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MGMT Leu84Phe polymorphism contributes to cancer susceptibility: evidence from 44 case-control studies
Jun Liu1, Renxia Zhang, Fei Chen
1Department of Otolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Background:
O(6)-methylguanine-DNA methyltransferase is one of the few proteins to directly remove alkylating agents in the human DNA direct reversal repair pathway. A large number of case-control studies have been conducted to explore the association between MGMT Leu84Phe polymorphism and cancer risk. However, the results were not consistent.
Methods:
We carried out a meta-analysis of 44 case-control studies to clarify the association between the Leu84Phe polymorphism and cancer risk.
Results:
Overall, significant association of the T allele with cancer susceptibility was verified with meta-analysis under a recessive genetic model (P<0.001, OR=1.30, 95%CI 1.24-1.50) and TT versus CC comparison (P=0.001, OR=1.29, 95% CI 1.12-1.50). In subgroup analysis, a significant increased risk was found for lung cancer (TT versus CC, P=0.027, OR=1.67, 95% CI 1.06-2.63; recessive genetic model, P=0.32, OR=1.64, 95% CI 1.04-2.58), whereas risk of colorectal cancer was significantly low under a dominant genetic model (P=0.019, OR=0.84, 95% CI 0.72-0.97). Additionally, a significant association between TT genetic model and total cancer risk was found in the Caucasian population (TT versus CC, P=0.014, OR=1.29, 95% CI 1.05-1.59; recessive genetic model, P=0.009, OR=1.31, 95% CI 1.07-1.61), but not in the Asian population. An increased risk for lung cancer was also verified in the Caucasian population (TT versus CC, P=0.035, OR=1.62, 95% CI 1.04-2.53; recessive genetic model, P=0.048, OR=1.57, 95% CI 1.01-2.45).
Conclusions:
These results suggest that MGMT Leu84Phe polymorphism might contribute to the susceptibility of certain cancers.
Insights
The O(6)-methylguanine-DNA methyltransferase (MGMT) Leu84Phe polymorphism is linked to increased cancer risk, particularly lung cancer in Caucasians. This meta-analysis clarifies the association between this gene variant and cancer susceptibility.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- O(6)-methylguanine-DNA methyltransferase (MGMT) is crucial for DNA repair, directly reversing alkylating agent damage.
- The MGMT Leu84Phe polymorphism has been investigated for its association with various cancer risks.
- Previous studies yielded inconsistent results regarding the MGMT Leu84Phe polymorphism and cancer susceptibility.
Purpose of the Study:
- To conduct a comprehensive meta-analysis of existing case-control studies.
- To clarify the association between the MGMT Leu84Phe polymorphism and overall cancer risk.
- To investigate potential ethnic and cancer-type specific associations.
Main Methods:
- Meta-analysis of 44 independent case-control studies.
- Statistical analysis of the MGMT Leu84Phe polymorphism (rs16906251) and cancer risk.
- Subgroup analyses based on cancer type and ethnicity.
Main Results:
- A significant association was found between the T allele (rs16906251) and increased cancer susceptibility under a recessive model (OR=1.30).
- Increased lung cancer risk was observed, especially in Caucasians (TT vs CC, OR=1.67).
- Colorectal cancer risk was significantly lower under a dominant model (OR=0.84), and no association was found in Asians.
Conclusions:
- The MGMT Leu84Phe polymorphism is associated with susceptibility to certain cancers, notably lung cancer.
- Ethnic differences in susceptibility exist, with a stronger association observed in Caucasian populations.
- Further research is warranted to elucidate the precise role of MGMT genetic variations in cancer development.
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