Education, tobacco smoking, alcohol consumption, and IL-2 and IL-6 gene polymorphisms in the survival of head and neck cancer

The association of education, tobacco smoking, alcohol consumption, and interleukin-2 (IL-2 +114 and -384) and -6 (IL-6 -174) DNA polymorphisms with head and neck squamous cell carcinoma (HNSCC) was investigated in a cohort study of 445 subjects. IL-2 and IL-6 genotypes were determined by real-time...

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Main Authors: R.V.M. López, M.A. Zago, J. Eluf-Neto, M.P. Curado, A.W. Daudt, W.A. da Silva-Junior, D.L. Zanette, J.E. Levi, M.B. de Carvalho, L.P. Kowalski, M. Abrahão, J.F. de Góis-Filho, P. Boffetta, V. Wünsch-Filho
Format: Article
Language:English
Published: Associação Brasileira de Divulgação Científica 2011-10-01
Series:Brazilian Journal of Medical and Biological Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2011001000005
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author R.V.M. López
M.A. Zago
J. Eluf-Neto
M.P. Curado
A.W. Daudt
W.A. da Silva-Junior
D.L. Zanette
J.E. Levi
M.B. de Carvalho
L.P. Kowalski
M. Abrahão
J.F. de Góis-Filho
P. Boffetta
V. Wünsch-Filho
author_facet R.V.M. López
M.A. Zago
J. Eluf-Neto
M.P. Curado
A.W. Daudt
W.A. da Silva-Junior
D.L. Zanette
J.E. Levi
M.B. de Carvalho
L.P. Kowalski
M. Abrahão
J.F. de Góis-Filho
P. Boffetta
V. Wünsch-Filho
author_sort R.V.M. López
collection DOAJ
description The association of education, tobacco smoking, alcohol consumption, and interleukin-2 (IL-2 +114 and -384) and -6 (IL-6 -174) DNA polymorphisms with head and neck squamous cell carcinoma (HNSCC) was investigated in a cohort study of 445 subjects. IL-2 and IL-6 genotypes were determined by real-time PCR. Cox regression was used to estimate hazard ratios (HR) and 95% confidence intervals (95%CI) of disease-specific survival according to anatomical sites of the head and neck. Mean age was 56 years and most patients were males (87.6%). Subjects with 5 or more years of schooling had better survival in larynx cancer. Smoking had no effect on HNSCC survival, but alcohol consumption had a statistically significant effect on larynx cancer. IL-2 gene +114 G/T (HR = 0.52; 95%CI = 0.15-1.81) and T/T (HR = 0.22; 95%CI = 0.02-3.19) genotypes were associated with better survival in hypopharynx cancer. IL-2 +114 G/T was a predictor of poor survival in oral cavity/oropharynx cancer and larynx cancer (HR = 1.32; 95%CI = 0.61-2.85). IL-2 -384 G/T was associated with better survival in oral cavity/oropharynx cancer (HR = 0.80; 95%CI = 0.45-1.42) and hypopharynx cancer (HR = 0.68; 95%CI = 0.21-2.20), but an inverse relationship was observed for larynx cancer. IL-6 -174 G/C was associated with better survival in hypopharynx cancer (HR = 0.68; 95%CI = 0.26-1.78) and larynx cancer (HR = 0.93; 95%CI = 0.42-2.07), and C/C reduced mortality in larynx cancer. In general, our results are similar to previous reports on the value of education, smoking, alcohol consumption, and IL-2 and IL-6 genetic polymorphisms for the prognosis of HNSCC, but the risks due to these variables are small and estimates imprecise.
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spelling doaj.art-7392949014a1461499a782b62b82122c2022-12-22T00:01:55ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research0100-879X1414-431X2011-10-01441010061012Education, tobacco smoking, alcohol consumption, and IL-2 and IL-6 gene polymorphisms in the survival of head and neck cancerR.V.M. LópezM.A. ZagoJ. Eluf-NetoM.P. CuradoA.W. DaudtW.A. da Silva-JuniorD.L. ZanetteJ.E. LeviM.B. de CarvalhoL.P. KowalskiM. AbrahãoJ.F. de Góis-FilhoP. BoffettaV. Wünsch-FilhoThe association of education, tobacco smoking, alcohol consumption, and interleukin-2 (IL-2 +114 and -384) and -6 (IL-6 -174) DNA polymorphisms with head and neck squamous cell carcinoma (HNSCC) was investigated in a cohort study of 445 subjects. IL-2 and IL-6 genotypes were determined by real-time PCR. Cox regression was used to estimate hazard ratios (HR) and 95% confidence intervals (95%CI) of disease-specific survival according to anatomical sites of the head and neck. Mean age was 56 years and most patients were males (87.6%). Subjects with 5 or more years of schooling had better survival in larynx cancer. Smoking had no effect on HNSCC survival, but alcohol consumption had a statistically significant effect on larynx cancer. IL-2 gene +114 G/T (HR = 0.52; 95%CI = 0.15-1.81) and T/T (HR = 0.22; 95%CI = 0.02-3.19) genotypes were associated with better survival in hypopharynx cancer. IL-2 +114 G/T was a predictor of poor survival in oral cavity/oropharynx cancer and larynx cancer (HR = 1.32; 95%CI = 0.61-2.85). IL-2 -384 G/T was associated with better survival in oral cavity/oropharynx cancer (HR = 0.80; 95%CI = 0.45-1.42) and hypopharynx cancer (HR = 0.68; 95%CI = 0.21-2.20), but an inverse relationship was observed for larynx cancer. IL-6 -174 G/C was associated with better survival in hypopharynx cancer (HR = 0.68; 95%CI = 0.26-1.78) and larynx cancer (HR = 0.93; 95%CI = 0.42-2.07), and C/C reduced mortality in larynx cancer. In general, our results are similar to previous reports on the value of education, smoking, alcohol consumption, and IL-2 and IL-6 genetic polymorphisms for the prognosis of HNSCC, but the risks due to these variables are small and estimates imprecise.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2011001000005SmokingAlcoholInterleukinHead and neck cancerCancer prognosisSurvival analysis
spellingShingle R.V.M. López
M.A. Zago
J. Eluf-Neto
M.P. Curado
A.W. Daudt
W.A. da Silva-Junior
D.L. Zanette
J.E. Levi
M.B. de Carvalho
L.P. Kowalski
M. Abrahão
J.F. de Góis-Filho
P. Boffetta
V. Wünsch-Filho
Education, tobacco smoking, alcohol consumption, and IL-2 and IL-6 gene polymorphisms in the survival of head and neck cancer
Brazilian Journal of Medical and Biological Research
Smoking
Alcohol
Interleukin
Head and neck cancer
Cancer prognosis
Survival analysis
title Education, tobacco smoking, alcohol consumption, and IL-2 and IL-6 gene polymorphisms in the survival of head and neck cancer
title_full Education, tobacco smoking, alcohol consumption, and IL-2 and IL-6 gene polymorphisms in the survival of head and neck cancer
title_fullStr Education, tobacco smoking, alcohol consumption, and IL-2 and IL-6 gene polymorphisms in the survival of head and neck cancer
title_full_unstemmed Education, tobacco smoking, alcohol consumption, and IL-2 and IL-6 gene polymorphisms in the survival of head and neck cancer
title_short Education, tobacco smoking, alcohol consumption, and IL-2 and IL-6 gene polymorphisms in the survival of head and neck cancer
title_sort education tobacco smoking alcohol consumption and il 2 and il 6 gene polymorphisms in the survival of head and neck cancer
topic Smoking
Alcohol
Interleukin
Head and neck cancer
Cancer prognosis
Survival analysis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2011001000005
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