Methylenetetrahydrofolate reductase (MTHFR) C677T and A1298C polymorphisms and the risk of primary Hepatocellular Carcinoma (HCC) in a Chinese population

Objectives Methylenetetrahydrofolate reductase (MTHFR), which is expressed in the liver, may be involved in both DNA methylation and DNA synthesis. It is also indicated as a potential risk factor of liver cancer in patients with chronic liver disease. To date, no study has been conducted on MTHFR an...

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Veröffentlicht in:Cancer causes & control 2007-08, Vol.18 (6), p.665-675
Hauptverfasser: Mu, Li-Na, Cao, Wei, Zhang, Zuo-Feng, Cai, Lin, Jiang, Qing-Wu, You, Nai-Chieh, Goldstein, Binh Yang, Wei, Guo-Rong, Chen, Chuan-Wei, Lu, Qing-Yi, Zhou, Xue-Fu, Ding, Bao-Guo, Chang, Jun, Yu, Shun-Zhang
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container_end_page 675
container_issue 6
container_start_page 665
container_title Cancer causes & control
container_volume 18
creator Mu, Li-Na
Cao, Wei
Zhang, Zuo-Feng
Cai, Lin
Jiang, Qing-Wu
You, Nai-Chieh
Goldstein, Binh Yang
Wei, Guo-Rong
Chen, Chuan-Wei
Lu, Qing-Yi
Zhou, Xue-Fu
Ding, Bao-Guo
Chang, Jun
Yu, Shun-Zhang
description Objectives Methylenetetrahydrofolate reductase (MTHFR), which is expressed in the liver, may be involved in both DNA methylation and DNA synthesis. It is also indicated as a potential risk factor of liver cancer in patients with chronic liver disease. To date, no study has been conducted on MTHFR and hepatocellular carcinoma (HCC) using a population-based design. The objective of this study was to evaluate the effects of polymorphisms of the MTHFR gene on the risk of primary liver cancer and their possible effect modifications on various environmental risk factors. Methods A population-based case-control study was conducted in Taixing, China. MTHFR C677T and A1298C were assayed by PCR-RFLP techniques. Results The frequency of MTHFR 677 C/C wild homozygotes genotype was 25.8% in cases, which was lower than that in controls (34.5%). The adjusted odds ratios (ORs) for the MTHFR 677 C/T and T/T genotype were 1.66(95% CI: 1.06-2.61), 1.21(95% CI: 0.65-2.28) respectively when compared with the MTHFR 677 C/C genotype. Subjects carrying any T genotype have the increased risk of 1.55(95% CI: 1.01-2.40) for development of primary hepatocellular carcinoma. A high degree of linkage disequilibrium was observed between the C677T and A1298C polymorphisms, with the D' of 0.887 and p < 0.01. The MTHFR 677 any T genotype was suggested to have potentially more than multiplicative interactions with raw water drinking with p-value for adjusted interaction of 0.03. Conclusion We observed that the MTHFR 677 C/T genotype was associated with an increased risk of primary liver cancer in a Chinese population. The polymorphism of MTHFR 677 might modify the effects of raw water drinking on the risk of primary hepatocellular carcinoma.
doi_str_mv 10.1007/s10552-007-9012-x
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fullrecord <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4165489</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>29736669</jstor_id><sourcerecordid>29736669</sourcerecordid><originalsourceid>FETCH-LOGICAL-c595t-bc17a07da72bc3c6d739521c8110a9449ba73461ec792cf41df8cd8cc6d4c29d3</originalsourceid><addsrcrecordid>eNqFkt-K1DAUxoso7rj6AF6oQUF2L6onSZM0N8JSXEfYRdDZ65BJ023Htukmrew8im9raof1D4hXCZzf-XLOly9JnmJ4gwHE24CBMZLGayoBk_T2XrLCTNBUEMLuJyuQTKSMZPQoeRTCDgAYJ_AwOcKCAQXgq-T7pR3rfWt7O9rR63pfele5Vo8WeVtOZtTBopPLzfr88ykquBAbpPsSnWEi8wINrt13zg91E7rwszDWsbEJX5Gr0OCbTvs9WttBj87Ytp1a7VGhvWl612l0si6KU9T0SKOibnobnxrcEKGxcf3j5EGl22CfHM7j5Or8_aZYpxefPnwszi5SwyQb063BQoMotSBbQw0vBZWMYJNjDFpmmdxqQTOOrRGSmCrDZZWbMjeRzAyRJT1O3i26w7TtbGlsH31o1WF45XSj_qz0Ta2u3TeVYc6yXEaB1wcB724mG0bVNWHeVvfWTUEJYEIQmv8XJCAoUIEj-OovcOcm30cXFOGcg8Cc00i9_CeFKeQxGrMUXiDjXQjeVneLYVBziNQSIjVf5xCp29jz_HdHfnUcUhOBZwuwC6Pzd3UiBY3jzY68WOqVdkpfxzyoqy8E4lAQPyGPCj8AkHnVkw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>213085521</pqid></control><display><type>article</type><title>Methylenetetrahydrofolate reductase (MTHFR) C677T and A1298C polymorphisms and the risk of primary Hepatocellular Carcinoma (HCC) in a Chinese population</title><source>Jstor Complete Legacy</source><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Mu, Li-Na ; Cao, Wei ; Zhang, Zuo-Feng ; Cai, Lin ; Jiang, Qing-Wu ; You, Nai-Chieh ; Goldstein, Binh Yang ; Wei, Guo-Rong ; Chen, Chuan-Wei ; Lu, Qing-Yi ; Zhou, Xue-Fu ; Ding, Bao-Guo ; Chang, Jun ; Yu, Shun-Zhang</creator><creatorcontrib>Mu, Li-Na ; Cao, Wei ; Zhang, Zuo-Feng ; Cai, Lin ; Jiang, Qing-Wu ; You, Nai-Chieh ; Goldstein, Binh Yang ; Wei, Guo-Rong ; Chen, Chuan-Wei ; Lu, Qing-Yi ; Zhou, Xue-Fu ; Ding, Bao-Guo ; Chang, Jun ; Yu, Shun-Zhang</creatorcontrib><description>Objectives Methylenetetrahydrofolate reductase (MTHFR), which is expressed in the liver, may be involved in both DNA methylation and DNA synthesis. It is also indicated as a potential risk factor of liver cancer in patients with chronic liver disease. To date, no study has been conducted on MTHFR and hepatocellular carcinoma (HCC) using a population-based design. The objective of this study was to evaluate the effects of polymorphisms of the MTHFR gene on the risk of primary liver cancer and their possible effect modifications on various environmental risk factors. Methods A population-based case-control study was conducted in Taixing, China. MTHFR C677T and A1298C were assayed by PCR-RFLP techniques. Results The frequency of MTHFR 677 C/C wild homozygotes genotype was 25.8% in cases, which was lower than that in controls (34.5%). The adjusted odds ratios (ORs) for the MTHFR 677 C/T and T/T genotype were 1.66(95% CI: 1.06-2.61), 1.21(95% CI: 0.65-2.28) respectively when compared with the MTHFR 677 C/C genotype. Subjects carrying any T genotype have the increased risk of 1.55(95% CI: 1.01-2.40) for development of primary hepatocellular carcinoma. A high degree of linkage disequilibrium was observed between the C677T and A1298C polymorphisms, with the D' of 0.887 and p &lt; 0.01. The MTHFR 677 any T genotype was suggested to have potentially more than multiplicative interactions with raw water drinking with p-value for adjusted interaction of 0.03. Conclusion We observed that the MTHFR 677 C/T genotype was associated with an increased risk of primary liver cancer in a Chinese population. The polymorphism of MTHFR 677 might modify the effects of raw water drinking on the risk of primary hepatocellular carcinoma.</description><identifier>ISSN: 0957-5243</identifier><identifier>EISSN: 1573-7225</identifier><identifier>DOI: 10.1007/s10552-007-9012-x</identifier><identifier>PMID: 17503006</identifier><identifier>CODEN: CCCNEN</identifier><language>eng</language><publisher>Netherlands: Dordrecht : Kluwer Academic Publishers</publisher><subject>Adult ; Aged ; Alcohol ; Alcohol drinking ; Cancer ; Carcinoma, Hepatocellular - epidemiology ; Carcinoma, Hepatocellular - etiology ; Carcinoma, Hepatocellular - genetics ; Case-Control Studies ; China - epidemiology ; Deoxyribonucleic acid ; DNA ; DNA biosynthesis ; DNA methylation ; Drinking ; Drinking water ; Effect modification ; Environmental risk ; Enzymes ; Epidemiology ; Female ; Gene polymorphism ; genetic polymorphism ; Genetic Predisposition to Disease ; Genotype &amp; phenotype ; Genotypes ; Hepatitis antigens ; Hepatitis C ; Hepatocellular carcinoma ; Homocysteine ; Homozygotes ; Humans ; Infections ; Linkage disequilibrium ; Liver ; Liver cancer ; Liver diseases ; Liver Neoplasms - epidemiology ; Liver Neoplasms - etiology ; Liver Neoplasms - genetics ; Male ; Metabolism ; Methylenetetrahydrofolate reductase ; Methylenetetrahydrofolate Reductase (NADPH2) - genetics ; Middle Aged ; MTHFR (5, 10-methylenetetralydrofolate reductase) ; P values ; Polymorphism ; Polymorphism, Genetic ; Polymorphism, Restriction Fragment Length ; Population ; Population studies ; Predisposing factors ; Primary liver cancer ; Public health ; Raw water ; Reductases ; Restriction fragment length polymorphism ; Risk analysis ; Risk Factors ; Vegetables</subject><ispartof>Cancer causes &amp; control, 2007-08, Vol.18 (6), p.665-675</ispartof><rights>Copyright 2007 Springer Science+Business Media B.V.</rights><rights>Springer Science + Business Media B.V. 2007</rights><rights>Springer Science + Business Media B.V. 2007.</rights><rights>Springer Science+Business Media B.V. 2007 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c595t-bc17a07da72bc3c6d739521c8110a9449ba73461ec792cf41df8cd8cc6d4c29d3</citedby><cites>FETCH-LOGICAL-c595t-bc17a07da72bc3c6d739521c8110a9449ba73461ec792cf41df8cd8cc6d4c29d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/29736669$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/29736669$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,776,780,799,881,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17503006$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mu, Li-Na</creatorcontrib><creatorcontrib>Cao, Wei</creatorcontrib><creatorcontrib>Zhang, Zuo-Feng</creatorcontrib><creatorcontrib>Cai, Lin</creatorcontrib><creatorcontrib>Jiang, Qing-Wu</creatorcontrib><creatorcontrib>You, Nai-Chieh</creatorcontrib><creatorcontrib>Goldstein, Binh Yang</creatorcontrib><creatorcontrib>Wei, Guo-Rong</creatorcontrib><creatorcontrib>Chen, Chuan-Wei</creatorcontrib><creatorcontrib>Lu, Qing-Yi</creatorcontrib><creatorcontrib>Zhou, Xue-Fu</creatorcontrib><creatorcontrib>Ding, Bao-Guo</creatorcontrib><creatorcontrib>Chang, Jun</creatorcontrib><creatorcontrib>Yu, Shun-Zhang</creatorcontrib><title>Methylenetetrahydrofolate reductase (MTHFR) C677T and A1298C polymorphisms and the risk of primary Hepatocellular Carcinoma (HCC) in a Chinese population</title><title>Cancer causes &amp; control</title><addtitle>Cancer Causes Control</addtitle><description>Objectives Methylenetetrahydrofolate reductase (MTHFR), which is expressed in the liver, may be involved in both DNA methylation and DNA synthesis. It is also indicated as a potential risk factor of liver cancer in patients with chronic liver disease. To date, no study has been conducted on MTHFR and hepatocellular carcinoma (HCC) using a population-based design. The objective of this study was to evaluate the effects of polymorphisms of the MTHFR gene on the risk of primary liver cancer and their possible effect modifications on various environmental risk factors. Methods A population-based case-control study was conducted in Taixing, China. MTHFR C677T and A1298C were assayed by PCR-RFLP techniques. Results The frequency of MTHFR 677 C/C wild homozygotes genotype was 25.8% in cases, which was lower than that in controls (34.5%). The adjusted odds ratios (ORs) for the MTHFR 677 C/T and T/T genotype were 1.66(95% CI: 1.06-2.61), 1.21(95% CI: 0.65-2.28) respectively when compared with the MTHFR 677 C/C genotype. Subjects carrying any T genotype have the increased risk of 1.55(95% CI: 1.01-2.40) for development of primary hepatocellular carcinoma. A high degree of linkage disequilibrium was observed between the C677T and A1298C polymorphisms, with the D' of 0.887 and p &lt; 0.01. The MTHFR 677 any T genotype was suggested to have potentially more than multiplicative interactions with raw water drinking with p-value for adjusted interaction of 0.03. Conclusion We observed that the MTHFR 677 C/T genotype was associated with an increased risk of primary liver cancer in a Chinese population. The polymorphism of MTHFR 677 might modify the effects of raw water drinking on the risk of primary hepatocellular carcinoma.</description><subject>Adult</subject><subject>Aged</subject><subject>Alcohol</subject><subject>Alcohol drinking</subject><subject>Cancer</subject><subject>Carcinoma, Hepatocellular - epidemiology</subject><subject>Carcinoma, Hepatocellular - etiology</subject><subject>Carcinoma, Hepatocellular - genetics</subject><subject>Case-Control Studies</subject><subject>China - epidemiology</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>DNA biosynthesis</subject><subject>DNA methylation</subject><subject>Drinking</subject><subject>Drinking water</subject><subject>Effect modification</subject><subject>Environmental risk</subject><subject>Enzymes</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Gene polymorphism</subject><subject>genetic polymorphism</subject><subject>Genetic Predisposition to Disease</subject><subject>Genotype &amp; phenotype</subject><subject>Genotypes</subject><subject>Hepatitis antigens</subject><subject>Hepatitis C</subject><subject>Hepatocellular carcinoma</subject><subject>Homocysteine</subject><subject>Homozygotes</subject><subject>Humans</subject><subject>Infections</subject><subject>Linkage disequilibrium</subject><subject>Liver</subject><subject>Liver cancer</subject><subject>Liver diseases</subject><subject>Liver Neoplasms - epidemiology</subject><subject>Liver Neoplasms - etiology</subject><subject>Liver Neoplasms - genetics</subject><subject>Male</subject><subject>Metabolism</subject><subject>Methylenetetrahydrofolate reductase</subject><subject>Methylenetetrahydrofolate Reductase (NADPH2) - genetics</subject><subject>Middle Aged</subject><subject>MTHFR (5, 10-methylenetetralydrofolate reductase)</subject><subject>P values</subject><subject>Polymorphism</subject><subject>Polymorphism, Genetic</subject><subject>Polymorphism, Restriction Fragment Length</subject><subject>Population</subject><subject>Population studies</subject><subject>Predisposing factors</subject><subject>Primary liver cancer</subject><subject>Public health</subject><subject>Raw water</subject><subject>Reductases</subject><subject>Restriction fragment length polymorphism</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Vegetables</subject><issn>0957-5243</issn><issn>1573-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkt-K1DAUxoso7rj6AF6oQUF2L6onSZM0N8JSXEfYRdDZ65BJ023Htukmrew8im9raof1D4hXCZzf-XLOly9JnmJ4gwHE24CBMZLGayoBk_T2XrLCTNBUEMLuJyuQTKSMZPQoeRTCDgAYJ_AwOcKCAQXgq-T7pR3rfWt7O9rR63pfele5Vo8WeVtOZtTBopPLzfr88ykquBAbpPsSnWEi8wINrt13zg91E7rwszDWsbEJX5Gr0OCbTvs9WttBj87Ytp1a7VGhvWl612l0si6KU9T0SKOibnobnxrcEKGxcf3j5EGl22CfHM7j5Or8_aZYpxefPnwszi5SwyQb063BQoMotSBbQw0vBZWMYJNjDFpmmdxqQTOOrRGSmCrDZZWbMjeRzAyRJT1O3i26w7TtbGlsH31o1WF45XSj_qz0Ta2u3TeVYc6yXEaB1wcB724mG0bVNWHeVvfWTUEJYEIQmv8XJCAoUIEj-OovcOcm30cXFOGcg8Cc00i9_CeFKeQxGrMUXiDjXQjeVneLYVBziNQSIjVf5xCp29jz_HdHfnUcUhOBZwuwC6Pzd3UiBY3jzY68WOqVdkpfxzyoqy8E4lAQPyGPCj8AkHnVkw</recordid><startdate>20070801</startdate><enddate>20070801</enddate><creator>Mu, Li-Na</creator><creator>Cao, Wei</creator><creator>Zhang, Zuo-Feng</creator><creator>Cai, Lin</creator><creator>Jiang, Qing-Wu</creator><creator>You, Nai-Chieh</creator><creator>Goldstein, Binh Yang</creator><creator>Wei, Guo-Rong</creator><creator>Chen, Chuan-Wei</creator><creator>Lu, Qing-Yi</creator><creator>Zhou, Xue-Fu</creator><creator>Ding, Bao-Guo</creator><creator>Chang, Jun</creator><creator>Yu, Shun-Zhang</creator><general>Dordrecht : Kluwer Academic Publishers</general><general>Springer</general><general>Springer Nature B.V</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7TM</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20070801</creationdate><title>Methylenetetrahydrofolate reductase (MTHFR) C677T and A1298C polymorphisms and the risk of primary Hepatocellular Carcinoma (HCC) in a Chinese population</title><author>Mu, Li-Na ; Cao, Wei ; Zhang, Zuo-Feng ; Cai, Lin ; Jiang, Qing-Wu ; You, Nai-Chieh ; Goldstein, Binh Yang ; Wei, Guo-Rong ; Chen, Chuan-Wei ; Lu, Qing-Yi ; Zhou, Xue-Fu ; Ding, Bao-Guo ; Chang, Jun ; Yu, Shun-Zhang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c595t-bc17a07da72bc3c6d739521c8110a9449ba73461ec792cf41df8cd8cc6d4c29d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Alcohol</topic><topic>Alcohol drinking</topic><topic>Cancer</topic><topic>Carcinoma, Hepatocellular - epidemiology</topic><topic>Carcinoma, Hepatocellular - etiology</topic><topic>Carcinoma, Hepatocellular - genetics</topic><topic>Case-Control Studies</topic><topic>China - epidemiology</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>DNA biosynthesis</topic><topic>DNA methylation</topic><topic>Drinking</topic><topic>Drinking water</topic><topic>Effect modification</topic><topic>Environmental risk</topic><topic>Enzymes</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Gene polymorphism</topic><topic>genetic polymorphism</topic><topic>Genetic Predisposition to Disease</topic><topic>Genotype &amp; phenotype</topic><topic>Genotypes</topic><topic>Hepatitis antigens</topic><topic>Hepatitis C</topic><topic>Hepatocellular carcinoma</topic><topic>Homocysteine</topic><topic>Homozygotes</topic><topic>Humans</topic><topic>Infections</topic><topic>Linkage disequilibrium</topic><topic>Liver</topic><topic>Liver cancer</topic><topic>Liver diseases</topic><topic>Liver Neoplasms - epidemiology</topic><topic>Liver Neoplasms - etiology</topic><topic>Liver Neoplasms - genetics</topic><topic>Male</topic><topic>Metabolism</topic><topic>Methylenetetrahydrofolate reductase</topic><topic>Methylenetetrahydrofolate Reductase (NADPH2) - genetics</topic><topic>Middle Aged</topic><topic>MTHFR (5, 10-methylenetetralydrofolate reductase)</topic><topic>P values</topic><topic>Polymorphism</topic><topic>Polymorphism, Genetic</topic><topic>Polymorphism, Restriction Fragment Length</topic><topic>Population</topic><topic>Population studies</topic><topic>Predisposing factors</topic><topic>Primary liver cancer</topic><topic>Public health</topic><topic>Raw water</topic><topic>Reductases</topic><topic>Restriction fragment length polymorphism</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Vegetables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mu, Li-Na</creatorcontrib><creatorcontrib>Cao, Wei</creatorcontrib><creatorcontrib>Zhang, Zuo-Feng</creatorcontrib><creatorcontrib>Cai, Lin</creatorcontrib><creatorcontrib>Jiang, Qing-Wu</creatorcontrib><creatorcontrib>You, Nai-Chieh</creatorcontrib><creatorcontrib>Goldstein, Binh Yang</creatorcontrib><creatorcontrib>Wei, Guo-Rong</creatorcontrib><creatorcontrib>Chen, Chuan-Wei</creatorcontrib><creatorcontrib>Lu, Qing-Yi</creatorcontrib><creatorcontrib>Zhou, Xue-Fu</creatorcontrib><creatorcontrib>Ding, Bao-Guo</creatorcontrib><creatorcontrib>Chang, Jun</creatorcontrib><creatorcontrib>Yu, Shun-Zhang</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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control</jtitle><addtitle>Cancer Causes Control</addtitle><date>2007-08-01</date><risdate>2007</risdate><volume>18</volume><issue>6</issue><spage>665</spage><epage>675</epage><pages>665-675</pages><issn>0957-5243</issn><eissn>1573-7225</eissn><coden>CCCNEN</coden><abstract>Objectives Methylenetetrahydrofolate reductase (MTHFR), which is expressed in the liver, may be involved in both DNA methylation and DNA synthesis. It is also indicated as a potential risk factor of liver cancer in patients with chronic liver disease. To date, no study has been conducted on MTHFR and hepatocellular carcinoma (HCC) using a population-based design. The objective of this study was to evaluate the effects of polymorphisms of the MTHFR gene on the risk of primary liver cancer and their possible effect modifications on various environmental risk factors. Methods A population-based case-control study was conducted in Taixing, China. MTHFR C677T and A1298C were assayed by PCR-RFLP techniques. Results The frequency of MTHFR 677 C/C wild homozygotes genotype was 25.8% in cases, which was lower than that in controls (34.5%). The adjusted odds ratios (ORs) for the MTHFR 677 C/T and T/T genotype were 1.66(95% CI: 1.06-2.61), 1.21(95% CI: 0.65-2.28) respectively when compared with the MTHFR 677 C/C genotype. Subjects carrying any T genotype have the increased risk of 1.55(95% CI: 1.01-2.40) for development of primary hepatocellular carcinoma. A high degree of linkage disequilibrium was observed between the C677T and A1298C polymorphisms, with the D' of 0.887 and p &lt; 0.01. The MTHFR 677 any T genotype was suggested to have potentially more than multiplicative interactions with raw water drinking with p-value for adjusted interaction of 0.03. Conclusion We observed that the MTHFR 677 C/T genotype was associated with an increased risk of primary liver cancer in a Chinese population. The polymorphism of MTHFR 677 might modify the effects of raw water drinking on the risk of primary hepatocellular carcinoma.</abstract><cop>Netherlands</cop><pub>Dordrecht : Kluwer Academic Publishers</pub><pmid>17503006</pmid><doi>10.1007/s10552-007-9012-x</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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source Jstor Complete Legacy; MEDLINE; Springer Nature - Complete Springer Journals
subjects Adult
Aged
Alcohol
Alcohol drinking
Cancer
Carcinoma, Hepatocellular - epidemiology
Carcinoma, Hepatocellular - etiology
Carcinoma, Hepatocellular - genetics
Case-Control Studies
China - epidemiology
Deoxyribonucleic acid
DNA
DNA biosynthesis
DNA methylation
Drinking
Drinking water
Effect modification
Environmental risk
Enzymes
Epidemiology
Female
Gene polymorphism
genetic polymorphism
Genetic Predisposition to Disease
Genotype & phenotype
Genotypes
Hepatitis antigens
Hepatitis C
Hepatocellular carcinoma
Homocysteine
Homozygotes
Humans
Infections
Linkage disequilibrium
Liver
Liver cancer
Liver diseases
Liver Neoplasms - epidemiology
Liver Neoplasms - etiology
Liver Neoplasms - genetics
Male
Metabolism
Methylenetetrahydrofolate reductase
Methylenetetrahydrofolate Reductase (NADPH2) - genetics
Middle Aged
MTHFR (5, 10-methylenetetralydrofolate reductase)
P values
Polymorphism
Polymorphism, Genetic
Polymorphism, Restriction Fragment Length
Population
Population studies
Predisposing factors
Primary liver cancer
Public health
Raw water
Reductases
Restriction fragment length polymorphism
Risk analysis
Risk Factors
Vegetables
title Methylenetetrahydrofolate reductase (MTHFR) C677T and A1298C polymorphisms and the risk of primary Hepatocellular Carcinoma (HCC) in a Chinese population
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