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Impact of the MTHFR C677T polymorphism on colorectal cancer in a population with low genetic variability

Purposes Methylenetetrahydrofolate reductase (MTHFR) plays a key role in folate metabolism, and folate is implicated in carcinogenesis by its role in DNA methylation, repair, and synthesis. We analyzed the impact of MTHFR C677T polymorphism in colorectal cancer in a region of the Tenerife Island who...

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Published in:International journal of colorectal disease 2013-09, Vol.28 (9), p.1187-1193
Main Authors: Delgado-Plasencia, Luciano, Medina-Arana, Vicente, Bravo-Gutiérrez, Alberto, Pérez-Palma, Julián, Álvarez-Argüelles, Hugo, Salido-Ruiz, Eduardo, Fernández-Peralta, Antonia M., González-Aguilera, Juan J.
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container_end_page 1193
container_issue 9
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container_title International journal of colorectal disease
container_volume 28
creator Delgado-Plasencia, Luciano
Medina-Arana, Vicente
Bravo-Gutiérrez, Alberto
Pérez-Palma, Julián
Álvarez-Argüelles, Hugo
Salido-Ruiz, Eduardo
Fernández-Peralta, Antonia M.
González-Aguilera, Juan J.
description Purposes Methylenetetrahydrofolate reductase (MTHFR) plays a key role in folate metabolism, and folate is implicated in carcinogenesis by its role in DNA methylation, repair, and synthesis. We analyzed the impact of MTHFR C677T polymorphism in colorectal cancer in a region of the Tenerife Island whose population has a history of genetic isolation and a low genetic variability. This allows analyzing the effects of the polymorphism that are not due to interactions with different genetic variants. Methods Genomic DNA of 50 Spanish sporadic colorectal cancer (CRC) patients and 103 controls was analyzed by PCR/RFLP and sequencing. Results The T allele is more frequent in controls than in patients ( P  
doi_str_mv 10.1007/s00384-013-1644-6
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We analyzed the impact of MTHFR C677T polymorphism in colorectal cancer in a region of the Tenerife Island whose population has a history of genetic isolation and a low genetic variability. This allows analyzing the effects of the polymorphism that are not due to interactions with different genetic variants. Methods Genomic DNA of 50 Spanish sporadic colorectal cancer (CRC) patients and 103 controls was analyzed by PCR/RFLP and sequencing. Results The T allele is more frequent in controls than in patients ( P  &lt; 0.01). The variant (T) carriers displayed significant odds ratio values for the CT heterozygotes ( P  = 0.026) and even when grouping heterozygote (CT) and homozygotes (TT) ( P  = 0.015). Patients carriers of the variant T (CT y TT) show a higher survival rate after chemotherapy than the CC homozygotes (log rank; P  = 0.001). Conclusions The MTHRF C677T variant has a protective effect on CRC development in a population with low allelic variability and an optimal intake of folic acid. Moreover, patients carrying the variant (T) show a better prognosis after 5-fluorouracil/folinic acid-based chemotherapy.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/s00384-013-1644-6</identifier><identifier>PMID: 23422951</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>5-Fluorouracil ; Amino Acid Substitution - genetics ; Colorectal Neoplasms - drug therapy ; Colorectal Neoplasms - enzymology ; Colorectal Neoplasms - genetics ; Female ; Gastroenterology ; Genetic Predisposition to Disease ; Hepatology ; Humans ; Internal Medicine ; Kaplan-Meier Estimate ; Male ; Medicine ; Medicine &amp; Public Health ; Methylenetetrahydrofolate Reductase (NADPH2) - genetics ; Original Article ; Polymorphism, Single Nucleotide - genetics ; Proctology ; Risk Factors ; Surgery</subject><ispartof>International journal of colorectal disease, 2013-09, Vol.28 (9), p.1187-1193</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-b7cf43e2668c84cd03dc299d917eb3199ec851b9a9ae74d69d2384800148cde03</citedby><cites>FETCH-LOGICAL-c405t-b7cf43e2668c84cd03dc299d917eb3199ec851b9a9ae74d69d2384800148cde03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23422951$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Delgado-Plasencia, Luciano</creatorcontrib><creatorcontrib>Medina-Arana, Vicente</creatorcontrib><creatorcontrib>Bravo-Gutiérrez, Alberto</creatorcontrib><creatorcontrib>Pérez-Palma, Julián</creatorcontrib><creatorcontrib>Álvarez-Argüelles, Hugo</creatorcontrib><creatorcontrib>Salido-Ruiz, Eduardo</creatorcontrib><creatorcontrib>Fernández-Peralta, Antonia M.</creatorcontrib><creatorcontrib>González-Aguilera, Juan J.</creatorcontrib><title>Impact of the MTHFR C677T polymorphism on colorectal cancer in a population with low genetic variability</title><title>International journal of colorectal disease</title><addtitle>Int J Colorectal Dis</addtitle><addtitle>Int J Colorectal Dis</addtitle><description>Purposes Methylenetetrahydrofolate reductase (MTHFR) plays a key role in folate metabolism, and folate is implicated in carcinogenesis by its role in DNA methylation, repair, and synthesis. We analyzed the impact of MTHFR C677T polymorphism in colorectal cancer in a region of the Tenerife Island whose population has a history of genetic isolation and a low genetic variability. This allows analyzing the effects of the polymorphism that are not due to interactions with different genetic variants. Methods Genomic DNA of 50 Spanish sporadic colorectal cancer (CRC) patients and 103 controls was analyzed by PCR/RFLP and sequencing. Results The T allele is more frequent in controls than in patients ( P  &lt; 0.01). The variant (T) carriers displayed significant odds ratio values for the CT heterozygotes ( P  = 0.026) and even when grouping heterozygote (CT) and homozygotes (TT) ( P  = 0.015). Patients carriers of the variant T (CT y TT) show a higher survival rate after chemotherapy than the CC homozygotes (log rank; P  = 0.001). Conclusions The MTHRF C677T variant has a protective effect on CRC development in a population with low allelic variability and an optimal intake of folic acid. 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We analyzed the impact of MTHFR C677T polymorphism in colorectal cancer in a region of the Tenerife Island whose population has a history of genetic isolation and a low genetic variability. This allows analyzing the effects of the polymorphism that are not due to interactions with different genetic variants. Methods Genomic DNA of 50 Spanish sporadic colorectal cancer (CRC) patients and 103 controls was analyzed by PCR/RFLP and sequencing. Results The T allele is more frequent in controls than in patients ( P  &lt; 0.01). The variant (T) carriers displayed significant odds ratio values for the CT heterozygotes ( P  = 0.026) and even when grouping heterozygote (CT) and homozygotes (TT) ( P  = 0.015). Patients carriers of the variant T (CT y TT) show a higher survival rate after chemotherapy than the CC homozygotes (log rank; P  = 0.001). Conclusions The MTHRF C677T variant has a protective effect on CRC development in a population with low allelic variability and an optimal intake of folic acid. Moreover, patients carrying the variant (T) show a better prognosis after 5-fluorouracil/folinic acid-based chemotherapy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23422951</pmid><doi>10.1007/s00384-013-1644-6</doi><tpages>7</tpages></addata></record>
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identifier ISSN: 0179-1958
ispartof International journal of colorectal disease, 2013-09, Vol.28 (9), p.1187-1193
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source Springer Nature
subjects 5-Fluorouracil
Amino Acid Substitution - genetics
Colorectal Neoplasms - drug therapy
Colorectal Neoplasms - enzymology
Colorectal Neoplasms - genetics
Female
Gastroenterology
Genetic Predisposition to Disease
Hepatology
Humans
Internal Medicine
Kaplan-Meier Estimate
Male
Medicine
Medicine & Public Health
Methylenetetrahydrofolate Reductase (NADPH2) - genetics
Original Article
Polymorphism, Single Nucleotide - genetics
Proctology
Risk Factors
Surgery
title Impact of the MTHFR C677T polymorphism on colorectal cancer in a population with low genetic variability
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