Single Nucleotide Polymorphism (SNP)
represents a natural genetic variability found in high density in the human
genome. A SNP is characterized by an alternate nucleotide in a given and defined
genetic location at a frequency exceeding 1% in a given population. There has
been a growing recognition that large collections of mapped SNPs would provide
a powerful tool for human genetic studies. In a complex disease involving a
large number of genes such as cancer, SNPs with significant association with
the disease may be useful for developing diagnostic tools which can identify
individuals with higher susceptibility for disease manifestation and to
facilitate disease management and treatment.
The SNP Division intends to develop a genetic screen for cancer
predisposition that can be utilized as an early diagnostic tool and provide an
effective method of improving the outcome of cancer treatment by associating
SNPs in genes that are linked with cancer progression. Currently, our focus is
on liver cancer, colorectal cancer and brain tumor. For liver cancer study, we
seek to identify SNPs in the Alpha Fetoprotein (AFP) gene and analyze if the
polymorphic variations are associated with hepatocellular carcinoma
development. Using the candidate gene approach and making use of available SNP
data, we will screen for additional candidate genes that are associated with
liver cancer risk, progression and development. For colorectal cancer and brain
tumor study, we conduct SNP microarray to identify novel cancer susceptibility
loci in the whole genome. Statistical analysis is utilized to validate the
association of identified SNPs with the disease condition. Identifying and
evaluating of these functional SNPs shall contribute to a better knowledge of
cancer which shall increase understanding of the role of microenvironmental
factors in cancer development and improve the design studies that address
chemoprevention, biomarker discovery and appropriate therapy
Moreover, the SNP Division also seeks to study association of genetic variations in relation with drug response. By establishing an association between the genetic makeup of an individual and drug response, it is possible to develop a genome-based diet and medicines that are more effective and safer for each individual. At this stage, we intend to determine the association of gene polymorphisms with the dose requirement of warfarin, an oral anticoagulant drug in the prevention of thromboembolism for patients with venous and arterial thromboembolic disorders. Based on the genotypes for SNPs that are significantly associated with warfarin sensitivity, a predictive system could then be developed, that will enable a dose appropriate treatment for patients in Indonesia.