Isothiocyanate exposure, glutathione S-transferase polymorphisms, and colorectal cancer risk

Gong Yang1, Yu-Tang Gao, Xiao-Ou Shu

  • 1Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA. gong.yang@vanderbilt.edu

Abstract

Insights

High urinary isothiocyanate levels may reduce colorectal cancer risk, particularly for individuals with specific Glutathione S-transferase (GST) gene variations (GSTM1 and GSTT1 null genotypes). This suggests a potential protective effect modified by genetic factors.

Area of Science:

  • Nutritional Epidemiology
  • Cancer Prevention
  • Pharmacogenomics

Background:

  • Isothiocyanates from cruciferous vegetables show anticarcinogenic potential in lab studies.
  • Glutathione S-transferases (GSTs) metabolize isothiocyanates, and genetic variations may influence their activity.

Purpose of the Study:

  • To prospectively assess the link between urinary isothiocyanate levels and colorectal cancer risk.
  • To investigate if GST genotypes modify this association.

Main Methods:

  • A nested case-control study within the Shanghai Women's Health Study.
  • Involved 322 colorectal cancer cases and 1251 controls.
  • Measured urinary isothiocyanate concentrations and analyzed GSTM1/GSTT1 genotypes.

Main Results:

  • Urinary isothiocyanates showed an inverse association with colorectal cancer risk.
  • This inverse association was significant for GSTM1-null and GSTT1-null genotypes.
  • The strongest protective effect (OR 0.51) was observed in individuals with both null genotypes for GSTM1 and GSTT1.

Conclusions:

  • Isothiocyanate exposure appears to lower colorectal cancer risk.
  • The protective effect of isothiocyanates is significantly modified by GSTM1 and GSTT1 genetic variations.

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