
THE SULT1A1 ALLELE WITH LOW POTENTIAL FOR ESTROGEN INACTIVATION IS ASSOCIATED WITH REDUCED COLORECTAL CANCER RISK IN POSTMENOPAUSAL WOMEN Sterjev Z1*, Josifovski T2*, Panovski M2, Suturkova L1, Dimovski AJ1 *Corresponding Author: Professor Aleksandar J. Dimovski, M.D., Ph.D., Pharmacogenetic Laboratory, Institute for Pharmaceutical Chemistry, Faculty of Pharmacy, Vodnjanska 17, 1000 Skopje, Republic of Macedonia; Tel.: +389-2-3217-580; Fax: +389-2-3290-830; E-mail: adimovski@baba.ff.ukim.edu.mk
* Contributed equally to this paper and should both be considered as first authors. page: 43
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RESULTS
The allele frequency and genotype distribution of the SULT1A1 Arg213His variant in newborns and adult individuals are shown in Table 2. Since a significant difference was observed between the two groups, they were grouped as normal controls (n = 200) for subsequent comparison with the colorectal cancer patient group. The genotype frequencies in newborns, adults and pooled controls followed the Hardy-Weinberg equilibrium. The overall allele frequency of the SULT1A1*His allele (0.37) was similar to that recorded in several Caucasian and African populations, as well as Caucasian, Chinese and African-American populations [19,20].
The allele frequencies and genotype distributions of patient and control groups are compared in Table 3. The frequency of the SULT1A1*His allele was significantly lower in the patient group than in the control group (0.27 vs. 0.37, respectively, p = 0.02). This was more pronounced in homozygotes [odds ratio (OR) 2.35, 95% confidence interval (CI) (1.0465<OR<5.3013)] than in heterozygotes [OR 1.52, 95% CI (0.9411<OR<2.4703)], indicating that this variant is transmitted as a recessive trait.
Analyses of different clinical, molecular and histopathological parameters showed that the negative association of the SULT1A1*His allele with CRC was primarily due to the lower frequency of this variant in female patients >60 years of age (Table 4). Other parameters [localization, Dukes’ stage, family history, microsatellite instability (MSI) status] did not influence the association between the SULT1A1*His allele and CRC in the patient group (p >0.05 in all comparisons). Table 2. Allele frequency and genotype distribution of SULT1A1 Arg213His variant in the control group(s).
|
Newborns (n = 100) |
Adults (n = 100) |
OR (95% CI) |
p |
Allele Frequency:
- Arg
- His
|
124 (0.62%) 76 (0.38%) |
129 (0.64%) 71 (0.36%) |
0.5979<OR<1.3487 |
0.604 |
Genotypes:
- Arg/Arg
- Arg/His
- His/His
|
44 (0.44%)
36 (0.36%)
20 (0.20%) |
43 (0.43%)
43 (0.43%)
14 (0.14%) |
0.5954<OR<1.8218
0.3083<OR<1.3754 |
0.8865a
0.2587b |
a Arg®Arg vs. Arg®His + His®His.
b Arg®Arg + Arg®His vs. His®His.
Table 3. Allele frequency and genotype distribution of SULT1A1 Arg213His in CRC patient and control groups
|
CRC Patients
(n = 100) |
Controls
(n = 200) |
OR (95% CI) |
p |
Allele Frequency:
|
0.73
0.27 |
0.63
0.37 |
1.55 (1.0699<OR<2.2528) |
0.2 |
Genotypes:
|
54 (0.54%)
38 (0.38%) 8 (0.08%) |
87 (0.44%)
79 (0.40%)
34 (0.16%) |
1.52 (0.9411<OR<2.4703)
2.35 (1.0465<OR<5.3013) |
0.08a
0.03b |
a Arg®Arg vs. Arg®His + His®His.
b Arg®Arg + Arg®His vs. His®His.
Table 4. Allele frequency and genotype distribution of SULT1A1 Arg213His in female patients >60 years of age.
|
Female CRC Patients
>60 years (n = 22) |
Controls
(n = 200) |
OR (95% CI) |
p |
Allele Frequency:
|
0.84
0.16 |
0.63
0.37 |
3.07 (1.3351<OR<7.0645) |
0.003 |
Genotypes:
|
16 (0.71%)
5 (0.24%) 1 (0.05%) |
87 (0.44%)
79 (0.40%)
34 (0.16%) |
3.46 (1.3012<OR<9.2198)
4.30 (0.5594<OR<33.0713) |
0.008a
0.08b |
a Arg®Arg vs. Arg®His + His®His.
b Arg®Arg + Arg®His vs. His®His.
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