Abstract
BACKGROUND:
5,10-Methylenetetrahydrofolate reductase (MTHFR) polymorphisms implicated in the cancer development, but the published studies had yielded inconsistent results.
METHODS:
Pubmed was searched for all published case–control studies about MTHFR polymorphisms and prostate cancer risk.
RESULTS:
In all, 13 studies including 5872 cases and 6255 controls described C677T genotypes, among which 9 articles, containing 2847 cases and 3657 controls described A1298C genotypes, were involved in our meta-analysis. Odds ratios (ORs) with 95% confidence intervals (CIs) were estimated to assess the association between MTHFR polymorphisms and prostate cancer risk, heterogeneity, publication bias and sensitivity were also calculated. Overall, meta-analysis indicated that the 677T allele was more likely to exert protective effect on prostate cancer risk (random-effects pooled OR, 0.78 (0.64–0.96); P=0.016 (P=0.033 for heterogeneity studies)) in a recessive genetic model, no associations were found in other genetic models or in comparing a/a versus A/A homozygous. Neither did we find any difference in effects on high or low aggressive prostate cancer. No evidence of an association of MTHFR A1298C polymorphism with prostate cancer was found.
CONCLUSIONS:
C677T of the MTHFR gene may provide protective effects on susceptibility to prostate cancer risk.
This is a preview of subscription content, access via your institution
Relevant articles
Open Access articles citing this article.
-
Disturbed homocysteine metabolism is associated with cancer
Experimental & Molecular Medicine Open Access 21 February 2019
-
Patterns of second primary malignancy risk in multiple myeloma patients before and after the introduction of novel therapeutics
Blood Cancer Journal Open Access 28 June 2013
Access options
Subscribe to this journal
Receive 4 print issues and online access
$259.00 per year
only $64.75 per issue
Rent or buy this article
Prices vary by article type
from$1.95
to$39.95
Prices may be subject to local taxes which are calculated during checkout


References
Hsing AW, Chokkalingam AP . Prostate cancer epidemiology. Front Biosci 2006; 11: 1388–1413.
Dobosy JR, Roberts JL, Fu VX, Jarrard DF . The expanding role of epigenetics in the development, diagnosis and treatment of prostate cancer and benign prostatic hyperplasia. J Urol 2007; 177: 822–831.
Murphy TM, Perry AS, Lawler M . The emergence of DNA methylation as a key modulator of aberrant cell death in prostate cancer. Endocr Relat Cancer 2008; 15: 11–25.
Frosst P, Blom HJ, Milos R, Goyette P, Sheppard CA, Matthews RG et al. A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase. Nat Genet 1995; 10: 111–113.
Weisberg IS, Jacques PF, Selhub J, Bostom AG, Chen Z, Curtis Ellison R et al. The 1298A–C polymorphism in methylenetetrahydrofolate reductase (MTHFR): in vitro expression and association with homocysteine. Atherosclerosis 2001; 156: 409–415.
Nelson WG, De Marzo AM, Isaacs WB . Prostate cancer. New Engl J Med 2003; 49: 366–381.
Lee WH, Isaacs WB, Bova GS, Nelso WG . CG island methylation changes near the GSTP1 gene in prostatic carcinoma cells detected using the polymerase chain reaction: a new prostate cancer biomarker. Cancer Epidemiol Biomarkers Prev 1997; 6: 443–450.
Fenech M . The role of folic acid and Vitamin B12 in genomic stability of human cells. Mutat Res 2001; 475: 57–67.
Choi SW, Friso S . Interaction between folate and methylene-tetrahydrofolate reductase gene in cancer. In: Choi SW, Friso S, (eds). Nutrient-Gene Interactions in Cancer. CRC Press, Florida, USA, 2006; p: 57–74.
Dong LM, Potter JD, White E, Ulrich CM, Cardon LR, Peters U . Genetic susceptibility to cancer: the role of polymorphisms in candidate genes. JAMA 2008; 299: 2423–2436.
Ulrich CM . Genetic variability in folate-mediated one-carbon metabolism and cancer risk. In: Choi SW, Friso S, (eds). Nutrient-Gene Interactions in Cancer. CRC Press, Florida, USA, 2006, pp 75–91.
Bai JL, Zheng MH, Xia X, Ter-Minassian M, Chen YP, Chen F . MTHFR C677T polymorphism contributes to prostate cancer risk among Caucasians: A meta-analysis of 3511 cases and 2762 controls. Eur J cancer 2009; 45: 1443–1449.
Collin SM, Metcalfe C, Zuccolo L, Lewis SJ, Chen L, Cox A et al. Association of folate-pathway gene polymorphisms with the risk of prostate cancer: a population-based nested case-control study, systematic review, and meta-analysis. Cance Epidemiol Biomarkers Prev 2009; 18: 2528–2539.
DerSimonian R, Laird N . Meta-analysis in clinical trials. Control Clin Trials 1986; 7: 177–188.
Aurelio T . Assessing the influence of a single study in the meta-analysis estimate. Stata Tech Bull 1999; 8: 15–17.
Egger M, Davey Smith G, Schneider M, Minder C . Bias in meta-analysis detected by a simple, graphical test. BMJ 1997; 315: 629–634.
Kimura F, Franke KH, Steinhoff C, Golka K, Roemer HC, Anastasiadis AG et al. Methyl group metabolism gene polymorphisms and susceptibility to prostatic carcinoma. Prostate 2000; 45: 225–231.
Heijmans BT, Boer JM, Suchiman HE, Cornelisse CJ, Westendorp RG, Kromhout D et al. A common variant of the methylenetetrahydrofolate reductase gene (1p36) is associated with an increased risk of cancer. Cancer Res 2003; 63: 1249–1253.
Cicek MS, Nock NL, Li L, Conti DV, Casey G, Witte JS . Relationship between methylenetetrahydrofolate reductase C677T and A1298C genotypes and haplotypes and prostate cancer risk and aggressiveness. Cancer Epidemiol Biomarkers Prev 2004; 13: 1331–1336.
Singal R, Ferdinand L, Das PM, Reis IM, Schlesselman JJ . Polymorphisms in the methylenetetrahydrofolate reductase gene and prostate cancer risk. Int J Oncol 2004; 25: 1465–1471.
Van Guelpen BR, Wirén SM, Bergh AR, Hallmans G, Stattin PE, Hultdin J . Polymorphisms of methylenetetrahydrofolate reductase and the risk of prostate cancer: a nested case-control study. Eur J Cancer Prev 2006; 15: 46–50.
Johansson M, Van Guelpen B, Hultdin J, Wiklund F, Adami HO, Bälter K et al. The MTHFR 677C–T polymorphism and risk of prostate cancer: results from the CAPS study. Cancer Causes Control 2007; 18: 1169–1174.
Reljic A, Simundic AM, Topic E, Nikolac N, Justinic D, Stefanovic M . The methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism and cancer risk: the Croatian case-control study. Clin Biochem 2007; 40: 981–985.
Marchal C, Redondo M, Reyes-Engel A, Perea-Milla E, Gaitan MJ, Machuca J et al. Association between polymorphisms of folate-metabolizing enzymes and risk of prostate cancer. Eur J Surg Oncol 2008; 34: 805–810.
Stevens VL, Rodriguez C, Sun J, Talbot JT, Thun MJ, Calle EE . No association of single nucleotide polymorphisms in one-carbon metabolism genes with prostate cancer risk. Cancer Epidemiol Biomarkers Prev 2008; 17: 3612–3614.
Muslumanoglu MH, Tepeli E, Demir S, Uludag A, Uzun D, Atli E et al. The analysis of the relationship between A1298C and C677T polymorphisms of the MTHFR gene with prostate cancer in Eskisehir population. Genet Test Mol Biomarkers 2009; 13: 641–645.
Safarinejad MR, Shafiei N, Safarinejad S . Relationship between three polymorphisms of methylenetetrahydrofolate reductase (MTHFR C677T, A1298C, and G1793A) gene and risk of prostate cancer: a case-control study. Prostate 2010; 70: 1645–1657.
Cai D, Ning L, Pan C, Liu X, Bu R, Chen X et al. Association of polymorphisms in folate metabolic genes and prostate cancer risk: a case-control study in a Chinese population. J Genet 2010; 89: 263–267.
Wu HC, Chang CH, Tsai RY, Lin CH, Wang RF, Tsai CW et al. Significant association of methylenetetrahydrofolate reductase single nucleotide polymorphisms with prostate cancer susceptibility in taiwan. Anticancer Res 2010; 30: 3573–3577.
Matsuo K, Suzuki R, Hamajima N, Ogura M, Kagami Y, Taji H et al. Association between polymorphisms of folate- and methionine-metabolizing enzymes and susceptibility to malignant lymphoma. Blood 2001; 97: 3205–3209.
Chen J, Giovannucci E, Hankinson SE, Ma J, Willett WC, Spiegelman D et al. A prospective study of methylenetetrahydrofolate reductase and methionine synthase gene polymorphisms, and risk of colorectal adenoma. Carcinogenesis 1998; 19: 2129–2132.
Pavillard V, Drbal AA, Swaine DJ, Phillips RM, Double JA, Nicolaou A . Analysis of cell-cycle kinetics and sulfur amino acid metabolism in methioninedependent tumor cell lines; the effect of homocysteine supplementation. Biochem Pharmacol 2004; 67: 1587–1599.
Acknowledgements
This work was supported by grants from the National Natural Science Foundation of China (no._81001185), Universities Natural Science Foundation of Jiangsu Province (no._10KJB310011) and the Social Development Foundation of Suzhou (no_YJS0905).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Additional information
Supplementary Information accompanies the paper on the Prostate Cancer and Prostatic Diseases website
Supplementary information
Rights and permissions
About this article
Cite this article
Li, XL., Xu, JH. MTHFR polymorphism and the risk of prostate cancer: a meta-analysis of case–control studies. Prostate Cancer Prostatic Dis 15, 244–249 (2012). https://doi.org/10.1038/pcan.2012.5
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/pcan.2012.5
Keywords
- MTHFR
- polymorphism
- meta-analysis
This article is cited by
-
Disturbed homocysteine metabolism is associated with cancer
Experimental & Molecular Medicine (2019)
-
The molecular biology of prostate cancer: current understanding and clinical implications
Prostate Cancer and Prostatic Diseases (2018)
-
Patterns of second primary malignancy risk in multiple myeloma patients before and after the introduction of novel therapeutics
Blood Cancer Journal (2013)