The adenosine
triphosphate-binding cassette (ABC) transporter superfamily consists of
membrane proteins which translocate various substrates across membranes.
Because ABCC11, a member ABC transporter, is highly expressed in breast cancer
tissue, it may be involved in the efflux of conjugated estrogen metabolites.
rs17822931, a functional single nucleotide polymorphism (SNP) in ABCC11,
may play a role in the carcinogenesis of breast cancer via estrogen. Here, we
aimed to evaluate the association between ABCC11 rs17822931
and breast cancer risk in a Japanese population. We conducted a case–control
study in 697 patients with breast cancer and 1394 age- and menopausal
status-matched controls within the framework of the Hospital-based
Epidemiological Research Program at Aichi Cancer Center II (HERPACC II). The
association was evaluated with odds ratios (ORs) and 95% confidence intervals
(CIs) calculated using a conditional logistic model adjusted for potential
confounders. In the per allele model, compared with the A allele, the G allele
was inversely associated with breast cancer: OR, 0.77, 95% CI, 0.62–0.95
and P = 0.013. The stratified analyses showed that this
polymorphism had a high impact on estrogen receptor (ER)-positive breast cancer
risk and conditions assumed to correlate with high exposure to estrogen, namely
no lactation and low soy intake. Our data showed that a significant association
between rs17822931 and the risk of breast cancer, especially ER-positive breast
cancer, in Japanese women. Compared to women with low estrogen efflux activity
with the A allele, those with high efflux activity with the G allele may have a
lower risk of breast cancer, particularly women with high estrogen exposure.
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