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Synergistic effects of NAT2 slow and GSTM1 null genotypes on carcinogen DNA damage in the lung
Mi-Sun Lee1, Li Su, David C Christiani
1Environmental and Occupational Medicine and Epidemiology Program, Department of Environmental Health, Harvard School of Public Health, Boston, MA 02115, USA.
Background:
Polymorphisms in carcinogen detoxification enzymes, NAT2 and GSTM1, have been suggested as susceptibility factors for DNA damage and lung cancer. However, little information is available on DNA adduct burden in the lung tissue and polymorphisms in NAT2 and GST genes. We investigated the independent and combined effects of the metabolic gene polymorphisms of NAT2 and GSTs on DNA adduct formation in different tissues (lung and blood) in lung cancer patients.
Methods:
DNA adducts were measured in lung and blood by the (32)P-postlabeling assay. Multiple regression models were used to assess adjusted percent change in DNA adduct levels associated with GST and NAT2 genotypes.
Results:
After adjusting for potential confounders, as well as for other GST gene variants, lung adduct levels significantly increased by 150.3% [95% confidence interval (95% CI), 35.4-362.6%] for the GSTM1 null and by 73.9% (95% CI, -3.2% to 212.4%) for the NAT2 slow acetylator genotype, respectively. No association was seen with polymorphisms of other GST genes such as GSTT1 and GSTP1. The high-risk group, the combined GSTM1 null plus NAT2 slow, had significantly enhanced levels of lung adducts by 295% (95% CI, 72.7-803.5%) over those associated with single genes, suggesting a synergistic effect on DNA damage in the target lung tissue.
Conclusions:
The increase in DNA adduct levels in lung is associated with the GSTM1 null and NAT2 slow genotypes alone or in combination.
Impact:
These results suggest that GSTM1 and NAT2 genotypes play an independent and interactive role in the formation of carcinogen DNA adduct in the lung.
Insights
Genetic variations in NAT2 and GSTM1 influence DNA adduct levels in lung cancer patients. The combined effect of GSTM1 null and NAT2 slow genotypes significantly increases DNA damage in lung tissue.
Area of Science:
- Genetics
- Molecular Biology
- Cancer Research
Background:
- Polymorphisms in carcinogen-detoxifying enzymes like NAT2 and GSTM1 are implicated in cancer susceptibility.
- Limited data exists on the relationship between NAT2/GST gene polymorphisms and DNA adduct burden in lung tissue.
Purpose of the Study:
- To investigate the independent and combined effects of NAT2 and GST gene polymorphisms on DNA adduct formation in lung and blood of lung cancer patients.
Main Methods:
- DNA adducts were quantified using the (32)P-postlabeling assay in lung and blood samples.
- Multiple regression models analyzed the association between GST/NAT2 genotypes and DNA adduct levels, adjusting for confounders.
Main Results:
- GSTM1 null genotype was associated with a 150.3% increase in lung adducts; NAT2 slow acetylator genotype showed a 73.9% increase.
- No significant association was found with GSTT1 and GSTP1 polymorphisms.
- Combined GSTM1 null and NAT2 slow genotypes exhibited a synergistic effect, increasing lung adducts by 295%.
Conclusions:
- Increased DNA adduct levels in the lung are linked to GSTM1 null and NAT2 slow genotypes, both individually and in combination.
- GSTM1 and NAT2 genotypes play a significant role in carcinogen-induced DNA adduct formation in lung tissue, acting independently and interactively.
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