Background
ADH1B
rs1229984 and
ALDH2
rs671 are the specifically prevalent functional variants in the East Asians. These variants, which result in a dramatic change in enzyme activity, are highly associated with alcohol‐related disorders and cancer. Previous studies focusing on the additive and synergic effects of the variants are few and inconsistent. The aim of the research was to evaluate the associations of
ADH1B
rs1229984 and
ALDH2
rs671 with the risks of alcohol‐related disorder and cancer.
Methods
This cohort study enrolled 42,665 participants from the Taiwan Precision Medicine Initiative database, including 19,522 and 20,534,
ADH1B
and
ALDH2
carriers, respectively. The associations between the two variants and cancer risk were analyzed by univariable and multivariable logistic regression.
Results
Compared with the noncarriers, the
ADH1B
rs1229984 variant had a stronger effect on alcohol‐related disorders and was related to an increased risk of alcohol‐related cancers. The CC genotype of
ADH1B
rs1229984 was significantly associated with cancer of the larynx, pharynx, and nasal cavities [odds ratio (OR) = 1.56,
p
= 0.0009], cancer of the pancreas (OR = 1.66,
p
= 0.018), and cancer of the esophagus (OR = 4.10,
p
< 0.001). Participants who carried the rs1229984 TC/CC and rs671 GG genotypes were at higher risk of esophageal cancer (OR = 3.02,
p
< 0.001). The risk of esophageal cancer was increased by 381% (OR = 4.81,
p
< 0.001) in those carrying the rs1229984 TC/CC and rs671 GA/AA genotypes.
Conclusion
rs1229984 and rs671 are common and functionally important genetic variants in the Taiwanese population. Our findings provide strong evidence of additive and synergic risks of
ADH1B
and
ALDH2
variants for alcohol‐related disorders and cancer. The results suggested that are reduction in alcohol consumption should be advised as a preventive measure for high‐risk patients carrying
ADH1B
rs1229984 C or the
ALDH2
rs671 A allele.