Estrogen receptor alpha gene polymorphism and endometrial cancer risk – a case-control study
2008

Estrogen Receptor Alpha Gene Polymorphism and Endometrial Cancer Risk

Sample size: 2205 publication 10 minutes Evidence: moderate

Author Information

Author(s): Sara Wedrén, Lovisa Lovmar, Keith Humphreys, Cecilia Magnusson, Håkan Melhus, Ann-Christine Syvänen, Andreas Kindmark, Ulf Landegren, Maria Lagerström Fermér, Fredrik Stiger, Ingemar Persson, John A Baron, Elisabete Weiderpass

Primary Institution: Karolinska Institutet, Stockholm, Sweden

Hypothesis

Is polymorphic variation in the estrogen receptor alpha gene (ESR1) associated with endometrial cancer risk?

Conclusion

Intronic variation in ESR1 was associated with endometrial cancer risk.

Supporting Evidence

  • The association with rs9340799 was the strongest, showing a significant decrease in risk for endometrial cancer.
  • Genotype frequencies among controls were in accordance with Hardy-Weinberg equilibrium.
  • Participation rates were 88% for cases and 76% for controls.

Takeaway

This study found that certain genetic variations in a gene related to estrogen can affect the risk of developing endometrial cancer.

Methodology

The study involved genotyping five markers in ESR1 among 702 cases with invasive endometrial cancer and 1563 controls using logistic regression models.

Potential Biases

Potential selection bias due to differences in participation rates between cases and controls.

Limitations

The study may be affected by selection bias as non-participating cases had more advanced disease.

Participant Demographics

Women aged 50 to 74 years residing in Sweden.

Statistical Information

P-Value

p<0.0001 for rs2234670

Confidence Interval

CI 0.60–0.93 for heterozygous and CI 0.37–0.77 for homozygous rare for rs9340799

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2407-8-322

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