Lin W, Cen Y L, Lin Y, Su F X, Wu B H, Tang L Y, Ren Z F
Neoplasma. 2015;62(3):491-9. doi: 10.4149/neo_2015_059.
The aim of this study was to explore the associations of urinary selenium and polymorphisms in methylation related genes with breast cancer risk and the interactions on the risk. The present study involved in 240 female patients with incident breast cancer and 246 age-matched controls in two affiliated hospitals of Sun Yat-sen University in Guangzhou, China, from October 2009 to July 2010. DNMT1 rs2228611, MTHFR rs1801133, and MTR rs1805087 were genotyped using a matrix-assisted laser desorption/ionization time-of-flight mass spectrometry platform. Urinary concentration of selenium was measured by inductively coupled plasma mass spectrometry. Women with urinary selenium in the second tertile had a significant reduced breast cancer risk compared to those with urinary selenium in the lowest tertile [OR (95%CI): 0.50 (0.30, 0.81)]. DNMT1 rs2228611, MTHFR rs1801133, and MTR rs1805087 were not associated with breast cancer risk. Women with the third tertile of urinary selenium had a significant reduced breast cancer risk compared to those with the lowest tertile among women only with CC genotype [OR (95%CI): 0.55 (0.30, 1.00)] but not CT/TT genotypes [OR (95%CI): 1.58 (0.73, 3.42)] of MTHFR rs1801133 (P for interaction=0.044). Our results suggested that selenium was associated with a decreased risk of breast cancer and this beneficial effect was limited to women with CC genotype of MTHFR rs1801133.
本研究旨在探讨尿硒及甲基化相关基因多态性与乳腺癌风险的关联以及对风险的相互作用。本研究纳入了2009年10月至2010年7月在中国广州中山大学两所附属医院的240例初发乳腺癌女性患者和246例年龄匹配的对照。使用基质辅助激光解吸/电离飞行时间质谱平台对DNMT1 rs2228611、MTHFR rs1801133和MTR rs1805087进行基因分型。采用电感耦合等离子体质谱法测定尿硒浓度。与尿硒处于最低三分位数的女性相比,尿硒处于第二三分位数的女性患乳腺癌的风险显著降低[比值比(95%可信区间):0.50(0.30,0.81)]。DNMT1 rs2228611、MTHFR rs1801133和MTR rs1805087与乳腺癌风险无关。仅在MTHFR rs1801133的CC基因型女性中,尿硒处于第三三分位数的女性患乳腺癌的风险相比处于最低三分位数的女性显著降低[比值比(95%可信区间):0.55(0.30,1.00)],而在CT/TT基因型女性中则未降低[比值比(95%可信区间):1.58(0.73,3.42)](交互作用P值=0.044)。我们的结果表明,硒与乳腺癌风险降低相关,且这种有益作用仅限于MTHFR rs1801133的CC基因型女性。