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LIFE09200604007 Tabish - Homi Bhabha National Institute

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Review of Literature<br />

MPO gene polymorphism is shown to slightly modify the risk of oral cavity cancer<br />

development 161, 162 .<br />

NAT2 (N-acetyltransferase 2)<br />

This gene encodes an enzyme that transfers acetyl group from acetyl<br />

coenzyme-A to the N-terminal group of carcinogenic compounds. It functions to both<br />

activate and deactivate aryl-amine, hydrazine drugs and carcinogens. Polymorphisms in<br />

this gene are associated with higher incidences of cancer and drug toxicity. There are<br />

three polymorphic sites in NAT2 gene that are very frequently reported and are found<br />

to be associated with conferring risk to cancer viz., NAT2-exon2 Ile 114 Thr, NAT2-<br />

exon2 Arg 197 Gln and NAT2-exon2 Gly 286 Glu. The NAT gene polymorphisms are<br />

associated with increased risk of oral and pharyngeal squamous cell carcinoma 163, 164 .<br />

These polymorphisms have been implicated as risk in case control study of oral and<br />

oropharyngeal cancer in whites 162 . These polymorphisms along with cigarette smoking<br />

and alcohol consumption confer oral squamous cell cancer risk 165 , A meta-analysis<br />

showed NAT2 slow acetylation may contribute to a risk factor for laryngeal cancer in<br />

Asians 166 . NAT2 polymorphism is also associated with development of second primary<br />

cancer in head and neck cancer individual 10 . Slow NAT2 activity is a risk factor<br />

possibly leading to the development of head and neck cancer in response to tobacco<br />

carcinogens 167 .<br />

EPHX1 (mEH, Microsomal epoxide hydrolase)<br />

This gene encodes a carcinogen metabolizing enzyme mEH (microsomal<br />

epoxide hydrolase) that converts epoxides from the degradation of aromatic compounds<br />

to trans-dihydrodiols which can be conjugated and excreted from the body. mEH-exon3<br />

Try 113 His polymorphism was selected for present study as increased risk for head and<br />

neck cancer is associated with EPHX1-exon3 Tyr/His 113 and His/His 113 genotypes 141,<br />

168 . In a recent comprehensive meta-analysis of 84 studies, EPHX1 enzyme activity is<br />

related with risk of lung and upper aerodigestive tract cancers. It is described that low<br />

EPHX1 enzyme activity may have a potential protective effect on tobacco-related<br />

carcinogenesis of lung and UADT cancers, whereas high EPHX1 activity may have a<br />

harmful effect 169 .<br />

49

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