Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0242379 (lung cancer)
 71,905 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We investigated the associations between lung cancer and the gene polymorphisms of the drug metabolizing enzymes, containing cytochrome P450 1A1 (CYP1A1), cytochrome P450 1A2 (CYP1A2), glutathione S-transferase class mu (GSTM1), and N-acetyltransferase 2 (NAT2). The study involved 113 lung cancer patients and 121 non-cancer controls divided into never, light and heavy smokers according to pack-years of smoking in Japanese by using PCR-RFLP. For light smokers, the lung cancer risk of NAT2 intermediate-slow was significantly increased [the adjusted odds ratio (OR): 10.9, 95% confidence intervals (95%CI): 1.75-67.5, P-value: 0.010]. Moreover, never smokers having joint genotypes of NAT2 intermediate-slow and CYP1A2*1F A/A was also associated with increased the lung cancer risk (OR: 4.95, 95% CI: 1.19-20.6, P-value: 0.028). We suggested that light smokers with intermediate-slow NAT2 activity were at highest risk for lung cancer and the gene-gene interaction based on intermediate-slow NAT2 activity and high CYP1A2 activity would be increased a lung cancer risk among never smokers.
Asian Pac J Cancer Prev
PMID:NAT2 and CYP1A2 polymorphisms and lung cancer risk in relation to smoking status. 1747 82

Solar ultraviolet B (UVB) has been found to correlate with reduced risk for 14 types of cancer in three or more observational studies and another 14 in one-to-two observational studies. The beneficial role of UVB is thought to be mediated through vitamin D production. Few such studies have been conducted in Southeast Asia. Data on cancer mortality rates for 65 counties in China in 1978 and approximately 300 geographic, dietary, serum, occupation, and lifestyle factors from 1983-4 are available in Diet, Life-style and Mortality in China (Chen et al., Oxford University Press, 1990). The data for 39 counties away from the east coast of China were used in multiple linear regression analyses. The indices of solar UV radiation (UVR), latitude and heat index, were correlated with reduced mortality rates for cervical, colorectal (females), esophageal, gastric, and lung (males) cancer. Latitude was inversely correlated with liver cancer (males) and nasopharyngeal carcinoma (NPC). Lung cancer, the index used for smoking, was correlated with all less lung (males), cervical, liver (males), and NPC. Several other factors were also correlated with some of the cancers. However, no other factors could explain the latitudinal variation for these seven cancers. Thus, it is concluded that solar UVB, through production of vitamin D, reduces the risk of some types of cancer in China. Liver cancer and NPC are linked to viruses, and UVR may increase the risk through immunosuppression. Further studies are warranted.
Asian Pac J Cancer Prev
PMID:Does solar ultraviolet irradiation affect cancer mortality rates in China? 1769 38

A case-control study was conducted to investigate the association between the consumption of local common foods that are rich in vitamin A and the risk of lung cancer in Taiwan. A total of 301 incident lung cancer cases, 602 hospital controls, and 602 neighborhood controls were recruited. The consumption of 13 food items and vitamin supplements was estimated by use of a food frequency questionnaire. The conditional logistic regression models were used to estimate the adjusted odds ratios (AOR) and 95% confidence intervals (CI) for lung cancer risk with each control group as reference by adjustment of covariates. A reduced risk for lung cancer was found to be associated with increased intakes of vitamin A, alpha-carotene, and beta-carotene from 13 food items. More servings of vegetables (AOR for the highest versus the lowest quartile = 0.67-0.70, 95% CI = 0.42-1.08, (plinear trend )= 0.04), garland chrysanthemum (AOR for the highest versus the lowest tertile = 0.58-0.74, 95% CI = 0.37-1.14, (plinear trend )<= 0.04) and sweet potato leaves (AOR for the highest versus the lowest tertile = 0.43-0.65, 95% CI = 0.28-0.96, (plinear trend )<= 0.03) were associated with the reduced risk for lung cancer. In conclusion, higher consumption of vitamin A-rich vegetables, especially garland chrysanthemum and sweet potato leaves might provide potential protection from lung cancer.
Asia Pac J Clin Nutr 2007
PMID:Intake of vitamin A-rich foods and lung cancer risk in Taiwan: with special reference to garland chrysanthemum and sweet potato leaf consumption. 1770 30

To determine the influence of family medical history on mortality from cancer and other chronic diseases, participants in the JACC study were questioned about tuberculosis, apoplexy, hypertension, heart disease, diabetes mellitus and malignant diseases and followed up. Consistent across the sexes, a family history of tuberculosis was apparently linked to reduced risk of lung cancer, and also lowered ischemic heart disease. No consistent findings were obtained for hypertension, diabetes mellitus or cancer.
Asian Pac J Cancer Prev 2007
PMID:Family history and mortality in the Japan Collaborative Cohort Study for Evaluation of Cancer (JACC). 1826 Jul 3

Nutrition effects on mortality in the Japan Collaborative Cohort Study (JACC Study) were investigated using interview and follow up. Multivitamin and vitamin E use was found to be associated with lower mortality from cerebrovascular disease (CVD). For all causes, CVD and ischemic heart disease (IHD), total energy intake and cutting breakfast were associated with elevated, while rice intake, fruit, sweets, tofu, pickles, dried fish, deep-fried foods, tea and coffee and seaweed were generally linked with lowered mortality. Consistent across the sexes, protection was evident against lung cancer with seaweed, prostate cancer with fresh fish, and liver cancer with pork and rice intake. Positive associations were found between potato consumption and colon cancer, as well as for fat intake and liver cancer. Clearly, the diet has a major impact on chronic disease processes in the Japanese population.
Asian Pac J Cancer Prev 2007
PMID:Nutrition and disease in the Japan Collaborative Cohort Study for Evaluation of Cancer (JACC). 1826 Jul 5

The association between an exposure of interest (risk factor) and a disease may be confounded by the action of other separate factors as well as by interactions between risk factors exerting an impact. Crude measures of effect may be misleading in such situations. Levels of the potential confounding factor could be estimated using stratified analysis. Uniformity of the stratum-specific effect estimates can be assessed by performing chi-square tests for heterogeneity. If the effect is uniform across strata, we can calculate a pooled adjusted summary estimate of the effect using the Mantel-Haenzel (M-H) method. Confidence intervals for the adjusted estimate and the M-H chi-square test are calculated to assess the significance. If the effect is not uniform (presence of interaction), we report stratum-specific estimates, confidence intervals and chi-square for each estimate. In the present paper, assessment of the level of confounding and interaction between risk factors are illustrated using a case-control study of lung cancer conducted at the Regional Cancer Centre, Trivandrum.
Asian Pac J Cancer Prev
PMID:Assessment of confounding and interaction using the mantel-haenszel risk estimation method. 1871 84

Cancer has become the leading cause of death in many Asian countries. There is an increasing trend in breast, prostate and colon cancers, which are considered as typical of economically developed countries. Although breast and prostate cancer rates are still lower than in western countries, they are particularly rapidly increasing. In this paper, we review recently published literature to identify important etiologic factors affecting the cancer risk in Asian populations. Infectious agents such as Helicobacter pylori, hepatitis B and C viruses, and human papillomavirus were shown to be associated with elevated risks of stomach, liver and cervical cancer, respectively. Tobacco smoking was shown to be significantly associated with higher lung cancer risk and moderately increased all cancer risk. Excessive alcohol drinking appeared to increase the risk of colorectal cancer in Japanese and breast cancer in the Korean population. Betel nut chewing was associated with higher risk of oral and esophageal cancer. In terms of diet, various studies have demonstrated that high caloric and fat intake was associated with breast cancer risk, salted food intake with stomach cancer, aflatoxin B1 with liver cancer, and low fruits and vegetables intake with breast and lung cancer. Environmental exposure to indoor and outdoor air pollution, arsenic, radon, asbestos and second hand smoke was shown to increase the lung cancer risk. Reproductive factors such as late age at first childbirth, early menarche, late menopause, oral contraceptive intake, and short duration of lifetime lactation were shown to be associated with breast and/or colorectal cancer. Cancer has clearly become an emerging health threat in Asia and cancer control programs should be actively implemented and evaluated in this region. Various strategies for cancer control have been developed in some Asian countries, including the set-up of national cancer registries, cancer screening programs, education programs for health behavior change, eradication of Helicobacter pylori and vaccination for hepatitis B and C viruses, and human papilloma virus high risk forms. However, more attention should also be paid to low- and medium-resource Asian countries where cancer incidence rates are high, but neither intensive research on cancer for planning effective cancer control programs, nor easy implementation of such programs are available, due to limited financial resources.
Asian Pac J Cancer Prev
PMID:Aetiology of cancer in Asia. 1899 5

Lung cancer remains a leading cause of disease globally, with smoking being the largest single cause. Phase I enzymes, including cytochrome P(450), family 1, subfamily A, polypeptide 1 (CYP1A1), are involved in the activation of carcinogens, such as polycyclic aromatic hydrocarbons, to reactive intermediates that are capable of binding covalently to DNA to form DNA adducts, potentially initiating the carcinogenic process. The aim of the present study was to investigate the association of CYP1A1 gene polymorphisms and haplotypes with lung cancer risk. A case-control study was carried out on 1,040 nonsmall cell lung cancer (NSCLC) cases and 784 controls to investigate three CYP1A1 variants, CYP1A1*2A (rs4646903; thymidine to cytosine substitution at nucleotide 3801 (3801T>C)), CYP1A1*2C (rs1048943; 2455A>G; substitution of isoleucine 462 with valine (exon 7)) and CYP1A1*4 (rs1799814; 2453C>A; substitution of threonine 461 with asparagine (exon 7)) using PCR restriction fragment length polymorphism methods. The CYP1A1*2A and CYP1A1*2C variants were significantly over-represented in NSCLC cases compared with controls, whereas the CYP1A1*4 variant was under-represented. CYP1A1 haplotypes (in allele order CYP1A1*4, CYP1A1*2C, CYP1A1*2A) CGC and CGT were associated with an increased risk of lung cancer, whereas AAT was associated with decreased lung cancer risk in this population. The present study has identified risk haplotypes for CYP1A1 in NSCLC and confirmed that CYP1A1 polymorphisms are a minor risk factor for NSCLC.
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PMID:Genetic association study of CYP1A1 polymorphisms identifies risk haplotypes in nonsmall cell lung cancer. 1960 85

The CYP1A1 category of enzymes plays a central role in the metabolic activation of major tobacco carcinogens. Several polymorphisms within the CYP1A1 locus have been identified and have been shown to be associated with lung cancer risk, particularly in Asian populations. Here we focused on the influence of three polymorphisms on lung cancer in ethnic Kashmiris, genotyping 109 lung cancer cases and 163 healthy controls by PCR-RFLP methods. While no polymorphic alleles in CYP1A1m4 (exon 7 thr to asn) site were detected in our population, the allele frequency of CYP1A1m1 (Msp1) and CYP1A1m2 (exon 7 ile to val) were 30.1 and 26.6 in controls and 44.5 and 38.9 in cases. The CYP1A1m1 and CYP1A1m2 variants were significantly associated with lung cancer susceptibility (ORs; 2.65, CI 95% = 1.562-4.49 and 2.24,CI 95%= 1.35-3.73).This risk was prominent in case of SCC compared with AC or other types of lung cancer. Stratified analysis showed a multiplicative interaction between tobacco smoking and variant CYP1A1m1 genotype on the risk of SCC. The ORs of SCC for non-smokers were 2.08 and 3.15 for smokers. When stratified by pack years, effect was stronger in the heaviest smokers (ORs= 6.00,95% CI= 1.672-21.532).The interaction between tobacco smoking and variant CYP1A1m2 genotype followed similar pattern. Our findings thus support the conclusion that CYP1A1m1 and m2 polymorphisms are associated with the smoking related lung cancer risk in Kashmiri population.
Asian Pac J Cancer Prev
PMID:CYP1A1 polymorphisms and risk of lung cancer in the ethnic Kashmiri population. 1982 88

Pakistan, India, Sri Lanka, Bangladesh, Nepal and Bhutan, with their total population of more than 1,500 million, make up the subcontinent of South Asia. Despite massive diversity across the region, there are sufficient similarities to warrant a collective approach to chronic disease control, including development of cancer control programs. Cancer is already a major problem and there are general similarities in the prevalence patterns. In males, oral and lung cancer are either number one or two, depending on the registry, with the exceptions of Quetta in the far north, Larkana and Chennai. Moderately high numbers of pharyngeal and/or laryngeal cancer are also consistently observed, with prostate cancer now becoming visible in the more developed cities. Breast and cervical cancer share first and second place except in Muslim Pakistan, where oral cancer generally follows breast. The ovary is often included in the five most prevalent types. Markedly increasing rates for breast cancer and distribution shifts in other cancers suggest that, despite improvement in cervical and oral rates, the overall burden will only become heavier over time, especially with increasing obesity and aging of what are still youthful populations. Coordination of activities within South Asia is a high priority for cancer control in the region.
Asian Pac J Cancer Prev 2010
PMID:Cancer epidemiology in South Asia - past, present and future. 2055 68


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