Abstract

Cytochrome P450 1B1 (CYP1B1) and catechol-$O$-methyltransferase (COMT) enzymes play critical roles in estrogen metabolism. Alterations in the catalytic activity of CYP1B1 and COMT enzymes have been found associated with altered breast cancer risk in postmenopausal women in many populations. The substitution of leucine (Leu) to valine (Val) at codon 432 increases the catalytic activity of CYP1B1, however, substitution of Val to methionine (Met) at codon 158 decreases the catalytic activity of COMT. The present study was performed to evaluate the associations of CYP1B1 Leu432Val and/or COMT Val158Met polymorphisms with total, premenopausal and postmenopausal breast cancer risks in Indian women. COMT and CYP1B1 polymorphisms in controls and breast cancer patients were analyzed employing polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) followed by gel electrophoresis. Although CYP1B1 and COMT genotypes did not exhibit statistically significant association with breast cancer risks when analyzed individually, COMT wild type (Val158Val) in combination with CYP1B1 heterozygous variant (Leu432Val) [OR: 0.21; 95% CI (0.05–0.82), p value; 0.021] and COMT heterozygous variant (Val158Met) in combination with CYP1B1 wild type (Leu432Leu) [OR: 0.29; 95% CI (0.08–0.96), p value; 0.042] showed significant protective association with premenopausal breast cancer risk. The results demonstrate that CYP1B1 wild type in combination with COMT heterozygous or their inverse combination offer protection against breast cancer in premenopausal Indian women.

Highlights

  • Circulating level of estrogens regulates the incidences of breast cancer in postmenopausal women [1, 2]

  • It was observed that homozygous wild type (G/G) of COMT and cytochrome P450 1B1 (CYP1B1) heterozygous variant (C/G) in combination exhibited a significant protection against breast cancer risk in total and premenopausal women [odds ratio (OR) = 0.29; 95% CI, 0.11–0.76, p value = 0.009 and OR = 0.21; 95% CI, 0.05–0.82; p = 0.021]

  • Homozygous variant (A/A) of COMT and CYP1B1 heterozygous variant (C/G) in combination exhibited a trend of protection not statistically significant against breast cancer risk in premenopausal women [OR = 0.15; 95% CI, 0.01–1.11, p value = 0.054] (Table 4)

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Summary

Introduction

Circulating level of estrogens regulates the incidences of breast cancer in postmenopausal women [1, 2]. Gen metabolism act as important contributors in the regulation of circulating level of estrogens [3]. Single nucleotide polymorphism in cytochrome P450 1B1 (CYP1B1) and catechol-O-methyltransferase (COMT) have been associated with increased incidences of breast cancer risk in many populations, lack of such associations have been reported [4,5,6,7,8]. CYP1B1 and COMT play an important role in estrogen metabolism. CYP1B1 gene, located on short arm of chromosome 2, consists of three exons and four introns, spans 8546 base pairs and encodes a protein of. S. Yadav et al / Association of single nucleotide polymorphisms in CYP1B1 and COMT genes

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