There is an inverse relationship between febrile
infection and the risk of
malignancies.
Interferon gamma (IFN-γ) plays an important role in
fever induction and its expression increases with incubation at
fever-range temperatures. Therefore, the genetic polymorphism of IFN-γ may modify the association of febrile
infection with
breast cancer risk.
METHODOLOGY AND PRINCIPAL FINDINGS: Information on potential
breast cancer risk factors, history of
fever during the last 10 years, and blood specimens were collected from 839 incident
breast cancer cases and 863 age-matched controls between October 2008 and June 2010 in Guangzhou, China. IFN-γ (rs2069705) was genotyped using a matrix-assisted
laser desorption/ionization time-of-flight mass spectrometry platform. Odds ratios (OR) and 95% confidence intervals (CIs) were calculated using multivariate logistic regression. We found that women who had experienced ≥1
fever per year had a decreased risk of
breast cancer [
ORs and 95% CI: 0.77 (0.61-0.99)] compared to those with less than one
fever a year. This association only occurred in women with CT/TT genotypes [0.54 (0.37-0.77)] but not in those with the CC genotype [1.09 (0.77-1.55)]. The association of IFN-γ rs2069705 with the risk of
breast cancer was not significant among all participants, while the CT/TT genotypes were significantly related to an elevated risk of
breast cancer [1.32 (1.03-1.70)] among the women with <1
fever per year and to a reduced risk of
breast cancer [0.63 (0.40-0.99)] among women with ≥1
fever per year compared to the CC genotype. A marked interaction between
fever frequencies and the IFN-γ genotypes was observed (P for multiplicative and additive interactions were 0.005 and 0.058, respectively).
CONCLUSIONS: