Systematic Reviews
Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Jul 28, 2014; 20(28): 9600-9610
Published online Jul 28, 2014. doi: 10.3748/wjg.v20.i28.9600
Table 1 Interactive effect between DNA synthesis and repair-related genetic polymorphisms and diet on gastric cancer risk
Ref.No. case/controlGeneDiet/nutrientOutcome
(control)(polymorphism)GeneDiet/nutrientInteraction
Takezaki et al[24], 2002, China101/198 (Population)hOGG1 (Ser326Cys)Meat, soybean, vegetable, garlic, tea, alcoholNo assocPickled vegetable (freq. vs non-freq): OR = 2.53 (1.52-4.21)The positive assoc between pickled vegetable (P interaction = 0.093) or meat (P interaction = 0.083) and GC risk was stronger in Cys/Cys carriers than in Ser carriers; a frequent alcohol consumption (≥ 2 times/wk) increased GC risk in Cys/Cys carriers (P interaction = 0.086)
Stolzenberg-Solomon et al[18], 2003, China90/398 (Population)MTHFR (C677T, A1298C)AlcoholNo assocUnknownAlcohol drinkers increased GC risk among those with MTHFT 677TT carriers (P interaction = 0.03)
MTRR (A66G)
Tsukino et al[23], 2004, Japan142/271 (Hospital)hOGG1 (Ser326Cys)Salt, fruit, vegetable, Vt C, β-caroteneNo assocUnknownThe positive assoc between salt and GC risk was observed only in Cys allele carriers (P interaction = 0.01); the protective effect of cruciferous vegetable on GC risk was stronger among Ser/Ser genotype carriers (P interaction = 0.053)
Huang et al[25], 2005, Poland281/390 (Population)XRCC (Arg399Gln) XPD (Lys751Gln) MGMT (Ile143Val, Leu84Phe) XRCC3 (Thr241Met)Fruit/vegetableNo assocFruit (low vs high): OR = 2.2 (1.3-3.6)The positive assoc between low fruit or vegetable intake was modified by selected polymorphisms in XRCC1, XPD, MGMT (P interaction = 0.1-0.2)
Nan et al[26], 2005, South Korea110/220 (Hospital)hMLH1 promoterCereal, potato, fruit, vegetable, mushroom, butter/cheese/margarine, protein, Vt C, P, K, Zn, Ca, alcoholUnknownUnknownHigh vegetables increased GC risk and high potato intake decreased GC risk among cases with hMLH1 promoter hypermethylation; high intake of protein, P, K, Zn, Vt C, and Ca was associated with higher GC risk without hypermethylation of the hMLH1 gene promoter; high alcohol consumption was associated with a higher GC risk among those with hypermethylation of the hMLH1 gene promoter
Graziano et al[19], 2006, Italy162/164 (Population)MTHFR (C677T)Alcohol677TT vs CC: OR = 2.95 (1.57-5.55)UnknownAlcohol drinking modified the association between MTHFR C677T and GC risk (P interaction = 0.09)
Lacasaña-Navarro et al[21], 2006, Mexico201/427 (Hospital)MTHFR (C677T)Folate, alcohol677TT vs CC: OR = 1.62 (1.00-2.59)No assocNo interaction
Boccia et al[16], 2007, Italy102/254 (Hospital)MTHFR (C677T, A1298C)Fruit, vegetable, alcohol677TT vs CC for diffuse GC: OR = 2.92 (1.19-5.58)Alcohol (high vs low): OR = 3.74 (1.13-12.45)Low fruit/vegetable consumers increased GC risk among individuals with 677TT genotype
Mu et al[17], 2007, China206/415 (Population)MTHFR (C677T, A1298C)Fruit, vegetable677TT vs CC: OR = 2.80 (1.41-5.56)No assocMTHFR 677TT genotype showed a stronger positive association among low fruit/vegetable intake subjects compared with high intake groups
Zhang et al[11], 2007, Poland305/427 (Population)MTHFR (2 SNPs) MTR (1 SNP) MTRR (7 SNPs)FolateNo assocNo assocNo interaction
Galván Portillo et al[14], 2009, Mexico248/478 (Population)MTHFR (C677T)Folate, choline, Vt B6, Vt B12, methionine677TT vs C allele: OR = 0.23 (0.06-0.84)Folate (P = 0.001)Among individuals with MTHFR 677TT genotype, low folate intake increased, but high folate intake decreased diffuse GC risk (P interaction = 0.055)
Duan et al[29], 2012, China400/400 for rs751402; 403/403 for rs2296147(Population)ERCC5 (rs751402, rs2296147)Alcoholrs751402(AA vs GG):OR = 1.99 (1.20-3.31)rs2296147(CC vs TT): OR = 2.17 (1.04-4.54)UnknownAlcohol drinking substantially increased GC risk for subjects carrying rs2296147 CC homozygous variants, but their interaction was not statistically significant
Gao et al[15], 2013, China264/535 (Population)MTHFR (C677T)Folate677TT vs CC: OR = 2.08 (1.28-3.66)Folate (high vs low): OR = 0.54 (0.34-0.83)MTHFR 677TT carriers increased GC risk among subjects with low folate intake (P interaction = 0.005)
Table 2 Interactive effect between carcinogen metabolism-related genetic polymorphisms and diet on gastric cancer risk
Ref.No. case/controlGeneDiet/NutrientOutcome
(control)(polymorphism)GeneDiet/nutrientInteraction
Nishimoto et al[58], 2000, Brazil332/528 (Hospital)CYP2E1 (RsaI C/A)MeatNo assocThe frequency of meat consumption was higher in case only among Japanese, not BraziliansNo interaction
Setiawan et al[33], 2000, China143/433(Population)GSTT1 (null) GSTM1 (null)Salt, fruit, alcoholGSTT1 null vs normal: OR = 2.5 (1.01-6.22)Fruit (P < 0.001)Alcohol (P = 0.051)High salt intake increased GC risk only among GSTT1 null carriers.
Gao et al[42], 2002, China98/196 (Population)CYP2E1 (RsaI)Meat, soybean, vegetable (pickled or raw), tomato, garlic, tea, alcoholNo assocUnknownNo interaction
Gao et al[46], 2002, China153/223(Population)GSTM1 (null)GSTT1 (null)Tea, alcoholNo assocTea drinking was a protective effect on GC risk: OR = 0.38 (0.24-0.62)Tea consumption decreased GC risk among those with GSTT1 null genotype; frequent alcohol intake increased GC risk in those with GSTM1 positive genotype.
Boccia et al[39], 2005, Italy76/260 (Hospital)SULT1A1 (His/His)Fruit, vegetable, grilled/barbecued meat, alcoholHis/His vs Arg/Arg: OR = 3.32 (1.17-9.45)Frequency of GC was higher among those with high fruit intake (P = 0.043)Among individuals carrying SULT1A1 His/His genotype, high fruit or grilled/barbequed meat intake increased GC risk; alcohol intake increased GC risk among those with His/His genotype.
Nan et al[35], 2005, South Korea421/632 (Hospital)CYP1A1 (Ile/Val) CYP2E1 (c1/c2) GSTM1 (null) GSTT1 (null) ALDH2 (*1/*2)Kimchi, soybean paste, vegetable, allium, seafood, soybean foodCYP1A1 Val carriers vs Ile/Ile: OR = 1.34 (1.04-1.73)Kimchi (high vs low): OR = 1.57 (1.22-2.01);Soybean pastes (high vs low): OR = 1.62 (1.26-2.09);Non-fermented alliums (high vs low): OR = 0.70 (0.54-0.89); Non-fermented seafood (high vs low): OR = 0.66 (0.51-0.85)High intake of kimchi or soybean pastes was associated with increased GC risk among carriers with CYP1A1 Ile/Ile, CYP2E1 c1/c1, GSTT1 positive, or ALDH2 *1/*1 genotype; non-fermented alliums were associated with a decreased GC risk among carriers of CYP1A1 Ile/Ile, CYP2E1 c1/c2 or c2/c2, GSTM1 null, GSTT1 positive, or ALDH2 *1/*2 or *2/*2 genotype; non-fermented seafood was associated with a reduced GC risk among carriers with CYP1A1 Ile/Ile, CYP2E1 c1/c1, ALDH2 *1/*1 genotype.
Boccia et al[59], 2007, Italy107/254 (Hospital)CYP1A1 (*2A)CYP2E1 (*5A or *6)mEH (rapid, slow, very slow)GSTM1 (null)GSTT1 (null)NAT2 (slow)SULT1A1 (Arg/His, His/His)Alcohol, fruit/vegetable, grilled meat, meals salt additionGSTT1 null and NAT2 slow acetylators: OR = 3.00 (1.52-5.93)Alcohol ( < 7 g/d vs≥ 7 g/d)OR = 2.10 (1.22-3.60)Alcohol drinkers carrying the variant allele of CYP2E1 (*5A or *6 alleles) had an increased GC risk compared to those drinking without the variant allele (P for heterogeneity = 0.001)
Kobayashi et al[40], 2009, Japan149/296 (Hospital)NAT2 (4 SNPs) CYP1A1 (Ile462Val) CYP1A2 (5’UTR)Grilled/barbecued meat, HCANo assocNo assocNo interaction
Malik et al[60], 2009, India108/195 (Population)GSTM1 (null) GSTT1 (null) GSTP1 (1313Ile/Val) GSTM3 (intron 6 3-bp del) CYP1A1 (6235T/C) CYP2E1 (Rsal-1091C/T)High salted teaGSTM1 null vs normal: OR = 1.98 (1.22-3.21); CYP2E1 Rsal c2 vs c1: OR = 2.18 (1.12-4.24); GSTM3 intron 6 3-bp del B vs A: OR = 0.50 (0.27-0.92)Salted tea (high vs low): OR = 14.78 (8.22-27.23)No interaction
Piao et al[43], 2009, South Korea2213/1699 (Population)GSTM1 (null) GSTT1 (null)AlcoholNo assocNo assocNo interaction
Zhang et al[36], 2009, South Korea471/471 (Hospital)NAT2 acetylatorMeat, Vt B6, Fe, nut, stew, Kimchi, soybean paste, soybean food, allium, seaweeds, alcoholNo assocHigh intake of stews, kimchi, soybean paste, sodium, well-done meat, and alcohol increased GC risk; high intake of nuts, non-fermented soybean foods, non-fermented alliums decreased GC risk.High intake of kimchi, stews, soybean paste, and alcohol were increased GC risk in slow/intermediate acetylators.
Shin et al[44], 2011, South Korea445/370 (Hospital)ALDH2 (*1/*2)AlcoholNo assocEx-drinker vs never-drinker: OR = 1.68 (1.07-2.64)There was an interaction between drinking status and ALDH2 genotype (ALDH*1/*1 vs ALDH2 *1/*2, P interaction = 0.048).
Duell et al[41], 2012, Europe364/1272 (EPIC study; nested case-control)ADH1A (2 SNPs)ADH1B (5 SNPs)ADH1C (9 SNPs)ADH7 (10 SNPs)ALDH2 (2 SNPs)AlcoholAllelic ORADH1A rs1230025: OR = 1.30 (1.07-1.59); ADH1C rs283411: OR = 0.59 (0.38-0.91); ALDH2 rs16941667: OR = 1.34 (1.00-1.79)Alcohol (high vs low): OR = 2.37 (1.37-4.10)Alcohol intake modified the association between ALDH1A rs1230025 and GC risk.
Zhang et al[61], 2012, China618/1147(Population)GSTP1 (Ile105Val)AlcoholIle/Ile vs Val/Val: OR = 3.32 (1.79-6.17)Alcohol (drinker vs nondrinker): P < 0.002Alcohol drinking increased GC risk among Val/Val carriers compared with Ile/Ile carriers
Matsuo et al[45], 2013, Japan697/1372 (Hospital)ALDH2 (Glu504Lys)Alcohol, fruit/vegetableAlcohol (heavy vs non-drinker): OR = 1.72 (1.17-2.52)A significant interaction between alcohol drinking and ALDH2 Lys allele (P = 0.0054)
Eom et al[37], 2013, South Korea477/477 (Hospital)CYP1A2 (3 SNPs)CYP2E1 (3 SNPs)EPHX1 (3 SNPs) GSTM1 (null)GSTT1 (null)Aflatoxin B1CYP1A2 (CT vs CC): OR = 0.72 (0.52-0.98)Aflatoxin B1 (low vs high): OR = 1.94 (1.43-2.63)No interaction
Table 3 Interactive effect between other genetic polymorphisms and diet on gastric cancer risk
Ref.No. case/controlGeneDiet/nutrientOutcome
(control)(polymorphism)GeneDiet/nutrientInteraction
Mu et al[47], 2005, China206/415 (Population)GSTM1 (null)Green teaMulti-genetic index (≥ 3 vs 0-1): OR = 2.21 (1.02-4.79)Green tea (high vs low): OR = 0.39 (0.17-0.91)Among individual carrying p53 codon 72 Pro/Pro genotype, no green tea drinking increased GC risk compared with those with Arg carriers and green tea drinking
GSTT1 (null)
GSTP1 (Ile/Val)
p53 codon 72
(Arg/Pro)
Sul et al[52], 2006, United States155/134 (Hospital)p53 codon 72 (Pro/Arg)Na, calorie, fiber, fat, Vt C, alcoholNo assocUnknownPossible interactions were observed between Vt C or fat intake and Pro/Pro genotype on GC risk
Ko et al[49],2009, South Korea84/336 (Korean Multi-Center Cancer Cohort; nested case-control)IL-1B (4 SNPs)Soybean productNo assocNo assocLow intake of soybean product increased GC risk among carriers of IL-10 gene variants (-592 GG/GA, -819 TC/CC, or -1082 AG/GG)
IL-2 (2 SNPs)
IL-4 (2 SNPs)
IL-8 (3 SNPs)
IL-10 (3 SNPs)
Wright et al[54], 2009, Poland279/414 (Population)SLC23A1 (4 SNPs) SLC23A2 (9 SNPs)Vt CNo assocFruit/juice (P < 0.001)No interaction
López Carrillo et al[48], 2012, Mexico158/317 (Hospital)IL-1B (-31C/T)CapsaicinNo assocUnknownIL-1B-31 C allele carriers infected with H. pylori (CagA+) strains with moderate/high consumption of capsaicin showed an increased GC risk compared to T carriers (P interaction between Cap consumption and IL-1B-31C carrier = 0.04)
Oliveira et al[50], 2012, Brazil200/246 (Population)IL-1RN (VNTR)TNF-β (A252G)AlcoholIL-1RN (VNTR) L/2+2/2 vs LL OR = 2.53 (1.66-3.80)Drinker vs non-drinker: OR = 3.09 (1.91-5.02)No interaction
Agudo et al[53], 2013, Europe365/1284 (EPIC study, nested case-control)HFE (9 SNPs)FeH63D G allele vs CC) (dominant): OR = 1.73 (1.20-2.51) for non-cardia; OR = 1.93 (1.25-2.98) for intestinal typeNo assocNo interaction
Song et al[55], 2013, South Korea3245/1700 (Hospital)PRKAA1 and PTGER4 (rs13361707)ZBTB20 (rs9841504)Alcoholrs13361707 (TT vs CC): OR = 1.68 (1.41-2.01)No assocNo interaction
Zhang et al[56], 2013, China401/420 (Hospital)EGFR (6 SNPs)Salty food, alcoholrs2072454 (T allele vs C allele):OR = 0.77 (0.61-0.97)Salty food (P < 0.001); Alcohol drinking (P < 0.006)No interaction