Skip to main content
Log in

Alcohol dehydrogenase 3 genotype modification of the associationof alcohol consumption with breast cancer risk

  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Abstract

Objectives: Because alcohol dehydrogenase 3 (ADH3) is rate-limiting in alcohol oxidation and is polymorphic, we examined ADH3 genotype in relation to alcohol intake and breast cancer risk.

Methods: We conducted a case–control study among Caucasian women aged 40–85 with incident, pathologically confirmed breast cancer and controls, frequency-matched on age and county. Queries included alcohol intake in the past 20 years. Genomic DNA was genotyped for the exon VIII ADH polymorphism by PCR followed by restriction enzyme digestion. Computation of odds ratios (OR) and 95% confidence intervals (CI) was by unconditional logistic regression.

Results: We found increased risk among pre- (OR 2.3, 95%, CI 1.2–4.3) but not postmenopausal women (OR 1.1, 95% CI 0.7–1.7) associated with ADH3 1-1 compared to ADH3 1-2 and ADH3 2-2 genotypes. Risk was increased for premenopausal women with the ADH3 1-1 genotype and alcohol intake above the median (OR 3.6, 95% CI 1.5–8.8) compared to lighter drinkers with the ADH3 2-2 or ADH3 1-2 genotypes. ORs were close to null for premenopausal women in other drinking and genotype groups and for postmenopausal women categorized by genotype and alcohol consumption.

Conclusion: Among premenopausal women there may be a group more genetically susceptible to an alcohol consumption effect on breast cancer risk.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Longnecker MP (1994) Alcoholic beverage consumption in relation to risk of breast cancer: meta-analysis and review. Cancer Causes Control 5: 73-82.

    Google Scholar 

  2. Willett WC, Stampfer MJ (1997) Sobering data on alcohol and breast cancer. Epidemiology 8: 225-227.

    Google Scholar 

  3. Hunter DJ, Willett WC (1996) Nutrition and breast cancer. Cancer Causes Control 7: 56-68.

    Google Scholar 

  4. Bosron WF, Li TK (1986) Genetic polymorphisms of human liver alcohol and aldehyde dehydrogenases, and their relationship to alcohol metabolism and alcoholism. Hepatology 6: 502-510.

    Google Scholar 

  5. Iron A, Groppi A, Fleury B, Begueret J, Cassaigne A, Cousigou P (1992) Polymorphism of class I alcohol dehydrogenase in French, Vietnamese and Niger populations: genotyping by PCR amplification and RFLP analysis on dried blood spots. Ann Genet 35: 152-156.

    Google Scholar 

  6. Day CP, Bashir R, James OFW, et al. (1991) Investigation of the role of polymorphisms at the alcohol and aldehyde dehydrogenase loci in genetic predisposition to alcohol-related end-organ damage. Hepatology 14: 798-801.

    Google Scholar 

  7. Harty LC, Caporaso NE, Hayes RB, et al. (1997) Alcohol dehydrogenase 3 genotype and risk of oral cavity and pharyngeal cancers. J Natl Cancer Inst 89: 1698-1705.

    Google Scholar 

  8. Coutelle C, Ward PJ, Fleury B, et al. (1997) Laryngeal and oropharyngeal cancer, and alcohol dehydrogenase 3 and glutathione S-transferase M1 polymorphisms. Hum Genet 99: 319-325.

    Google Scholar 

  9. Freudenheim JL, Marshall JR, Vena JE, et al. (1996) Premenopausal breast cancer risk and intake of vegetables, fruits, and related nutrients. J Natl Cancer Inst 88: 340-348.

    Google Scholar 

  10. Graham S, Hellmann R, Marshall J, et al. (1991) Nutritional epidemiology of postmenopausal breast cancer in western New York. Am J Epidemiol 134: 552-566.

    Google Scholar 

  11. Ambrosone CB, Freudenheim JL, Graham S, et al. (1996) Cigarette smoking, N-acetyltransferase 2 genetic polymorphisms, and breast cancer risk. JAMA 276: 1494-1501.

    Google Scholar 

  12. Groppi A, Begueret, Iron A (1990) Improved methods for genotype determination of human alcohol dehydrogenase (ADH) at ADH 2 and ADH 3 loci by using polymerase chain reaction-directed mutagenesis. Clin Chem 36: 1765-1768.

    Google Scholar 

  13. Howe GR, Hirohata T, Hislop TG, et al. (1990) Dietary factors and risk of breast cancer: combined analysis of 12 case-control studies. J Natl Cancer Inst 82: 561-569.

    Google Scholar 

  14. Snedecor GW, Cochran GC (1980) Statistical Methods. Ames, Iowa; Iowa State University Press.

    Google Scholar 

  15. Breslow NE, Day NE (1980) Statistical Methods in Cancer Research vol. 1: The Analysis of Case-Control Studies. Lyon: IARC Scientific Publication no. 32.

  16. Begg CB, Zhang ZF (1994) Statistical analysis of molecular epidemiology studies employing case-series. Cancer Epidemiol Biomarkers Prev 3: 173-175.

    Google Scholar 

  17. Piergorsch WW, Weinberg CR, Taylor JA (1994) Non-hierarchical logistic models and case-only designs for assessing susceptibility in population-based case-control studies. Stat Med 13: 153-162.

    Google Scholar 

  18. Gapstur SM, Potter JD, Sellers TA, Folsom AR (1992) Increased risk of breast cancer with alcohol consumption in postmenopausal women. Am J Epidemiol 136: 1221-1231.

    Google Scholar 

  19. Colditz GA, Stampfer MJ, Willett WC, Hennekens CH, Rosner B, Speizer FE (1990) Prospective study of estrogen replacement therapy and risk of breast cancer in postmenopausal women. JAMA 264: 2648-2653.

    Google Scholar 

  20. Van't Veer P, Kok FJ, Hermus RJ, Sturmans F (1989) Alcohol dose, frequency and age at first exposure in relation to the risk of breast cancer. Int J Epidemiol 18: 511-517.

    Google Scholar 

  21. La Vecchia C, Decarli A, Franceschi S, Pampallona S, Tognoni G (1985) Alcohol consumption and the risk of breast cancer in women. J Natl Cancer Inst 75: 61-65.

    Google Scholar 

  22. Rohan TE, McMichael AJ (1988) Alcohol consumption and risk of breast cancer. Int J Cancer 41: 695-699.

    Google Scholar 

  23. Freidenreich CM, Howe GR, Miller AB, Jain MG (1993) A cohort study of alcohol consumption and risk of breast cancer. Am J Epidemiol 137: 512-520.

    Google Scholar 

  24. Schatzkin A, Jones DY, Hoover RN, et al. (1987) Alcohol consumption and breast cancer in the epidemiologic follow-up study of the First National Health and Nutrition Examination Survey. N Engl J Med 316: 1169-1173.

    Google Scholar 

  25. IARC (1988) IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, vol. 44: Alcohol Drinking. Lyon: IARC.

    Google Scholar 

  26. Ristow H, Seyfarth A, Lochmann ER (1995) Chromosomal damages by ethanol and acetaldehyde in Saccharomyces cerevisiae as studied by pulsed field gel electrophoresis. Mutat Res 326: 165-170.

    Google Scholar 

  27. Singh NP, Khan A (1995) Acetaldehyde: genotoxicity and cytotoxicity in human lymphocytes. Mutat Res 337: 9-17.

    Google Scholar 

  28. Vaca CE, Fang JL, Schweda EKH (1995) Studies of the reaction of acetaldehyde with deoxynucleosides. Chem-Biol Interact 98: 51-67.

    Google Scholar 

  29. Fang JL, Vaca CE (1997) Detection of DNA adducts of acetaldehyde in peripheral white blood cells of alcohol abusers. Carcinogenesis 18: 627-632.

    Google Scholar 

  30. Grafström RC, Dypbukt JM, Sundqvist K, et al. (1994) Pathobiological effects of acetaldehyde in cultured human epithelial cells and fibroblasts. Carcinogenesis 15: 985-990.

    Google Scholar 

  31. Kuykendall JR, Bogdanffy MS (1994) Formation and stability of acetaldehyde-induced crosslinks between poly-lysine and poly-deoxyguanosine. Mutat Res 311: 49-56.

    Google Scholar 

  32. IARC (1984) IARC Monographs on the Evaluation of Carcinogenic Risk of Chemicals to Humans, vol 36: Allyl Compounds, Aldehydes, Epoxides and Peroxides. Lyon, IARC.

    Google Scholar 

  33. Whitfield JB (1994) ADH and ALDH genotypes in relation to alcohol metabolic rate and sensitivity. Alcohol Alcohol Suppl. 2: 59-65.

    Google Scholar 

  34. Eriksson CJ, Fukanaga T, Sarkola T, Lindholm H, Ahola L (1996) Estrogen-related acetaldehyde elevation in women during alcohol intoxication. Alcohol Clin Exp Res 20: 1192-1195.

    Google Scholar 

  35. Fukunaga T, Sillanaukee P, Eriksson CJ (1993) Occurrence of blood acetaldehyde in women during ethanol intoxication: preliminary findings. Alcohol Clin Exp Res 17: 1198-1200.

    Google Scholar 

  36. Pellizzari ED, Hartwell TD, Harris BS, et al. (1982) Purgeable organic compounds in mother's milk. Bull Environ Contam Toxicol 28: 322-328.

    Google Scholar 

  37. Yin SJ, Liao CS, Wu CW, et al. (1997) Human stomach alcohol and aldehyde dehydrogenases: comparison of expression pattern and activities in alimentary tract. Gastroenterology 112: 766-775.

    Google Scholar 

  38. Moreno A, Pares A, Ortiz J, Enriquez J, Pares X (1994) Alcohol dehydrogenase from human stomach: variability in normal mucosa and effect of age, gender, ADH3 phenotype and gastric region. Alcohol Alcohol 29: 663-671.

    Google Scholar 

  39. Smith M (1986) Genetics of human alcohol and aldehyde dehydrogenases. Adv Human Genet 15: 249-290.

    Google Scholar 

  40. Edenberg HJ, Brown CJ, Hur MW, et al. (1997) Regulation of the seven human alcohol dehydrogenase genes. Adv Exp Med Biol 414: 339-345.

    Google Scholar 

  41. Buhler R, Pestalozzi D, Hess M, von Wartburg JP (1983) Immunohistochemical localization of alcohol dehydrogenase in human kidney, endocrine organs and brain. Pharmacol Biochem Behav Suppl. 18: 55-59.

    Google Scholar 

  42. Estonius M, Svensson S, Hoog JO (1996) Alcohol dehydrogenase in human tissues: localization of transcripts coding for five classes of the enzyme. FEBS Lett 397: 338-342.

    Google Scholar 

  43. Pike MC, Spicer DV, Dahmoush L, Press MF (1993) Estrogens, progestogens, normal breast cancer cell proliferation and breast cancer risk. Epidemiol Rev 15: 17-35.

    Google Scholar 

  44. Schatzkin A, Longnecker MP (1994) Alcohol and breast cancer. Where are we and where do we go from here? Cancer 74: 1101-1110.

    Google Scholar 

  45. Mendelson JH, Lukas SE, Mello NK, Amass L, Ellingboe J, Skupny A (1988) Acute alcohol effects on plasma estradiol levels in women. Psychopharmacology 94: 464-467.

    Google Scholar 

  46. Ginsburg ES, Mello NK, Mendelson JH, et al. (1996) Effects of alcohol ingestion on estrogens in postmenopausal women. JAMA 276: 1747-1751.

    Google Scholar 

  47. Dorgan JF, Reichman ME, Judd JT, et al. (1994) The relation of reported alcohol ingestion to plasma levels of estrogens and androgens in premenopausal women. Cancer Causes Control 5: 53-60.

    Google Scholar 

  48. Muti P, Trevisan M, Micheli A, et al. (1997) Alcohol consumption and serum estradiol in premenopausal women. Proceedings of Basic and Clinical Aspects of Breast Cancer Conference, B-6.

  49. Reichman ME, Judd JT, Longcope C, et al. (1993) Effects of alcohol consumption on plasma and urinary hormone concentrations in premenopausal women. J Natl Cancer Inst 85: 722-727.

    Google Scholar 

  50. McEvily AJ, Holmquist B, Auld DS, Vallee BL (1988) 3 beta-hydroxy-5 beta-steroid dehydrogenase activity of human liver alcohol dehydrogenase is specific to gamma-subunits. Biochemistry 27: 4284-4288.

    Google Scholar 

  51. Mardh G, Falchuk KH, Auld DS, Vallee BL (1986) Testosterone allosterically regulates ethanol oxidation by homo-and heterodimeric gamma-subunit-containing isozymes of human alcohol dehydrogenase. Proc Natl Acad Sci USA 83: 2836-2840.

    Google Scholar 

  52. Liu S, Serdula MK, Byers T, Williamson DF, Mokdad AH, Flanders WD (1996) Reliability of alcohol intake as recalled from 10 years in the past. Am J Epidemiol 143: 177-186.

    Google Scholar 

  53. Czarnecki DM, Russell M, Cooper ML, Salter D (1990) Five-year reliability of self-reported alcohol consumption. J Studies Alcohol 51: 68-76.

    Google Scholar 

  54. Giovannucci E, Stampfer MJ, Colditz GA, et al. (1993) Recall and selection bias in reporting past alcohol consumption among breast cancer cases. Cancer Causes Control 4: 441-448.

    Google Scholar 

  55. Marshall JR, Priore R, Graham S, Brasure J (1981) On the distortion of risk estimates in multiple exposure level case-control studies. Am J Epidemiol 113: 464-473.

    Google Scholar 

  56. Pares X, Farres J, Pares A, et al. (1994) Genetic polymorphism of liver alcohol dehydrogenase in Spanish subjects: significance of alcohol consumption and liver disease. Alcohol Alcohol 29: 701-705.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Freudenheim, J.L., Ambrosone, C.B., Moysich, K.B. et al. Alcohol dehydrogenase 3 genotype modification of the associationof alcohol consumption with breast cancer risk. Cancer Causes Control 10, 369–377 (1999). https://doi.org/10.1023/A:1008950717205

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1008950717205

Navigation