Rizzolo Piera, Silvestri Valentina, Valentini Virginia, Zelli Veronica, Bucalo Agostino, Zanna Ines, Bianchi Simonetta, Tibiletti Maria Grazia, Russo Antonio, Varesco Liliana, Tedaldi Gianluca, Bonanni Bernardo, Azzollini Jacopo, Manoukian Siranoush, Coppa Anna, Giannini Giuseppe, Cortesi Laura, Viel Alessandra, Montagna Marco, Peterlongo Paolo, Radice Paolo, Palli Domenico, Ottini Laura
Department of Molecular Medicine, Sapienza University of Rome, Rome, Italy.
Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Endocr Connect. 2019 Aug;8(8):1224-1229. doi: 10.1530/EC-19-0225.
Breast cancer in men is a rare and still poorly characterized disease. Inherited mutations in BRCA1, BRCA2 and PALB2 genes, as well as common polymorphisms, play a role in male breast cancer genetic predisposition. Male breast cancer is considered a hormone-dependent tumor specifically related to hyperestrogenism. Polymorphisms in genes involved in estrogen biosynthesis and metabolism pathways, such as CYP17A1 and CYP1B1, have been associated with breast cancer risk. Here, we aimed to investigate the role of CYP17A1 and CYP1B1 polymorphisms in male breast cancer risk. A series of 597 male breast cancer cases and 1022 male controls, recruited within the Italian Multicenter Study on male breast cancer, was genotyped for CYP17A1 rs743572, CYP1B1 rs1056836 and rs1800440 polymorphisms by allelic discrimination real-time PCR with TaqMan probes. Associations with male breast cancer risk were estimated using logistic regression. No statistically significant associations between male breast cancer risk and the three analyzed polymorphisms emerged. Similar results were obtained also when BRCA1/2 mutational status was considered. No significant differences in the distribution of the genotypes according to estrogen receptor status emerged. In conclusion, our study, based on a large series of male breast cancer cases, is likely to exclude a relevant role of CYP17A1 and CYP1B1 polymorphisms in male breast cancer predisposition. Overall, these results add new data to the increasing evidence that polymorphisms in these genes may not be associated with breast cancer risk.
男性乳腺癌是一种罕见且特征仍不明确的疾病。BRCA1、BRCA2和PALB2基因的遗传性突变以及常见多态性在男性乳腺癌的遗传易感性中起作用。男性乳腺癌被认为是一种与雌激素过多特别相关的激素依赖性肿瘤。参与雌激素生物合成和代谢途径的基因多态性,如CYP17A1和CYP1B1,已与乳腺癌风险相关联。在此,我们旨在研究CYP17A1和CYP1B1多态性在男性乳腺癌风险中的作用。在意大利男性乳腺癌多中心研究中招募的一系列597例男性乳腺癌病例和1022例男性对照,通过使用TaqMan探针的等位基因鉴别实时PCR对CYP17A1 rs743572、CYP1B1 rs1056836和rs1800440多态性进行基因分型。使用逻辑回归估计与男性乳腺癌风险的关联。未发现男性乳腺癌风险与所分析的三种多态性之间存在统计学上的显著关联。在考虑BRCA1/2突变状态时也获得了类似结果。根据雌激素受体状态,基因型分布未出现显著差异。总之,我们基于大量男性乳腺癌病例的研究可能排除了CYP17A1和CYP1B1多态性在男性乳腺癌易感性中的相关作用。总体而言,这些结果为越来越多的证据增添了新数据,即这些基因的多态性可能与乳腺癌风险无关。