The ATM Rs189037 G > A Polymorphism is Associated with the Risk and Prognosis of Gastric Cancer in Chinese Individuals: A Case-Control Study

The ataxia telangiectasia mutated (ATM) gene is involved in repairing DNA lesions and maintaining genome stability, which is related to cancer invasion and metastasis. This gene influences the risk of cancers. Many studies have demonstrated that the ATM rs189037 G > A polymorphism is linked with the risks of different types of cancer. However, no study has probed the relationship between the ATM rs189037 G > A polymorphism and gastric cancer (GC) risk. Therefore, the aims of this study were to investigate the association of the ATM rs189037 G > A polymorphism with the risk and prognosis of GC in a case-control investigation of 345 GC patients and 467 controls in China. The rs189037 G > A polymorphism was genotyped using polymerase chain reaction-restriction fragment length polymorphism. This polymorphism was related to a significantly higher risk of GC [AA vs. GG: OR (95% CI): 1.80 (1.20-2.70), P = 0.04; GG vs. AA + GA: 1.46 (1.08-1.98); A vs. G: 1.34 (1.10-1.64), P = 0.004]. Subgroup analyses showed significant associations with female gender, smoking, alcohol consumption, age >= 60 years, and positive Helicobacter pylori status. This polymorphism was also correlated with TNM stage III + IV and tumor size > 4 cm. GC patients carrying the AA genotype of the rs189037 polymorphism also had lower overall survival. In conclusion, the ATM rs189037 G > A polymorphism was related to increased susceptibility to and poorer prognosis in GC in this Chinese population.