IntroductionThe incidence of breast cancer has increased greatly in Japan over the past 2 decades [1], and it has been estimated that breast cancer would become the most common malignant disease in Japanese females by the year 2000 [2]. One of the main risk factors for breast cancer in menopausal women is obesity [3,4]. The increased amount of adipose tissue after menopause is considered to elevate estradiol production, which in turn increases the risk for breast cancer. Thus, genetic traits that are related to obesity may influence the risk of postmenopausal breast cancer in an indirect manner. ADRB2 = β 2 -adrenergic receptor; ADRB3 = β 3 -adrenergic receptor; BMI = body mass index; CI = confidence interval; Glu = glutamic acid; OR = odds ratio; PCR = polymerase chain reaction.Available online http://breast-cancer-research.com/content/3/4/264
AbstractBackground: The involvement of β 2 -adrenergic receptor (ADRB2) and β 3 -adrenergic receptor (ADRB3) in both adipocyte lipolysis and thermogenic activity suggests that polymorphisms in the encoding genes might be linked with interindividual variation in obesity, an important risk factor for postmenopausal breast cancer. In order to examine the hypothesis that genetic variations in ADRB2 and ADRB3 represent interindividual susceptibility factors for obesity and breast cancer, we conducted a hospital-based, case-control study in the Aichi Cancer Center, Japan. Methods: A self-administered questionnaire was given to 200 breast cancer patients and 182 control individuals, and pertinent information on lifestyle, family history and reproduction was collected. ADRB2 and ADRB3 genotypes were determined by polymerase chain reaction (PCR) restriction fragment length polymorphism assessment. Results: Twenty-five (12.4%) breast cancer patients and 32 (17.6%) control individuals were found to bear a glutamic acid (Glu) allele for the ADRB2 gene (odds ratio [OR] 0.67, 95% confidence interval [CI] 0.38-1.18), and 60 (30.0%) breast cancer patients and 61 (33.5%) control individuals were found to bear an Arg allele for the ADRB3 gene (OR 0.85,. A significantly lower risk was observed in those who carried the Glu ADRB2 allele and who reported first childbirth when they were younger than 25 years (OR 0.35, 95% CI 0.13-0.99). Conclusion: A potential association may exist between risk of breast cancer and polymorphisms in the ADRB2 and ADRB3 genes; further studies in larger samples and/or in different ethnic groups are warranted to investigate this potential association.