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Cigarette smoking, body mass index, gastro-esophageal reflux disease, and non-steroidal anti-inflammatory drug use and risk of subtypes of esophageal and gastric cancers by P53 overexpression.
Cancer Causes Control. 2009 Apr; 20(3):361-8.CC

Abstract

A number of risk factors for esophageal and gastric cancers have emerged, yet little is known whether risk factors map to molecular tumor markers such as overexpression of the tumor suppressor TP53. Using a US multicenter, population-based case-control study (170 cases of esophageal adenocarcinomas, 147 gastric cardia adenocarcinomas, 220 non-cardia gastric adenocarcinomas, and 112 esophageal squamous cell carcinomas), we examined whether the risk associated with cigarette smoking, body mass index (BMI), gastroesophageal reflux disease (GERD), and non-steroidal anti-inflammatory drug (NSAID) use varied by P53 overexpression. We defined P53 overexpression through immunohistochemistry of paraffin-embedded tumor tissues, using cutpoints based on percent of cells positive. Polytomous logistic regression was used to assess differences between each case group (defined by tumor subtype and P53 expression) and the control group by risk factors. The proportion of cases overexpressing P53 by tumor subtype was 72% for esophageal adenocarcinoma, 69% for gastric cardia adenocarcinoma, 52% for non-cardia gastric adenocarcinoma, and 67% for esophageal squamous cell carcinoma. For most tumor subtypes, we found little difference in risk factors by tumor P53 overexpression. For non-cardia gastric cancer however, an association with cigarette smoking was suggested for tumors that do not overexpress P53, whereas larger BMI was related to adenocarcinomas that overexpress P53 versus no overexpression. Overall, this study did not find a clear relationship between P53 protein overexpression and the known risk factors for subtypes of esophageal and gastric cancers. Further research on these tumors is needed to identify molecular markers associated with variations in the risk factor profiles.

Authors+Show Affiliations

Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA. figueroaj@mail.nih.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, N.I.H., Intramural

Language

eng

PubMed ID

18989634

Citation

Figueroa, Jonine D., et al. "Cigarette Smoking, Body Mass Index, Gastro-esophageal Reflux Disease, and Non-steroidal Anti-inflammatory Drug Use and Risk of Subtypes of Esophageal and Gastric Cancers By P53 Overexpression." Cancer Causes & Control : CCC, vol. 20, no. 3, 2009, pp. 361-8.
Figueroa JD, Terry MB, Gammon MD, et al. Cigarette smoking, body mass index, gastro-esophageal reflux disease, and non-steroidal anti-inflammatory drug use and risk of subtypes of esophageal and gastric cancers by P53 overexpression. Cancer Causes Control. 2009;20(3):361-8.
Figueroa, J. D., Terry, M. B., Gammon, M. D., Vaughan, T. L., Risch, H. A., Zhang, F. F., Kleiner, D. E., Bennett, W. P., Howe, C. L., Dubrow, R., Mayne, S. T., Fraumeni, J. F., & Chow, W. H. (2009). Cigarette smoking, body mass index, gastro-esophageal reflux disease, and non-steroidal anti-inflammatory drug use and risk of subtypes of esophageal and gastric cancers by P53 overexpression. Cancer Causes & Control : CCC, 20(3), 361-8. https://doi.org/10.1007/s10552-008-9250-6
Figueroa JD, et al. Cigarette Smoking, Body Mass Index, Gastro-esophageal Reflux Disease, and Non-steroidal Anti-inflammatory Drug Use and Risk of Subtypes of Esophageal and Gastric Cancers By P53 Overexpression. Cancer Causes Control. 2009;20(3):361-8. PubMed PMID: 18989634.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cigarette smoking, body mass index, gastro-esophageal reflux disease, and non-steroidal anti-inflammatory drug use and risk of subtypes of esophageal and gastric cancers by P53 overexpression. AU - Figueroa,Jonine D, AU - Terry,Mary Beth, AU - Gammon,Marilie D, AU - Vaughan,Thomas L, AU - Risch,Harvey A, AU - Zhang,Fang-Fang, AU - Kleiner,David E, AU - Bennett,William P, AU - Howe,Christine L, AU - Dubrow,Robert, AU - Mayne,Susan T, AU - Fraumeni,Joseph F,Jr AU - Chow,Wong-Ho, Y1 - 2008/11/07/ PY - 2008/03/03/received PY - 2008/10/11/accepted PY - 2008/11/8/pubmed PY - 2009/6/11/medline PY - 2008/11/8/entrez SP - 361 EP - 8 JF - Cancer causes & control : CCC JO - Cancer Causes Control VL - 20 IS - 3 N2 - A number of risk factors for esophageal and gastric cancers have emerged, yet little is known whether risk factors map to molecular tumor markers such as overexpression of the tumor suppressor TP53. Using a US multicenter, population-based case-control study (170 cases of esophageal adenocarcinomas, 147 gastric cardia adenocarcinomas, 220 non-cardia gastric adenocarcinomas, and 112 esophageal squamous cell carcinomas), we examined whether the risk associated with cigarette smoking, body mass index (BMI), gastroesophageal reflux disease (GERD), and non-steroidal anti-inflammatory drug (NSAID) use varied by P53 overexpression. We defined P53 overexpression through immunohistochemistry of paraffin-embedded tumor tissues, using cutpoints based on percent of cells positive. Polytomous logistic regression was used to assess differences between each case group (defined by tumor subtype and P53 expression) and the control group by risk factors. The proportion of cases overexpressing P53 by tumor subtype was 72% for esophageal adenocarcinoma, 69% for gastric cardia adenocarcinoma, 52% for non-cardia gastric adenocarcinoma, and 67% for esophageal squamous cell carcinoma. For most tumor subtypes, we found little difference in risk factors by tumor P53 overexpression. For non-cardia gastric cancer however, an association with cigarette smoking was suggested for tumors that do not overexpress P53, whereas larger BMI was related to adenocarcinomas that overexpress P53 versus no overexpression. Overall, this study did not find a clear relationship between P53 protein overexpression and the known risk factors for subtypes of esophageal and gastric cancers. Further research on these tumors is needed to identify molecular markers associated with variations in the risk factor profiles. SN - 1573-7225 UR - https://www.unboundmedicine.com/medline/citation/18989634/Cigarette_smoking_body_mass_index_gastro_esophageal_reflux_disease_and_non_steroidal_anti_inflammatory_drug_use_and_risk_of_subtypes_of_esophageal_and_gastric_cancers_by_P53_overexpression_ L2 - https://doi.org/10.1007/s10552-008-9250-6 DB - PRIME DP - Unbound Medicine ER -