Carcinogenesis Advance Access originally published online on June 14, 2006
Carcinogenesis 2006 27(12):2448-2454; doi:10.1093/carcin/bgl095
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Association of polymorphisms in the MTH1 gene with small cell lung carcinoma risk


1 Center for Medical Genomics Tokyo
2 Biology Division, National Cancer Center Research Institute Tokyo
3 Division of Thoracic Oncology Tokyo
5 Department of Endoscopy and Gastrointestinal Oncology, National Cancer Center Hospital Tokyo
4 Division of Thoracic Oncology, National Cancer Center Hospital East Chiba
6 Health Center, Keio University School of Medicine Tokyo
7 Department of Internal Medicine, Keio University School of Medicine Tokyo
8 First Department of Internal Medicine, Gunma University School of Medicine Gunma
9 Statistics and Cancer Control Division, Research Center for Cancer Prevention and Screening, National Cancer Center Tokyo
10 Department of Biostatistics/Epidemiology and Preventive Health Sciences, Graduate School of Medicine, The University of Tokyo Tokyo, Japan
*To whom correspondence should be addressed. Tel: +81 3 3547 5272; Fax: +81 3 3542 0807; Email: jyokota{at}gan2.ncc.go.jp
Fifty single-nucleotide polymorphisms (SNPs) associated with amino acid changes in 36 genes involved in diverse DNA repair pathways were assessed for associations with risk for small cell lung carcinoma (SCLC) by a casecontrol study consisting of 211 SCLC cases and 685 controls. An SNP, Val83Met, in the MTH1 (mutT homolog 1) gene encoding a triphosphatase that hydrolyzes pro-mutagenic oxidized nucleoside triphosphates, such as 8-hydroxy-dGTP and 2-hydroxy-dATP, showed the strongest and a significant association with SCLC risk [odds ratio (OR) = 1.6, 95% confidence interval (CI): 1.22.2, P = 0.004], while three other SNPs in the TP53, BLM and SNM1 genes, respectively, also showed marginal associations (0.05 < P < 0.1). Another SNP, which causes a nucleotide change in the 5'-UTR of MTH1 transcripts leading to alternative translation initiation, was additionally examined and the SNP also showed a significant association (OR = 1.7, 95% CI: 1.22.3, P = 0.002). The two SNPs in the MTH1 gene were in linkage disequilibrium, and the OR for carrying a copy of the haplotype consisting of both the risky SNP alleles was 2.0 (95% CI: 1.23.2, P = 0.002). The present results indicate that inter-individual differences in MTH1 activities due to SNPs are involved in susceptibility to SCLC.