A potential role for the XRCC2 R188H polymorphic site in DNA-damage repair and breast cancer

An acquired genetic instability, resulting from the loss of some types of DNA repair, is an early event in the development of a subset of human cancers. The involvement of BRCA1 and BRCA2 in the homologous recombination repair (HRR)ofdouble-strandbreaks inDNA implicates thispathway in thesuppressionofbreast cancer. A family of proteins related to human RAD51, including XRCC2, are essential components of this repair pathway. Using site-directedmutagenesis ofXRCC2, we show that non-conservative substitution or deletion of amino acid 188 of XRCC2 can significantly affect cellular sensitivity to DNA damage, and that a polymorphic variant at this site (R188H), present on 6 % of chromosomes in the population, has a weak effect on damage sensitivity. We tested the hypothesis that the R188H polymorphism could be a low-penetrance susceptibility factor for breast cancer, bygenotyping521womenwithbreast cancer anda total of 895controlwomen.Carriage of the rare allele of XRCC2 R188H was associated with breast cancer overall [odds ratio 1.3; 95 % confidence interval (CI) (1.0, 1.8)] and when younger-onset cases with a positive family history were compared with older controls with no family history [odds ratio 1.9; 95 % CI (1.0, 3.8)]. These results support the hypothesis that subtle variation in DNA repair capacity may influence cancer susceptibility in the population