Alcohol dehydrogenase 1B (ADH1B) genotype, alcohol consumption and breast cancer risk by age 50 years in a German case–control study
2005

ADH1B Genotype, Alcohol Consumption, and Breast Cancer Risk

Sample size: 1695 publication 10 minutes Evidence: moderate

Author Information

Author(s): Lilla C, Koehler T, Kropp S, Wang-Gohrke S, Chang-Claude J

Primary Institution: Deutsches Krebsforschungszentrum

Hypothesis

Does the ADH1B genotype modify the risk of breast cancer associated with alcohol consumption in women up to age 50?

Conclusion

The ADH1B genotype does not independently affect breast cancer risk, but it may modify the risk associated with high alcohol consumption.

Supporting Evidence

  • Alcohol consumption is a modifiable risk factor for breast cancer.
  • The study found no main effect of ADH1B genotype on breast cancer risk.
  • Carriers of the ADH1B*2 allele showed a decreasing trend in breast cancer risk with increasing alcohol consumption.
  • Breast cancer risk increased with alcohol consumption among women with the ADH1B*1/*1 genotype.

Takeaway

This study looked at how a specific gene related to alcohol processing might change the risk of breast cancer for women who drink alcohol. It found that while the gene itself doesn't increase risk, it might change how drinking affects that risk.

Methodology

A population-based case-control study was conducted with 613 breast cancer cases and 1082 controls, assessing alcohol consumption and genotyping ADH1B.

Potential Biases

Potential residual confounding by differences in alcohol consumption caused by the genotype.

Limitations

The study had limited power to detect gene-environment interactions due to the low frequency of the ADH1B*2 allele.

Participant Demographics

Women up to age 50 years, with at least one parent of German nationality.

Statistical Information

P-Value

0.04

Confidence Interval

95% CI 0.7–1.4

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602608

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