Background
Reproductive history and genetics are well‐known risk factors of breast cancer (BC). Little is known about how these factors interact to effect BC. This study investigated the association of ten polymorphisms in DNA repair genes with BC susceptibility in the Tanzanian samples and further analyzed the association between reproductive risk factors and disease risk
Methods
A hospital‐based case–control study in 263 histopathological confirmed BC patients and 250 age‐matched cancer‐free controls was carried out. Allelic, genotypic, and haplotype association analyses were executed. Also, multifactor dimensionality reduction (MDR), and interaction dendrogram approaches were performed.
Results
The frequency of genotypic and allelic variants of
XRCC1
‐Arg399Gln (rs25487),
XRCC2
‐Arg188His (rs3218536),
XRCC3
‐Thr241Met (rs861539),
XPG
‐Asp1104His (rs17655), and
MSH2
‐Gly322Asp (rs4987188) were significantly different between the groups (
p
< 0.05). Moreover,
XRCC1
‐Arg399Gln (rs25487),
XRCC3
‐Thr241Met (rs861539), and
XPG
‐Asp1104His (rs17655) were associated with the increased risk of BC in co‐dominant, dominant, recessive, and additive genetic‐inheritance models (
p
< 0.05).
XRCC1
‐Arg/Gln genotype indicated a 3.1‐fold increased risk of BC in pre‐menopausal patients (
p
= 0.001) while
XPG
‐His/His genotype showed a 1.2‐fold increased risk in younger BC patients (<40 years) (
p
= 0.028). Asp/His+His/His genotypes indicated a 1.3‐fold increased risk of BC in PR+ patients and a 1.1‐fold decreased risk of BC in luminal‐A patients (
p
= 0.014,
p
= 0.020, respectively). MDR analysis revealed a positive interaction between BC and the
XPG
‐Asp1104His (rs17655) together with family history of cancer in the first‐degree relatives. Dendrogram analysis indicated that the
XPG
‐Asp1104His (rs17655) and family history of cancer in first‐degree relatives were significantly synergistic and might be associated with an elevated risk of BC in Tanzania.
Conclusions
The
XPG
‐Asp1104His (rs17655) might exert both independent and interactive effects on BC development in the Tanzanian women.