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The methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism and tumor risk: evidence from 134 case-control
Min Tang1, Shang-Qian Wang, Bian-Jiang Liu
1Department of Urology, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Abstract:
Methylenetetrahydrofolate reductase (MTHFR) is an important enzyme involved in folate metabolism, which is essential for DNA synthesis and methylation. Genetic variations in the MTHFR gene seem to contribute to a decreased activity of MTHFR, ultimately confer increased susceptibility to cancer. As the most extensively studied polymorphism, MTHFR C677T polymorphism was shown to contribute to cancer susceptibility but the results were inconsistent. The authors performed a meta-analysis including 134 studies (46,207 cases and 69,160 controls) to address the issue. Odds ratios (ORs) with corresponding 95% confidence intervals (CIs) were used to assess the association. Overall, a significant elevated risk of cancer was associated with the MTHFR C677T polymorphism in T-allele versus C-allele comparison (OR = 1.06, 95% CI 1.02-1.11, P(heterogeneity) < 0.001), homozygote model (OR = 1.08, 95% CI 1.01-1.17, P(heterogeneity) < 0.001) and dominant model (OR = 1.05, 95% CI 1.00-1.10, P(heterogeneity) < 0.001). In the stratified analyses, significantly increased cancer risks were indicated among Asians in all genetic models except for heterozygote model. Further analysis revealed that C677T was significantly associated with an increased risk of esophageal and stomach cancer. This meta-analysis supports an association between the MTHFR C677T polymorphism and increased risk of esophageal and stomach cancer, especially among Asians. Additionally, more high-quality studies and that the covariates responsible for heterogeneity should be controlled to obtain a more conclusive response about the function of MTHFR C677T in cancer.
Insights
The MTHFR C677T gene variant increases cancer risk, particularly esophageal and stomach cancers in Asian populations. Further research is needed to clarify its role and control for confounding factors.
Area of Science:
- Genetics and Molecular Biology
- Cancer Epidemiology
- Nutritional Biochemistry
Background:
- Methylenetetrahydrofolate reductase (MTHFR) is crucial for folate metabolism, DNA synthesis, and methylation.
- Genetic variations in MTHFR, especially the C677T polymorphism, are linked to altered enzyme activity and cancer susceptibility.
- Previous studies on MTHFR C677T and cancer risk have yielded inconsistent results.
Purpose of the Study:
- To conduct a comprehensive meta-analysis evaluating the association between the MTHFR C677T polymorphism and overall cancer risk.
- To investigate potential ethnic differences in this association, with a focus on Asian populations.
- To identify specific cancer types linked to the MTHFR C677T polymorphism.
Main Methods:
- A meta-analysis was performed, pooling data from 134 studies comprising 46,207 cancer cases and 69,160 controls.
- Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to assess the risk associated with the MTHFR C677T polymorphism.
- Stratified analyses were conducted based on ethnicity and specific cancer types.
Main Results:
- A significant overall increased risk of cancer was associated with the MTHFR C677T polymorphism (T-allele vs. C-allele, homozygote, and dominant models).
- Stratified analysis revealed a significantly increased cancer risk among Asian populations across most genetic models.
- The MTHFR C677T polymorphism was significantly associated with an elevated risk of esophageal and stomach cancers.
Conclusions:
- This meta-analysis provides evidence supporting a link between the MTHFR C677T polymorphism and increased risk of esophageal and stomach cancers, particularly in Asians.
- The findings highlight the importance of considering ethnic background in genetic association studies of MTHFR and cancer.
- Further high-quality studies are recommended to confirm these findings and elucidate the role of MTHFR C677T in cancer development, controlling for heterogeneity.
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