Key result
Polymorphisms in RAS genes (REN, AGT, ACE, and AGTR1) were associated with altered risks for breast cancer and benign breast disease, with AGTR1 C allele carriers showing reduced breast cancer risk.
Why the study?
Are renin-angiotensin system (RAS) gene polymorphisms associated with the risk of breast cancer and benign breast disease?
Case-Control
Are renin-angiotensin system (RAS) gene polymorphisms associated with the risk of breast cancer and benign breast disease?
Polymorphisms in the renin-angiotensin system genes are associated with altered risks for both breast cancer and benign breast disease.
Answers are grounded in this paper and cite their sources.
These associations should not alter clinical practice; hypothesis-generating for RAS gene roles in breast disease and requires validation.
Recent information has revealed new roles in the angiogenic processes linked to the rennin-angiotensin system. To date few studies have been done on the association between RAS genes and cancer and the majority focus mainly on angiotensin I-converting enzyme (ACE). For breast cancer there are three reports that include the angiotensin II receptor, subtype 1 (AGTR1), only one for angiotensinogen (AGT) and none for renin gene (REN). In the present study we investigate whether REN (Bgll), AGT (M235T), ACE (A245T, Indel), and AGTR1 (A1166C) are associated with breast cancer. Polymorphisms were analysed by PCR and RFPLs or sequence specific assay in three groups: breast cancer, benign breast disease (BBD) and general population. REN polymorphism shows that homozygous for A allele have an increased risk for BBD. Differences in M235T genotype frequencies were significant with less heterozygous in breast cancer. With different risk values ACE indel was associated with BBD and breast cancer. Association of AGTR1 was observed only in the breast cancer group, where C allele carriers present a reduced risk. Results of this work supports previous observations on the possible involvement of this system in breast cancer but it also suggests a role in benign disease.
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Mendizábal et al. (2010) conducted a case-control in Breast cancer and benign breast disease. RAS gene polymorphisms (REN, AGT, ACE, AGTR1) vs. General population was evaluated on Association with breast cancer and benign breast disease. Polymorphisms in RAS genes (REN, AGT, ACE, and AGTR1) were associated with altered risks for breast cancer and benign breast disease, with AGTR1 C allele carriers showing reduced breast cancer risk.
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