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( Eun Mi Chun ),( Mi Sun Lee ),( Kofi Asomaning ),( Rebecca Heist ),( Lii Su ),( David C Christiani ) 대한결핵 및 호흡기학회 2014 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.118 No.-
Background: Epidemiologic studies have been shown that the use of chemopreventive drugs may decrease cancer risk. Therefore, we aimed to investigate the effects of aspirin, NSAIDs, and statins use for reduced risk of lung cancer. We further examined whether genetic polymorphisms modify these effects. Methods: The study population consisted of 1,582 lung cancer patients and 816 controls from the Massachusetts General Hospital. SNPs were assessed in genes involved in phase II metabolism (GSTs, NAT2, EPHX, and NQO1), DNA repair (ERCC1, ERCC2, and XRCC1), DNA methylation (MTHFR C677T and A1298C), and angiogenesis (VEGF +936C>T, -460T>C, and +405G>C) pathways. Results: We used logistic regression to estimate the odds ratios (OR),and after adjustment for covariates, the use of statins and aspirin were significantly associated with reduced risk of lung cancer [OR 0.74, 95% confidence interval (CI) 0.56 to 0.97 for statins and OR 0.36, 95% CI 0.27 to 0.47 for aspirin, respectively], whereas an inverse association was seen with NSAIDs. Significant modifying effects were found by NAD(P)H quinine oxidoreductase (NQO1) gene polymorphisms with the use of statins (OR 0.57, 95% CI 0.40 to 0.80 for CC versus OR 1.21, 95% CI 0.74 to 1.99 for CT or TT, P = 0.03) and by glutathione S-transferases (GSTP1) with aspirin use (OR 0.23, 95% CI 0.15 to 0.35 for AA versus OR 0.46, 95% CI 0.32 to 0.67 for AG or GG, P = 0.04). Conclusions: Our results indicate that statins and aspirin use may attenuate the risk of lung cancer and genetic polymorphism may modify these associations. Key words: chemoprevention, genetic polymorphism, lung cancer, pharmacogenetics
( Eun Mi Chun ),( Mi Sun Lee ),( Kofi Asomaning ),( Rebecca Heist ),( Lii Su ),( David C Christiani ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Epidemiologic studies have been shown that the use of chemopreventive drugs may decrease cancer risk. Therefore, we aimed to investigate the effects of aspirin, NSAIDs, and statins use for reduced risk of lung cancer. We further examined whether genetic polymorphisms modify these effects. Methods: The study population consisted of 1,582 lung cancer patients and 816 controls from the Massachusetts General Hospital. SNPs were assessed in genes involved in phase II metabolism (GSTs, NAT2, EPHX, and NQO1), DNA repair (ERCC1, ERCC2, and XRCC1), DNA methylation (MTHFR C677T and A1298C), and angiogenesis (VEGF +936C>T, -460T>C, and +405G>C) pathways. Results: We used logistic regression to estimate the odds ratios (OR),and after adjustmentfor covariates, the use of statins and aspirin were signifi cantly associated with reduced risk of lung cancer [OR 0.74, 95% confi dence interval (CI) 0.56 to 0.97 for statins and OR 0.36, 95% CI 0.27 to 0.47 for aspirin, respectively], whereas an inverse association was seen with NSAIDs. Signifi cant modifying effects were found by NAD( P)H quinine oxidoreductase (NQO1) gene polymorphisms with the use of statins (OR 0.57, 95% CI 0.40 to 0.80 for CC versus OR 1.21, 95% CI 0.74 to 1.99 for CT or TT, P = 0.03) and by glutathione S-transferases (GSTP1) with aspirin use (OR 0.23, 95% CI 0.15 to 0.35 for AA versus OR 0.46, 95% CI 0.32 to 0.67 for AG or GG, P = 0.04).Conclusions: Our results indicate that statins and aspirin use may attenuate the risk of lung cancer and genetic polymorphism may modify these associations.