Genetic Associations of 115 Polymorphisms with Cancers of the Upper Aerodigestive Tract across 10 European Countries: The ARCAGE Project

被引:74
作者
Canova, Cristina [2 ]
Hashibe, Mia [1 ]
Simonato, Lorenzo [2 ]
Nelis, Mari [3 ]
Metspalu, Andres [3 ,4 ]
Lagiou, Pagona [5 ,6 ]
Trichopoulos, Dimitrios [5 ,6 ]
Ahrens, Wolfgang [7 ]
Pigeot, Iris [7 ]
Merletti, Franco [8 ,9 ]
Richiardi, Lorenzo [8 ,9 ]
Talamini, Renato [10 ]
Barzan, Luigi [11 ]
Macfarlane, Gary J. [12 ]
Macfarlane, Tatiana V. [12 ]
Holcatova, Ivana [13 ]
Bencko, Vladimir [13 ]
Benhamou, Simone [14 ,15 ]
Bouchardy, Christine [16 ]
Kjaerheim, Kristina [17 ]
Lowry, Ray [18 ]
Agudo, Antonio [19 ]
Castellsague, Xavier [19 ]
Conway, David I. [20 ,21 ]
McKinney, Patricia A. [21 ,22 ]
Znaor, Ariana [23 ]
McCartan, Bernard E. [24 ]
Healy, Claire M. [24 ]
Marron, Manuela [1 ]
Brennan, Paul [1 ]
机构
[1] Int Agcy Res Canc, F-69008 Lyon, France
[2] Univ Padua, Dept Environm Med & Publ Hlth, Padua, Italy
[3] Univ Tartu, Inst Mol & Cell Biol, Estonian Bioctr, Tartu, Estonia
[4] Univ Tartu, Estonian Genome Project, Tartu, Estonia
[5] Univ Athens, Sch Med, GR-11527 Athens, Greece
[6] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA
[7] Univ Bremen, Bremen Inst Prevent Res & Social Med, Bremen, Germany
[8] Univ Turin, Turin, Italy
[9] Ctr Expt Res & Med Studies, Unit Canc Epidemiol, Turin, Italy
[10] Aviano Canc Ctr, I-33081 Aviano, Italy
[11] Gen Hosp Pordenone, Pordenone, Italy
[12] Univ Aberdeen, Sch Med, Aberdeen AB9 2ZD, Scotland
[13] Charles Univ Prague, Fac Med 1, Inst Hyg & Epidemiol, Prague, Czech Republic
[14] Inst Natl Sante & Rech Med, U794, Paris, France
[15] Inst Gustave Roussy, CNRS, FRE2939, Villejuif, France
[16] Canc Registry, Geneva, Switzerland
[17] Canc Registry Norway, Oslo, Norway
[18] Univ Newcastle, Newcastle Upon Tyne, Tyne & Wear, England
[19] Inst Catala Oncol, Barcelona, Spain
[20] Univ Glasgow, Sch Dent, Glasgow, Lanark, Scotland
[21] Natl Serv Scotland, Informat Serv Div, Natl Hlth Serv, Edinburgh, Midlothian, Scotland
[22] Univ Leeds, Leeds, W Yorkshire, England
[23] Croatian Natl Inst Publ Hlth, Croatian Natl Canc Registry, Zagreb, Croatia
[24] Univ Dublin Trinity Coll, Sch Dent Sci, Dublin 2, Ireland
关键词
SQUAMOUS-CELL CARCINOMA; TUMOR-NECROSIS-FACTOR; LUNG-CANCER; ESOPHAGEAL CANCER; XENOBIOTIC METABOLISM; HEAD; RISK; NECK; TOBACCO; CARCINOGENESIS;
D O I
10.1158/0008-5472.CAN-08-2604
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cancers of the upper aerodigestive tract (UADT) include malignant tumors of the oral cavity, pharynx, larynx, and esophagus and account for 6.4% of all new cancers in Europe. In the context of a multicenter case-control study conducted in 14 centers within 10 European countries and comprising 1,511 cases and 1,457 controls (ARCAGE study), 115 single nucleotide polymorphisms (SNP) from 62 a priori-selected genes were studied in relation to UADT cancer. We found 11 SNPs that were statistically associated with UADT cancers overall (5.75 expected). Considering the possibility of false-positive results, we focused on SNPs in CYP2A6, MDM2, tumor necrosis factor (TNF), and gene amplified in squamous cell carcinoma 1 (GASC1), for which low P values for trend (P trend < 0.01) were observed in the main effects analyses of UADT cancer overall or by subsite. The rare variant of CYP2A6 -47A>C (rs28399433), a phase 1 metabolism gene, was associated with reduced UADT cancer risk (P trend = 0.01). Three SNPs in the,MDM2 gene, involved in cell cycle control, were associated with UADT cancer. MDM2 IVS5+1285A>G (rs3730536) showed a strong codominant effect (P trend = 0.007). The rare variants of two SNPs in the TNF gene were associated with a decreased risk; for TNF IVS1+123G>A (rs1800610), the P trend was 0.007. Variants in two SNPs of GASC1 were found to be strongly associated with increased UADT cancer risk (for both, P trend = 0.008). This study is the largest genetic epidemiologic study on UADT cancers in Europe. Our analysis points to potentially relevant genes in various pathways. [Cancer Res 2009;69(7):2956-65]
引用
收藏
页码:2956 / 2965
页数:10
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