In previous investigations increased body iron stores and transferrin
(TF) variants have been found to be associated with adverse health eff
ects, including cancer, In this investigation transferrin C (TF C) sub
types were studied in lung cancer patients and controls from the Stock
holm area in central Sweden, There was a significant difference betwee
n patients and controls with respect to the distribution of TF C allel
es and genotypes, which was mainly due to a low frequency of the TFC3
allele among the patients (P = 3x10(-6)), However, in adenocarcinoma
the frequency of TF C3 types was almost identical to that among the co
ntrols, whereas in the smoking-related (squamous and small cell) tumor
types the TF C3 frequency was remarkably low (OR = 0.03, 95% CI = 0.0
0-0.22), Thus individuals with the TF C3 variant appear to enjoy an al
most complete protection against smoking-related lung cancer, The freq
uency of individuals carrying the protective TF C3 variant is similar
to 17% in central Sweden and 25% in Finland, which has the highest TF
C3 frequency found so far, The mechanism behind the observed associati
on, which appears to be independent of iron binding and body iron stor
es, remains to be elucidated.