Associations of one-carbon metabolism-related gene polymorphisms with breast cancer risk are modulated by diet, being higher when adherence to the Mediterranean dietary pattern is low

Purpose Breast cancer is more likely attributed to a combination of genetic variations and lifestyle factors. Both one-carbon metabolism and diet-related factors could interfere with the carcinogenesis of breast cancer (BC), but whether diet consumed underlie a specific metabolism pathway could infl...

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Veröffentlicht in:Breast cancer research and treatment 2021-06, Vol.187 (3), p.793-804
Hauptverfasser: Cao, Shang, Zhu, Zheng, Zhou, Jinyi, Li, Wei, Dong, Yunqiu, Qian, Yun, Wei, Pingmin, Wu, Ming
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container_issue 3
container_start_page 793
container_title Breast cancer research and treatment
container_volume 187
creator Cao, Shang
Zhu, Zheng
Zhou, Jinyi
Li, Wei
Dong, Yunqiu
Qian, Yun
Wei, Pingmin
Wu, Ming
description Purpose Breast cancer is more likely attributed to a combination of genetic variations and lifestyle factors. Both one-carbon metabolism and diet-related factors could interfere with the carcinogenesis of breast cancer (BC), but whether diet consumed underlie a specific metabolism pathway could influence the impact of genetic variants on breast cancer risk remains equivocal. Methods A case–control study of the Chinese female population (818 cases, 935 controls). 13 SNPs in eight one-carbon metabolism-related genes ( MTHFD1 , TYMS , MTRR , MAT2B , CDO1 , FOLR1 , UNG2 , ADA ) were performed. Diet was assessed by a validated food-frequency questionnaire. We examined the associations of the adherence to the Mediterranean dietary pattern (MDP) and single-nucleotide polymorphisms (SNPs) of one-carbon metabolism with breast cancer risk. We constructed an aggregate polygenic risk score (PRS) to test the additive effects of genetic variants and analyzed the gene–diet interactions. Results High adherence (highest quartile) to the MDP decreased the risk of breast cancer among post- but not premenopausal women, respectively (OR = 0.54, 95% CI = 0.38 to 0.78 and 0.90, 0.53 to 1.53). Neither of the polymorphisms or haplotypes was associated with breast cancer risk, irrespective of menopause. However, a high PRS (highest quartile) was associated with more than a doubling risk in both post- and premenopausal women, respectively (OR = 1.95, 95% CI = 1.32 to 2.87 and 2.09, 1.54 to 2.85). We found a gene–diet interaction with adherence to the MDP for aggregate PRS ( P -interaction = 0.000) among postmenopausal women. When adherence to the MDP was low (
doi_str_mv 10.1007/s10549-021-06108-8
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Both one-carbon metabolism and diet-related factors could interfere with the carcinogenesis of breast cancer (BC), but whether diet consumed underlie a specific metabolism pathway could influence the impact of genetic variants on breast cancer risk remains equivocal. Methods A case–control study of the Chinese female population (818 cases, 935 controls). 13 SNPs in eight one-carbon metabolism-related genes ( MTHFD1 , TYMS , MTRR , MAT2B , CDO1 , FOLR1 , UNG2 , ADA ) were performed. Diet was assessed by a validated food-frequency questionnaire. We examined the associations of the adherence to the Mediterranean dietary pattern (MDP) and single-nucleotide polymorphisms (SNPs) of one-carbon metabolism with breast cancer risk. We constructed an aggregate polygenic risk score (PRS) to test the additive effects of genetic variants and analyzed the gene–diet interactions. Results High adherence (highest quartile) to the MDP decreased the risk of breast cancer among post- but not premenopausal women, respectively (OR = 0.54, 95% CI = 0.38 to 0.78 and 0.90, 0.53 to 1.53). Neither of the polymorphisms or haplotypes was associated with breast cancer risk, irrespective of menopause. However, a high PRS (highest quartile) was associated with more than a doubling risk in both post- and premenopausal women, respectively (OR = 1.95, 95% CI = 1.32 to 2.87 and 2.09, 1.54 to 2.85). We found a gene–diet interaction with adherence to the MDP for aggregate PRS ( P -interaction = 0.000) among postmenopausal women. When adherence to the MDP was low (&lt; median), carries with high PRS (highest quartile) had higher BC risk (OR = 2.80, 95% CI = 1.55 to 5.07) than low PRS (lowest quartile), while adherence to the MDP was high (≥ median), the association disappeared (OR = 1.57, 95% CI = 0.92 to 2.66). Conclusion High adherence to the MDP may counteract the genetic predisposition associated with one-carbon metabolism on breast cancer risk in postmenopausal women.</description><identifier>ISSN: 0167-6806</identifier><identifier>EISSN: 1573-7217</identifier><identifier>DOI: 10.1007/s10549-021-06108-8</identifier><identifier>PMID: 33599865</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Breast cancer ; Cancer ; Cancer research ; Carbon ; Carcinogenesis ; Diet ; Epidemiology ; Gene polymorphism ; Genes ; Genetic aspects ; Genetic diversity ; Genetic research ; Haplotypes ; Medicine ; Medicine &amp; Public Health ; Menopause ; Metabolism ; Oncology ; Oncology, Experimental ; Physiological aspects ; Post-menopause ; Postmenopausal women ; Risk factors ; Single nucleotide polymorphisms ; Single-nucleotide polymorphism ; Womens health</subject><ispartof>Breast cancer research and treatment, 2021-06, Vol.187 (3), p.793-804</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-3470c1c59028e4ab49fe4ebfdb9324e6f06ad753be4e441cae7d986f29a538353</citedby><cites>FETCH-LOGICAL-c473t-3470c1c59028e4ab49fe4ebfdb9324e6f06ad753be4e441cae7d986f29a538353</cites><orcidid>0000-0002-8798-0288</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10549-021-06108-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10549-021-06108-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33599865$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cao, Shang</creatorcontrib><creatorcontrib>Zhu, Zheng</creatorcontrib><creatorcontrib>Zhou, Jinyi</creatorcontrib><creatorcontrib>Li, Wei</creatorcontrib><creatorcontrib>Dong, Yunqiu</creatorcontrib><creatorcontrib>Qian, Yun</creatorcontrib><creatorcontrib>Wei, Pingmin</creatorcontrib><creatorcontrib>Wu, Ming</creatorcontrib><title>Associations of one-carbon metabolism-related gene polymorphisms with breast cancer risk are modulated by diet, being higher when adherence to the Mediterranean dietary pattern is low</title><title>Breast cancer research and treatment</title><addtitle>Breast Cancer Res Treat</addtitle><addtitle>Breast Cancer Res Treat</addtitle><description>Purpose Breast cancer is more likely attributed to a combination of genetic variations and lifestyle factors. Both one-carbon metabolism and diet-related factors could interfere with the carcinogenesis of breast cancer (BC), but whether diet consumed underlie a specific metabolism pathway could influence the impact of genetic variants on breast cancer risk remains equivocal. Methods A case–control study of the Chinese female population (818 cases, 935 controls). 13 SNPs in eight one-carbon metabolism-related genes ( MTHFD1 , TYMS , MTRR , MAT2B , CDO1 , FOLR1 , UNG2 , ADA ) were performed. Diet was assessed by a validated food-frequency questionnaire. We examined the associations of the adherence to the Mediterranean dietary pattern (MDP) and single-nucleotide polymorphisms (SNPs) of one-carbon metabolism with breast cancer risk. We constructed an aggregate polygenic risk score (PRS) to test the additive effects of genetic variants and analyzed the gene–diet interactions. Results High adherence (highest quartile) to the MDP decreased the risk of breast cancer among post- but not premenopausal women, respectively (OR = 0.54, 95% CI = 0.38 to 0.78 and 0.90, 0.53 to 1.53). Neither of the polymorphisms or haplotypes was associated with breast cancer risk, irrespective of menopause. However, a high PRS (highest quartile) was associated with more than a doubling risk in both post- and premenopausal women, respectively (OR = 1.95, 95% CI = 1.32 to 2.87 and 2.09, 1.54 to 2.85). We found a gene–diet interaction with adherence to the MDP for aggregate PRS ( P -interaction = 0.000) among postmenopausal women. When adherence to the MDP was low (&lt; median), carries with high PRS (highest quartile) had higher BC risk (OR = 2.80, 95% CI = 1.55 to 5.07) than low PRS (lowest quartile), while adherence to the MDP was high (≥ median), the association disappeared (OR = 1.57, 95% CI = 0.92 to 2.66). 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Both one-carbon metabolism and diet-related factors could interfere with the carcinogenesis of breast cancer (BC), but whether diet consumed underlie a specific metabolism pathway could influence the impact of genetic variants on breast cancer risk remains equivocal. Methods A case–control study of the Chinese female population (818 cases, 935 controls). 13 SNPs in eight one-carbon metabolism-related genes ( MTHFD1 , TYMS , MTRR , MAT2B , CDO1 , FOLR1 , UNG2 , ADA ) were performed. Diet was assessed by a validated food-frequency questionnaire. We examined the associations of the adherence to the Mediterranean dietary pattern (MDP) and single-nucleotide polymorphisms (SNPs) of one-carbon metabolism with breast cancer risk. We constructed an aggregate polygenic risk score (PRS) to test the additive effects of genetic variants and analyzed the gene–diet interactions. Results High adherence (highest quartile) to the MDP decreased the risk of breast cancer among post- but not premenopausal women, respectively (OR = 0.54, 95% CI = 0.38 to 0.78 and 0.90, 0.53 to 1.53). Neither of the polymorphisms or haplotypes was associated with breast cancer risk, irrespective of menopause. However, a high PRS (highest quartile) was associated with more than a doubling risk in both post- and premenopausal women, respectively (OR = 1.95, 95% CI = 1.32 to 2.87 and 2.09, 1.54 to 2.85). We found a gene–diet interaction with adherence to the MDP for aggregate PRS ( P -interaction = 0.000) among postmenopausal women. When adherence to the MDP was low (&lt; median), carries with high PRS (highest quartile) had higher BC risk (OR = 2.80, 95% CI = 1.55 to 5.07) than low PRS (lowest quartile), while adherence to the MDP was high (≥ median), the association disappeared (OR = 1.57, 95% CI = 0.92 to 2.66). Conclusion High adherence to the MDP may counteract the genetic predisposition associated with one-carbon metabolism on breast cancer risk in postmenopausal women.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33599865</pmid><doi>10.1007/s10549-021-06108-8</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-8798-0288</orcidid></addata></record>
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subjects Breast cancer
Cancer
Cancer research
Carbon
Carcinogenesis
Diet
Epidemiology
Gene polymorphism
Genes
Genetic aspects
Genetic diversity
Genetic research
Haplotypes
Medicine
Medicine & Public Health
Menopause
Metabolism
Oncology
Oncology, Experimental
Physiological aspects
Post-menopause
Postmenopausal women
Risk factors
Single nucleotide polymorphisms
Single-nucleotide polymorphism
Womens health
title Associations of one-carbon metabolism-related gene polymorphisms with breast cancer risk are modulated by diet, being higher when adherence to the Mediterranean dietary pattern is low
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