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Polymorphisms in CYP1A1 and ethnic-specific susceptibility to acute lymphoblastic leukemia in children
Ryan M Swinney1, Joke Beuten, Anderson B Collier
1Department of Pediatrics and Hamon Center for Therapeutic Oncology Research, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Insights
Genetic variations in CYP1A1 increase acute lymphoblastic leukemia (ALL) risk, particularly in Hispanic children. This is due to both higher susceptibility and more frequent occurrence of these gene variants in this population.
Area of Science:
- Genetics
- Epidemiology
- Environmental Health
Background:
- Acute lymphoblastic leukemia (ALL) is the most common childhood cancer.
- Hispanic children exhibit the highest incidence of ALL, with underlying causes including genetics and environmental factors remaining unclear.
- Previous research indicates a link between CYP1A1 variants and ALL risk.
Purpose of the Study:
- To investigate the role of CYP1A1 polymorphisms in ALL susceptibility across different ethnic groups.
- To determine if specific CYP1A1 variants contribute to the higher incidence of ALL observed in Hispanic children.
Main Methods:
- A case-control study was conducted involving Caucasian, Hispanic, and African-American children.
- Analysis focused on identifying associations between CYP1A1 gene polymorphisms and ALL risk.
Main Results:
- Homozygosity for CYP1A1*2C and CYP1A1*2B variants was associated with an increased risk of ALL in the overall sample.
- Stratified analysis revealed significantly increased ALL risk in Hispanic children with CYP1A1*2A, *2C, and *2B variants.
- Variant CYP1A1 alleles were more prevalent in Hispanic controls compared to Caucasian and African-American controls.
Conclusions:
- CYP1A1 polymorphisms may contribute to the elevated risk of ALL in Hispanic children.
- The findings highlight the interplay between genetic susceptibility, ethnic background, and environmental toxin exposure in ALL development.
- This study establishes a specific link between CYP1A1 variants, ethnicity, and ALL risk, potentially explaining disparities in environmental toxin susceptibility.
Background:
Acute lymphoblastic leukemia (ALL) is the most common childhood malignancy. The U.S. Surveillance Epidemiology and End Results (SEER) registry reports that Hispanic children have the highest incidence of ALL, however, it is unclear if this is due to genetic factors, unique environmental exposures, or both. Previous reports have shown an association between CYP1A1 variants and ALL.
Methods:
To explore the contribution of CYP1A1 polymorphisms to ALL susceptibility in different ethnic groups, we conducted a case-control analysis in Caucasian, Hispanic, and African-American children.
Results:
Increased risk of developing ALL was found in the whole sample group for homozygosity of variant alleles at CYP1A1*2C (OR 2.51, 95% CI 1.18-5.33, P = 0.016) and CYP1A1*2B (OR 3.24, 95% CI 1.43-7.34, P = 0.005). Stratified analyses showed increased risks in the Hispanic group (CYP1A1*2A, OR 2.70, 95% CI 1.27-5.74, P = 0.010; CYP1A1*2C, OR 2.47, 95% CI 1.13-5.38, P = 0.023; and CYP1A1*2B, OR 3.28, 95% CI 1.40-7.69, P = 0.006) but not for the other ethnic groups. Hispanic control subjects were significantly more likely to be carriers of variant alleles as compared to Caucasians (P < 0.0001) and African Americans (P = 0.005).
Conclusions:
Our study suggests that polymorphisms in CYP1A1 may contribute to the increased risk of ALL in Hispanic children due to both their impact on leukemia susceptibility and the increased prevalence of the at-risk alleles in the Hispanic population.
Impact:
Our study provides a novel and specific link between CYP1A1 polymorphisms and ethnic influence on ALL risk that may help explain varying susceptibilities across groups to environmental toxins.
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