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Kourie HR, Zouein J, Succar B, Mardirossian A, Ahmadieh N, Chouery E, Mehawej C, Jalkh N, kattan J, Nemr E. Genetic Polymorphisms Involved in Bladder Cancer: A Global Review. Oncol Rev 2023; 17:10603. [PMID: 38025894 PMCID: PMC10657888 DOI: 10.3389/or.2023.10603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 10/06/2023] [Indexed: 12/01/2023] Open
Abstract
Bladder cancer (BC) has been associated with genetic susceptibility. Single peptide polymorphisms (SNPs) can modulate BC susceptibility. A literature search was performed covering the period between January 2000 and October 2020. Overall, 334 articles were selected, reporting 455 SNPs located in 244 genes. The selected 455 SNPs were further investigated. All SNPs that were associated with smoking and environmental exposure were excluded from this study. A total of 197 genes and 343 SNPs were found to be associated with BC, among which 177 genes and 291 SNPs had congruent results across all available studies. These genes and SNPs were classified into eight different categories according to their function.
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Affiliation(s)
- Hampig Raphael Kourie
- Hematology-Oncology Department, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Joseph Zouein
- Hematology-Oncology Department, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Bahaa Succar
- Hematology-Oncology Department, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Avedis Mardirossian
- Hematology-Oncology Department, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Nizar Ahmadieh
- Hematology-Oncology Department, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Eliane Chouery
- Department of Human Genetics, Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Cybel Mehawej
- Department of Human Genetics, Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Nadine Jalkh
- Medical Genetics Unit, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Joseph kattan
- Hematology-Oncology Department, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Elie Nemr
- Urology Department, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
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2
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Teleka S, Orho-Melander M, Liedberg F, Melander O, Jirström K, Stocks T. Interaction between blood pressure and genetic risk score for bladder cancer, and risk of urothelial carcinoma in men. Sci Rep 2022; 12:18336. [PMID: 36316463 PMCID: PMC9622916 DOI: 10.1038/s41598-022-23225-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 10/27/2022] [Indexed: 11/06/2022] Open
Abstract
There is substantial genetic predisposition to bladder cancer (BC). Recently, blood pressure (BP) was positively associated with BC risk in men, but the potential interaction with genetic susceptibility for BC is unknown. We investigated a weighted genetic risk score (wGRS) of 18 BC genetic variants, BP, and their interaction, in relation to incident urothelial cancer (UC, n = 385) risk in 10,576 men. We used Cox regression, the likelihood ratio test, and the relative excess risk for interaction to calculate hazard ratios (HR) of UC, multiplicative interaction and additive interaction respectively. There was evidence of a positive additive interaction between SBP and the wGRS in relation to aggressive (P = 0.02) but not non-aggressive (P = 0.60) UC. The HR of aggressive UC was for SBP ≥ 140 mmHg and the upper 50% of the wGRS combined 1.72 (95% CI 1.03-2.87) compared to the counterpart group. Additionally, the 20-year risk of aggressive UC in 60 year-old men was 0.78% in the low SBP/low wGRS group and 1.33% in the high SBP/high wGRS group. Our findings support a potential additive interaction between the wGRS and SBP on aggressive UC among men. If replicated, the findings on interaction may provide biological and public health insight to prevent aggressive UC.
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Affiliation(s)
- Stanley Teleka
- grid.8993.b0000 0004 1936 9457Department of Surgical Sciences, Uppsala University, Epihubben, Dag Hammarskjölds Väg 14 B, 75185 Uppsala, Sweden ,grid.4514.40000 0001 0930 2361Department of Clinical Sciences in Lund, Lund University, Lund, Sweden
| | - Marju Orho-Melander
- grid.4514.40000 0001 0930 2361Department of Clinical Sciences in Malmö, Lund University, Lund, Sweden
| | - Fredrik Liedberg
- grid.411843.b0000 0004 0623 9987Department of Urology, Skåne University Hospital Malmö, Malmö, Sweden ,grid.4514.40000 0001 0930 2361Department of Translational Medicine, Lund University, Malmö, Sweden
| | - Olle Melander
- grid.4514.40000 0001 0930 2361Department of Clinical Sciences in Malmö, Lund University, Lund, Sweden
| | - Karin Jirström
- grid.4514.40000 0001 0930 2361Department of Clinical Sciences in Lund, Lund University, Lund, Sweden
| | - Tanja Stocks
- grid.4514.40000 0001 0930 2361Department of Clinical Sciences in Lund, Lund University, Lund, Sweden
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3
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Teleka S, Jochems SHJ, Jirström K, Stocks T. The interaction between smoking and bladder cancer genetic variants on urothelial cancer risk by disease aggressiveness. Cancer Med 2022; 11:2896-2905. [PMID: 35285182 PMCID: PMC9359879 DOI: 10.1002/cam4.4654] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 01/18/2022] [Accepted: 01/19/2022] [Indexed: 12/13/2022] Open
Abstract
Background Smoking has shown interactions with bladder cancer (BC) genetic variants, especially N‐acetyltransferase‐2 (NAT2), a tobacco smoke metabolism gene, on BC risk. The interactions by disease aggressiveness are unknown. Methods We investigated the interaction between smoking and 18 single nucleotide polymorphisms (SNPs) for BC, individually and in a genetic risk score (GRS), on urothelial cancer (UC) risk including BC. We analysed data from 25,453 individuals with 520 incident UCs during follow‐up, 339 non‐aggressive (non‐fatal, non‐muscle invasive) and 163 aggressive (all other) UCs. Hazard ratios (HRs), absolute risks and additive and multiplicative interactions for two‐by‐two combinations of never/ever smoking with low/high genetic risk were calculated. Results Smoking and NAT2 rs1495741 interacted strongly, positively on aggressive UC on both the multiplicative (p = 0.004) and additive (p = 0.0002) scale, which was not observed for non‐aggressive UC (pinteractions ≥ 0.6). This manifested in a higher HR of aggressive UC by ever smoking for the slow acetylation NAT2 genotype (HR, 5.00 [95% confidence interval, 2.67–9.38]) than for intermediate/fast acetylation NAT2 (HR, 1.50 [0.83–2.71]), and in differences in absolute risks by smoking and NAT2 genotype. Smoking also interacted additively and positively with the GRS on any UC (p = 0.01) and non‐aggressive UC (p = 0.02), but not on aggressive UC (p = 0.1). Gene‐smoking interactions of lesser magnitude than for NAT2 were found for SNPs in APOBEC3A, SLC14A1 and MYNN. Conclusions This study suggests that smoking increases UC risk more than expected when combined with certain genetic risks. Individuals with the slow acetylation NAT2 variant might particularly benefit from smoking intervention to prevent lethal UC; however, replication in larger studies is needed.
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Affiliation(s)
- Stanley Teleka
- Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.,Department of Clinical Sciences Lund, Lund University, Lund, Sweden
| | | | - Karin Jirström
- Department of Clinical Sciences Lund, Lund University, Lund, Sweden
| | - Tanja Stocks
- Department of Clinical Sciences Lund, Lund University, Lund, Sweden
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4
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Tietz T, Selinski S, Golka K, Hengstler JG, Gripp S, Ickstadt K, Ruczinski I, Schwender H. Identification of interactions of binary variables associated with survival time using survivalFS. Arch Toxicol 2019; 93:585-602. [PMID: 30694373 DOI: 10.1007/s00204-019-02398-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Accepted: 01/16/2019] [Indexed: 12/01/2022]
Abstract
Many medical studies aim to identify factors associated with a time to an event such as survival time or time to relapse. Often, in particular, when binary variables are considered in such studies, interactions of these variables might be the actual relevant factors for predicting, e.g., the time to recurrence of a disease. Testing all possible interactions is often not possible, so that procedures such as logic regression are required that avoid such an exhaustive search. In this article, we present an ensemble method based on logic regression that can cope with the instability of the regression models generated by logic regression. This procedure called survivalFS also provides measures for quantifying the importance of the interactions forming the logic regression models on the time to an event and for the assessment of the individual variables that take the multivariate data structure into account. In this context, we introduce a new performance measure, which is an adaptation of Harrel's concordance index. The performance of survivalFS and the proposed importance measures is evaluated in a simulation study as well as in an application to genotype data from a urinary bladder cancer study. Furthermore, we compare the performance of survivalFS and its importance measures for the individual variables with the variable importance measure used in random survival forests, a popular procedure for the analysis of survival data. These applications show that survivalFS is able to identify interactions associated with time to an event and to outperform random survival forests.
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Affiliation(s)
- Tobias Tietz
- Mathematical Institute, Heinrich Heine University Düsseldorf, 40225, Düsseldorf, Germany
| | - Silvia Selinski
- Leibniz Research Centre for Working Environment and Human Factors, TU Dortmund University, IfADo, 44139, Dortmund, Germany
| | - Klaus Golka
- Leibniz Research Centre for Working Environment and Human Factors, TU Dortmund University, IfADo, 44139, Dortmund, Germany
| | - Jan G Hengstler
- Leibniz Research Centre for Working Environment and Human Factors, TU Dortmund University, IfADo, 44139, Dortmund, Germany
| | - Stephan Gripp
- Department of Radiation Oncology, Heinrich Heine University Hospital, 44225, Düsseldorf, Germany
| | - Katja Ickstadt
- Faculty of Statistics, TU Dortmund University, 44221, Dortmund, Germany
| | - Ingo Ruczinski
- Department of Biostatistics, Johns Hopkins University, Baltimore, MD, 21205, USA
| | - Holger Schwender
- Mathematical Institute, Heinrich Heine University Düsseldorf, 40225, Düsseldorf, Germany.
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5
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Teleka S, Häggström C, Nagel G, Bjørge T, Manjer J, Ulmer H, Liedberg F, Ghaderi S, Lang A, Jonsson H, Jahnson S, Orho-Melander M, Tretli S, Stattin P, Stocks T. Risk of bladder cancer by disease severity in relation to metabolic factors and smoking: A prospective pooled cohort study of 800,000 men and women. Int J Cancer 2018; 143:3071-3082. [DOI: 10.1002/ijc.31597] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2017] [Revised: 04/09/2018] [Accepted: 04/16/2018] [Indexed: 12/21/2022]
Affiliation(s)
- Stanley Teleka
- Department of Clinical Sciences in Malmö; Lund University; Lund Sweden
| | - Christel Häggström
- Department of Biobank Research; Umeå University; Umeå Sweden
- Department of Surgical Sciences; Uppsala University; Uppsala Sweden
- Department of Public Health and Clinical Medicine, Nutritional Research; Umeå University; Umeå Sweden
| | - Gabriele Nagel
- Institute of Epidemiology and Medical Biometry; Ulm University; Ulm Germany
- Vorarlberg Cancer Registry; Agency for Preventive and Social Medicine; Bregenz (aks) Austria
| | - Tone Bjørge
- Department of Global Public Health and Primary Care; University of Bergen; Bergen Norway
- Cancer Registry of Norway; Oslo Norway
| | - Jonas Manjer
- Department of Surgery; Skåne University Hospital; Lund University Malmö Sweden
| | - Hanno Ulmer
- Department of Medical Statistics, Informatics and Health Economics; Innsbruck Medical University; Innsbruck Austria
| | - Fredrik Liedberg
- Division of Urological Research, Institution of Translational Medicine; Lund University; Malmö Sweden
| | - Sara Ghaderi
- Department of Global Public Health and Primary Care; University of Bergen; Bergen Norway
| | - Alois Lang
- Vorarlberg Cancer Registry; Agency for Preventive and Social Medicine; Bregenz (aks) Austria
| | - Håkan Jonsson
- Department of Radiation Sciences; Umeå University; Umeå Sweden
| | - Staffan Jahnson
- Department of Urology and IKE; Linköping University; Linköping Sweden
| | | | | | - Pär Stattin
- Department of Surgical Sciences; Uppsala University; Uppsala Sweden
| | - Tanja Stocks
- Department of Clinical Sciences in Malmö; Lund University; Lund Sweden
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6
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Bolt HM. Additional evidence for the 'wimp SNP' concept of carcinogenesis. EXCLI JOURNAL 2017; 16:1230-1232. [PMID: 29285018 PMCID: PMC5735334 DOI: 10.17179/excli2017-947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/04/2017] [Accepted: 11/09/2017] [Indexed: 12/03/2022]
Affiliation(s)
- Hermann M Bolt
- IfADo, Leibniz Research Centre for Working Environment and Human Factors, Dortmund
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7
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Selinski S, Blaszkewicz M, Ickstadt K, Gerullis H, Otto T, Roth E, Volkert F, Ovsiannikov D, Moormann O, Banfi G, Nyirady P, Vermeulen SH, Garcia-Closas M, Figueroa JD, Johnson A, Karagas MR, Kogevinas M, Malats N, Schwenn M, Silverman DT, Koutros S, Rothman N, Kiemeney LA, Hengstler JG, Golka K. Identification and replication of the interplay of four genetic high-risk variants for urinary bladder cancer. Carcinogenesis 2017; 38:1167-1179. [PMID: 29028944 PMCID: PMC5862341 DOI: 10.1093/carcin/bgx102] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2017] [Accepted: 09/18/2017] [Indexed: 12/27/2022] Open
Abstract
Little is known whether genetic variants identified in genome-wide association studies interact to increase bladder cancer risk. Recently, we identified two- and three-variant combinations associated with a particular increase of bladder cancer risk in a urinary bladder cancer case-control series (Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo), 1501 cases, 1565 controls). In an independent case-control series (Nijmegen Bladder Cancer Study, NBCS, 1468 cases, 1720 controls) we confirmed these two- and three-variant combinations. Pooled analysis of the two studies as discovery group (IfADo-NBCS) resulted in sufficient statistical power to test up to four-variant combinations by a logistic regression approach. The New England and Spanish Bladder Cancer Studies (2080 cases and 2167 controls) were used as a replication series. Twelve previously identified risk variants were considered. The strongest four-variant combination was obtained in never smokers. The combination of rs1014971[AA] near apolipoprotein B mRNA editing enzyme, catalytic polypeptide-like 3A (APOBEC3A) and chromobox homolog 6 (CBX6), solute carrier family 1s4 (urea transporter), member 1 (Kidd blood group) (SLC14A1) exon single nucleotide polymorphism (SNP) rs1058396[AG, GG], UDP glucuronosyltransferase 1 family, polypeptide A complex locus (UGT1A) intron SNP rs11892031[AA] and rs8102137[CC, CT] near cyclin E1 (CCNE1) resulted in an unadjusted odds ratio (OR) of 2.59 (95% CI = 1.93-3.47; P = 1.87 × 10-10), while the individual variant ORs ranged only between 1.11 and 1.30. The combination replicated in the New England and Spanish Bladder Cancer Studies (ORunadjusted = 1.60, 95% CI = 1.10-2.33; P = 0.013). The four-variant combination is relatively frequent, with 25% in never smoking cases and 11% in never smoking controls (total study group: 19% cases, 14% controls). In conclusion, we show that four high-risk variants can statistically interact to confer increased bladder cancer risk particularly in never smokers.
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Affiliation(s)
- Silvia Selinski
- Systems Toxicology, Leibniz-Institut für Arbeitsforschung an der TU Dortmund, Leibniz Research Centre for Working Environment and Human Factors (IfADo), Germany
| | - Meinolf Blaszkewicz
- Systems Toxicology, Leibniz-Institut für Arbeitsforschung an der TU Dortmund, Leibniz Research Centre for Working Environment and Human Factors (IfADo), Germany
| | | | - Holger Gerullis
- Department of Urology, Lukasklinik Neuss, Germany.,University Hospital for Urology, Klinikum Oldenburg, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Germany
| | - Thomas Otto
- Department of Urology, Lukasklinik Neuss, Germany
| | - Emanuel Roth
- Department of Urology, Evangelic Hospital, Paul Gerhardt Foundation, Germany
| | - Frank Volkert
- Department of Urology, Evangelic Hospital, Paul Gerhardt Foundation, Germany
| | - Daniel Ovsiannikov
- Department of Urology, St.-Josefs-Hospital, Germany.,Department of Urology and Pediatric Urology, Kemperhof Hospital, Germany
| | | | - Gergely Banfi
- Department of Urology, Semmelweis University Budapest, Hungary
| | - Peter Nyirady
- Department of Urology, Semmelweis University Budapest, Hungary
| | - Sita H Vermeulen
- Department for Health Evidence (133 HEV) and Department of Urology (659 URO), Radboud University Medical Center (Radboudumc), The Netherlands
| | - Montserrat Garcia-Closas
- Division of Cancer Epidemiology and Genetics, Department of Health and Human Services, National Cancer Institute (NCI), National Institutes of Health (NIH), USA
| | - Jonine D Figueroa
- Usher Institute of Population Health Sciences and Informatics, CRUK Edinburgh Centre, University of Edinburgh, UK
| | - Alison Johnson
- Vermont Department of Health, Vermont Cancer Registry, USA
| | | | - Manolis Kogevinas
- Cancer Program, ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Spain.,CIBER Epidemiology and Public Health (CIBER-ESP), Health Research Institute Carlos III, Spain.,Hospital del Mar Medical Research Institute, Spain.,University Pompeu Fabra (UPF), Spain
| | - Nuria Malats
- Genetic and Molecular Epidemiology Group, Spanish National Cancer Research Center (CNIO), Spain
| | - Molly Schwenn
- Maine Department of Health and Human Services, Maine Cancer Registry, USA
| | - Debra T Silverman
- Division of Cancer Epidemiology and Genetics, Department of Health and Human Services, National Cancer Institute (NCI), National Institutes of Health (NIH), USA
| | - Stella Koutros
- Division of Cancer Epidemiology and Genetics, Department of Health and Human Services, National Cancer Institute (NCI), National Institutes of Health (NIH), USA
| | - Nathaniel Rothman
- Division of Cancer Epidemiology and Genetics, Department of Health and Human Services, National Cancer Institute (NCI), National Institutes of Health (NIH), USA
| | - Lambertus A Kiemeney
- Department for Health Evidence (133 HEV) and Department of Urology (659 URO), Radboud University Medical Center (Radboudumc), The Netherlands
| | - Jan G Hengstler
- Systems Toxicology, Leibniz-Institut für Arbeitsforschung an der TU Dortmund, Leibniz Research Centre for Working Environment and Human Factors (IfADo), Germany
| | - Klaus Golka
- Systems Toxicology, Leibniz-Institut für Arbeitsforschung an der TU Dortmund, Leibniz Research Centre for Working Environment and Human Factors (IfADo), Germany
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8
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Selinski S. Discovering urinary bladder cancer risk variants: Status quo after almost ten years of genome-wide association studies. EXCLI JOURNAL 2017; 16:1288-1296. [PMID: 29285021 PMCID: PMC5735342 DOI: 10.17179/excli2017-1000] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2017] [Accepted: 12/05/2017] [Indexed: 12/20/2022]
Affiliation(s)
- Silvia Selinski
- Leibniz Research Centre for Working Environment and Human Factors (IfADo)
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9
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Combined presence of four individually weak genetic variants strongly increases cancer risk. Arch Toxicol 2017; 91:4025-4026. [PMID: 29143080 DOI: 10.1007/s00204-017-2122-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Accepted: 11/13/2017] [Indexed: 10/18/2022]
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10
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Lukas C, Selinski S, Prager HM, Blaszkewicz M, Hengstler JG, Golka K. Occupational bladder cancer: Polymorphisms of xenobiotic metabolizing enzymes, exposures, and prognosis. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART A 2017; 80:439-452. [PMID: 28696839 DOI: 10.1080/10937404.2017.1304731] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Approximately 7% of all bladder cancer cases in males are associated with occupation. The question arises whether the use of genome-wide association studies was able to identify bladder cancer risk factors that may modulate occupational bladder cancer risk and prognosis. One hundred and forty-three bladder cancer cases with suspected occupational bladder cancer and 337 controls were genotyped for the following polymorphisms: N-acetyltransferase 2 (NAT2), glutathione S-transferase M1 (GSTM1), glutathione S-transferase T1 (GSTT1), UDP-glucuronyltransferase 1A rs11892031 (UGT1A), rs9642880 (close to c-MYC), and rs710521 (close to TP63). The most relevant polymorphisms for occupational bladder cancer risk were GSTM1 and UGT1A, especially when co-occurring (GSTM1 negative and rs11892031[A/A]: 48% cases vs. 38% controls, OR 1.47, 95% CI 0.99-2.20). The effect was more pronounced in smokers. GSTM1 negative genotype occurred more frequently in cancer cases exposed to aromatic amines, carbolineum, and in painters and varnishers. UGT1A (rs11892031[A/A]) was found frequently in cases exposed to carbolineum, crack test spray, PAH, and in painters and varnishers. All investigated polymorphisms except rs710521 (TP63) seemed to exert an impact on recurrence risk. Relapse-free times were shorter for NAT2 slow and ultra-slow, GSTT1 positive and GSTM1 negative cases. Occupational bladder cancer cases with a number of risk variants displayed significantly shorter relapse-free times compared to cases with few, less relevant risk alleles as evidenced by median difference 8 months. In conclusion, in the present, suspected occupational bladder cancer cases phase II polymorphisms involved in bladder carcinogen metabolism modulate bladder cancer recurrence. Most relevant for bladder cancer risk were GSTM1 and UGT1A but not NAT2.
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Affiliation(s)
- Cordula Lukas
- a Institute for Occupational, Social and Environmental Medicine , Castrop-Rauxel , Germany
| | - Silvia Selinski
- b Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
| | - Hans-Martin Prager
- a Institute for Occupational, Social and Environmental Medicine , Castrop-Rauxel , Germany
| | - Meinolf Blaszkewicz
- b Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
| | - Jan G Hengstler
- b Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
| | - Klaus Golka
- b Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
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11
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Krech E, Selinski S, Blaszkewicz M, Bürger H, Kadhum T, Hengstler JG, Truss MC, Golka K. Urinary bladder cancer risk factors in an area of former coal, iron, and steel industries in Germany. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART A 2017; 80:430-438. [PMID: 28696895 DOI: 10.1080/10937404.2017.1304719] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This study was performed to investigate the frequency of bladder cancer in patients with an occupational history such as underground hard coal mining and/or painting after the structural change in the local industry. A total of 206 patients with bladder cancer and 207 controls were enlisted regarding occupational and nonoccupational bladder cancer risk factors by questionnaire. The phase II enzymes N-acetyltransferase 2 (NAT2), glutathione S-transferases M1 (GSTM1), and T1 (GSTT1) and the single nucleotide polymorphism (SNP) rs11892031[A/C] reported to be associated with bladder cancer in genome-wide association studies were genotyped. The bladder cancer risk in varnishers and underground hard coal miners was increased as previously shown in a study in this area performed in the 1980s. The occupation of a car mechanic was associated with a significantly elevated bladder cancer risk and higher in the case of underground hard coal miners even though the mine was closed in 1987. The frequency of GSTM1 negative genotype was comparable in cases and controls (53% versus 54%). In the case of NAT2, the slow NAT2 genotype was more frequent (62% versus 58%) and ultra-slow NAT2 genotype (NAT2*6A and/or *7B alleles only) was 23% versus 15%. An occupational history of a varnisher or an underground hard coal miner remains a risk factor for bladder cancer occurrence. Data indicate that in the case of bladder cancer, GSTM1 is a susceptibility factor related to environmental and/or occupational exposure.
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Affiliation(s)
- Eugen Krech
- a Department of Urology, Klinikum Dortmund GmbH , Dortmund , Germany
| | - Silvia Selinski
- b Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
| | - Meinolf Blaszkewicz
- b Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
| | - Hannah Bürger
- b Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
- c Faculty of Statistics , TU Dortmund University , Dortmund , Germany
| | - Thura Kadhum
- b Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
| | - Jan G Hengstler
- b Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
| | - Michael C Truss
- a Department of Urology, Klinikum Dortmund GmbH , Dortmund , Germany
| | - Klaus Golka
- b Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
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12
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Ma C, Gu L, Yang M, Zhang Z, Zeng S, Song R, Xu C, Sun Y. rs1495741 as a tag single nucleotide polymorphism of N-acetyltransferase 2 acetylator phenotype associates bladder cancer risk and interacts with smoking: A systematic review and meta-analysis. Medicine (Baltimore) 2016; 95:e4417. [PMID: 27495060 PMCID: PMC4979814 DOI: 10.1097/md.0000000000004417] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Rs1495741 has been identified to infer N-acetyltransferase 2 (NAT2) acetylator phenotype, and to decrease the risk of bladder cancer. However, a number of studies conducted in various regions showed controversial results. To quantify the association between rs1495741 and the risk of bladder cancer and to estimate the interaction effect of this genetic variant with smoking, we performed a systematic literature review and meta-analysis involving 14,815 cases and 58,282 controls from 29 studies. Our results indicates rs1495741 significantly associated with bladder cancer risk (OR = 0.85, 95% CI = 0.82-0.89, test for heterogeneity P = 0.36, I = 7.0%). And we verified this association in populations from Europe, America, and Asia. Further, our stratified meta-analysis showed rs1495741's role is typically evident only in ever smokers, which suggests its interaction with smoking. This study may provide new insight into gene-environment study on bladder cancer.
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Affiliation(s)
| | | | - Mingyuan Yang
- Department of Spine Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China
| | | | | | | | - Chuanliang Xu
- Department of Urology
- Correspondence: Chuanliang Xu, Department of Urology, Changhai Hospital No.168 Changhai Road, Shanghai, 200433 China (e-mail: )
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13
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Selinski S, Bürger H, Blaszkewicz M, Otto T, Volkert F, Moormann O, Niedner H, Hengstler JG, Golka K. Occupational risk factors for relapse-free survival in bladder cancer patients. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART A 2016; 79:1136-1143. [PMID: 27924711 DOI: 10.1080/15287394.2016.1219606] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The influence of occupational risk factors on bladder cancer development is well investigated. However, studies on the influence on bladder cancer prognosis are rare. Therefore, it was of interest to investigate the time to first relapse in the follow-ups of three case-control series from Dortmund, Neuss, and Lutherstadt Wittenberg, Germany. Relapse-free survival of in total 794 urinary bladder cancer patients (Dortmund 174, Neuss 407, Lutherstadt Wittenberg 213) was derived from medical records. Cox regression models were used to determine the impact of profession and exposure to bladder carcinogens if the risk factor was present in at least four cases. One or several relapses were observed in 416 cases (52%). Median time to first relapse was 0.94 yr. Ten professions were observed in at least 4 patients. No significant associations were found. However, workers in the leather industry (n = 4), printing industry (n = 4), transportation (n = 43), and chemical industry (n = 40) and locksmiths/mechanics (n = 44) showed shorter relapse-free times. No trend to shorter relapse-free time was observed for miners (n = 42), agriculturists (n = 18), painters/lacquerers (n = 21), colorant production and processing workers (n = 7), foundry workers (n = 5), and persons exposed to aromatic amines (n = 45). Although the follow-up comprised nearly 800 cases, data on occupations and exposures of interest were not sufficient to obtain significant results. However, first results indicated potential associations that are worth further investigations.
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Affiliation(s)
- Silvia Selinski
- a Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
| | - Hannah Bürger
- a Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
- b Faculty of Statistics , TU Dortmund University , Dortmund , Germany
| | - Meinolf Blaszkewicz
- a Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
| | - Thomas Otto
- c Department of Urology , Lukasklinik Neuss , Germany
| | - Frank Volkert
- d Department of Urology, Evangelic Hospital , Paul Gerhardt Foundation , Lutherstadt Wittenberg , Germany
| | - Oliver Moormann
- e Department of Urology , St.-Josefs-Hospital , Dortmund-Hoerde , Germany
| | - Hartmut Niedner
- a Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
| | - Jan G Hengstler
- a Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
| | - Klaus Golka
- a Leibniz Research Centre for Working Environment and Human Factors at TU Dortmund (IfADo) , Dortmund , Germany
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14
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Bolt HM. Causation of human urothelial cancer: there are challenging new data! Arch Toxicol 2014; 88:1769-70. [PMID: 25155193 DOI: 10.1007/s00204-014-1339-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2014] [Accepted: 08/13/2014] [Indexed: 01/20/2023]
Affiliation(s)
- Hermann M Bolt
- Leibniz Research Centre for Working Environment and Human Factors at the TU Dortmund (IfADo), Ardeystr. 67, 44139, Dortmund, Germany,
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