Contribution of 5-Methyltetrahydrofolate-Homocysteine Methyltransferase Reductase Genotypes to Colorectal Cancer in Taiwan

Anticancer Res. 2022 May;42(5):2375-2382. doi: 10.21873/anticanres.15716.

Abstract

Background/aim: 5-methyltetrahydrofolate-homocysteine methyltransferase reductase (MTRR) is responsible for folate metabolism, and we aimed to investigate its genetic role in colorectal cancer (CRC) among Taiwanese.

Materials and methods: A total of 362 cases and 362 controls were recruited and their MTRR rs1801394 (A66G) and rs1532268 (C524T) genotypes were examined. The behavioral factors and clinicalpathological factors were also analyzed.

Results: MTRR rs1801394 genotypes were associated with CRC risk (p for trend=0.0087). In detail, G/G genotype was associated with lower risk (p=0.0049, OR=0.39, 95%CI=0.20-0.76). As for allelic frequency analysis, G allele was also associated with decreased CRC risk (p=0.0026, OR=0.68, 95%CI=0.53-0.88). There was no significant association as for MTRR rs1532268. Among non-smokers and non-alcohol drinkers, those with G/G genotype were at 0.38- and 0.46-fold odds of having CRC. There were no significant protective effects among smokers or alcohol drinkers.

Conclusion: MTRR rs1801394 GG genotype can be a protective marker for CRC risk in Taiwan.

Keywords: Colorectal cancer; MTRR; Taiwan; genotype; polymorphism.

MeSH terms

  • Case-Control Studies
  • Colorectal Neoplasms* / genetics
  • Ferredoxin-NADP Reductase / genetics*
  • Genetic Predisposition to Disease
  • Genotype
  • Homocysteine S-Methyltransferase* / genetics
  • Humans
  • Taiwan / epidemiology
  • Tetrahydrofolates

Substances

  • Tetrahydrofolates
  • methionine synthase reductase
  • Ferredoxin-NADP Reductase
  • Homocysteine S-Methyltransferase
  • 5-methyltetrahydrofolate