“…The genes encoding these enzymes, GSTM1 and the GSTT1, are polymorphic and may be homozygous null in 10-60% of individuals from different populations, resulting in a lack of expression of the proteins [7]. The GSTM1 deletion was previously associated with MM progression [8,9] and MM risk [10], possibly due to a lack of carcinogen inactivation, but no influence of other GST genotypes for risk of the disease was seen [11].The GSTs can also induce AG via regulation of the hypoxia-inducible factor-1a (HIF-1a), a transcription factor that regulates VEGF transcription in response to changes in the availability of oxygen [12,13]. The GSTM1 [14] and the GSTT1 [15] genes were linked to a high angiogenic phenotype in breast tumours compared with the respective null genotypes, but their roles on AG in MM are unknown.Cancer is the second-leading cause of death in southeastern Brazil, and MM induces death in elderly individuals [16].…”