title: Significance of genetic polymorphisms at multiple loci of CYP2E1 in the risk of development of childhood acute lymphoblastic leukemia.
abstract: OBJECTIVE
  The molecular etiology of childhood acute lymphoblastic leukemia (ALL) is likely to involve interactions between environmental factors and genetic make up. Understanding these interactions between various predisposing genes for the risk of developing childhood leukemia is of considerable importance. CYP2E1 is a susceptible gene in this respect, especially for its capacity to bioactivate many procarcinogens including benzene and N-nitrosodimethylamine. The CYP2E1 gene possesses several polymorphisms in humans, and among them, CYP2E1*5B and *6 have been shown to be associated with increased risks of several chemical-induced diseases. There are limited and contradictory data on the association between the CYP2E1*5B variant allele and childhood ALL, and none on such associations of CYP2E1*6 and*7B variant alleles. The aim of this study was to investigate the possible association of CYP2E1*5B, *6 and *7B alleles, alone or in combination, with the risk of incidence of childhood ALL in a Turkish population.
  
  
  METHODS
  The genotypes for both polymorphisms were determined by polymerase chain reaction/restriction fragment length polymorphism techniques on 207 healthy controls and 168 patients.
  
  
  RESULTS
  Neither locus was associated with the occurrence of childhood ALL. On the other hand, when both CYP2E1*5B and *6 alleles were considered together, the risk of childhood ALL increased significantly (2.9-fold; OR = 2.9, 95% CI 1.0-8.5; p < 0.05). Moreover, the presence of at least 2 variant alleles of any combination increased the risk significantly 3.9 times, suggesting a combined effect (OR = 3.9, 95% CI 1.4-11.0).
  
  
  CONCLUSIONS
  Individuals carrying combinations of CYP2E1*5B, *6 and *7B variants together are likely associated with the risk of developing childhood ALL.
authors.affiliation: Biochemistry Graduate Programme and Department of Biological Sciences, Middle East Technical University, Ankara, Turkey. gulusoy@metu.edu.tr
authors.forename: Gulen
authors.initials: G
authors.lastname: Ulusoy
authors.forename: Orhan
authors.initials: O
authors.lastname: Adali
authors.forename: Tugba Boyunegmez
authors.initials: TB
authors.lastname: Tumer
authors.forename: Gurses
authors.initials: G
authors.lastname: Sahin
authors.forename: Sevgi
authors.initials: S
authors.lastname: Gozdasoglu
authors.forename: Emel
authors.initials: E
authors.lastname: Arinç
mesh_terms: D016022:Case-Control Studies; D002648:Child; D019392:Cytochrome P-450 CYP2E1 / Q000235:genetics*; D005260:Female; D020022:Genetic Predisposition to Disease; D005838:Genotype; D006801:Humans; D008297:Male; D011110:Polymorphism, Genetic; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000208:ethnology / Q000235:genetics*; D012307:Risk Factors; D014421:Turkey
chemical_list: D019392:Cytochrome P-450 CYP2E1