: Vogel U. ERCC1 (excision repair complementing defective repair in Chinese hamster). Atlas Genet Cytogenet Oncol Haematol.2007;11(2):93-95. Matullo G, Dunning AM, Guarrera S, Baynes C, Polidoro S, Garte S, Autrup H, Malaveille C, Peluso M, Airoldi L, Veglia F, Gormally E, Hoek G, Krzyzanowski M, Overvad K, RaaschouNielsen O, Clavel-Chapelon F, Linseisen J, Boeing H, Atlas Genet Cytogenet Oncol Haematol. 2007;11(2) Vogel U 95