Gene-environment interaction involved in oral carcinogenesis: molecular epidemiological study for metabolic and DNA repair gene polymorphisms

J Oral Pathol Med. 2006 Jan;35(1):11-8. doi: 10.1111/j.1600-0714.2005.00364.x.


Background: Exposure to environmental carcinogens leads to oral squamous cell carcinoma (OSCC); however, the impact of genetic variations in carcinogen metabolisms and DNA repair on OSCC risk considering environmental exposures has not been clearly elucidated.

Methods: We conducted a case-control study with 122 cases and 241 controls. The risk of OSCC was evaluated in 10 genetic polymorphisms of nine genes, such as CYP1A1, CYP2E1, GSTM1, GSTT1, XPA, XPC, XPC, XPF and ERCC1. Gene-environment interaction was also evaluated.

Results: We found that CYP2E1 and XPA polymorphisms significantly affected the OSCC risk. Gene-environment interactions with smoking were significant for CYP2E1 and ERCC1 polymorphisms. Odds ratios for gene-environment interaction were 7.98 (P = 0.036), 9.67 (P = 0.017) and 8.49 (P = 0.031) for CYP2E1RsaI, DraI and ERCC1 polymorphisms, respectively. No interaction was observed with heavy drinking and any polymorphisms.

Conclusion: CYP2E1, XPA and ERCC1 polymorphisms may affect the risk of OSCC.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alcohol Drinking / adverse effects
  • Carcinoma, Squamous Cell / etiology
  • Carcinoma, Squamous Cell / genetics*
  • Case-Control Studies
  • Cytochrome P-450 CYP1A1 / genetics
  • Cytochrome P-450 CYP2E1 / genetics
  • DNA Repair / genetics*
  • DNA-Binding Proteins / genetics
  • Endonucleases / genetics
  • Environmental Exposure*
  • Epidemiologic Studies
  • Female
  • Glutathione Transferase / genetics
  • Humans
  • Male
  • Middle Aged
  • Molecular Epidemiology
  • Mouth Neoplasms / etiology
  • Mouth Neoplasms / genetics*
  • Polymorphism, Genetic / genetics*
  • Risk Factors
  • Smoking / adverse effects
  • Transglutaminases / genetics
  • Xeroderma Pigmentosum Group A Protein / genetics


  • DNA-Binding Proteins
  • XPA protein, human
  • Xeroderma Pigmentosum Group A Protein
  • xeroderma pigmentosum group F protein
  • XPC protein, human
  • Cytochrome P-450 CYP2E1
  • Cytochrome P-450 CYP1A1
  • Transglutaminases
  • glutathione S-transferase T1
  • Glutathione Transferase
  • glutathione S-transferase M1
  • ERCC1 protein, human
  • Endonucleases