Original Article GSTM1 and GSTT1 null polymorphisms and risk of salivary gland carcinoma
Sayaka Kondo, Erich M. Sturgis, Fanglin Li, Qingyi Wei, Guojun Li
Departments of Head and Neck Surgery and Departments of Epidemiology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA; The University of Texas Dental Branch, Houston, Texas, USA; Department of Hematology, Qilu Hospital, Shandong University, Jinan, P.R. China, 250012
Received January 22, 2009; accepted February 23, 2009; available online February 25, 2009
Abstract: Glutathione S-transferase (GST) genes detoxify and metabolize carcinogens, including oxygen free radicals which may contribute to salivary gland carcinogenesis. This cancer center-based case-control association study included 166 patients with incident salivary gland carcinoma (SGC) and 511 cancer-free controls. We performed multiplex polymerase chain reaction-based polymorphism genotyping assays for GSTM1 and GSTT1 null genotypes. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated with multivariable logistic regression analyses adjusted for age, sex, ethnicity, tobacco use, family history of cancer, alcohol use and radiation exposure. In our results, 27.7% of the SGC cases and 20.6% of the controls were null for the GSTT1 (P = 0.054), and 53.0% of the SGC cases and 50.9% of the controls were null for the gene for GSTM1 (P = 0.633). The results of the adjusted multivariaale regression analysis suggested that having GSTT1 null genotype was associated with a significantly increased risk for SGC (odds ratio 1.5, 95% confidence interval 1.0-2.3). Additionally, 13.9% of the SGC cases but only 8.4% of the controls were null for both genes and the results of the adjusted multivariable regression analysis suggested that having both null genotypes was significantly associated with an approximately 2-fold increased risk for SGC (odds ratio 1.9, 95% confidence interval 1.0-3.5). The presence of GSTT1 null genotype and the simultaneous presence of GSTM1 and GSTT1 null genotypes appear associated with significantly increased SGC risk. These findings warrant further study with larger sample sizes. (IJCEM901003).
Address all correspondence to: Guojun Li, MD, PhD Department of Head and Neck Surgery The University of Texas M.D. Anderson Cancer Center 1515 Holcombe Boulevard, Unit 1445 Houston, Texas 77030-4009 Tel: 713-792-0227. Fax: 713-794-4662 E-mail: gli@mdanderson.org