Glutathione S-transferase: genetics and role in toxicology
Section snippets
Polymorphism in GST genes
Seven glutathione S-transferases (GST) gene families encoding cytosolic enzymes have been described. Examples of allelic variation have been identified in several of these families (Pemble et al., 1996, Strange and Fryer, 1999, Autrup, 1999).
GST polymorphisms and susceptibility to disease
Associations between GST genotypes and disease phenotype may reflect a link between alleles and cytogenetic damage and specific mutations in target genes. Thus, both GSTM1 and GSTT1 null cells are more susceptible to sister chromatid exchange (SCE) following exposure to various electrophiles. Presumably genotypes, alone or in combination, should identify subjects who are detoxication-deficient and consequently more likely to suffer formation of carcinogen-DNA adducts and/or mutations (Ryberg et
GST genotypes and disease outcome
There is a growing literature showing associations between GST genotype and clinical outcome. Recently, Moisio et al. (1998) described associations between GSTM1 null and GSTT1 null and location of colorectal cancers in individuals with mutation 1 in the MLH1 mismatch repair gene in Finnish kindreds. These findings suggested that GST are among an unknown number of genes (possibly including other detoxicating enzymes) that act as modifying genes that affect phenotype in monogenic colorectal
Gene–gene interactions
Studies showing associations between genotypes and susceptibility/outcome are largely based on the effects of single genes. They consider therefore, main rather than interactive effects of a gene even though the main effect could be undetectable while an interactive (epistatic) effect is large (Fig. 4). Thus, in the mouse, lung cancer susceptibility genes are often involved in one or more pairwise, interlocus interactions (Fijnemann et al., 1998). Studies on GST polymorphisms and susceptibility
Overview on GST polymorphisms and disease
While there is accumulating data indicating that GST genotypes influence disease susceptibility/outcome, the mechanism is unclear. We believe that overall the data obtained indicates they are involved in the metabolism of endogenous molecules possibly the products of oxidative stress. Current considerations include:
- 1.
There is no basis for predicting which cancers will be influenced by GST polymorphisms.
- 2.
The number of genes that mediate a clinical phenotype is not known though may be relatively
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