Combined effects of gender, skin type and polymorphic genes on clinical phenotype: use of rate of increase in numbers of basal cell carcinomas as a model system

被引:37
作者
Ramachandran, S
Fryer, AA
Lovatt, TJ
Smith, AG
Lear, JT
Jones, PW
Strange, RC [1 ]
机构
[1] Keele Univ, N Staffordshire Hosp, Sch Med, Ctr Cell & Mol Med, Stoke On Trent ST4 7QB, Staffs, England
[2] Good Hope Hosp, Dept Biochem, Sutton Coldfield B75 7RR, W Midlands, England
[3] N Staffordshire Univ, Dept Dermatol, Stoke On Trent ST4 7QB, Staffs, England
[4] Dept Math, Stoke On Trent ST5 5HG, Staffs, England
关键词
basal cell carcinoma; cytochrome p450; tumor necrosis factor-alpha; vitamin D receptor; polymorphism;
D O I
10.1016/S0304-3835(02)00516-5
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Patients with a basal cell carcinomas (BCC) have an increased risk of further tumors. We studied the individual and combined impact of gender, skin type and allelic genes cytochrome P450 (CYP2D6), vitamin D receptor (VDR), tumor necrosis factor-alpha, TNF-alpha) on the rate of increase in BCC numbers after first presentation. Individually, male gender, skin type 1, CYP2D6 EM, VDR TT and TNF-alpha GG were associated with more BCC/year (rate ratio (RR) 1.20-1.36) while RR for associations of combinations of two, three and four variables were greater than in their reference categories (RR 1.32-1.90, 2.20-2.84, 3.065.49, respectively). The data show that different factors mediate the numbers of BCC/year in males and females and, the individual contributions of variables to risk is modest. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:175 / 181
页数:7
相关论文
共 19 条
[1]   THE VALIDITY AND PRACTICALITY OF SUN-REACTIVE SKIN TYPE-I THROUGH TYPE-VI [J].
FITZPATRICK, TB .
ARCHIVES OF DERMATOLOGY, 1988, 124 (06) :869-871
[2]   Who's afraid of epistasis? [J].
Frankel, WN ;
Schork, NJ .
NATURE GENETICS, 1996, 14 (04) :371-373
[3]   GLUTATHIONE-S-TRANSFERASE GSTM1 PHENOTYPES AND PROTECTION AGAINST CUTANEOUS TUMORS [J].
HEAGERTY, AHM ;
FITZGERALD, D ;
SMITH, A ;
BOWERS, B ;
JONES, P ;
FRYER, AA ;
ZHAO, L ;
ALLDERSEA, J ;
STRANGE, RC .
LANCET, 1994, 343 (8892) :266-268
[4]   Dopamine formation from tyramine by CYP2D6 [J].
Hiroi, T ;
Imaoka, S ;
Funae, Y .
BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, 1998, 249 (03) :838-843
[5]  
Karagas M, 1995, SKIN CANC MECH HUMAN, P79
[6]  
KRICKER A, 1993, 13 INT AG RES CANC, P52
[7]  
KRIPKE ML, 1994, CANCER RES, V54, P6102
[8]   What's wrong with Bonferroni adjustments [J].
Perneger, TV .
BRITISH MEDICAL JOURNAL, 1998, 316 (7139) :1236-1238
[9]   Basal cell carcinomas: association of allelic variants with a high-risk subgroup of patients with the multiple presentation phenotype [J].
Ramachandran, S ;
Fryer, AA ;
Smith, AG ;
Lear, JT ;
Bowers, B ;
Hartland, AJ ;
Whiteside, JR ;
Jones, PW ;
Strange, RC .
PHARMACOGENETICS, 2001, 11 (03) :247-254
[10]  
Ramachandran S, 2001, CANCER, V92, P354, DOI 10.1002/1097-0142(20010715)92:2<354::AID-CNCR1330>3.0.CO