Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2007-10-31
pubmed:abstractText
Methylenetetrahydrofolate reductase (MTHFR) plays a central role in the metabolism of folate, which provides a methyl donor for DNA methylation and deoxynucleoside synthesis. We performed a case-control study to explore the relationship between two common MTHFR polymorphisms (C677T and A1298C), their combination and interaction with environmental exposures, on gastric adenocarcinoma susceptibility and progression in an Italian population. One hundred and two cases and 254 hospital controls, matched by age and gender, were enrolled. Individuals carrying the MTHFR 677T allele showed an increased risk of gastric cancer (odds ratio (OR) 1.62, 95% confidence interval (CI) 0.98-2.67), particularly among ever smokers (OR 2.10, 95% CI 1.07-5.33) and, among 677 TT individuals, those with a low intake of fruit and vegetables (OR 2.18, 95% CI 1.05-4.54). The strongest effect, however, was noted for the MTHFR 677 TT genotype among the diffuse gastric cancer histotype (OR 2.92, 95% CI 1.12-7.60). No association was detected for the effect of MTHFR A1298C polymorphism. Survival analysis did not show any association between each polymorphism on the overall survival, although when the analysis was restricted to the first year of follow-up after the surgical intervention an improved survival was noted among MTHFR 677 CC subjects compared with the T allele carriers (p value for log-rank test 0.02). In conclusion, MTHFR 677 (any T genotype) appears to modulate an individual's susceptibility to gastric cancer, particularly when combined with cigarette smoking and among those with a low intake of fruit and vegetables. Our results also suggest that an aberrant DNA methylation pattern, through impaired folate metabolism, might play a key role in gastric carcinogenesis. A possible survival effect of the MTHFR C677T genotype in gastric cancer patients deserves further investigations with larger sample sizes.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1354-750X
pubmed:author
pubmed:issnType
Print
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
635-44
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:17972183-Adenocarcinoma, pubmed-meshheading:17972183-Aged, pubmed-meshheading:17972183-Alcohol Drinking, pubmed-meshheading:17972183-Case-Control Studies, pubmed-meshheading:17972183-DNA Methylation, pubmed-meshheading:17972183-Diet, pubmed-meshheading:17972183-Follow-Up Studies, pubmed-meshheading:17972183-Gene Expression Regulation, Enzymologic, pubmed-meshheading:17972183-Gene Expression Regulation, Neoplastic, pubmed-meshheading:17972183-Genetic Predisposition to Disease, pubmed-meshheading:17972183-Humans, pubmed-meshheading:17972183-Italy, pubmed-meshheading:17972183-Kaplan-Meier Estimate, pubmed-meshheading:17972183-Methylenetetrahydrofolate Reductase (NADPH2), pubmed-meshheading:17972183-Middle Aged, pubmed-meshheading:17972183-Odds Ratio, pubmed-meshheading:17972183-Polymorphism, Single Nucleotide, pubmed-meshheading:17972183-Proportional Hazards Models, pubmed-meshheading:17972183-Risk Assessment, pubmed-meshheading:17972183-Risk Factors, pubmed-meshheading:17972183-Smoking, pubmed-meshheading:17972183-Stomach Neoplasms, pubmed-meshheading:17972183-Time Factors, pubmed-meshheading:17972183-Treatment Outcome
pubmed:articleTitle
Methylenetetrahydrofolate reductase C677T and A1298C polymorphisms and susceptibility to gastric adenocarcinoma in an Italian population.
pubmed:affiliation
Institute of Hygiene, Rome, Italy. sboccia@rm.unicatt.it
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't