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Epidemiology and Prevention |
Departments of Epidemiology [H. S., E. M. S., Y. Q., S. S. S., M. R. S., Q. W.] and Head and Neck Surgery [E. M. S., S. A. E.], The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030; Department of Epidemiology and Statistics [H. S., Y. X., X. W.], School of Public Health, Nanjing Medical University, Nanjing, 210029 The Peoples Republic of China; and Basic Research Laboratory [S. G. K., T. S., K. H. K.], National Cancer Institute, Bethesda, Maryland 20892
Inherited polymorphisms of DNA repair genes may contribute to variations in DNA repair capacity and genetic susceptibility to cancer. In a hospital-based case-control study of 287 non-Hispanic white patients with newly diagnosed SCCHN and 311 control subjects matched on age, sex, ethnicity, and smoking status, we investigated the role of a newly identified variant allele of XPC, XPC-PAT+. We found that the frequency of the XPC-PAT+ allele was higher in the cases (0.409) than in the controls (0.333; P = 0.007). Fifty cases (17.4%) and 37 controls (11.9%) were XPC-PAT+/+, and 135 (47.0%) cases and 133 controls (42.8%) were XPC-PAT+/-. XPC-PAT+/- and XPC-PAT+/+ subjects were at significantly increased risk for SCCHN [adjusted odds ratios = 1.44 and 1.85, respectively (95% confidence intervals, 1.012.05 and 1.123.05, respectively; trend test, P = 0.007)]. We did not find ethnic difference in the frequency of XPC-PAT+ allele among four groups aged between 19 and 75 years: non-Hispanic whites, 294; African-Americans, 178; Hispanic-Americans, 103; and native Chinese, 119 (0.333, 0.281, 0.296, and 0.353, respectively). The case-control findings support the hypothesis that the XPC-PAT+ allele may contribute to the risk of developing SCCHN.
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