Folate/homocysteine metabolism and lung cancer risk among smokers.

Bibliographic Details
Title: Folate/homocysteine metabolism and lung cancer risk among smokers.
Authors: Anna Stanisławska-Sachadyn, Joanna Borzyszkowska, Michał Krzemiński, Alicja Janowicz, Rafał Dziadziuszko, Jacek Jassem, Witold Rzyman, Janusz Limon
Source: PLoS ONE, Vol 14, Iss 4, p e0214462 (2019)
Publisher Information: Public Library of Science (PLoS), 2019.
Publication Year: 2019
Collection: LCC:Medicine
LCC:Science
Subject Terms: Medicine, Science
More Details: BACKGROUND:Folate and homocysteine are involved in DNA synthesis and methylation processes, which are deregulated during carcinogenesis. OBJECTIVES:The aim of this study was to assess the relationship between folate/homocysteine concentrations, the functional polymorphisms of folate/homocysteine genes and lung cancer risk among cigarette smokers. STUDY DESIGN:The study included 132 lung cancer patients and 396 controls from northern Poland, matched by sex, age and smoking status. The median cigarette pack-years of smoking among both cases and controls was 30.0. Serum, red blood cell (RBC) folates and serum homocysteine concentrations were measured. The genotypes in selected polymorphic sites of the MTHFR, CBS, SHMT1, MTHFD1, MTRR, MTR, TYMS DHFR, TCN2, and SLC19A1 genes were determined. All study participants underwent scanning with low-dose computed tomography. RESULTS:Serum folate concentrations above the median (> 17.5 nmol/l among the healthy controls) were associated with an increased lung cancer risk (odds ratio [OR], 1.54, 95% confidence intervals [CI], 1.04-2.29, P = 0.031). An analogous trend was observed when the population was analysed after subdivision according to RBC folate concentrations, that is, above a value of 506.5 nmol/l (OR, 1.53; 95% CI, 0.95-2.47; P = 0.084). Additionally, in a subset of women, an increased risk of lung cancer development was associated with the SLC19A1 c.80AA genotype (c.80AA versus GG OR, 3.14; 95% CI, 1.32-7.46; P = P = 0.010). CONCLUSION:These results suggest that, in the population consisting of heavy smokers, high folate levels add to the cancerogenic effect of smoking.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1932-6203
Relation: https://doaj.org/toc/1932-6203
DOI: 10.1371/journal.pone.0214462
Access URL: https://doaj.org/article/a0b0c35143c741a59f4f55786a03cfd7
Accession Number: edsdoj.0b0c35143c741a59f4f55786a03cfd7
Database: Directory of Open Access Journals
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More Details
ISSN:19326203
DOI:10.1371/journal.pone.0214462
Published in:PLoS ONE
Language:English