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HuGENet Review

CYP3A4 Polymorphisms—Potential Risk Factors for Breast and Prostate Cancer: A HuGE Review
Channa Keshava1, Erin C. McCanlies2 and Ainsley Weston1

line

Tables

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TABLE 1: DNA sequence variants of CYP3A4 found in the enhancer region, promoter region, and 3'UTR*

Cytochrome P-450 nomenclature

Distance from the ATG signal†

Position in GenBank sequence AF280107

Change and sequence context

CYP3A4*1A

1

62037

aaagtagtg Atggctctcat

CYP3A4*1u

7904§

54133

ttgattatC/Aaaagaaact

CYP3A4*1v

7601

54436

ttaaaaaaaA/-tgttactag

CYP3A4*1B

392

61645

agggcaA/Ggagagag

CYP3A4*1C

444

61593

ggcttgtT/Ggggatgaa

CYP3A4*1D

62

61975

gcccagC/Aaaagagca

CYP3A4*1x

66

61971

gcacatagcC/Gcagcaaaga

CYP3A4*1M

156

61881

gctgcagctC/Acagccctgc

CYP3A4*1E

369

61668

aatagattT/Atatgccaa

CYP3A4*1w

666

61371

gaaacaggcG/Atggaaacac

CYP3A4*1K

655

61382

tggaaacacaA/Gtggtggtaa

CYP3A4*1L

630

61407

aagaggacaaA/Gtaggattgc

CYP3A4*1F

747

61290

acagcacC/Gctggtagg

CYP3A4*15B

844ˆ845#

61191ˆ2

aagATGGAGTGAtca

NFSE*

246ˆ247

61789ˆ90

agtgagtgGTgtgtgtgtg

 

219

61818

ccaacttccA/Caggtgga

 

120

61917

aaacaatccA/Gacagcct

 

34

62003

aaaggaagA/Tctcagagg

3'UTR

25958

87994

taaggacttcT/Ggctttgct

CYP3A4*1aa

26011

88049

aaattacttT/Ggtgaataga

CYP3A4*1T

26011

88049

aaattacttT/Cgtgaataga

 

26082**

88120

ttctgtacaT/Ggcattgagc

 

26082††

88120

ttctgtacaT/Cgcattgagc

CYP3A4*1H

26204

88242

tccaccaccC/Accagttagc

 

26269

88305

tcaataatttC/Tctccacaa

26418

88454

ctttcctgcaC/Tattaagga

* UTR, untranslated region; NFSE, nifedipine-specific responsive element.
† In GenBank sequence AF280107, the A in this signal is located at nucleotide number 62037.
‡ This haplotype occurs together with the G/A single nucleotide polymorphism at 82266 (refer to the footnotes to tables 2 and 3).
§ These numbers are expressed as negative in the text because these positions precede the start signal.
¶ A variant of CYP3A4*15A.
# The chevron indicates a nucleotide insertion.
** Data from Dai et al. (35).
†† Data from Lamba et al. (30).

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TABLE 2: DNA sequence variants of CYP3A4 found in the coding region

Cytochrome P-450 nomenclature*

Distance from the ATG signal†

Position in GenBank sequence AF280107

Change and sequence context

Amino acid change

Exon

CYP3A4*14

44

62080

gcttctccT/Cggctgt

L15P

1

CYP3A4*7

6004

68040

tcccaggG/Acttttgt

G56D

3

CYP3A4*4

13871

75907

aagtgccA/Gtctctat

I118V

5

CYP3A4*8

13908

75944

agattacG/Aatcattg

R130Q

5

CYP3A4*15A

14269

76305

tctgaggcG/Aggaag

R162Q

6

CYP3A4*9

14292

76328

gcaagcctG/Atcacct

V170I

6

CYP3A4*10

14304

76340

ccttgaaaG/Cagtaag

D174H

6/7

CYP3A4*16

15603

77639

tgtgatcaC/Gtagcac

T185S

7

CYP3A4*17

15615

77651

cacatcatT/Ctggagt

F189S

7

CYP3A4*5

15702

77738

ttttggatcC/Gattcttt

P218R

7

CYP3A4*2

15713

77749

attctttctcT/Ccaataa

S222P

7

CYP3A4*6

17662ˆ3 §

79698ˆ9

gatgattgacˆAtctcag

277ˆS278I (285 Stop)¶

9

CYP3A4*18

20070

82106

ctgtccgatcT/Cggag

L293P

10

CYP3A4*11

21867

83903

gaatgaaaC/Tgctcaga

T363M

11

CYP3A4*12

21896

83932

gctatgagaC/Tttgaga

L373F

11

CYP3A4*13

22026

84062

agttcctccC/Ttgaaagg

P416L

11

CYP3A4*3

23172

85208

gcattggcaT/Cgaggttt

M445T

12

CYP3A4*19#

23237

85273

tccttcaaaC/Tcttgtaa

P467S

12

Trivial**

 

 

 

 

 

CYP3A4 682C/T

15628

77664

gagtgaacatC/Tgactct

I193I††

7

 

20083

82119

ctcgtggcC/Tcaatcgaa

A297A

10

 

21817

83853

ccacccacC/Atatgata

T346T

11

M15

21868

83904

tgaatgaaacG/Actcaga

T363T

11

M18

25925

87961

gggatggcacC/Tgtaagt

T499T

13

* Refer to the Human Cytochrome P450 (CYP) Allele Nomenclature Committee website
(http//www.imm.ki.se/cypalleles).This reference links to a non-governmental website
† Relative to A at nucleotide 62037 in GenBank sequence AF280107.
‡ Haplotypes CYP3A4*11b, *11c, *16B, and *18B have been described recently (24).
§ The chevron indicates a nucleotide insertion.
¶ The A insertion causes a frame shift, and a stop codon results 7–8 codons downstream.
# Refer also to table 3, footnote.§
** Names given in original publications.
†† Silent changes.

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TABLE 3: DNA sequence variants of CYP3A4 found in introns

Designation*

Distance from the ATG signal†

Position in GenBank sequence AF280107

Change and sequence context

Intron

CYP3A4*1y

3856

65993

tatctataaA/-gtcacaatc

1

T5922C‡

5917

67953

tctgatttcaT/Ctggcttcg

2

CYP3A4*1J

6076

68113

gaaacttccA/Gttggataga

3

T6165A

6159

68195

gggatgaagctcT/Atgtca

3

SNP4

13804

75840

ccacaactgA/Ttgtaggaca

4

G13875A

13757

75793

tgaataagtG/Attcctgttta

4

G13947C

13829

75865

tgtttctgctttG/Caactctag

4

SNP5

14200

76236

tatgggtggtgT/Gtgtgtttt

5

M10

14323

76359

aagcgcagcC/Tatggggtt

6

M11

14329

76365

gccatgggG/ttctgagctgtc

6

T14475G

14357

76393

cccctccagcT/Ggcctgcca

6

CYP3A4*1z

15552

77589

taattttccA/Ccatctttct

6

CYP3A4*1P

15726

77763

aagtatgtgG/Aactactatt

7

T15871G

15753

77789

ttttatttatcttT/Gctctcttaaa

7

T15901C

15783

77819

tttattgagaT/Cataaatcacca

7

SNP10

15804

77840

tgtaattcaT/Gccacttaaaa

7

CYP3A4*1Q

15808

77845

ttcatccacT/Ctaaaatata

7

T15955A

15837

77873

gtgatttgtagT/Aacatttgaag

7

CYP3A4*1R

16774

78811

acattcacaA/Gtgaatttct

7

C17141T

17024

79060

gtgcagttacC/Ttgtatgttttta

8

CYP3A4*11b

17717

79754

tttctgaggG/Actacttgtg

9

SNP14

17815/6

79851/2

agaacgacacAT/-gtttgaat

9

G20338A§

20230

82266

tgagtggatgG/Atacatggag

10

SNP16

20265

82301

GaaaccttagC/Taaaaatgcc

10

G20417C

20309

82345

tttttataaaaaG/Ccataatcact

10

A21891C

21785

83821

caatttatccaA/Catctgtttcgt

10

SNP18

21795

83831

caaatctgtttcG/Attctttccagg

10

M16

22041

84077

aggtacaaggC/Tccctgggaa

11

SNP21

23024

85060

aagtaagaaA/Gccctaacatg

11

C23187T

23081

85117

aaaaatctaccaaC/Tgtggaac

11

* Trivial names given in original publications, unless italicized.
† Relative to A at nucleotide 62037 in GenBank sequence AF280107.
‡ The four- and five-digit designations are reportedly from GenBank sequence AF209389 (Lamba et al. (30)).
§ This polymorphism occurs with P467S (table 2), and the haplotype is designated CYP3A4*19. When this polymorphism occurs absent P457S, it is designated CYP3A4*1G (24).

 

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TABLE 4: Reported frequencies of CYP3A4*1B

Population (no.)

Genotype

F*
(95% CI†)

Hardy-Weinberg equilibrium chi 2

p value

Study author(s) and year (reference no.)

AA

AG

GG

Caucasians (94)

79

12

3

0.096 (0.054, 0.138)

6.49

0.011

Rebbeck et al., 1998 (26)

Prostate cancer (230)

188

42‡

 

 

 

 

 

African Americans (70)

15

36

9

0.530 (0.447, 0.613)

0.714

0.789

Walker et al., 1998 (36)

Caucasians (132)

114

13

5

0.087 (0.053, 0.121)

19.15

10 –5

 

Chinese (130)

130

0

0

0.000

 

 

 

Caucasians§ (39)

36

3

0

0.038 (0, 0.081)

0.062

0.803

Westlind et al., 1999 (27)

Japanese (128)

128

0

0

0.000

 

 

Ando et al., 1999 (37)

Caucasians (273)

526/20¶

 

 

0.036 (0.020, 0.052)

 

 

Ball et al., 1999 (38)

Hispanics (188)

341/35¶

 

 

0.093 (0.064, 0.122)

 

 

 

African Americans (186)

169/203¶

 

 

0.546 (0.495, 0.597)

 

 

 

African Americans (90)

59/121¶

 

 

0.672 (0.603, 0.741)

 

 

 

Chinese (78)

78

0

0

0.000

 

 

 

Japanese (77)

77

0

0

0.000

 

 

 

Asians (80)

80

0

0

0.000

 

 

Paris et al., 1999 (39)

Caucasians (117)

109

7

1

0.038 (0.013, 0.063)

4.273

0.039

 

Hispanics (121)

97

22

2

0.107 (0.068, 0.146)

0.327

0.567

 

African Americans (116)

22

62

32

0.543 (0.479, 0.607)

0.687

0.407

 

African Americans/prostate cancer (174)

30

64

80

0.644 (0.594, 0.694)

6.832

0.009

 

Caucasians (101)

90

11

0

0.054 (0.023, 0.085)

0.335

0.563

Tayeb et al., 2000 (43)

Saudis (101)

84

16

1

0.089 (0.050, 0.128)

0.059

0.808

 

Ghanians (100)

13

36

51

0.690 (0.626, 0.754)

2.512

0.113

 

African Americans (75)

6

38

31

0.667 (0.592, 0.742)

1.470

0.225

Sata et al., 2000 (28)

Caucasians (59)

54

5

0

0.042 (0.006, 0.078)

0.120

0.734

 

Chinese (59)

59

0

0

0.000

 

 

 

African Americans (15)

1

4

10

0.800 (0.657, 0.943)

0.416

0.519

Wandel et al., 2000 (44)

Caucasians (56)

45

11

0

0.196 (0.141, 0.251)

0.664

0.451

Tayeb et al., 2002 (82)

Caucasians/prostate cancer (28)

11

17

0

0.304 (0.184, 0.424)

4.797

0.021

 

Caucasians (101)

90

9

2

0.064 (0.030, 0.098)

6.830

0.009

Garcia-Martin 2002 (40)

Caucasians (53)

 99/7¶

 

 

0.065 (0.018, 0.112)

 

 

Lamba et al., 2002 (30)

African Americans (21)

22/20¶

 

 

0.480 (0.329, 0.631)

 

 

 

Caucasians (340)

300

26

14

0.079 (0.061, 0.102)

77.355

<10 –6

Zeigler-Johnson et al., 2002 (45)

African Americans (130)

27

52

51

0.592 (0.532, 0.650)

3.836

0.050

 

Ghanians# (118)

7

32

79

0.810 (0.750, 0.851)

2.180

0.140

 

Senegalese# (173)

14

47

112

0.780 (0.737, 0.823)

6.913

0.009

 

Caucasians ( Australia)

 

 

 

 

 

 

Spurdle et al., 2002 (80)

Controls (breast cancer)

468

31

1

0.033 (0.022, 0.044)

 0.408

0.523

 

Breast cancer

899

52

0

0.027 (0.020, 0.035)

 0.751

0.386

 

Controls (ovarian cancer)

260

15

1

0.031 (0.016, 0.045)

 2.217

0.136

 

Ovarian cancer

449

38

1

0.041 (0.029, 0.053)

 0.043

0.835

 

Caucasians

 

 

 

 

 

 

Tayeb et al., 2003 (83)

Benign prostatic hyperplasia (379)

344

35

0

0.046 (0.031, 0.061)

0.888

0.346

 

Benign prostatic hyperplasia/prostate cancer (21)

16

4

1

0.143 (0.034, 0.251)

1.037

0.309

 

Caucasians**

 

 

 

 

 

 

Plummer et al., 2003 (25)

Prostate cancer (390)

362

24

4

0.041 (0.027, 0.055)

0.082

0.774

 

Controls (426)

391

34

1

0.042 (0.028, 0.056)

18.519

<10 –4

 

African Americans**

 

 

 

 

 

 

Plummer et al., 2003 (25)

Prostate cancer (38)

11

13

14

0.539 (0.427, 0.652)

0.707

0.401

 

Controls (38)

8

16

14

0.579 (0.468, 0.690)

3.687

0.055

 

Japanese

 

 

 

 

 

 

Fukushima et al., 2004 (24)

Hospital patients (416)

416

0

0

0.000

* F, variant allele frequency.
† CI, confidence interval.
‡ Heterozygote and variant homozygotes were collapsed to compare prostate cancer cases with controls.
§ No specific details of race/ethnicity were given; samples were collected at surgery or autopsy at a hospital in Gothenburg, Sweden.
¶ Numbers in these lines are alleles (A/G); it was impossible to deduce full genotypes. Consequently, Hardy-Weinberg equilibrium was also unavailable.
# In the original publication (45), Africans from modern-day Africa were further divided into tribal groups.
** Sibling-pair case-control design (the Caucasian control group may contain related persons).

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 Provides link to non-governmental sites and does not necessarily represent the views of the Centers  for Disease Control and Prevention.

 

Page last reviewed: May 21, 2004 (archived document)
Page last updated: November 2, 2007
Content Source: CDC's Office of Public Health Genomics