Abstract | BACKGROUND: METHODS: First, the authors identified an A/C polymorphism in the exon I.6 promoter of the CYP19 gene. To determine whether allelic variants in the CYP19 I.6 promoter differ in their ability to drive gene expression, we carried out an in vitro reporter gene assay. Then, the authors studied the association between this polymorphism and HCC risk in 2 complementary case-control studies: 1 in high-risk southern Guangxi, China, and another in low-risk US non-Asians of Los Angeles County. RESULTS: Transcriptional activity was 60% higher for promoter vectors carrying the rs10459592 C allele compared with those carrying an A allele (P = .007). In both study populations, among subjects negative for at-risk serologic markers of hepatitis B or C, there was a dose-dependent association between number of high activity C allele and risk of HCC (P(trend) = .014). Risk of HCC was significantly higher (odds ratio [OR], 2.25; 95% confidence interval (CI), 1.18-4.31) in subjects homozygous for the C allele compared with those homozygous for the A allele. CONCLUSIONS: This study provides epidemiologic evidence for the role of hepatic aromatization of androgen into estrogen in the development of nonviral hepatitis-related HCC.
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Authors | Woon-Puay Koh, Jian-Min Yuan, Renwei Wang, Sugantha Govindarajan, Rowena Oppenheimer, Zhen Quan Zhang, Mimi C Yu, Sue Ann Ingles |
Journal | Cancer
(Cancer)
Vol. 117
Issue 15
Pg. 3383-92
(Aug 01 2011)
ISSN: 1097-0142 [Electronic] United States |
PMID | 21319151
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, U.S. Gov't, Non-P.H.S.)
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Copyright | Copyright © 2011 American Cancer Society. |
Chemical References |
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Topics |
- Aged
- Aromatase
(genetics)
- Base Sequence
- Carcinoma, Hepatocellular
(genetics)
- Case-Control Studies
- DNA Primers
- Female
- Genetic Predisposition to Disease
- Hepatitis, Viral, Human
- Humans
- Liver Neoplasms
(genetics)
- Male
- Middle Aged
- Polymorphism, Single Nucleotide
- Promoter Regions, Genetic
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