Carcinogenesis Advance Access published online on May 10, 2007
Carcinogenesis, doi:10.1093/carcin/bgm109
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DNA Double-Strand-Break Repair Capacity and Risk of Breast Cancer
1 Institute of Biomedical Sciences, Academia Sinica, Taipei 11529, Taiwan
2 Cancer Center, China Medical University Hospital, Taichung 40402, Taiwan
3 Department of Nursing, Kang-Ning Junior College of Medical Care and Management, Taipei, 11485, Taiwan
4 Life Science Library, Academia Sinica, Taipei 11529, Taiwan
5 Graduate Institute of Environmental Science, China Medical University, Taichong, 40402, Taiwan
Corresponding author: Dr. Chen-Yang Shen, Institute of Biomedical Sciences, Academia Sinica, Taipei 11529, Taiwan. Phone: +886-2-27899036, Fax: +886-2-2782 3047. E-mail: bmcys{at}ibms.sinica.edu.tw.
A tumorigenic role of the nonhomologous end-joining (NHEJ) pathway for the repair of DNA double-strand-breaks (DSBs) has been suggested by our finding of a significant association between increased breast cancer risk and a cooperative effect of single nucleotide polymorphisms (SNPs) in NHEJ genes. To confirm this finding, this case-control study detected both in vivo and in vitro DNA end-joining (EJ) capacities in EBV-immortalized peripheral blood mononuclear cells (PBMCs) of 112 breast cancer patients and 108 healthy controls to identify individual differences in EJ capacity to repair DSB as a risk factor predisposing women to breast cancer. PBMCs from breast cancer patients consistently showed lower values of in vivo and in vitro EJ capacities than those from healthy women (P<0.05). Logistic regression, simultaneously considering the effect of known risk factors of breast cancer, shows that the in vitro EJ capacity above the median of control subjects was associated with nearly three-fold increased risks for breast cancer (adjusted odds ratio, 2.98, 95% confidence interval, 1.64-5.43). Furthermore, a dose-response relationship was evident between risk for breast cancer and EJ capacity, which was analyzed as a continuous variable (every unit decrease of EJ capacity being associated with an 1.09-fold increase of breast cancer risk) and was divided into tertiles based on the EJ capacity values of the controls (P for trend < 0.01). The findings support the conclusion that NHEJ may play a role in susceptibility to breast cancer.
Key Words: Double-strand-break Nonhomologous end-joining Breast cancer
Received December 29, 2006; revised April 24, 2007; accepted April 30, 2007.
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