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Carcinogenesis Advance Access originally published online on November 25, 2004
Carcinogenesis 2005 26(3):579-585; doi:10.1093/carcin/bgh343
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Carcinogenesis vol.26 no.3 © Oxford University Press 2004; all rights reserved.

ARTICLE

The PPAR{gamma} Pro12Ala polymorphism and risk for incident sporadic colorectal adenomas

Zhihong Gong1,2, Dawen Xie1,2,6, Zonglin Deng1,2, Roberd M. Bostick3, Stephanie J. Muga2,4, Thomas G. Hurley1,2 and James R. Hebert1,2,5

1 Department of Epidemiology and Biostatistics, University of South Carolina, Arnold School of Public Health, Columbia, SC, USA, 2 South Carolina Cancer Center, Columbia, SC, USA, 3 Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA, 4 Department of Pathology, University of South Carolina School of Medicine, Columbia, SC, USA and 5 Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA

6 To whom correspondence should addressed at: University of South Carolina, 14 Richland Medical Park, Suite 500, Columbia, SC 29203, USA. Tel: +1 803 434 3707; Fax: +1 803 434 3795; Email: dawen.xie{at}palmettohealth.org

Peroxisome proliferator-activated receptor {gamma} (PPAR{gamma}), a member of the nuclear hormone receptor superfamily initially shown to be a key regulator of fat cell differentiation, can inhibit cell growth and induce apoptosis in colon cell lines. There are heterozygous loss of function mutations in the gene encoding PPAR{gamma} in tumors from ~10% of human colon cancer patients. A common structural polymorphism has been detected in the PPAR{gamma} gene at codon 12 (Pro12Ala). We investigated the hypothesis that the PPAR{gamma} Pro12Ala polymorphism is associated with colorectal adenoma risk in a recently concluded case–control study of incident sporadic colorectal adenomas (163 cases and 212 controls). The multivariate-adjusted odds ratio (OR) for incident sporadic colorectal adenoma was 0.65 (95% CI 0.39–1.09) for those with the Pro12Ala or Ala12Ala genotype compared with those with the Pro12Pro genotype. Multivariate-adjusted inverse associations with the Ala12 variant were more pronounced among those who were female (OR 0.36, 95% CI 0.18–0.75) or did not take non-steroidal anti-inflammatory drugs (OR 0.38, 95% CI 0.14–1.00). Marginally significant results were observed among those with a lower waist:hip ratio (OR 0.52, 95% CI 0.24–1.12) or a lower body mass index (OR 0.46, 95% 0.20–1.05). Smoking was a very strong risk factor (OR 2.34, 95%CI 1.37–4.02) for colorectal adenoma among those with the wild-type (Pro12Ala) genotype, but not those with the Ala12 variant (OR 0.86, 95%CI 0.35–2.09). Larger studies are needed to validate these results, which suggest that the PPAR{gamma} Pro12Ala polymorphism may interact with other factors to protect against colorectal adenoma.


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