학술논문

Consortium analysis of gene and gene-folate interactions in purine and pyrimidine metabolism pathways with ovarian carcinoma risk.
Document Type
article
Author
Kelemen, Linda ETerry, Kathryn LGoodman, Marc TWebb, Penelope MBandera, Elisa VMcGuire, ValerieRossing, Mary AnneWang, QinggangDicks, EdTyrer, Jonathan PSong, HonglinKupryjanczyk, JolantaDansonka-Mieszkowska, AgnieszkaPlisiecka-Halasa, JoannaTimorek, AgnieszkaMenon, UshaGentry-Maharaj, AleksandraGayther, Simon ARamus, Susan JNarod, Steven ARisch, Harvey AMcLaughlin, John RSiddiqui, NadeemGlasspool, RosalindPaul, JamesCarty, KarenGronwald, JacekLubiński, JanJakubowska, AnnaCybulski, CezaryKiemeney, Lambertus AMassuger, Leon FAGvan Altena, Anne MAben, Katja KHOlson, Sara HOrlow, IreneCramer, Daniel WLevine, Douglas ABisogna, MariaGiles, Graham GSouthey, Melissa CBruinsma, FionaKjaer, Susanne KHøgdall, EstridJensen, AllanHøgdall, Claus KLundvall, LeneEngelholm, Svend-AageHeitz, Floriandu Bois, AndreasHarter, PhilippSchwaab, IraButzow, RalfNevanlinna, HeliPelttari, Liisa MLeminen, ArtoThompson, Pamela JLurie, GalinaWilkens, Lynne RLambrechts, DietherVan Nieuwenhuysen, ElsLambrechts, SandrinaVergote, IgnaceBeesley, JonathanAOCS Study Group/ACS InvestigatorsFasching, Peter ABeckmann, Matthias WHein, AlexanderEkici, Arif BDoherty, Jennifer AWu, Anna HPearce, Celeste LPike, Malcolm CStram, DanielChang-Claude, JennyRudolph, AnjaDörk, ThiloDürst, MatthiasHillemanns, PeterRunnebaum, Ingo BBogdanova, NataliaAntonenkova, NataliaOdunsi, KunleEdwards, Robert PKelley, Joseph LModugno, FrancesmaryNess, Roberta BKarlan, Beth YWalsh, ChristineLester, JennyOrsulic, SandraFridley, Brooke LVierkant, Robert ACunningham, Julie MWu, XifengLu, KarenLiang, DongHildebrandt, Michelle ATWeber, Rachel PalmieriIversen, Edwin S
Source
Molecular nutrition & food research. 58(10)
Subject
AOCS Study Group/ACS Investigators
Humans
Carcinoma
Ovarian Neoplasms
Folic Acid Deficiency
Genetic Predisposition to Disease
Folic Acid
Dihydrouracil Dehydrogenase (NADP)
Neoplasm Proteins
Diet
Multivariate Analysis
Risk Factors
Case-Control Studies
Energy Intake
Polymorphism
Single Nucleotide
Dietary Supplements
European Continental Ancestry Group
Female
Genome-Wide Association Study
Global Health
Case-control
Dihydropyrimidine dehydrogenase
Folate
Polymorphism
Serine hydroxymethyltransferase 1
Rare Diseases
Cancer
Ovarian Cancer
Genetics
Nutrition
2.1 Biological and endogenous factors
Nutrition & Dietetics
Food Science
Food Sciences
Nutrition and Dietetics
Public Health and Health Services
Language
Abstract
ScopeWe reevaluated previously reported associations between variants in pathways of one-carbon (1-C) (folate) transfer genes and ovarian carcinoma (OC) risk, and in related pathways of purine and pyrimidine metabolism, and assessed interactions with folate intake.Methods and resultsOdds ratios (OR) for 446 genetic variants were estimated among 13,410 OC cases and 22,635 controls, and among 2281 cases and 3444 controls with folate information. Following multiple testing correction, the most significant main effect associations were for dihydropyrimidine dehydrogenase (DPYD) variants rs11587873 (OR = 0.92; p = 6 × 10⁻⁵) and rs828054 (OR = 1.06; p = 1 × 10⁻⁴). Thirteen variants in the pyrimidine metabolism genes, DPYD, DPYS, PPAT, and TYMS, also interacted significantly with folate in a multivariant analysis (corrected p = 9.9 × 10⁻⁶) but collectively explained only 0.2% of OC risk. Although no other associations were significant after multiple testing correction, variants in SHMT1 in 1-C transfer, previously reported with OC, suggested lower risk at higher folate (p(interaction) = 0.03-0.006).ConclusionVariation in pyrimidine metabolism genes, particularly DPYD, which was previously reported to be associated with OC, may influence risk; however, stratification by folate intake is unlikely to modify disease risk appreciably in these women. SHMT1 SNP-by-folate interactions are plausible but require further validation. Polymorphisms in selected genes in purine metabolism were not associated with OC.