## Abstract ## Background. Factors determining the individual susceptibility to head and neck squamous cell carcinoma (HNSCC) are still largely unknown. An imbalance between enzymes involved in the toxification and detoxification of (pre)βcarcinogens closely related to HNSCC, which may appear duri
Glutathione S-transferase polymorphisms and survival from head and neck cancer
β Scribed by Stacy A. Geisler; Andrew F. Olshan; Jianwen Cai; Mark Weissler; Joanna Smith; Douglas Bell
- Publisher
- John Wiley and Sons
- Year
- 2005
- Tongue
- English
- Weight
- 445 KB
- Volume
- 27
- Category
- Article
- ISSN
- 1043-3074
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β¦ Synopsis
Background. The purpose of this study was to evaluate the prognostic ability of polymorphisms of three genes involved in the metabolism of tobacco carcinogens (GSTT1, GSTM1, GSTP1) and one polymorphism of a DNA repair gene (XRCC1) for patients diagnosed with squamous cell carcinoma (SCC).
Methods. Cox proportional hazard models were used to estimate risk of death for a prospective cohort of 190 patients.
Results. Individuals with the GSTT1 functional genotype were twice as likely to die from any cause (hazard ratio [HR], 2.4; 95% confidence interval [CI], 1.13 -4.97) and were three times as likely to die from SCC (HR, 3.4; 95% CI, 1.33 -8.41) after adjustment for age, primary therapy, and stage of disease. The XRCC1 399 Gln genotype was predictive of disease recurrence.
Conclusions.
Our findings, from one of the first studies to examine this research question, suggest that genomic markers of carcinogen metabolism and DNA repair capability may serve as prognostic indicators of disease recurrence and death.
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Differences in genetic susceptibility to tobacco-induced carcinogenesis appear to modulate an individual's risk of squamous-cell carcinoma of the head and neck (SCCHN). Risk for SCCHN may be associated with the null alleles of the carcinogen-metabolizing genes glutathione-S-transferase (GST) T1 and
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