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Carcinogenesis Advance Access published online on June 19, 2003

Carcinogenesis, doi:10.1093/carcin/bgg104
© 2003 by Oxford University Press
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© 2003 Oxford University Press

MOLECULAR EPIDEMIOLOGY AND CANCER PREVENTION

Measures of genotype vs. gene products: promise and pitfalls in cancer prevention

Habibul Ahsan 1* and Andrew G. Rundle 1

1 Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York; Herbert Irving Comprehensive Cancer Center, Columbia University, New York, New York

* Corresponding author. E-mail: habibul.ahsan{at}columbia.edu.

Received 13 March 2003 ; revised 14 May 2003 ; accepted 14 June 2003

Abstract

We present a critical assessment of the promise and pitfalls of genotype vs. gene function measures in cancer epidemiology studies. While both measures have pros and cons and are complementary, in terms of potential for contributing knowledge that directly leads to prevention, we argue that attention should be given to research relating functional parameters (single protein expression, functional or phenotypic assays, or patterns of gene/protein expression) to disease risk. We present the theoretical and conceptual basis of why studies focusing on polymorphisms in the low-penetrance genes may be logically less fruitful for making inroads to cancer prevention than appropriately designed studies using validated functional parameters. We then substantiate these arguments with some concrete examples based on the current literature. We also discuss the limitations of including functional parameters in epidemiological studies and technical improvements required before such studies can truly fulfill their promise. Finally, we offer some specific recommendations for future research directions in this area.


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