Abstract
The primary cause of gastric cancer is chronic infection with Helicobacter pylori (H. pylori), particularly the high-risk genotype cagA, and risk modification by human genetic variants. We studied 94 variants in 54 genes for association with gastric cancer, including rs2302615 in ornithine decarboxylase (ODC1), which may affect response to chemoprevention with the ODC inhibitor, eflornithine (difluoromethylornithine; DFMO). Our population-based, case-control study included 1366 individuals (664 gastric cancer cases and 702 controls) from Western Honduras, a high incidence region of Latin America. CagA seropositivity was strongly associated with cancer (OR = 3.6; 95% CI: 2.6, 5.1). The ODC1 variant rs2302615 was associated with gastric cancer (OR = 1.36; p = 0.018) in a model adjusted for age, sex, and CagA serostatus. Two additional single nucleotide polymorphisms (SNPs) in CASP1 (rs530537) and TLR4 (rs1927914) genes were also associated with gastric cancer in univariate models as well as models adjusted for age, sex, and CagA serostatus. The ODC1 SNP association with gastric cancer was stronger in individuals who carried the TT genotype at the associating TLR4 polymorphism, rs1927914 (OR = 1.77; p = 1.85 × 10−3). In conclusion, the ODC1 variant, rs2302615, is associated with gastric cancer and supports chemoprevention trials with DFMO, particularly in individuals homozygous for the T allele at rs1927914.
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Acknowledgements
We recognize our colleagues in the Hospital de Occidente, Honduras Ministry of Health, and Central America Medical Outreach (CAMO), with special thanks to Lesby Castellanos, Carmen Ramos, Kathy Tschiegg, and Dr. Lia Suazo. We acknowledge the contributions of Dr. Enrique Martinez (Hospital Evangelico, Honduras) and Dr. Michael Pawlita (DKFZ).
Funding
This study was funded in part by the U.S. National Cancer Institute (P01CA028842 (DRM, KTW, SMW), R01CA190612 (DRM, KTW), K07 CA125588 (DRM), PAR-15-155 (DRM), P30CA068485 (DRM, KTW), P01CA116087 (KTW)), Veterans Affairs Merit Review grant I01CX002171 (KTW), Department of Defense grant W81XWH-18-1-0301 (KTW), NIH T32HL007567 (AKM), and National Library of Medicine 1R01LM010098 (SMW). The funders of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the paper. SBR, RLD, RM, and DRM had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. DRM had final responsibility for the decision to submit for publication.
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Study concept and design: RLD, MCC, KTW, SMW, DRM. Data acquisition: RLD, TW, DRM. Analysis and interpretation of data: AKM, GT, MCC, SMW, DRM. Paper preparation: AKM, GT, SMW, DRM. Critical review: AKM, GT, RLD, MCC, TW, KTW, SMW, DRM.
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Miller, A.K., Tavera, G., Dominguez, R.L. et al. Ornithine decarboxylase (ODC1) gene variant (rs2302615) is associated with gastric cancer independently of Helicobacter pylori CagA serostatus. Oncogene 40, 5963–5969 (2021). https://doi.org/10.1038/s41388-021-01981-5
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DOI: https://doi.org/10.1038/s41388-021-01981-5
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