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PTGS1, PTGS2, ALOX5, ALOX12, ALOX15, and FLAP SNPs: interaction with fatty acids in colon cancer and rectal cancer
Authors:Nina Habermann  Cornelia M Ulrich  Abbie Lundgreen  Karen W Makar  Elizabeth M Poole  Bette Caan  Richard Kulmacz  John Whitton  Rachel Galbraith  John D Potter  Martha L Slattery
Institution:1. National Center for Tumor Diseases, Im Neuenheimer Feld 460, 69120, Heidelberg, Germany
2. German Cancer Research Center, Im Neuenheimer Feld 280, 69120, Heidelberg, Germany
3. Department of Medicine, School of Medicine, University of Utah, Salt Lake City, UT, 84108, USA
4. Fred Hutchinson Cancer Research Center, Seattle, WA, 98109-1024, USA
5. Channing Laboratory, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA
6. Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA
7. Kaiser Permanente Medical Research Program, Department of Research, Oakland, CA, 94611, USA
8. University of Texas Health Science Center at Houston, Houston, TX, 77030, USA
Abstract:Dietary polyunsaturated fatty acids (PUFAs) can be converted to prostaglandins and leukotrienes. Oxygenation of omega-6 PUFAs generally results in the production of pro-inflammatory mediators, whereas oxygenated products of omega-3 (n-3) PUFAs generally have lower inflammatory activity. We hypothesize that elevated n-3 PUFA intakes from fish are associated with lower risk of colorectal cancer among those with genetic variants that result in higher levels of pro-inflammatory mediators. In population-based case–control studies of colon (case n = 1,574) and rectal cancer (case n = 791) and disease-free controls (n = 2,969), we investigated interactions between dietary fatty acid intake and 107 candidate polymorphisms and tagSNPs in PTGS1, PTGS2, ALOX12, ALOX5, ALOX15, and FLAP. The two studies used an identical genotyping protocol. We observed interactions and statistically significant increases in colon cancer risk for low docosahexaenoic acid intake among those with the PTGS1 rs10306110 (?1,053 A > G) variant genotypes (OR = 1.6, 95 % confidence interval = 1.1–2.3, adj. p = 0.06) and rectal cancer risk for low total fat intake among those with the variant PTGS1 rs10306122 (7,135 A > G) (ORvs.wt = 1.80, 1.02–2.99; adj. p = 0.08). The ALOX15 rs11568131 (10,339 C > T) wild type in combination with a high inflammation score (low EPA intake, high AA intake, no regular NSAID use, high BMI, smoking) was associated with increased colon cancer risk (OR = 2.28, 1.7–3.07). Rectal cancer risk was inversely associated with a low inflammation score among PTGS2 rs4648276 (3,934 T > C) variant allele carriers (OR = 0.49, 0.25–0.75). Overall, these data provide some modest evidence for interactions between dietary fat intake and genetic variation in genes involved in eicosanoid metabolism and colorectal cancer risk.

Electronic supplementary material

The online version of this article (doi:10.1007/s12263-012-0302-x) contains supplementary material, which is available to authorized users.
Keywords:Colon cancer  Rectal cancer  Genetic variants  Fatty acid intake
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