Interactive effects between Lymphotoxin α +252 polymorphism and habits of substance use on risk of hepatocellular carcinoma

Kaohsiung J Med Sci. 2017 Jul;33(7):334-338. doi: 10.1016/j.kjms.2017.04.010. Epub 2017 May 31.

Abstract

This case-control study aimed to assess the interactive effect between polymorphisms of lymphotoxin (LT) α +252 and habitual substance use on risk of hepatocellular carcinoma (HCC). We enrolled 150 pairs of sex- and age-matched HCC patients and unrelated healthy controls. LTα genotypes were detected with polymerase-chain reaction and restrictive fragment length polymorphisms. Information about habits of substance use was obtained through personal interview. Multivariate analysis indicated that LTα +252 G/G genotypes [odds ratio (OR) = 3.36], Hepatitis B surface antigen (OR = 16.68), antibodies to hepatitis C virus (OR = 34.88) and having at least two habits of substance use (OR = 2.50) were independent risk factors for HCC. There were additive interactions among LTα +252 G/G genotype, chronic viral hepatitis, and habit of each substance use.

In conclusion: There are independent and additive interactions between LTα +252 G/G genotype, chronic viral hepatitis, and habits of substance use on risk of HCC.

Keywords: Habits of substance use; Hepatocellular carcinoma; Lymphotoxin alpha +252 polymorphism; Synergy index.

MeSH terms

  • Adult
  • Aged
  • Alleles
  • Carcinoma, Hepatocellular / genetics*
  • Case-Control Studies
  • Female
  • Genetic Predisposition to Disease / genetics
  • Hepacivirus / genetics
  • Humans
  • Liver Cirrhosis / genetics
  • Liver Neoplasms / genetics*
  • Lymphotoxin-alpha / genetics*
  • Male
  • Middle Aged
  • Odds Ratio
  • Polymorphism, Restriction Fragment Length / genetics
  • Polymorphism, Single Nucleotide / genetics
  • Risk Factors

Substances

  • Lymphotoxin-alpha