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Association of CHRNA5-A3-B4 variation with esophageal squamous cell carcinoma risk and smoking behaviors in a Chinese population.

AbstractBACKGROUND:
CHRNA5-A3-B4, the gene cluster encoding nicotinic acetylcholine receptor subunits, is associated with lung cancer risk and smoking behaviors in people of European descent. Because cigarette smoking is also a major risk factor for esophageal squamous cell carcinoma (ESCC), we investigated the associations between variants in CHRNA5-A3-B4 and ESCC risk, as well as smoking behaviors, in a Chinese population.
METHODS:
A case-control study of 866 ESCC patients and 952 healthy controls was performed to study the association of polymorphisms (rs667282 and rs3743073) in CHRNA5-A3-B4 with cancer risk using logistic regression models. The relationships between CHRNA5-A3-B4 polymorphisms and smoking behaviors that can be quantified by cigarettes smoked per day (CPD) and pack-years of smoking were separately estimated with Kruskal-Wallis tests among all 840 smokers.
RESULTS:
CHRNA5-A3-B4 rs667282 TT/TG genotypes were associated with significantly increased risk of ESCC [adjusted odds ratio (OR) = 1.32, 95% confidence interval (CI) = 1.03 - 1.69, P = 0.029]. The increased ESCC risk was even higher among younger subjects (≤60 years) (OR = 1.44, 95% CI = 1.04 - 1.98, P = 0.024). These effects were not found in another polymorphism rs3743073. No evident association between the two polymorphisms and smoking behaviors was observed.
CONCLUSIONS:
These results support the hypothesis that CHRNA5-A3-B4 is a susceptibility gene cluster for ESCC. The relationship between CHRNA5-A3-B4 and smoking behaviors in a Chinese population needs further investigation.
AuthorsYang Wang, Haijian Wu, Qiji Liu, Cuihong Wang, Lei Fu, Han Wang, Wenjie Zhu, Weijiang Fu, Yajuan Lv, Shikun Wang, Likuan Hu
JournalPloS one (PLoS One) Vol. 8 Issue 7 Pg. e67664 ( 2013) ISSN: 1932-6203 [Electronic] United States
PMID23844051 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • CHRNA5 protein, human
  • CHRNB4 protein, human
  • Nerve Tissue Proteins
  • Receptors, Nicotinic
  • nicotinic receptor subunit alpha3
Topics
  • Aged
  • Asian People
  • Carcinoma, Squamous Cell (ethnology, etiology, genetics)
  • Case-Control Studies
  • Esophageal Neoplasms (ethnology, etiology, genetics)
  • Esophageal Squamous Cell Carcinoma
  • Female
  • Gene Frequency
  • Haplotypes
  • Humans
  • Linkage Disequilibrium
  • Logistic Models
  • Male
  • Middle Aged
  • Multigene Family
  • Nerve Tissue Proteins (genetics)
  • Polymorphism, Single Nucleotide
  • Receptors, Nicotinic (genetics)
  • Risk
  • Smoking (adverse effects)

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