Polymorphisms of one-carbon-metabolizing genes and risk of breast cancer in a population-based study

Carcinogenesis. 2007 Jul;28(7):1504-9. doi: 10.1093/carcin/bgm061. Epub 2007 Mar 19.

Abstract

One-carbon metabolism facilitates the crosstalk between genetic and epigenetic processes and plays critical roles in both DNA methylation and DNA synthesis, making it a good candidate for studying the risk of breast cancer. We previously reported that polymorphisms in methylenetetrahydrofolate reductase (MTHFR) in one-carbon pathway were associated with breast cancer risk in the population-based Long Island Breast Cancer Study Project. Herein, we systematically investigated putatively functional polymorphisms of seven other one-carbon-metabolizing genes in relation to the breast cancer risk in the same population. Except for a slight indication of increased risk of breast cancer associated with the double repeat (2R) allele in the thymidylate synthase (TYMS) 5'-untranslated region (UTR) (P, trend = 0.07), polymorphisms in the other six genes did not substantially modify the risk of breast cancer, or did they modify the risk associated with dietary intakes of folate and related B vitamins. However, we observed a significant multiplicative interaction between the MTHFR 677C>T and the TYMS 5'-UTR polymorphisms (P = 0.02). We used a recursive partitioning method, RTREE, in an attempt to tease out important or rate-limiting genes encoding these intricately related enzymes. Results from RTREE analyses indicate that MTHFR and TYMS are the two leading rate-limiting enzymes in the pathway, consistent with our epidemiological findings. Our findings underscore the importance of one-carbon metabolism in breast cancer etiology. Although the pathway is a network of interrelated enzymes, redundancy exists; evaluating the rate-limiting enzyme and its interaction with environment and other genes within the same pathway is critical in assessing breast cancer risk.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Breast Neoplasms / enzymology*
  • Breast Neoplasms / genetics*
  • Female
  • Genetic Predisposition to Disease
  • Genetics, Population
  • Genotype
  • Humans
  • Methylenetetrahydrofolate Reductase (NADPH2) / genetics
  • Methylenetetrahydrofolate Reductase (NADPH2) / metabolism
  • New York
  • One-Carbon Group Transferases / genetics*
  • One-Carbon Group Transferases / metabolism
  • Polymorphism, Genetic*
  • Risk
  • Thymidylate Synthase / genetics
  • Thymidylate Synthase / metabolism
  • Vitamin B Complex / administration & dosage

Substances

  • Vitamin B Complex
  • Methylenetetrahydrofolate Reductase (NADPH2)
  • One-Carbon Group Transferases
  • Thymidylate Synthase