title: Mannose-binding lectin-2 genetic variation and stomach cancer risk.
abstract: Deficiency of the mannose-binding lectin (MBL) protein, an antigen-recognition molecule involved in systemic and mucosal innate immunity, is determined by variant alleles in MBL2 gene promoter and exon-1 regions. We conducted a population-based study on 305 stomach cancer cases and 427 controls in Warsaw, Poland to determine whether MBL2 gene variants predispose to stomach cancer. Single nucleotide polymorphisms (SNPs) in MBL2 were determined by TaqMan. The 5 tested MBL2 variants are in complete linkage disequilibrium and comprise 6 different haplotypes. The risk of stomach cancer was increased in subjects carrying the H/H promoter genotype (OR = 1.8, 95%CI 1.1-2.9; p = 0.020) relative to L/L carriers, after adjustment for age, gender, education and smoking. Carrying at least one D exon-1 allele was associated with nonsignificant excess risk (OR = 1.5, 95% CI 0.9-2.4; p = 0.081). In haplotype analysis, the HYD haplotype was associated with increased risk of stomach cancer when compared with HYA, the most common haplotype (OR = 1.9, 95% CI 1.1-3.2; p = 0.021). In diplotype analysis, subjects carrying the YA/D haplotype combination showed the highest risk (OR = 3.0, 95% CI 1.2-7.1; p = 0.015), compared with YA/YA. Further analyses to examine the joint effect of MBL2 and IL-1B polymorphisms, previously shown to predispose to stomach cancer, indicated that the combination of at-risk IL-1B genotypes (CT or TT at location -511) and HYD MBL2 haplotype was associated with a 3.5-fold risk (OR = 3.5, 95% CI 1.6-7.6; p = 0.001). Our findings suggest that the codon 52 D MBL2 variant causing a cysteine > arginine replacement, but not B and C variants producing glycine substitutions, is specifically associated with gastric cancer risk.
authors.affiliation: EPOCA Epidemiology Research Centre, Maggiore Hospital IRCCS Foundation, University of Milan, Milan, Italy. abaccare@hsph.harvard.edu
authors.forename: Andrea
authors.initials: A
authors.lastname: Baccarelli
authors.forename: Lifang
authors.initials: L
authors.lastname: Hou
authors.forename: Jinbo
authors.initials: J
authors.lastname: Chen
authors.forename: Jolanta
authors.initials: J
authors.lastname: Lissowska
authors.forename: Emad M
authors.initials: EM
authors.lastname: El-Omar
authors.forename: Paolo
authors.initials: P
authors.lastname: Grillo
authors.forename: Sara M
authors.initials: SM
authors.lastname: Giacomini
authors.forename: Meredith
authors.initials: M
authors.lastname: Yaeger
authors.forename: Toralf
authors.initials: T
authors.lastname: Bernig
authors.forename: Witold
authors.initials: W
authors.lastname: Zatonski
authors.forename: Joseph F
authors.initials: JF
authors.lastname: Fraumeni
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Chanock
authors.forename: Wong-Ho
authors.initials: WH
authors.lastname: Chow
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D020022:Genetic Predisposition to Disease / Q000235:genetics*; D014644:Genetic Variation / Q000235:genetics*; D005838:Genotype; D006239:Haplotypes; D006801:Humans; D008297:Male; D037601:Mannose-Binding Lectin / Q000235:genetics*; D008875:Middle Aged; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000453:epidemiology / Q000235:genetics* / Q000473:pathology
chemical_list: C445619:MBL2 protein, human; D037601:Mannose-Binding Lectin