Prediagnostic selenium status, selenoprotein gene variants and association with breast cancer risk in a European cohort study

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  • David J. Hughes
  • Lutz Schomburg
  • Mazda Jenab
  • Carine Biessy
  • Catherine Méplan
  • Aurelie Moskal
  • Qian Sun
  • Kamil Demircan
  • Veronika Fedirko
  • Elisabete Weiderpass
  • Maryam Mukhtar
  • Anja Olsen
  • Kim Overvad
  • Matthias Schulze
  • Therese Haugdahl Nøst
  • Guri Skeie
  • Karina Standahl Olsen
  • Fulvio Ricceri
  • Sara Grioni
  • Domenico Palli
  • Giovanna Masala
  • Rosario Tumino
  • Fabrizio Pasanisi
  • Pilar Amiano
  • Sandra M. Colorado Yohar
  • Antonio Agudo
  • Maria Jose Sánchez
  • Eva Ardanaz
  • Malin Sund
  • Anne Andersson
  • Aurora Perez-Cornago
  • Ruth Travis
  • Alicia K. Heath
  • Laure Dossus

Selenium (Se) may help prevent breast cancer (BC) development. Owing to limited observational evidence, we investigated whether prediagnostic Se status and/or variants in the selenoprotein genes are associated with BC risk in a large European cohort. Se status was assessed by plasma measures of Se and its major circulating proteins, selenoprotein P (SELENOP) and glutathione peroxidase 3 (GPX3), in matched BC case-control pairs (2208 for SELENOP; 1785 for GPX3 and Se) nested within the European Prospective Investigation into Cancer and Nutrition (EPIC). Single nucleotide polymorphisms (SNPs, n = 452) in 55 selenoprotein and Se metabolic pathway genes and an additional 18 variants previously associated with Se concentrations were extracted from existing genotyping data within EPIC for 1564 case-control pairs. Multivariable-adjusted logistic regression models were used to calculate the odds ratios (ORs) and 95 % confidence intervals (CIs) of the association between Se status markers, SNP variants and BC risk. Overall, there was no statistically significant association of Se status with BC risk. However, higher GPX3 activity was associated with lower risk of premenopausal BC (4th versus 1st quartile, OR = 0.54, 95 % CI: 0.30–0.98, Ptrend = 0.013). While none of the genetic variant associations (P ≤ 0.05) retained significance after multiple testing correction, rs1004243 in the SELENOM selenoprotein gene and two SNPs in the related antioxidant TXN2 gene (rs4821494 and rs5750261) were associated with respective lower and higher risks of BC at a significance threshold of P ≤ 0.01. Fourteen SNPs in twelve Se pathway genes (P ≤ 0.01) in interaction with Se status were also associated with BC risk. Higher Se status does not appear to be associated with BC risk, although activity of the selenoenzyme GPX3 may be inversely associated with premenopausal BC risk, and SNPs in the Se pathway alone or in combination with suboptimal Se status may influence BC risk.

Original languageEnglish
JournalFree Radical Biology and Medicine
Volume209
Pages (from-to)381-393
Number of pages13
ISSN0891-5849
DOIs
Publication statusPublished - 2023

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© 2023 The Authors

    Research areas

  • Breast cancer risk, Gene-nutrient interaction, Glutathione peroxidase 3, Selenium status, Selenoprotein P

ID: 375793005