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Association between folate metabolism polymorphisms and breast cancer: a case-control study
Ist Teil von
Genetics and molecular biology, 2021-01, Vol.44 (4), p.e20200485-e20200485
Ort / Verlag
Sociedade Brasileira de Genética
Erscheinungsjahr
2021
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
We investigated the association between methylenetetrahydrofolate reductase (
MTHFR
C677T and A1298C), methionine synthetase (
MTR
A2756G), and methionine synthase reductase (
MTRR
A66G) polymorphisms involved in folate pathway and breast cancer risk, and the interaction between these polymorphisms and tobacco and alcohol consumption. Furthermore, we evaluated the association between these polymorphisms and clinicopathological variables. This case-control study included 606 Brazilian women, comprising 128 patients with breast cancer and 478 controls.
MTHFR
and MTR polymorphisms were genotyped using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and
MTRR
polymorphisms using real-time PCR. Age ≥50 years (odds ratio [OR]: 2.65; 95% confidence interval [CI]: 1.65-4.26;
p
<0.001) and alcohol consumption (OR: 1.76; 95% CI: 1.0-2.85;
p
=0.021) were associated with an increased risk of breast cancer. For
MTHFR
A1298C, we observed a reduced risk of developing breast cancer in the codominant model (genotype CC-OR: 0.22; 95% CI: 0.06-0.74;
p
=0.014), recessive model (OR: 0.22; 95% CI: 0.07-0.76
p
=0.004), and log-additive model (OR: 0.70; 95% CI: 0.49-0.98;
p
=0.035). Women aged ≥50 years and those who are alcohol consumers had increased susceptibility to breast cancer, and
MTHFR
A1298C modulated the risk for this disease. This is the first study to evaluate the association between polymorphisms in folate metabolism and breast cancer in the northwest region of São Paulo State, Brazil.