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

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:

  1. Arg
  2. His

 

124 (0.62%)
  76 (0.38%)

 

129 (0.64%)
  71 (0.36%)

 

0.5979<OR<1.3487

 

0.604

Genotypes:

  1. Arg/Arg
  2. Arg/His
  3. 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:

  • Arg
  • His

 

0.73
0.27

 

0.63
0.37

 

1.55 (1.0699<OR<2.2528)

 

0.2

Genotypes:

  • Arg®Arg
  • Arg®His
  • His®His

 

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:

  • Arg
  • His

 

0.84
0.16

 

0.63
0.37

 

3.07 (1.3351<OR<7.0645)

 

0.003

Genotypes:

  • Arg/Arg
  • Arg/His
  • His/His

 

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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