Increased risk of acute myeloid leukaemia due to polymorphisms in detoxification and DNA repair enzymes

被引:59
作者
Voso, M. T. [1 ]
Fabiani, E. [1 ]
D'Alo, F. [1 ]
Guidi, F. [1 ]
Di Ruscio, A. [1 ]
Sica, S. [1 ]
Pagano, L. [1 ]
Greco, M. [1 ]
Hohaus, S. [1 ]
Leone, G. [1 ]
机构
[1] Univ Cattolica Sacro Cuore, Ist Ematol, I-00168 Rome, Italy
关键词
acute myeloid leukaemia; detoxification; DNA-repair; polymorphisms;
D O I
10.1093/annonc/mdm191
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Polymorphisms in genes involved in detoxification and DNA-repair pathways may modify the individual's risk for genomic damage, and, as a consequence, the risk of developing malignant diseases. Patients and methods: We performed a case-control study including 160 cases of acute myeloid leukaemia (AML) and 162 matched controls to test the impact of six genomic polymorphisms on the risk to develop AML and/or therapy-related AML. Results: We found a significantly higher prevalence of the polymorphic variants RAD51-G135C and CYP3A4-A-290G genes in AML cases, when compared with controls (P = 0.02 and P = 0.04), increasing the risk of AML 2.1-folds (95% CI: 1.1-4.0) and 3.2-fold (95% CI: 1.1-11.5), respectively. Carriers of both the RAD51-G135C and CYP3A4-A290G variants were at highest AML risk (P = 0.003; OR: 13,6; 95% CI: 2.0-585.5), suggesting a synergistic effect between these polymorphisms. Conclusions: These results suggest that polymorphic variants in DNA-repair and detoxification enzymes may co-operate in modulating the individual's risk of AML.
引用
收藏
页码:1523 / 1528
页数:6
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