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Association between MDR1 C3435T polymorphism and risk of breast cancer
Zhaoming Wang1, Ting Wang, Jianmin Bian
1The First Clinical Medical College, Nanjing Medical University, Nanjing, China.
Abstract:
The C3435T (rs1045642) polymorphism, located in multi-drug resistance gene 1 (MDR1), has demonstrated its role in decreasing the P-gp activity level which is related to the carcinogenesis. Many published studies have evaluated the association between the MDR1 C3435T polymorphism and breast cancer risk. However, the results remain conflicting rather than conclusive. To derive a more precise estimation of the association between MDR1 C3435T polymorphism and risk of breast cancer, we performed a meta-analysis comprised of 10 case-control studies, including 5282 breast cancer cases and 7703 controls. Odds ratios (ORs) and 95% confidence intervals (CIs) were used to evaluate the strength of the association. The overall results indicated that the variant genotypes were associated with a significantly increased risk of breast cancer (TT versus CC: OR=1.45, 95% CI=1.14-1.30, TT versus CT/CC: OR=1.13, 95% CI=1.04-1.23, TT/CT versus CC: OR=1.22, 95% CI=1.02-1.46). Our results suggest that the MDR1 C3435T polymorphism may contribute to individual susceptibility to breast cancer.
Insights
The multi-drug resistance gene 1 (MDR1) C3435T polymorphism may increase breast cancer risk. This meta-analysis of 10 studies suggests variant genotypes are linked to higher susceptibility.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- The C3435T polymorphism in the multi-drug resistance gene 1 (MDR1) influences P-glycoprotein activity, a factor implicated in carcinogenesis.
- Previous studies on the association between MDR1 C3435T polymorphism and breast cancer risk have yielded conflicting results.
Purpose of the Study:
- To conduct a meta-analysis to precisely estimate the association between the MDR1 C3435T polymorphism and breast cancer risk.
- To synthesize findings from existing case-control studies to provide a more conclusive understanding.
Main Methods:
- A meta-analysis was performed on 10 case-control studies.
- Data included 5282 breast cancer cases and 7703 controls.
- Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to assess the strength of association.
Main Results:
- The overall analysis indicated that variant genotypes of the MDR1 C3435T polymorphism were associated with a significantly increased risk of breast cancer.
- Specific findings included: TT vs. CC (OR=1.45, 95% CI=1.14-1.30), TT vs. CT/CC (OR=1.13, 95% CI=1.04-1.23), and TT/CT vs. CC (OR=1.22, 95% CI=1.02-1.46).
Conclusions:
- The MDR1 C3435T polymorphism may contribute to an individual's susceptibility to developing breast cancer.
- These findings highlight the potential role of genetic variations in MDR1 in breast cancer etiology.
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