Apurinic/apyrimidinic (AP) sites are common mutagenic and cytotoxic DNA lesions that arise from the loss of normal bases. APE1, the major AP endonuclease of human cells, plays a central role in the repair of AP sites through both its endonuclease and phosphodiesterase activities. A common APE1 polymorphism, a TfiG transversion (Asp 148 Glu), was previously shown to be associated with risk of lung cancer, an association that was modified by cigarette smoking. To explore the association between APE1 genotype, smoking and bladder cancer risk, we examined data from an existing case-control study of bladder cancer patients (n 5 239) and control individuals (n 5 215) recruited from urology clinics at 2 hospitals in North Carolina. Genotype at the polymorphic site was determined using allele-specific primer extension reactions, followed by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. We found no overall association between APE1 genotype and bladder cancer risk. In stratified analyses, however, a positive association with risk was observed with an increasing number of Glu alleles among never smokers, but not among smokers (p-value for interaction 5 0.005). We can speculate that small allelic differences that are apparent in never smokers are obscured by the large amount of DNA damage found in smokers. Given the lack of established biological mechanisms, and suboptimal numbers of subjects in some exposure categories, our findings should be interpreted cautiously.
Published 2006 Wiley-Liss, Inc.Key words: bladder neoplasms; apurinic endonuclease; polymorphism; smoking; case-control studies Several etiological factors have been associated with the development of bladder cancer, cigarette smoking being among the most important. 1 The precise mechanisms by which smoking causes bladder cancer have yet to be fully clarified. Tobacco smoke is known to contain many potential human carcinogens, including aromatic amines and N-nitrosamines, 1,2 compounds that have been linked to DNA adduct formation 2 and bladder cancer development. 1,3 Cigarette smoke also generates large quantities of free radicals, 4 which are highly reactive species that induce base modifications and strand breaks. 5 Thus, smoking may induce bladder cancer through different types of DNA damage.Apurinic/apyrimidinic (AP) sites are common mutagenic and cytotoxic DNA lesions that arise from the loss of normal bases, either through spontaneous processes, or excision of damaged bases by DNA glycosylases during the DNA repair process. 6,7 AP sites are repaired by a series of reactions involving the multiple repair proteins of the base excision repair (BER) pathway. 6,8 AP Endonuclease 1 (APE1), the major AP endonuclease of human cells, plays a central role in BER by hydrolyzing the phosphodiester backbone immediately 5 0 to the AP site. 9,10 This incision generates a normal 3 0 -hydroxyl group and an abasic deoxyribose-5-phosphate, which is processed by enzymes in the subsequent steps of the BER pathway. 11 APE1 also acts as a 3 0 -p...