Table 4

Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for the association between nutritional factors of one-carbon metabolism and non-Hodgkin lymphoma, stratified by selected genetic polymorphisms, the NCI-SEER Study, 1998-2000

Nutritional factor, genotypeDietary intake levels of nutrients
P interaction
Low, less than median
High, median or higher
No. of cases/controls*No. of cases/controls*OR (95% CI)
Vitamin B6 
    Combined genotypes 237/162 149/157 0.70 (0.51-0.95) N/A 
    FPGS Ex15-263T>C     
        TT 69/59 57/49 1.03 (0.61-1.74)  
        CT 104/81 67/79 0.71 (0.46-1.12)  
        CC 59/17 20/27 0.22 (0.10-0.52) .002 
    MTHFS IVS2-1411T>G     
        TT/TG 149/89 85/99 0.54 (0.36-0.81)  
        GG 18/26 14/16 1.68 (0.61-4.65) .06 
    MTR Ex26-20A>G     
        AA 117/78 69/91 0.55 (0.35-0.86)  
        AG/GG 50/44 36/28 1.20 (0.62-2.33) .05 
Methionine     
    Combined genotypes 225/164 161/155 0.82 (0.60-1.11) N/A 
    FTHFD Ex10-40G>T     
        GG 179/112 105/112 0.63 (0.44-0.91)  
        GT/TT 43/44 51/42 1.34 (0.74-2.46) .04 
    MTHFR Ex8-62A>C (1298A>C)     
        AA 104/77 79/58 1.04 (0.66-1.63)  
        AC 92/72 73/69 0.93 (0.58-1.49)  
        CC 27/11 8/27 0.13 (0.04-0.39) .007 
    MTRR Ex5+136T>C 
        TT 165/108 113/122 0.67 (0.47-0.97)  
        CT/CC 57/48 45/30 1.28 (0.69-2.35) .05 
Nutritional factor, genotypeDietary intake levels of nutrients
P interaction
Low, less than median
High, median or higher
No. of cases/controls*No. of cases/controls*OR (95% CI)
Vitamin B6 
    Combined genotypes 237/162 149/157 0.70 (0.51-0.95) N/A 
    FPGS Ex15-263T>C     
        TT 69/59 57/49 1.03 (0.61-1.74)  
        CT 104/81 67/79 0.71 (0.46-1.12)  
        CC 59/17 20/27 0.22 (0.10-0.52) .002 
    MTHFS IVS2-1411T>G     
        TT/TG 149/89 85/99 0.54 (0.36-0.81)  
        GG 18/26 14/16 1.68 (0.61-4.65) .06 
    MTR Ex26-20A>G     
        AA 117/78 69/91 0.55 (0.35-0.86)  
        AG/GG 50/44 36/28 1.20 (0.62-2.33) .05 
Methionine     
    Combined genotypes 225/164 161/155 0.82 (0.60-1.11) N/A 
    FTHFD Ex10-40G>T     
        GG 179/112 105/112 0.63 (0.44-0.91)  
        GT/TT 43/44 51/42 1.34 (0.74-2.46) .04 
    MTHFR Ex8-62A>C (1298A>C)     
        AA 104/77 79/58 1.04 (0.66-1.63)  
        AC 92/72 73/69 0.93 (0.58-1.49)  
        CC 27/11 8/27 0.13 (0.04-0.39) .007 
    MTRR Ex5+136T>C 
        TT 165/108 113/122 0.67 (0.47-0.97)  
        CT/CC 57/48 45/30 1.28 (0.69-2.35) .05 

Unconditional logistic regression model adjusted for age at study entry (continuous), sex, race (white, non-African American others), and mutually for dietary intake of methionine and vitamin B6. Median dietary intake is defined as 0.97 mg/1000 kcal for vitamin B6 and 0.97 g/1000 kcal for methionine.

For low dietary intakes of both vitamin B6 and methionine, all ORs were 1.0 (reference).

*

Counts of cases and controls vary across polymorphisms due to (1) two-step genotyping strategy (genotyping was not completed for certain polymorphisms [Table 1] in participants who provided only buccal cell samples [∼25%] if genotype information from blood-based DNA samples did not yield significant or suggestive associations with overall NHL) and (2) error in genotyping or insufficient DNA (2%-4% in general).

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