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While linkage studies of hereditary syndromes
have succeeded in identifying rare but high-penetrant gene mutations,
there’s been a recent shift to population or association studies designed to
detect common but low-penetrant gene variants. That started with a flurry of
studies to identify the risks associated with candidate genes, selected
because of their known function and their functional relevance to cancer.
Shown here are some gene variants, including those that affect high-risk
behaviors such as smoking addiction and pathways to obesity. The metabolism
of exogenous or endogenous carcinogens, and molecular mechanisms affecting
cancer risks are the adjacent stromal cells in the micro environment. While
the studies are designed to evaluate both candidate genes and exposure data
in the search for interactions, simply knowing the substrate of the variants
may provide inferences into the environmental or host factors that raise or
lower the risk of cancer. |