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Quantitative assessment of the association between MTHFR C677T polymorphism and colorectal cancer risk in East Asians

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Tumor Biology

Abstract

A great number of studies regarding the association between MTHFR C677T polymorphism and risk of colorectal cancer (CRC) in East Asians were published, but the results were inconsistent. Thus, a meta-analysis was performed to investigate the association. PubMed, Embase, and CBM databases were searched for eligible publications. Pooled odds ratios (ORs) with 95 % confidence intervals (95 % CIs) were calculated using random or fixed effect models. Finally, 24 case–control studies with a total of 7,230 CRC cases and 9,285 controls were included. Meta-analyses of a total of 24 studies showed there was a statistically significant association between MTHFR C677T polymorphism and decreased CRC risk in East Asians under four genetic models (T versus C, OR = 0.92, 95 % CI 0.85–0.99; TT versus CC, OR = 0.80, 95 % CI 0.69–0.94; TT versus CT/CC, OR = 0.82, 95 % CI 0.71–0.95; TT/CT versus CC, OR = 0.92, 95 % CI 0.86–0.98). The cumulative meta-analyses for the allele contrast (T versus C), homozygote (TT versus CC), dominant (TT/CT versus CC), and recessive (TT versus CT/CC) models all showed a trend of more obvious association as information accumulated by year. Subgroup analyses by country further identified this association in Korea and Japan. This meta-analysis suggests that MTHFR C677T polymorphism is associated with decreased risk of colorectal cancer in East Asians, and MTHFR 677T variant has a protective effect on colorectal cancer.

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References

  1. Jemal A, Siegel R, Xu J, Ward E. Cancer statistics, 2010. CA Cancer J Clin. 2010;60:277–300.

    Article  PubMed  Google Scholar 

  2. Sung JJ, Lau JY, Goh KL, Leung WK. Increasing incidence of colorectal cancer in Asia: implications for screening. Lancet Oncol. 2005;6:871–6.

    Article  PubMed  Google Scholar 

  3. Jung KW, Park S, Kong HJ, Won YJ, Boo YK, Shin HR, et al. Cancer statistics in Korea: incidence, mortality and survival in 2006-2007. J Korean Med Sci. 2010;25:1113–21.

    Article  PubMed  Google Scholar 

  4. Katanoda K, Ajiki W, Matsuda T, Nishino Y, Shibata A, Fujita M, et al. Trend analysis of cancer incidence in Japan using data from selected population-based cancer registries. Cancer Sci. 2012;103:360–8.

    Article  PubMed  CAS  Google Scholar 

  5. Markowitz SD, Bertagnolli MM. Molecular origins of cancer: molecular basis of colorectal cancer. N Engl J Med. 2009;361:2449–60.

    Article  PubMed  CAS  Google Scholar 

  6. Cunningham D, Atkin W, Lenz HJ, Lynch HT, Minsky B, Nordlinger B, et al. Colorectal cancer. Lancet. 2010;375:1030–47.

    Article  PubMed  Google Scholar 

  7. Bailey LB, Gregory III JF. Folate metabolism and requirements. J Nutr. 1999;129:779–82.

    PubMed  CAS  Google Scholar 

  8. Goyette P, Sumner JS, Milos R, Duncan AM, Rosenblatt DS, Matthews RG, et al. Human methylenetetrahydrofolate reductase: isolation of cDNA, mapping and mutation identification. Nat Genet. 1994;7:195–200.

    Article  PubMed  CAS  Google Scholar 

  9. Frosst P, Blom HJ, Milos R, Goyette P, Sheppard CA, Matthews RG, et al. A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase. Nat Genet. 1995;10:111–3.

    Article  PubMed  CAS  Google Scholar 

  10. Yin G, Kono S, Toyomura K, Hagiwara T, Nagano J, Mizoue T, et al. Methylenetetrahydrofolate reductase c677t and a1298c polymorphisms and colorectal cancer: the Fukuoka colorectal cancer study. Cancer Sci. 2004;95:908–13.

    Article  PubMed  CAS  Google Scholar 

  11. Kim DH, Ahn YO, Lee BH, Tsuji E, Kiyohara C, Kono S. Methylenetetrahydrofolate reductase polymorphism, alcohol intake, and risks of colon and rectal cancers in Korea. Cancer Lett. 2004;216:199–205.

    Article  PubMed  CAS  Google Scholar 

  12. Jiang Q, Chen K, Ma X, Li Q, Yu W, Shu G, et al. Diets, polymorphisms of methylenetetrahydrofolate reductase, and the susceptibility of colon cancer and rectal cancer. Cancer Detect Prev. 2005;29:146–54.

    Article  PubMed  CAS  Google Scholar 

  13. Cui LH, Shin MH, Kweon SS, Kim HN, Song HR, Piao JM, et al. Methylenetetrahydrofolate reductase c677t polymorphism in patients with gastric and colorectal cancer in a Korean population. BMC Cancer. 2010;10:236.

    Article  PubMed  Google Scholar 

  14. Petitti DB. Meta-analysis, decision analysis, and cost effectiveness analysis: methods for quantitative synthesis in medicine. 2nd ed. New York: Oxford University Press; 2000.

    Google Scholar 

  15. Huang Y, Han S, Li Y, Mao Y, Xie Y. Different roles of mthfr c677t and a1298c polymorphisms in colorectal adenoma and colorectal cancer: a meta-analysis. J Hum Genet. 2007;52:73–85.

    Article  PubMed  CAS  Google Scholar 

  16. Taioli E, Garza MA, Ahn YO, Bishop DT, Bost J, Budai B, et al. Meta- and pooled analyses of the methylenetetrahydrofolate reductase (mthfr) c677t polymorphism and colorectal cancer: a huge-gsec review. Am J Epidemiol. 2009;170:1207–21.

    Article  PubMed  CAS  Google Scholar 

  17. Hubner RA, Houlston RS. Mthfr c677t and colorectal cancer risk: a meta-analysis of 25 populations. Int J Cancer. 2007;120:1027–35.

    Article  PubMed  CAS  Google Scholar 

  18. Kim J, Cho YA, Kim DH, Lee BH, Hwang DY, Jeong J, et al. Dietary intake of folate and alcohol, mthfr c677t polymorphism, and colorectal cancer risk in Korea. Am J Clin Nutr. 2012;95:405–12.

    Article  PubMed  CAS  Google Scholar 

  19. Kang BS, Ahn DH, Kim NK, Kim JW. Relationship between metabolic syndrome and mthfr polymorphism in colorectal cancer. J Korean Soc Coloproctol. 2011;27:78–82.

    Article  PubMed  Google Scholar 

  20. Lee JE, Wei EK, Fuchs CS, Hunter DJ, Lee IM, Selhub J, Stampfer MJ, Willett WC, Ma J, Giovannucci E: Plasma folate, methylenetetrahydrofolate reductase (mthfr), and colorectal cancer risk in three large nested case-control studies. Cancer Causes Control 2012

  21. Attia J, Thakkinstian A, D’Este C. Meta-analyses of molecular association studies: methodologic lessons for genetic epidemiology. J Clin Epidemiol. 2003;56:297–303.

    Article  PubMed  Google Scholar 

  22. Salanti G, Amountza G, Ntzani EE, Ioannidis JP. Hardy-weinberg equilibrium in genetic association studies: an empirical evaluation of reporting, deviations, and power. Eur J Hum Genet. 2005;13:840–8.

    Article  PubMed  CAS  Google Scholar 

  23. Mantel N, Haenszel W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959;22:719–48.

    PubMed  CAS  Google Scholar 

  24. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177–88.

    Article  PubMed  CAS  Google Scholar 

  25. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327:557–60.

    Article  PubMed  Google Scholar 

  26. Cochran WG. The combination of estimates from different experiments. Biometrics. 1954;10:101–29.

    Article  Google Scholar 

  27. Galbraith R. A note on graphical presentation of estimated odds ratios from several clinical trials. Stat Med. 1988;7:889–94.

    Article  PubMed  CAS  Google Scholar 

  28. Thompson SG, Higgins J. How should meta–regression analyses be undertaken and interpreted? Stat Med. 2002;21:1559–73.

    Article  PubMed  Google Scholar 

  29. Lau J, Antman EM, Jimenez-Silva J, Kupelnick B, Mosteller F, Chalmers TC. Cumulative meta-analysis of therapeutic trials for myocardial infarction. N Engl J Med. 1992;327:248–54.

    Article  PubMed  CAS  Google Scholar 

  30. Zintzaras E, Lau J. Synthesis of genetic association studies for pertinent gene-disease associations requires appropriate methodological and statistical approaches. J Clin Epidemiol. 2008;61:634–45.

    Article  PubMed  Google Scholar 

  31. Muellerleile P, Mullen B. Sufficiency and stability of evidence for public health interventions using cumulative meta-analysis. Am J Public Health. 2006;96:515–22.

    Article  PubMed  Google Scholar 

  32. Tobias A. Assessing the influence of a single study in the meta-analysis estimate. Stata Tech Bull. 1999;8:15–7.

    Google Scholar 

  33. Stuck AE, Rubenstein LZ, Wieland D. Bias in meta-analysis detected by a simple, graphical test. Asymmetry detected in funnel plot was probably due to true heterogeneity. BMJ. 1998;316:469.

    Article  PubMed  CAS  Google Scholar 

  34. Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629–34.

    Article  PubMed  CAS  Google Scholar 

  35. Miao XP, Yang S, Tan W, Zhang XM, Ye YJ, Lin DX, et al. association between genetic variations in methylenetetrahydrofolate reductase and risk of colorectal cancer in a chinese population. Zhonghua Yu Fang Yi Xue Za Zhi. 2005;39:409–11.

    PubMed  CAS  Google Scholar 

  36. Jin XX, Zhu ZZ, Wang AZ, Jia HR. Association of methylenetetrahydrofoiate reductase c677t polymorphism with genetic susceptibility to colorectal cancer. Shijie Huaren Xiao Hua Za Zhi. 2007;15:2754–7.

    CAS  Google Scholar 

  37. Zhu Q, Jin Z, Yuan Y, Lu Q, Ge D, Zong M. Impact of mthfr gene c677t polymorphism on bcl-2 gene methylation and protein expression in colorectal cancer. Scand J Gastroenterol. 2011;46:436–45.

    Article  PubMed  CAS  Google Scholar 

  38. Kim JW, Park HM, Choi YK, Chong SY, Oh D, Kim NK. Polymorphisms in genes involved in folate metabolism and plasma DNA methylation in colorectal cancer patients. Oncol Rep. 2011;25:167–72.

    PubMed  CAS  Google Scholar 

  39. Otani T, Iwasaki M, Hanaoka T, Kobayashi M, Ishihara J, Natsukawa S, et al. Folate, vitamin b6, vitamin b12, and vitamin b2 intake, genetic polymorphisms of related enzymes, and risk of colorectal cancer in a hospital-based case-control study in Japan. Nutr Cancer. 2005;53:42–50.

    Article  PubMed  CAS  Google Scholar 

  40. Zhang YL, Yuan XY, Zhang C, Yang Y, Pan YM, Zhou ZY, et al. Relationship between polymorphisms of thymidylate synthase and methylenetetrahydrofolate reductase and susceptibility in Liaoning Benxi colorectal cancer pafients. Linchuang Zhong Liu Xue Za Zhi. 2008;13:769–74.

    CAS  Google Scholar 

  41. Promthet SS, Pientong C, Ekalaksananan T, Wiangnon S, Poomphakwaen K, Songserm N, Chopjitt P, Moore MA, Tokudome S: Risk factors for colon cancer in northeastern thailand: interaction of mthfr codon 677 and 1298 genotypes with environmental factors. Journal of Epidemiology 2010:1006080172.

  42. Chang SC, Lin PC, Lin JK, Yang SH, Wang HS, Li AF. Role of mthfr polymorphisms and folate levels in different phenotypes of sporadic colorectal cancers. Int J Colorectal Dis. 2007;22:483–9.

    Article  PubMed  Google Scholar 

  43. Yang XX, Li FX, Yi JP, Li X, Sun JZ, Hu NY. Association of mthfr c677t polymorphism and susceptibility of lung cancer, gastric cancer and colorectal cancer risk. Guangdong Yi Xue. 2010;31:2375–8.

    CAS  Google Scholar 

  44. Park KS, Mok JW, Kim JC. The 677c>t mutation in 5,10-methylenetetrahydrofolate reductase and colorectal cancer risk. Genet Test. 1999;3:233–6.

    Article  PubMed  CAS  Google Scholar 

  45. Zhu F, Wang YM, Zhang QM. A case-control study of plasma homocysteine, serum folate, the polymorphism of methylenetetrahydrofolate reductase in colorectai cancer. Dongnan Da Xue Xue Bao. 2010;29:88–92.

    CAS  Google Scholar 

  46. Matsuo K, Ito H, Wakai K, Hirose K, Saito T, Suzuki T, et al. One-carbon metabolism related gene polymorphisms interact with alcohol drinking to influence the risk of colorectal cancer in Japan. Carcinogenesis. 2005;26:2164–71.

    Article  PubMed  CAS  Google Scholar 

  47. Matsuo K, Hamajima N, Hirai T, Kato T, Inoue M, Takezaki T, et al. Methionine synthase reductase gene a66g polymorphism is associated with risk of colorectal cancer. Asian Pac J Cancer Prev. 2002;3:353–9.

    PubMed  Google Scholar 

  48. Cao HX, Gao CM, Takezaki T, Wu JZ, Ding JH, Liu YT, et al. Genetic polymorphisms of methylenetetrahydrofolate reductase and susceptibility to colorectal cancer. Asian Pac J Cancer Prev. 2008;9:203–8.

    PubMed  Google Scholar 

  49. Huang P, Zhou ZY, Ma HT, Liu JY, Zhou YH, Cao J, et al. Mthfr polymorphisms and colorectal cancer susceptibility in chongging people. Acta Academiae Medicinae Militaris Tertiae. 2003;25:1710–5.

    CAS  Google Scholar 

  50. Jiang QT, Chen K, Ma XY, Miao XP, Yao KY, Yu WP, et al. a case-control study on the polymorphisms of methylenetetrahydrofolate reductases, drinking interaction and susceptibility in colorectal cancer. Zhonghua Liu Xing Bing Xue Za Zhi. 2004;25:612–6.

    PubMed  Google Scholar 

  51. Li H, Xu WL, Shen HL, Chen QY, Hui LL, Long LL, Zhu XL: Methylenetetrahydrofolate reductase genotypes and haplotypes associated with susceptibility to colorectal cancer in an eastern Chinese Han population. Genet Mol Res 2011;10

  52. Ioannidis JP, Patsopoulos NA, Evangelou E. Uncertainty in heterogeneity estimates in meta-analyses. BMJ. 2007;335:914–6.

    Article  PubMed  Google Scholar 

  53. Hao L, Tian YH, Tan M, Tang Y, Li Z. Variation of plasma folate levels in adults with ages 35-64 years between some areas in China. Acta Nutrimenta Sinica. 2002;24:352–6.

    CAS  Google Scholar 

  54. Kim DH. The interactive effect of methyl-group diet and polymorphism of methylenetetrahydrofolate reductase on the risk of colorectal cancer. Mutat Res. 2007;622:14–8.

    Article  PubMed  CAS  Google Scholar 

  55. Guyatt G, Oxman AD, Akl EA, Kunz R, Vist G, Brozek J, et al. Grade guidelines: 1. Introduction-grade evidence profiles and summary of findings tables. J Clin Epidemiol. 2011;64:383–94.

    Article  PubMed  Google Scholar 

  56. Zhang J, Qiu LX, Wang ZH, Wu XH, Liu XJ, Wang BY, et al. Mthfr c677t polymorphism associated with breast cancer susceptibility: a meta-analysis involving 15,260 cases and 20,411 controls. Breast Cancer Res Treat. 2010;123:549–55.

    Article  PubMed  CAS  Google Scholar 

  57. Jin F, Qu LS, Shen XZ. Association between the methylenetetrahydrofolate reductase c677t polymorphism and hepatocellular carcinoma risk: a meta-analysis. Diagn Pathol. 2009;4:39.

    Article  PubMed  Google Scholar 

  58. Dong X, Wu J, Liang P, Li J, Yuan L, Liu X. Methylenetetrahydrofolate reductase c677t and a1298c polymorphisms and gastric cancer: a meta-analysis. Arch Med Res. 2010;41:125–33.

    Article  PubMed  CAS  Google Scholar 

  59. Zhang Y, Chen GQ, Ji Y, Huang B, Shen WS, Deng LC, et al. Quantitative assessment of the effect of mthfr polymorphisms on the risk of lung carcinoma. Mol Biol Rep. 2012;39:6203–11.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to B. H. Jiao.

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Zhong Shan and Jia-He Yang contributed equally to this work.

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Zhong, S., Yang, JH., Liu, K. et al. Quantitative assessment of the association between MTHFR C677T polymorphism and colorectal cancer risk in East Asians. Tumor Biol. 33, 2041–2051 (2012). https://doi.org/10.1007/s13277-012-0463-7

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