His595Tyr Polymorphism in the Methionine Synthase Reductase (MTRR) Gene Is Associated With Pancreatic Cancer Risk

  • Shumpei Ohnami
  • , Yasunori Sato
  • , Kimio Yoshimura
  • , Sumiko Ohnami
  • , Hiromi Sakamoto
  • , Kazunori Aoki
  • , Hideki Ueno
  • , Masafumi Ikeda
  • , Chigusa Morizane
  • , Kazuaki Shimada
  • , Yoshihiro Sakamoto
  • , Minoru Esaki
  • , Ikuo Saito
  • , Hiroshi Hirose
  • , Daizo Saito
  • , Haruhiko Sugimura
  • , Tomoo Kosuge
  • , Takuji Okusaka
  • , Teruhiko Yoshida

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Background & Aims: This study attempts to elucidate a part of the genetic predisposition to the sporadic invasive ductal adenocarcinoma of the pancreas focusing on the genes implicated in the gene-environment interactions in carcinogenesis. Methods: First, 227 single nucleotide polymorphisms (SNPs) of 46 genes were genotyped on 198 cases and 182 controls. The SNPs, which showed a significant association, were further genotyped on additional samples to perform a joint analysis (total 317 cases vs 1232 controls). The gene selected by joint analysis was resequenced for a high-density SNP typing and a haplotype analysis on 702 cases and 785 controls. Function of the risk and wild-type haplotypes was assessed using cells transfected with complementary DNA (cDNA). Results: The joint analysis with multiple testing adjustment identified 2 SNPs on the methionine synthase reductase (MTRR) gene: rs162049 (intronic SNP), Fisher exact test, P = .0018; OR, 1.33; 95% CI: 1.11-1.60 and rs10380 (His595Tyr), Fisher exact test, P = .0063; OR, 1.45; 95% CI: 1.11-1.88. The SNPs remained significant in the recessive model after the permutation test for multiple testing (rs162049, P = .024; rs10380, P = .023) in the high-density analysis. Stable transfectants of the risk haplotype MTRR cDNA showed significantly elevated homocysteine levels in a culture medium, a lower level of the LINE-1 methylation, and a lower expression of the MTRR protein than did the transfectants with the wild-type haplotype cDNA. Conclusions: Our study suggested a common missense SNP of the MTRR gene as a novel pancreatic cancer susceptibility factor with a functional significance in folate-related metabolism and the genome-wide methylation status.

Original languageEnglish
Pages (from-to)477-488.e3
JournalGastroenterology
Volume135
Issue number2
DOIs
StatePublished - Aug 2008
Externally publishedYes

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