The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China.
Gene. 2013 Jul 25;524(2):84-9. doi: 10.1016/j.gene.2013.04.064. Epub 2013 May 3.
The association between passive smoking and breast cancer risk differs in pre- and post-menopausal women. We aimed to explore the modification effects of PARP1 rs1136410 and ESR1 rs2234693 on the association between passive smoking and breast cancer risk among pre- and post-menopausal women.
A case-control study of 839 breast cancer cases and 863 controls was conducted. The gene-environment interactions were tested after adjusting for potential breast cancer risk factors with unconditional logistic regression models.
We found that the effect of passive smoking was modified by the genotypes in both pre- and post-menopausal women, but in opposite directions. The combination of the TC/CC genotypes of ESR1 rs2234693 and passive smoking significantly increased the risk of breast cancer [OR (95%CI): 2.06 (1.39-3.05)] in pre-menopausal women. A significant association was observed between TT genotype and passive smoking [OR (95%CI): 2.40 (1.27-4.53)] in postmenopausal women. For PARP1 rs1136410, similar differential associations were observed, but the interactions were not significant.
These results imply that the risk of breast cancer from passive smoking may be influenced by genetic factors, and that the association may differ depending on menopausal status.
被动吸烟与乳腺癌风险的关联在绝经前和绝经后妇女中有所不同。我们旨在探讨 PARP1 rs1136410 和 ESR1 rs2234693 基因多态性对绝经前和绝经后妇女中被动吸烟与乳腺癌风险之间关联的修饰作用。
进行了一项 839 例乳腺癌病例和 863 例对照的病例对照研究。采用非条件 logistic 回归模型,在调整了潜在的乳腺癌危险因素后,对基因-环境相互作用进行了检验。
我们发现,被动吸烟的影响在前和绝经后妇女中均受到基因型的修饰,但方向相反。ESR1 rs2234693 的 TC/CC 基因型与被动吸烟相结合,显著增加了绝经前妇女乳腺癌的发病风险[OR(95%CI):2.06(1.39-3.05)]。在绝经后妇女中,TT 基因型与被动吸烟之间存在显著关联[OR(95%CI):2.40(1.27-4.53)]。对于 PARP1 rs1136410,也观察到了类似的差异关联,但交互作用不显著。
这些结果表明,被动吸烟引起的乳腺癌风险可能受到遗传因素的影响,而且这种关联可能因绝经状态而异。