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LIFE09200604007 Tabish - Homi Bhabha National Institute

LIFE09200604007 Tabish - Homi Bhabha National Institute

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Discussion<br />

assess UADT MPN risk, by developing a genotype-phenotype correlation. It is believed<br />

that patients with MPN provide a genetically enriched resource of risk alleles and hence<br />

are ideal to study predisposition to cancer 200 . The correlation observed in the present<br />

study supports the notion that inherent deficiencies in response to carcinogen-induced<br />

DNA damage/repair, apoptosis and cell cycle control may contribute to the risk of<br />

developing UADT MPN and the risk is modulated by genetic polymorphisms in genes<br />

regulating these cellular events. Similar hypothesis has been tested by other groups in<br />

order to investigate the functional significance of genetic polymorphisms in conferring<br />

cancer risk by modulating intermediate phenotypes 49, 51, 52, 54, 55, 201 . These studies were<br />

conducted on patients with mostly lung cancer and also breast cancer and head and<br />

neck cancers and correlated polymorphism in either single gene or genes falling in<br />

single pathway, with occurrence of cancer.<br />

Generation of Lymphoblastoid cell lines<br />

One of the prime requisites for such long term genotype-phenotype correlation<br />

studies is the continuous supply of staring material. Therefore, we successfully<br />

generated continuously growing LCLs following infection of isolated PBLs with EBVcontaining<br />

supernatants from UADT MPN patients and cancer free, healthy, control<br />

individuals. Large scale population based studies requiring patient derived material<br />

have also been conducted using isolated lymphocytes, short term lymphocyte cultures<br />

or blood cultures 202-204 . However the major limitation of using isolated lymphocytes<br />

and short term lymphocytes cultures is that multiple experiments cannot be conducted<br />

on single sample due to limited sample availability. Also in such cases, repeated<br />

collection of the starting material from individuals becomes unethical as well as<br />

impractical, especially from patients who are lost to follow up or due to death of the<br />

subject during an ongoing study. Therefore the generation of EBV cell lines is a<br />

practical approach to tackle the limitation.<br />

LCL have been regularly used as source of basic biomolecules like DNA,<br />

including mitochondrial DNA, RNA and protein as well as for studies assessing DNA<br />

damage/repair and apoptosis 57, 61, 62, 70, 73, 74, 205, 206 . However, there are a couple of<br />

reports where the potential use of LCL as a surrogate of isolated lymphocytes has been<br />

questioned and re-evaluated by comparing the results with freshly isolated or<br />

cryopreserved lymphocytes 78-80, 207 . One of the reasons for occurrence of such variation<br />

observed between LCL and isolated or cryopreserved lymphocytes could be the use of<br />

136

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