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Molecular epidemiology of DNA repair gene polymorphisms and head and neck cancer
Meilin Wang1, Haiyan Chu, Zhengdong Zhang
1Department of Genetic Toxicology, the Key Laboratory of Modern Toxicology of Ministry of Education, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu 211166, China; ; Department of Environmental Genomics, Jiangsu Key Laboratory of Cancer Biomarkers, Prevention and Treatment, Cancer Center, Nanjing Medical University, Nanjing, Jiangsu 211166, China;
Abstract:
Although tobacco and alcohol consumption are two common risk factors of head and neck cancer (HNC), other specific etiologic causes, such as viral infection and genetic susceptibility factors, remain to be understood. Human DNA is often damaged by numerous endogenous and exogenous mutagens or carcinogens, and genetic variants in interaction with environmental exposure to these agents may explain interindividual differences in HNC risk. Single nucleotide polymorphisms (SNPs) in genes involved in the DNA damage-repair response are reported to be risk factors for various cancer types, including HNC. Here, we reviewed epidemiological studies that have assessed the associations between HNC risk and SNPs in DNA repair genes involved in base-excision repair, nucleotide-excision repair, mismatch repair, double-strand break repair and direct reversion repair pathways. We found, however, that only a few SNPs in DNA repair genes were found to be associated with significantly increased or decreased risk of HNC, and, in most cases, the effects were moderate, depending upon locus-locus interactions among the risk SNPs in the pathways. We believe that, in the presence of exposure, additional pathway-based analyses of DNA repair genes derived from genome-wide association studies (GWASs) in HNC are needed.
Insights
Single nucleotide polymorphisms (SNPs) in DNA repair genes show limited association with head and neck cancer (HNC) risk. Further pathway-based analyses are needed to understand genetic susceptibility in HNC.
Area of Science:
- Oncology
- Genetics
- Epidemiology
Background:
- Head and neck cancer (HNC) is influenced by tobacco and alcohol, but genetic susceptibility and viral infections require further investigation.
- Interindividual differences in HNC risk may stem from interactions between genetic variants and environmental exposures, particularly DNA damage.
- Single nucleotide polymorphisms (SNPs) in DNA repair genes are implicated as risk factors in various cancers, including HNC.
Purpose of the Study:
- To review epidemiological studies on the association between HNC risk and SNPs in DNA repair genes.
- To examine the roles of various DNA repair pathways, including base-excision repair, nucleotide-excision repair, mismatch repair, double-strand break repair, and direct reversion repair.
Main Methods:
- Systematic review of epidemiological studies investigating HNC risk and SNPs in DNA repair genes.
- Analysis focused on specific DNA repair pathways and their associated genetic variants.
Main Results:
- Few SNPs in DNA repair genes demonstrated a statistically significant association with increased or decreased HNC risk.
- Observed associations were generally moderate and often dependent on locus-locus interactions among risk SNPs within repair pathways.
- The overall contribution of individual SNPs in DNA repair genes to HNC risk appears limited.
Conclusions:
- Current evidence suggests a modest role for individual SNPs in DNA repair genes regarding HNC risk.
- Further genome-wide association studies (GWASs) incorporating pathway-based analyses are necessary to elucidate the genetic architecture of HNC susceptibility, especially in the context of environmental exposures.
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