Polymorphisms in DNA repair genes, smoking, and pancreatic adenocarcinoma risk

Cancer Res. 2008 Jun 15;68(12):4928-35. doi: 10.1158/0008-5472.CAN-07-5539. Epub 2008 Jun 10.

Abstract

Base excision repair and nucleotide excision repair are vital responses to multiple types of DNA damage, including damage from tobacco exposure. Single-nucleotide polymorphisms (SNP) in these pathways may affect DNA repair capacity and therefore influence risk for cancer development. We performed a clinic-based, case-control study comprising 481 consecutive patients with confirmed pancreatic adenocarcinoma and 625 healthy controls. Allele and genotype frequencies for 16 SNPs in DNA repair genes ERCC1, XPD/ERCC2, XPC, XPF/ERCC4, OGG1, and XRCC1 were compared after adjusting for age, sex, and smoking history. Subgroup analysis by sex and smoking history was performed. Carriers of one or two XPF/ERCC4 minor alleles at R415Q had decreased risk of pancreatic adenocarcinoma compared with those who had two major alleles [odds ratio (OR), 0.59; 95% confidence interval (95% CI), 0.40-0.85]. Heavy smokers (>40 pack-years) had increased risk for cancer if they were carriers of at least one minor allele for XPD/ERCC2 at D312N (OR, 2.78; 95% CI, 1.28-6.04) or D711D (OR, 2.19; 95% CI, 1.01-4.73). No other significant differences in risk were identified. Minor alleles in DNA repair genes XPF/ERCC4 and XPD/ERCC2 were associated with altered risk for pancreatic cancer.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adenocarcinoma / epidemiology*
  • Adenocarcinoma / genetics
  • Aged
  • Case-Control Studies
  • DNA Damage
  • DNA Repair / genetics*
  • DNA-Binding Proteins / genetics*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pancreatic Neoplasms / epidemiology*
  • Pancreatic Neoplasms / genetics
  • Polymorphism, Single Nucleotide / genetics*
  • Prospective Studies
  • Risk Factors
  • Smoking / adverse effects*

Substances

  • DNA-Binding Proteins