Colorectal polyp type and the association with charred meat consumption, smoking, and microsomal epoxide hydrolase polymorphisms

Nutr Cancer. 2011;63(4):583-92. doi: 10.1080/01635581.2011.553021.

Abstract

We determined the association between charred meat consumption, cigarette smoking, microsomal epoxide hydrolase (mEH) polymorphisms (rs1051740 and rs2234922), and colorectal adenomas and hyperplastic polyps (HPs) and explored gene-environment interactions. Men and women with colorectal adenomas (n = 519), HPs (n = 691), or concurrently with both types of polyps (n = 227) and polyp-free controls (n = 772) receiving a colonoscopy from December 2004 to September 2007 were recruited. Participants completed telephone interviews and provided buccal cell samples; genotyping of mEH was completed using Taqman assays. We conducted polytomous regression and calculated odd ratios (OR) and 95% confidence intervals. Interactions were evaluated using Wald chi-square tests. Consumption of >3 servings of charred meat per week was associated with distal HPs (OR = 2.0, 1.2-3.4) but not adenomas nor either type of proximal polyp. Heavy cigarette smoking (≥ 22 pack-years) was associated with an increased risk for colorectal adenomas (OR = 1.7, 95% CI: 1.2-2.4), HPs (OR = 2.4, 95% CI: 1.7-3.3), and both types (OR = 2.8, 95% CI: 1.8-4.3) with the strongest association for distal polyps. There was no association between mEH genotype and colorectal polyps, nor were any statistically significant gene-environment interactions identified. Future investigation of BaP exposure and colorectal neoplasia should analyze whether associations are dependent upon anatomic location.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Animals
  • Benzo(a)pyrene / toxicity
  • Colonic Polyps / etiology
  • Colonic Polyps / genetics*
  • Colonoscopy / methods
  • Colorectal Neoplasms / etiology
  • Cooking / methods
  • Epoxide Hydrolases / genetics*
  • Female
  • Genotype
  • Hot Temperature
  • Humans
  • Hyperplasia / etiology
  • Logistic Models
  • Male
  • Meat / adverse effects*
  • Middle Aged
  • Multivariate Analysis
  • Polymorphism, Single Nucleotide*
  • Risk Factors
  • Smoking / adverse effects*
  • Young Adult

Substances

  • Benzo(a)pyrene
  • Epoxide Hydrolases