Ea. Stephens et al., ETHNIC VARIATION IN THE CYP2E1 GENE - POLYMORPHISM ANALYSIS OF 695 AFRICAN-AMERICANS, EUROPEAN-AMERICANS AND TAIWANESE, Pharmacogenetics, 4(4), 1994, pp. 185-192
Human cytochrome P4502E1 (CYP2E1) is inducible by ethanol and is invol
ved in metabolism of many known carcinogens including N-nitrosodimethy
lamine, butadiene, benzene, and carbon tetrachloride. A 50-fold variab
ility in CYP2E1 enzyme activity in humans has been observed but it is
unknown whether the basis for this variation is genetic or environment
al. Recently, two restriction fragment length polymorphisms (RFLPs) wi
thin the CYP2E1 gene have been suggested as genetic markers of risk fo
r cancer. The first was a Rsa I polymorphism in the 5' regulatory regi
on that appeared to alter transcriptional activation of the gene and t
he second was a Dra I polymorphism located similar to 7000 bp downstre
am in an intron. Rare alleles at each of these loci have been associat
ed with a reduced risk for lung cancer in Japanese and Swedish populat
ions. We have used a polymerase chain reaction-restriction fragment le
ngth polymorphism (PCR-RFLP) method to determine the genotype frequenc
y for each of these CYP2E1 RFLPs in 695 individuals of Taiwanese, Afri
can-American or European-American background. Genotype and allele freq
uencies for Taiwanese were significantly different from those of Afric
an-Americans and European-Americans at either Rsa I or Dra I sites (p
< 0.0001). Allele frequencies for African-Americans and European-Ameri
cans were significantly different at the Rsa I site (P = 0.03). The ra
re alleles (c2 and C) occurred at frequencies of 0.28 and 0.24 in Taiw
anese, 0.01 and 0.08 in African-Americans, and 0.04 and 0.11 in Europe
an-Americans. In addition, we describe three haplotypes common to all
three population samples and a fourth haplotype that was only detected
in the Taiwanese population sample. This fourth haplotype may have be
en caused by a recombination event between these markers. If cancer su
sceptibility is modulated by the CYP2E1 DNA sequence variants we have
described, then the presence of ethnic allele frequency differences su
ggests the possibility of differential susceptibility to environmental
ly caused cancer.