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Erschienen in: Tumor Biology 8/2016

29.01.2016 | Original Article

Potential risk of esophageal squamous cell carcinoma due to nucleotide excision repair XPA and XPC gene variants and their interaction among themselves and with environmental factors

verfasst von: Rumaisa Rafiq, Gulzar Ahmad Bhat, Mohd Maqbool Lone, Akbar Masood, Nazir Ahmad Dar

Erschienen in: Tumor Biology | Ausgabe 8/2016

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Abstract

The association of nucleotide excision repair (NER) gene polymorphisms with esophageal squamous cell carcinoma (ESCC) is inconclusive. The aim of the current study was to assess the association of repair gene xeroderma pigmentosum A (XPA) (rs-1800975) and xeroderma pigmentosum C (XPC) (rs-2228000) polymorphisms with ESCC risk as well as modifying effects of environmental factors. The genotyping was done in 450 confirmed ESCC cases and equal number of individually matched controls by the polymerase chain reaction and restriction fragment length polymorphism (PCR-RFLP) and direct sequencing methods. Conditional logistic regression models were used to assess the genotypic associations and interactions. A high ESCC risk was found in subjects who carried the homozygous minor allele of XPA (odds ratio (OR) = 3.57; 95 % confidence interval (CI) = 1.76–7.23), and the risk was higher when analysis was limited to participants who were ever smokers (OR = 4.22; 95 % CI = 2.01–8.88), lived in adobe houses (OR = 8.42; 95 % CI = 3.74–18.95), consumed large volumes of salt tea (OR = 7.42; 95 % CI = 3.30–16.69), or had a positive family history of cancer (FHC) (OR = 9.47; 95 % CI = 4.67–19.20). In case of XPC, a homozygous minor allele also showed strong association with ESCC risk (OR = 4.43; 95 % CI = 2.41–8.16). We again observed a very strong effect of the above environmental factors in elevating the risk of ESCC. Further, the variant genotypes of both genes in combination showed an increased risk towards ESCC (OR = 7.01; 95 % CI = 3.14–15.64) and such association was synergistically significant. Salt tea consumption showed an interaction with genotypes of XPA and XPC. However, an interaction with FHC was significant in the case of XPA genotype only. XPA and XPC genotypes are associated with an increased risk of ESCC, and such association was reasonably modulated by different exposures.
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Literatur
5.
Zurück zum Zitat Wood RD. DNA damage recognition during nucleotide excision repair in mammalian cells. Biochimie. 1999;81(1-2):39–44.PubMedCrossRef Wood RD. DNA damage recognition during nucleotide excision repair in mammalian cells. Biochimie. 1999;81(1-2):39–44.PubMedCrossRef
7.
Zurück zum Zitat Volker M, Mone MJ, Karmakar P, van Hoffen A, Schul W, Vermeulen W, et al. Sequential assembly of the nucleotide excision repair factors in vivo. Mol Cell. 2001;8(1):213–24.PubMedCrossRef Volker M, Mone MJ, Karmakar P, van Hoffen A, Schul W, Vermeulen W, et al. Sequential assembly of the nucleotide excision repair factors in vivo. Mol Cell. 2001;8(1):213–24.PubMedCrossRef
9.
Zurück zum Zitat Vodicka P, Kumar R, Stetina R, Sanyal S, Soucek P, Haufroid V, et al. Genetic polymorphisms in DNA repair genes and possible links with DNA repair rates, chromosomal aberrations and single-strand breaks in DNA. Carcinogenesis. 2004;25(5):757–63. doi:10.1093/carcin/bgh064.PubMedCrossRef Vodicka P, Kumar R, Stetina R, Sanyal S, Soucek P, Haufroid V, et al. Genetic polymorphisms in DNA repair genes and possible links with DNA repair rates, chromosomal aberrations and single-strand breaks in DNA. Carcinogenesis. 2004;25(5):757–63. doi:10.​1093/​carcin/​bgh064.PubMedCrossRef
10.
11.
Zurück zum Zitat Butkiewicz D, Rusin M, Enewold L, Shields PG, Chorazy M, Harris CC. Genetic polymorphisms in DNA repair genes and risk of lung cancer. Carcinogenesis. 2001;22(4):593–7.PubMedCrossRef Butkiewicz D, Rusin M, Enewold L, Shields PG, Chorazy M, Harris CC. Genetic polymorphisms in DNA repair genes and risk of lung cancer. Carcinogenesis. 2001;22(4):593–7.PubMedCrossRef
12.
Zurück zum Zitat Guo W, Zhou RM, Wan LL, Wang N, Li Y, Zhang XJ, et al. Polymorphisms of the DNA repair gene xeroderma pigmentosum groups A and C and risk of esophageal squamous cell carcinoma in a population of high incidence region of North China. J Cancer Res Clin Oncol. 2008;134(2):263–70. doi:10.1007/s00432-007-0283-0.PubMedCrossRef Guo W, Zhou RM, Wan LL, Wang N, Li Y, Zhang XJ, et al. Polymorphisms of the DNA repair gene xeroderma pigmentosum groups A and C and risk of esophageal squamous cell carcinoma in a population of high incidence region of North China. J Cancer Res Clin Oncol. 2008;134(2):263–70. doi:10.​1007/​s00432-007-0283-0.PubMedCrossRef
15.
Zurück zum Zitat Park JY, Park SH, Choi JE, Lee SY, Jeon HS, Cha SI, et al. Polymorphisms of the DNA repair gene xeroderma pigmentosum group A and risk of primary lung cancer. Cancer Epidemiol Biomarkers Prev: Publ Am Assoc Cancer Res Am Soc Prev Oncol. 2002;11(10 Pt 1):993–7. Park JY, Park SH, Choi JE, Lee SY, Jeon HS, Cha SI, et al. Polymorphisms of the DNA repair gene xeroderma pigmentosum group A and risk of primary lung cancer. Cancer Epidemiol Biomarkers Prev: Publ Am Assoc Cancer Res Am Soc Prev Oncol. 2002;11(10 Pt 1):993–7.
16.
Zurück zum Zitat Wu X, Zhao H, Wei Q, Amos CI, Zhang K, Guo Z, et al. XPA polymorphism associated with reduced lung cancer risk and a modulating effect on nucleotide excision repair capacity. Carcinogenesis. 2003;24(3):505–9.PubMedCrossRef Wu X, Zhao H, Wei Q, Amos CI, Zhang K, Guo Z, et al. XPA polymorphism associated with reduced lung cancer risk and a modulating effect on nucleotide excision repair capacity. Carcinogenesis. 2003;24(3):505–9.PubMedCrossRef
17.
Zurück zum Zitat Jelonek K, Gdowicz-Klosok A, Pietrowska M, Borkowska M, Korfanty J, Rzeszowska-Wolny J, et al. Association between single-nucleotide polymorphisms of selected genes involved in the response to DNA damage and risk of colon, head and neck, and breast cancers in a Polish population. J Appl Genet. 2010;51(3):343–52. doi:10.1007/bf03208865.PubMedCrossRef Jelonek K, Gdowicz-Klosok A, Pietrowska M, Borkowska M, Korfanty J, Rzeszowska-Wolny J, et al. Association between single-nucleotide polymorphisms of selected genes involved in the response to DNA damage and risk of colon, head and neck, and breast cancers in a Polish population. J Appl Genet. 2010;51(3):343–52. doi:10.​1007/​bf03208865.PubMedCrossRef
18.
Zurück zum Zitat Sak SC, Barrett JH, Paul AB, Bishop DT, Kiltie AE. Comprehensive analysis of 22 XPC polymorphisms and bladder cancer risk. Cancer Epidemiol Biomarkers Prev: Publ Am Assoc Cancer Res Am Soc Prev Oncol. 2006;15(12):2537–41. doi:10.1158/1055-9965.epi-06-0288.CrossRef Sak SC, Barrett JH, Paul AB, Bishop DT, Kiltie AE. Comprehensive analysis of 22 XPC polymorphisms and bladder cancer risk. Cancer Epidemiol Biomarkers Prev: Publ Am Assoc Cancer Res Am Soc Prev Oncol. 2006;15(12):2537–41. doi:10.​1158/​1055-9965.​epi-06-0288.CrossRef
19.
Zurück zum Zitat An J, Liu Z, Hu Z, Li G, Wang LE, Sturgis EM, et al. Potentially functional single nucleotide polymorphisms in the core nucleotide excision repair genes and risk of squamous cell carcinoma of the head and neck. Cancer Epidemiol Biomarkers Prev: Publ Am Assoc Cancer Res Am Soc Prev Oncol. 2007;16(8):1633–8. doi:10.1158/1055-9965.epi-07-0252.CrossRef An J, Liu Z, Hu Z, Li G, Wang LE, Sturgis EM, et al. Potentially functional single nucleotide polymorphisms in the core nucleotide excision repair genes and risk of squamous cell carcinoma of the head and neck. Cancer Epidemiol Biomarkers Prev: Publ Am Assoc Cancer Res Am Soc Prev Oncol. 2007;16(8):1633–8. doi:10.​1158/​1055-9965.​epi-07-0252.CrossRef
20.
Zurück zum Zitat Shen M, Berndt SI, Rothman N, Demarini DM, Mumford JL, He X, et al. Polymorphisms in the DNA nucleotide excision repair genes and lung cancer risk in Xuan Wei, China. Int J Cancer J Int Du Cancer. 2005;116(5):768–73. doi:10.1002/ijc.21117.CrossRef Shen M, Berndt SI, Rothman N, Demarini DM, Mumford JL, He X, et al. Polymorphisms in the DNA nucleotide excision repair genes and lung cancer risk in Xuan Wei, China. Int J Cancer J Int Du Cancer. 2005;116(5):768–73. doi:10.​1002/​ijc.​21117.CrossRef
23.
Zurück zum Zitat Zhou RM, Li Y, Wang N, Zhang XJ, Dong XJ, Guo W. [Correlation of XPC Ala499Val and Lys939Gln polymorphisms to risks of esophageal squamous cell carcinoma and gastric cardiac adenocarcinoma]. Ai zheng = Aizheng = Chin J Cancer. 2006;25(9):1113–9. Zhou RM, Li Y, Wang N, Zhang XJ, Dong XJ, Guo W. [Correlation of XPC Ala499Val and Lys939Gln polymorphisms to risks of esophageal squamous cell carcinoma and gastric cardiac adenocarcinoma]. Ai zheng = Aizheng = Chin J Cancer. 2006;25(9):1113–9.
24.
Zurück zum Zitat Feng XX, Duan PF, Wang LB, Zhang JB, Lu ZX. [Study on the relationship between polymorphisms of XPA gene and susceptibility of esophageal cancer]. Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi. 2008;29(9):930–3.PubMed Feng XX, Duan PF, Wang LB, Zhang JB, Lu ZX. [Study on the relationship between polymorphisms of XPA gene and susceptibility of esophageal cancer]. Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi. 2008;29(9):930–3.PubMed
26.
Zurück zum Zitat He J, Shi TY, Zhu ML, Wang MY, Li QX, Wei QY. Associations of Lys939Gln and Ala499Val polymorphisms of the XPC gene with cancer susceptibility: a meta-analysis. Int J Cancer J Int du Cancer. 2013;133(8):1765–75. doi:10.1002/ijc.28089.CrossRef He J, Shi TY, Zhu ML, Wang MY, Li QX, Wei QY. Associations of Lys939Gln and Ala499Val polymorphisms of the XPC gene with cancer susceptibility: a meta-analysis. Int J Cancer J Int du Cancer. 2013;133(8):1765–75. doi:10.​1002/​ijc.​28089.CrossRef
27.
Zurück zum Zitat Khuroo MS, Zargar SA, Mahajan R, Banday MA. High incidence of oesophageal and gastric cancer in Kashmir in a population with special personal and dietary habits. Gut. 1992;33(1):11–5.PubMedPubMedCentralCrossRef Khuroo MS, Zargar SA, Mahajan R, Banday MA. High incidence of oesophageal and gastric cancer in Kashmir in a population with special personal and dietary habits. Gut. 1992;33(1):11–5.PubMedPubMedCentralCrossRef
29.
Zurück zum Zitat Dar NA, Bhat GA, Shah IA, Iqbal B, Rafiq R, Nabi S, et al. Salt tea consumption and esophageal cancer: a possible role of alkaline beverages in esophageal carcinogenesis. Int J Cancer J Int du Cancer. 2015;136(6):E704–10. doi:10.1002/ijc.29204.CrossRef Dar NA, Bhat GA, Shah IA, Iqbal B, Rafiq R, Nabi S, et al. Salt tea consumption and esophageal cancer: a possible role of alkaline beverages in esophageal carcinogenesis. Int J Cancer J Int du Cancer. 2015;136(6):E704–10. doi:10.​1002/​ijc.​29204.CrossRef
30.
Zurück zum Zitat Dar NA, Shah IA, Bhat GA, Makhdoomi MA, Iqbal B, Rafiq R, et al. Socioeconomic status and esophageal squamous cell carcinoma risk in Kashmir India. Cancer Sci. 2013;104(9):1231–6. doi:10.1111/cas.12210.PubMedCrossRef Dar NA, Shah IA, Bhat GA, Makhdoomi MA, Iqbal B, Rafiq R, et al. Socioeconomic status and esophageal squamous cell carcinoma risk in Kashmir India. Cancer Sci. 2013;104(9):1231–6. doi:10.​1111/​cas.​12210.PubMedCrossRef
31.
Zurück zum Zitat Sambrook J, Fritsch EF, Maniatis T. Molecular cloning, vol. 7.58. New York: Cold Spring Harbor Laboratory; 1989. Sambrook J, Fritsch EF, Maniatis T. Molecular cloning, vol. 7.58. New York: Cold Spring Harbor Laboratory; 1989.
32.
Zurück zum Zitat Islami F, Kamangar F, Nasrollahzadeh D, Aghcheli K, Sotoudeh M, Abedi-Ardekani B, et al. Socio-economic status and oesophageal cancer: results from a population-based case-control study in a high-risk area. Int J Epidemiol. 2009;38(4):978–88. doi:10.1093/ije/dyp195.PubMedPubMedCentralCrossRef Islami F, Kamangar F, Nasrollahzadeh D, Aghcheli K, Sotoudeh M, Abedi-Ardekani B, et al. Socio-economic status and oesophageal cancer: results from a population-based case-control study in a high-risk area. Int J Epidemiol. 2009;38(4):978–88. doi:10.​1093/​ije/​dyp195.PubMedPubMedCentralCrossRef
33.
Zurück zum Zitat Hall J, Hashibe M, Boffetta P, Gaborieau V, Moullan N, Chabrier A, et al. The association of sequence variants in DNA repair and cell cycle genes with cancers of the upper aerodigestive tract. Carcinogenesis. 2007;28(3):665–71. doi:10.1093/carcin/bgl160.PubMedCrossRef Hall J, Hashibe M, Boffetta P, Gaborieau V, Moullan N, Chabrier A, et al. The association of sequence variants in DNA repair and cell cycle genes with cancers of the upper aerodigestive tract. Carcinogenesis. 2007;28(3):665–71. doi:10.​1093/​carcin/​bgl160.PubMedCrossRef
34.
Zurück zum Zitat Sugimura T, Kumimoto H, Tohnai I, Fukui T, Matsuo K, Tsurusako S, et al. Gene-environment interaction involved in oral carcinogenesis: molecular epidemiological study for metabolic and DNA repair gene polymorphisms. J Oral Pathol Med: Off Publ Int Assoc Oral Pathol Am Acad Oral Pathol. 2006;35(1):11–8. doi:10.1111/j.1600-0714.2005.00364.x.CrossRef Sugimura T, Kumimoto H, Tohnai I, Fukui T, Matsuo K, Tsurusako S, et al. Gene-environment interaction involved in oral carcinogenesis: molecular epidemiological study for metabolic and DNA repair gene polymorphisms. J Oral Pathol Med: Off Publ Int Assoc Oral Pathol Am Acad Oral Pathol. 2006;35(1):11–8. doi:10.​1111/​j.​1600-0714.​2005.​00364.​x.CrossRef
35.
Zurück zum Zitat Bau DT, Tsai MH, Huang CY, Lee CC, Tseng HC, Lo YL, et al. Relationship between polymorphisms of nucleotide excision repair genes and oral cancer risk in Taiwan: evidence for modification of smoking habit. Chin J Physiol. 2007;50(6):294–300.PubMed Bau DT, Tsai MH, Huang CY, Lee CC, Tseng HC, Lo YL, et al. Relationship between polymorphisms of nucleotide excision repair genes and oral cancer risk in Taiwan: evidence for modification of smoking habit. Chin J Physiol. 2007;50(6):294–300.PubMed
36.
37.
Zurück zum Zitat Abbasi R, Ramroth H, Becher H, Dietz A, Schmezer P, Popanda O. Laryngeal cancer risk associated with smoking and alcohol consumption is modified by genetic polymorphisms in ERCC5, ERCC6 and RAD23B but not by polymorphisms in five other nucleotide excision repair genes. Int J Cancer J Int du Cancer. 2009;125(6):1431–9. doi:10.1002/ijc.24442.CrossRef Abbasi R, Ramroth H, Becher H, Dietz A, Schmezer P, Popanda O. Laryngeal cancer risk associated with smoking and alcohol consumption is modified by genetic polymorphisms in ERCC5, ERCC6 and RAD23B but not by polymorphisms in five other nucleotide excision repair genes. Int J Cancer J Int du Cancer. 2009;125(6):1431–9. doi:10.​1002/​ijc.​24442.CrossRef
38.
39.
Zurück zum Zitat Li X, Xu J, Yang X, Wu Y, Cheng B, Chen D, et al. Association of single nucleotide polymorphisms of nucleotide excision repair genes with laryngeal cancer risk and interaction with cigarette smoking and alcohol drinking. Tumour Biol: J Int Soc Oncodev Biol Med. 2014;35(5):4659–65. doi:10.1007/s13277-014-1610-0.CrossRef Li X, Xu J, Yang X, Wu Y, Cheng B, Chen D, et al. Association of single nucleotide polymorphisms of nucleotide excision repair genes with laryngeal cancer risk and interaction with cigarette smoking and alcohol drinking. Tumour Biol: J Int Soc Oncodev Biol Med. 2014;35(5):4659–65. doi:10.​1007/​s13277-014-1610-0.CrossRef
40.
Zurück zum Zitat Butkiewicz D, Popanda O, Risch A, Edler L, Dienemann H, Schulz V, et al. Association between the risk for lung adenocarcinoma and a (-4) G-to-A polymorphism in the XPA gene. Cancer Epidemiol Biomarkers Prev: Publ Am Assoc Cancer Res Am Soc Prev Oncol. 2004;13(12):2242–6. Butkiewicz D, Popanda O, Risch A, Edler L, Dienemann H, Schulz V, et al. Association between the risk for lung adenocarcinoma and a (-4) G-to-A polymorphism in the XPA gene. Cancer Epidemiol Biomarkers Prev: Publ Am Assoc Cancer Res Am Soc Prev Oncol. 2004;13(12):2242–6.
41.
Zurück zum Zitat Popanda O, Schattenberg T, Phong CT, Butkiewicz D, Risch A, Edler L, et al. Specific combinations of DNA repair gene variants and increased risk for non-small cell lung cancer. Carcinogenesis. 2004;25(12):2433–41. doi:10.1093/carcin/bgh264.PubMedCrossRef Popanda O, Schattenberg T, Phong CT, Butkiewicz D, Risch A, Edler L, et al. Specific combinations of DNA repair gene variants and increased risk for non-small cell lung cancer. Carcinogenesis. 2004;25(12):2433–41. doi:10.​1093/​carcin/​bgh264.PubMedCrossRef
43.
Zurück zum Zitat Zhu J, Hu Z, Ma H, Huo X, Xu L, Zhou J et al. Polymorphism of the DNA repair gene XPA and susceptibility to lung cancer. 南京医科大学学报. 2005;19(4). Zhu J, Hu Z, Ma H, Huo X, Xu L, Zhou J et al. Polymorphism of the DNA repair gene XPA and susceptibility to lung cancer. 南京医科大学学报. 2005;19(4).
44.
46.
Zurück zum Zitat Raaschou-Nielsen O, Sorensen M, Overvad K, Tjonneland A, Vogel U. Polymorphisms in nucleotide excision repair genes, smoking and intake of fruit and vegetables in relation to lung cancer. Lung Cancer (Amsterdam, Netherlands). 2008;59(2):171–9. doi:10.1016/j.lungcan.2007.08.018.CrossRef Raaschou-Nielsen O, Sorensen M, Overvad K, Tjonneland A, Vogel U. Polymorphisms in nucleotide excision repair genes, smoking and intake of fruit and vegetables in relation to lung cancer. Lung Cancer (Amsterdam, Netherlands). 2008;59(2):171–9. doi:10.​1016/​j.​lungcan.​2007.​08.​018.CrossRef
47.
48.
Zurück zum Zitat Zhang W. Effects of genetic and environmental risk factors to esophageal cancer in Huaian population. Master’s thesis. Nanjing, People’s Republic of China. Southeast University. 2006. Zhang W. Effects of genetic and environmental risk factors to esophageal cancer in Huaian population. Master’s thesis. Nanjing, People’s Republic of China. Southeast University. 2006.
49.
Zurück zum Zitat Huang X. Polymorphisms of XPA and XRCC3, environmental agent and susceptibilities to esophageal, cardia and non-cardia gastric cancer. Master’s thesis. Fujian Medical University. 2007 (Fujian, People’s Republic of China). Huang X. Polymorphisms of XPA and XRCC3, environmental agent and susceptibilities to esophageal, cardia and non-cardia gastric cancer. Master’s thesis. Fujian Medical University. 2007 (Fujian, People’s Republic of China).
50.
Zurück zum Zitat Liu R. Study on expression characteristics of susceptibility genes and genetic susceptibility markers for esophageal carcinomas. PhD thesis. Southeast University. 2007 (Nanjing, People’s Republic of China). Liu R. Study on expression characteristics of susceptibility genes and genetic susceptibility markers for esophageal carcinomas. PhD thesis. Southeast University. 2007 (Nanjing, People’s Republic of China).
51.
Zurück zum Zitat Zhu X. Study on relationship between DNA repair genes polymorphism of hOGG1, XPC, XPA and esophageal squamous cell carcinoma susceptibility. Master’s thesis. Huazhong University of Science and Technology. 2008 (Wuhan, People’s Republic of China). Zhu X. Study on relationship between DNA repair genes polymorphism of hOGG1, XPC, XPA and esophageal squamous cell carcinoma susceptibility. Master’s thesis. Huazhong University of Science and Technology. 2008 (Wuhan, People’s Republic of China).
52.
Zurück zum Zitat Zhen Q. XPA gene polymorphisms and susceptibility to developing esophageal cancer in Chinese Han population. Master’s thesis. Zhengzhou University. 2012 (Zhengzhou, People’s Republic of China). Zhen Q. XPA gene polymorphisms and susceptibility to developing esophageal cancer in Chinese Han population. Master’s thesis. Zhengzhou University. 2012 (Zhengzhou, People’s Republic of China).
53.
Zurück zum Zitat Dong Z, Guo W, Zhou R, Wan L, Li Y, Wang N, et al. Polymorphisms of the DNA repair gene XPA and XPC and its correlation with gastric cardiac adenocarcinoma in a high incidence population in North China. J Clin Gastroenterol. 2008;42(8):910–5. doi:10.1097/MCG.0b013e3180f6262c.PubMedCrossRef Dong Z, Guo W, Zhou R, Wan L, Li Y, Wang N, et al. Polymorphisms of the DNA repair gene XPA and XPC and its correlation with gastric cardiac adenocarcinoma in a high incidence population in North China. J Clin Gastroenterol. 2008;42(8):910–5. doi:10.​1097/​MCG.​0b013e3180f6262c​.PubMedCrossRef
54.
Zurück zum Zitat Palli D, Polidoro S, D’Errico M, Saieva C, Guarrera S, Calcagnile AS, et al. Polymorphic DNA repair and metabolic genes: a multigenic study on gastric cancer. Mutagenesis. 2010;25(6):569–75. doi:10.1093/mutage/geq042.PubMedCrossRef Palli D, Polidoro S, D’Errico M, Saieva C, Guarrera S, Calcagnile AS, et al. Polymorphic DNA repair and metabolic genes: a multigenic study on gastric cancer. Mutagenesis. 2010;25(6):569–75. doi:10.​1093/​mutage/​geq042.PubMedCrossRef
55.
Zurück zum Zitat Hansen RD, Sorensen M, Tjonneland A, Overvad K, Wallin H, Raaschou-Nielsen O, et al. XPA A23G, XPC Lys939Gln, XPD Lys751Gln and XPD Asp312Asn polymorphisms, interactions with smoking, alcohol and dietary factors, and risk of colorectal cancer. Mutat Res. 2007;619(1-2):68–80. doi:10.1016/j.mrfmmm.2007.02.002.PubMedCrossRef Hansen RD, Sorensen M, Tjonneland A, Overvad K, Wallin H, Raaschou-Nielsen O, et al. XPA A23G, XPC Lys939Gln, XPD Lys751Gln and XPD Asp312Asn polymorphisms, interactions with smoking, alcohol and dietary factors, and risk of colorectal cancer. Mutat Res. 2007;619(1-2):68–80. doi:10.​1016/​j.​mrfmmm.​2007.​02.​002.PubMedCrossRef
56.
Zurück zum Zitat Joshi AD, Corral R, Siegmund KD, Haile RW, Le Marchand L, Martinez ME, et al. Red meat and poultry intake, polymorphisms in the nucleotide excision repair and mismatch repair pathways and colorectal cancer risk. Carcinogenesis. 2009;30(3):472–9. doi:10.1093/carcin/bgn260.PubMedCrossRef Joshi AD, Corral R, Siegmund KD, Haile RW, Le Marchand L, Martinez ME, et al. Red meat and poultry intake, polymorphisms in the nucleotide excision repair and mismatch repair pathways and colorectal cancer risk. Carcinogenesis. 2009;30(3):472–9. doi:10.​1093/​carcin/​bgn260.PubMedCrossRef
57.
Zurück zum Zitat Gil J, Ramsey D, Stembalska A, Karpinski P, Pesz KA, Laczmanska I, et al. The C/A polymorphism in intron 11 of the XPC gene plays a crucial role in the modulation of an individual’s susceptibility to sporadic colorectal cancer. Mol Biol Rep. 2012;39(1):527–34. doi:10.1007/s11033-011-0767-5.PubMedCrossRef Gil J, Ramsey D, Stembalska A, Karpinski P, Pesz KA, Laczmanska I, et al. The C/A polymorphism in intron 11 of the XPC gene plays a crucial role in the modulation of an individual’s susceptibility to sporadic colorectal cancer. Mol Biol Rep. 2012;39(1):527–34. doi:10.​1007/​s11033-011-0767-5.PubMedCrossRef
61.
Zurück zum Zitat Yang ZH, Liang WB, Jia J, Wei YS, Zhou B, Zhang L. The xeroderma pigmentosum group C gene polymorphisms and genetic susceptibility of nasopharyngeal carcinoma. Acta Oncol (Stockh). 2008;47(3):379–84. doi:10.1080/02841860701558815.CrossRef Yang ZH, Liang WB, Jia J, Wei YS, Zhou B, Zhang L. The xeroderma pigmentosum group C gene polymorphisms and genetic susceptibility of nasopharyngeal carcinoma. Acta Oncol (Stockh). 2008;47(3):379–84. doi:10.​1080/​0284186070155881​5.CrossRef
62.
Zurück zum Zitat Hu Z, Wang Y, Wang X, Liang G, Miao X, Xu Y, et al. DNA repair gene XPC genotypes/haplotypes and risk of lung cancer in a Chinese population. Int J Cancer J Int du Cancer. 2005;115(3):478–83. doi:10.1002/ijc.20911.CrossRef Hu Z, Wang Y, Wang X, Liang G, Miao X, Xu Y, et al. DNA repair gene XPC genotypes/haplotypes and risk of lung cancer in a Chinese population. Int J Cancer J Int du Cancer. 2005;115(3):478–83. doi:10.​1002/​ijc.​20911.CrossRef
63.
Zurück zum Zitat Lee GY, Jang JS, Lee SY, Jeon HS, Kim KM, Choi JE, et al. XPC polymorphisms and lung cancer risk. Int J Cancer J Int du Cancer. 2005;115(5):807–13. doi:10.1002/ijc.20900.CrossRef Lee GY, Jang JS, Lee SY, Jeon HS, Kim KM, Choi JE, et al. XPC polymorphisms and lung cancer risk. Int J Cancer J Int du Cancer. 2005;115(5):807–13. doi:10.​1002/​ijc.​20900.CrossRef
64.
Zurück zum Zitat Hu ZB, Wang YG, Ma HX, Tan W, Niu JY, Lin DX, et al. [Association of two exonic genetic polymorphisms in the DNA repair gene XPC with risk of lung cancer in Chinese population]. Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chin J Med Genet. 2005;22(4):415–8. Hu ZB, Wang YG, Ma HX, Tan W, Niu JY, Lin DX, et al. [Association of two exonic genetic polymorphisms in the DNA repair gene XPC with risk of lung cancer in Chinese population]. Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chin J Med Genet. 2005;22(4):415–8.
65.
Zurück zum Zitat Long XD, Ma Y, Huang YZ, Yi Y, Liang QX, Ma AM, et al. Genetic polymorphisms in DNA repair genes XPC, XPD, and XRCC4, and susceptibility to Helicobacter pylori infection-related gastric antrum adenocarcinoma in Guangxi population. China. Mol Carcinog. 2010;49(6):611–8. doi:10.1002/mc.20630.PubMed Long XD, Ma Y, Huang YZ, Yi Y, Liang QX, Ma AM, et al. Genetic polymorphisms in DNA repair genes XPC, XPD, and XRCC4, and susceptibility to Helicobacter pylori infection-related gastric antrum adenocarcinoma in Guangxi population. China. Mol Carcinog. 2010;49(6):611–8. doi:10.​1002/​mc.​20630.PubMed
66.
Zurück zum Zitat Wu Y, Jin M, Liu B, Liang X, Yu Y, Li Q, et al. The association of XPC polymorphisms and tea drinking with colorectal cancer risk in a Chinese population. Mol Carcinog. 2011;50(3):189–98. doi:10.1002/mc.20704.PubMedCrossRef Wu Y, Jin M, Liu B, Liang X, Yu Y, Li Q, et al. The association of XPC polymorphisms and tea drinking with colorectal cancer risk in a Chinese population. Mol Carcinog. 2011;50(3):189–98. doi:10.​1002/​mc.​20704.PubMedCrossRef
67.
70.
Zurück zum Zitat Francisco G, Menezes PR, Eluf-Neto J, Chammas R. XPC polymorphisms play a role in tissue-specific carcinogenesis: a meta-analysis. European J Human Genet: EJHG. 2008;16(6):724–34. doi:10.1038/ejhg.2008.6.CrossRef Francisco G, Menezes PR, Eluf-Neto J, Chammas R. XPC polymorphisms play a role in tissue-specific carcinogenesis: a meta-analysis. European J Human Genet: EJHG. 2008;16(6):724–34. doi:10.​1038/​ejhg.​2008.​6.CrossRef
74.
Zurück zum Zitat Jiang X, Zhou LT, Zhang SC, Chen K. XPC polymorphism increases risk of digestive system cancers: current evidence from a meta-analysis. Chinese J Cancer Res = Chung-kuo yen cheng yen chiu. 2012;24(3):181–9. doi:10.1007/s11670-012-0181-0.CrossRef Jiang X, Zhou LT, Zhang SC, Chen K. XPC polymorphism increases risk of digestive system cancers: current evidence from a meta-analysis. Chinese J Cancer Res = Chung-kuo yen cheng yen chiu. 2012;24(3):181–9. doi:10.​1007/​s11670-012-0181-0.CrossRef
77.
Zurück zum Zitat Zhang Y, Li Z, Zhong Q, Zhou W, Chen X, Fang J, et al. Polymorphisms of the XPC gene may contribute to the risk of head and neck cancer: a meta-analysis. Tumour Biol: J Int Soc Oncodev Biol Med. 2014;35(4):3917–31. doi:10.1007/s13277-013-1520-6.CrossRef Zhang Y, Li Z, Zhong Q, Zhou W, Chen X, Fang J, et al. Polymorphisms of the XPC gene may contribute to the risk of head and neck cancer: a meta-analysis. Tumour Biol: J Int Soc Oncodev Biol Med. 2014;35(4):3917–31. doi:10.​1007/​s13277-013-1520-6.CrossRef
78.
Zurück zum Zitat Sugasawa K, Ng JM, Masutani C, Iwai S, van der Spek PJ, Eker AP, et al. Xeroderma pigmentosum group C protein complex is the initiator of global genome nucleotide excision repair. Mol Cell. 1998;2(2):223–32.PubMedCrossRef Sugasawa K, Ng JM, Masutani C, Iwai S, van der Spek PJ, Eker AP, et al. Xeroderma pigmentosum group C protein complex is the initiator of global genome nucleotide excision repair. Mol Cell. 1998;2(2):223–32.PubMedCrossRef
80.
Zurück zum Zitat De Silva IU, McHugh PJ, Clingen PH, Hartley JA. Defining the roles of nucleotide excision repair and recombination in the repair of DNA interstrand cross-links in mammalian cells. Mol Cell Biol. 2000;20(21):7980–90.PubMedPubMedCentralCrossRef De Silva IU, McHugh PJ, Clingen PH, Hartley JA. Defining the roles of nucleotide excision repair and recombination in the repair of DNA interstrand cross-links in mammalian cells. Mol Cell Biol. 2000;20(21):7980–90.PubMedPubMedCentralCrossRef
81.
Zurück zum Zitat Goode EL, Ulrich CM, Potter JD. Polymorphisms in DNA repair genes and associations with cancer risk. Cancer Epidem Biomarkers Prev: Publ Am Assoc Cancer Res Am Soc Prev Oncol. 2002;11(12):1513–30. Goode EL, Ulrich CM, Potter JD. Polymorphisms in DNA repair genes and associations with cancer risk. Cancer Epidem Biomarkers Prev: Publ Am Assoc Cancer Res Am Soc Prev Oncol. 2002;11(12):1513–30.
82.
Zurück zum Zitat Sturgis EM, Zheng R, Li L, Castillo EJ, Eicher SA, Chen M, et al. XPD/ERCC2 polymorphisms and risk of head and neck cancer: a case-control analysis. Carcinogenesis. 2000;21(12):2219–23.PubMedCrossRef Sturgis EM, Zheng R, Li L, Castillo EJ, Eicher SA, Chen M, et al. XPD/ERCC2 polymorphisms and risk of head and neck cancer: a case-control analysis. Carcinogenesis. 2000;21(12):2219–23.PubMedCrossRef
83.
Zurück zum Zitat Kozak M. Initiation of translation in prokaryotes and eukaryotes. Gene. 1999;234(2):187–208.PubMedCrossRef Kozak M. Initiation of translation in prokaryotes and eukaryotes. Gene. 1999;234(2):187–208.PubMedCrossRef
84.
85.
Zurück zum Zitat Larsen LK, Amri EZ, Mandrup S, Pacot C, Kristiansen K. Genomic organization of the mouse peroxisome proliferator-activated receptor beta/delta gene: alternative promoter usage and splicing yield transcripts exhibiting differential translational efficiency. Biochem J. 2002;366(Pt 3):767–75. doi:10.1042/bj20011821.PubMedPubMedCentralCrossRef Larsen LK, Amri EZ, Mandrup S, Pacot C, Kristiansen K. Genomic organization of the mouse peroxisome proliferator-activated receptor beta/delta gene: alternative promoter usage and splicing yield transcripts exhibiting differential translational efficiency. Biochem J. 2002;366(Pt 3):767–75. doi:10.​1042/​bj20011821.PubMedPubMedCentralCrossRef
86.
87.
Zurück zum Zitat Laczmanska I, Gil J, Karpinski P, Stembalska A, Trusewicz A, Pesz K, et al. Polymorphism in nucleotide excision repair gene XPC correlates with bleomycin-induced chromosomal aberrations. Environ Mol Mutagen. 2007;48(8):666–71. doi:10.1002/em.20333.PubMedCrossRef Laczmanska I, Gil J, Karpinski P, Stembalska A, Trusewicz A, Pesz K, et al. Polymorphism in nucleotide excision repair gene XPC correlates with bleomycin-induced chromosomal aberrations. Environ Mol Mutagen. 2007;48(8):666–71. doi:10.​1002/​em.​20333.PubMedCrossRef
88.
Zurück zum Zitat Laczmanska I, Gil J, Karpinski P, Stembalska A, Kozlowska J, Busza H, et al. Influence of polymorphisms in xenobiotic-metabolizing genes and DNA-repair genes on diepoxybutane-induced SCE frequency. Environ Mol Mutagen. 2006;47(9):666–73. doi:10.1002/em.20253.PubMedCrossRef Laczmanska I, Gil J, Karpinski P, Stembalska A, Kozlowska J, Busza H, et al. Influence of polymorphisms in xenobiotic-metabolizing genes and DNA-repair genes on diepoxybutane-induced SCE frequency. Environ Mol Mutagen. 2006;47(9):666–73. doi:10.​1002/​em.​20253.PubMedCrossRef
89.
Zurück zum Zitat Asnaghi L, Alkatan H, Mahale A, Othman M, Alwadani S, Al-Hussain H, et al. Identification of multiple DNA copy number alterations including frequent 8p11.22 amplification in conjunctival squamous cell carcinoma. Invest Ophthalmol Vis Sci. 2014;55(12):8604–13. doi:10.1167/iovs.14-14920.PubMedPubMedCentralCrossRef Asnaghi L, Alkatan H, Mahale A, Othman M, Alwadani S, Al-Hussain H, et al. Identification of multiple DNA copy number alterations including frequent 8p11.22 amplification in conjunctival squamous cell carcinoma. Invest Ophthalmol Vis Sci. 2014;55(12):8604–13. doi:10.​1167/​iovs.​14-14920.PubMedPubMedCentralCrossRef
92.
Zurück zum Zitat Lindahl T, Wood RD. Quality control by DNA repair. Science (New York, NY). 1999;286(5446):1897–905.CrossRef Lindahl T, Wood RD. Quality control by DNA repair. Science (New York, NY). 1999;286(5446):1897–905.CrossRef
94.
Zurück zum Zitat Hecht SS, Chen CB, Ohmori T, Hoffmann D. Comparative carcinogenicity in F344 rats of the tobacco-specific nitrosamines, N′-nitrosonornicotine and 4-(N-methyl-N-nitrosamino)-1-(3-pyridyl)-1-butanone. Cancer Res. 1980;40(2):298–302.PubMed Hecht SS, Chen CB, Ohmori T, Hoffmann D. Comparative carcinogenicity in F344 rats of the tobacco-specific nitrosamines, N′-nitrosonornicotine and 4-(N-methyl-N-nitrosamino)-1-(3-pyridyl)-1-butanone. Cancer Res. 1980;40(2):298–302.PubMed
95.
Zurück zum Zitat Rivenson A, Hoffmann D, Prokopczyk B, Amin S, Hecht SS. Induction of lung and exocrine pancreas tumors in F344 rats by tobacco-specific and Areca-derived N-nitrosamines. Cancer Res. 1988;48(23):6912–7.PubMed Rivenson A, Hoffmann D, Prokopczyk B, Amin S, Hecht SS. Induction of lung and exocrine pancreas tumors in F344 rats by tobacco-specific and Areca-derived N-nitrosamines. Cancer Res. 1988;48(23):6912–7.PubMed
96.
Zurück zum Zitat Siddiqi M, Tricker AR, Preussmann R. The occurrence of preformed N-nitroso compounds in food samples from a high risk area of esophageal cancer in Kashmir, India. Cancer Lett. 1988;39(1):37–43.PubMedCrossRef Siddiqi M, Tricker AR, Preussmann R. The occurrence of preformed N-nitroso compounds in food samples from a high risk area of esophageal cancer in Kashmir, India. Cancer Lett. 1988;39(1):37–43.PubMedCrossRef
97.
Zurück zum Zitat Siddiqi M, Tricker AR, Preussmann R. Formation of N-nitroso compounds under simulated gastric conditions from Kashmir foodstuffs. Cancer Lett. 1988;39(3):259–65.PubMedCrossRef Siddiqi M, Tricker AR, Preussmann R. Formation of N-nitroso compounds under simulated gastric conditions from Kashmir foodstuffs. Cancer Lett. 1988;39(3):259–65.PubMedCrossRef
98.
Zurück zum Zitat Siddiqi MA, Tricker AR, Kumar R, Fazili Z, Preussmann R. Dietary sources of N-nitrosamines in a high-risk area for oesophageal cancer --Kashmir India. IARC Sci Publ. 1991;105:210–3. Siddiqi MA, Tricker AR, Kumar R, Fazili Z, Preussmann R. Dietary sources of N-nitrosamines in a high-risk area for oesophageal cancer --Kashmir India. IARC Sci Publ. 1991;105:210–3.
99.
Zurück zum Zitat Petit C, Sancar A. Nucleotide excision repair: from E. coli to man. Biochimie. 1999;81(1-2):15–25.PubMedCrossRef Petit C, Sancar A. Nucleotide excision repair: from E. coli to man. Biochimie. 1999;81(1-2):15–25.PubMedCrossRef
102.
Zurück zum Zitat Morita M, Saeki H, Mori M, Kuwano H, Sugimachi K. Risk factors for esophageal cancer and the multiple occurrence of carcinoma in the upper aerodigestive tract. Surgery. 2002;131(1 Suppl):S1–6.PubMedCrossRef Morita M, Saeki H, Mori M, Kuwano H, Sugimachi K. Risk factors for esophageal cancer and the multiple occurrence of carcinoma in the upper aerodigestive tract. Surgery. 2002;131(1 Suppl):S1–6.PubMedCrossRef
103.
Zurück zum Zitat Akbari MR, Malekzadeh R, Nasrollahzadeh D, Amanian D, Sun P, Islami F, et al. Familial risks of esophageal cancer among the Turkmen population of the Caspian littoral of Iran. Int J Cancer J Int du Cancer. 2006;119(5):1047–51. doi:10.1002/ijc.21906.CrossRef Akbari MR, Malekzadeh R, Nasrollahzadeh D, Amanian D, Sun P, Islami F, et al. Familial risks of esophageal cancer among the Turkmen population of the Caspian littoral of Iran. Int J Cancer J Int du Cancer. 2006;119(5):1047–51. doi:10.​1002/​ijc.​21906.CrossRef
104.
Zurück zum Zitat Dhillon PK, Farrow DC, Vaughan TL, Chow WH, Risch HA, Gammon MD, et al. Family history of cancer and risk of esophageal and gastric cancers in the United States. Int J Cancer J Int du Cancer. 2001;93(1):148–52.CrossRef Dhillon PK, Farrow DC, Vaughan TL, Chow WH, Risch HA, Gammon MD, et al. Family history of cancer and risk of esophageal and gastric cancers in the United States. Int J Cancer J Int du Cancer. 2001;93(1):148–52.CrossRef
105.
Zurück zum Zitat Tavani A, Negri E, Franceschi S, La Vecchia C. Risk factors for esophageal cancer in lifelong nonsmokers. Cancer Epidemiol Biomarkers Prev: Publ Am Assoc Cancer Res Am Soc Prev Oncol. 1994;3(5):387–92. Tavani A, Negri E, Franceschi S, La Vecchia C. Risk factors for esophageal cancer in lifelong nonsmokers. Cancer Epidemiol Biomarkers Prev: Publ Am Assoc Cancer Res Am Soc Prev Oncol. 1994;3(5):387–92.
107.
Zurück zum Zitat Chang-Claude J, Becher H, Blettner M, Qiu S, Yang G, Wahrendorf J. Familial aggregation of oesophageal cancer in a high incidence area in China. Int J Epidemiol. 1997;26(6):1159–65.PubMedCrossRef Chang-Claude J, Becher H, Blettner M, Qiu S, Yang G, Wahrendorf J. Familial aggregation of oesophageal cancer in a high incidence area in China. Int J Epidemiol. 1997;26(6):1159–65.PubMedCrossRef
108.
Zurück zum Zitat Li GH, He LJ. A survey on the familial aggregation of esophageal cancer in Yangcheng County. Chin Med J (Engl). 1985;98(10):749–52. Li GH, He LJ. A survey on the familial aggregation of esophageal cancer in Yangcheng County. Chin Med J (Engl). 1985;98(10):749–52.
109.
Zurück zum Zitat Ko JM, Zhang P, Law S, Fan Y, Song YQ, Zhao XK, et al. Identity-by-descent approaches identify regions of importance for genetic susceptibility to hereditary esophageal squamous cell carcinoma. Oncol Rep. 2014;32(2):860–70. doi:10.3892/or.2014.3222.PubMed Ko JM, Zhang P, Law S, Fan Y, Song YQ, Zhao XK, et al. Identity-by-descent approaches identify regions of importance for genetic susceptibility to hereditary esophageal squamous cell carcinoma. Oncol Rep. 2014;32(2):860–70. doi:10.​3892/​or.​2014.​3222.PubMed
110.
Zurück zum Zitat Ayub SG, Ayub T, Khan SN, Rasool S, Mahboob-ul H, Wani KA, et al. Epidemiological distribution and incidence of different cancers in Kashmir valley—2002-2006. Asian Pac J Cancer Prev: APJCP. 2011;12(7):1867–72.PubMed Ayub SG, Ayub T, Khan SN, Rasool S, Mahboob-ul H, Wani KA, et al. Epidemiological distribution and incidence of different cancers in Kashmir valley—2002-2006. Asian Pac J Cancer Prev: APJCP. 2011;12(7):1867–72.PubMed
114.
Zurück zum Zitat Cao S, Wang S, Ma H, Tang S, Sun C, Dai J, et al. Genome-wide association study of myelosuppression in non-small-cell lung cancer patients with platinum-based chemotherapy. Pharmacogenomics J. 2015. doi:10.1038/tpj.2015.22. Cao S, Wang S, Ma H, Tang S, Sun C, Dai J, et al. Genome-wide association study of myelosuppression in non-small-cell lung cancer patients with platinum-based chemotherapy. Pharmacogenomics J. 2015. doi:10.​1038/​tpj.​2015.​22.
116.
Zurück zum Zitat Wang LD, Zhou FY, Li XM, Sun LD, Song X, Jin Y, et al. Genome-wide association study of esophageal squamous cell carcinoma in Chinese subjects identifies susceptibility loci at PLCE1 and C20orf54. Nat Genet. 2010;42(9):759–63. doi:10.1038/ng.648.PubMedCrossRef Wang LD, Zhou FY, Li XM, Sun LD, Song X, Jin Y, et al. Genome-wide association study of esophageal squamous cell carcinoma in Chinese subjects identifies susceptibility loci at PLCE1 and C20orf54. Nat Genet. 2010;42(9):759–63. doi:10.​1038/​ng.​648.PubMedCrossRef
117.
Metadaten
Titel
Potential risk of esophageal squamous cell carcinoma due to nucleotide excision repair XPA and XPC gene variants and their interaction among themselves and with environmental factors
verfasst von
Rumaisa Rafiq
Gulzar Ahmad Bhat
Mohd Maqbool Lone
Akbar Masood
Nazir Ahmad Dar
Publikationsdatum
29.01.2016
Verlag
Springer Netherlands
Erschienen in
Tumor Biology / Ausgabe 8/2016
Print ISSN: 1010-4283
Elektronische ISSN: 1423-0380
DOI
https://doi.org/10.1007/s13277-016-4895-3

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