Glutathione S-Transferase T1 and M1 Polymorphisms and Risk of Uterine Cervical Lesions in Women from Central Serbia


The aim of this study was to investigate the frequencies of GSTT1 and GSTM1 deletion polymorphismsin newly-diagnosed patients with uterine cervical lesions from central Serbia. Polymorphisms of GST geneswere genotyped in 97 patients with cervical lesions and 50 healthy women using a multiplex polymerase chainreaction (PCR). The GSTM1 null genotype was significantly more prominent among the patients than in controls(74.2% vs 56.0%), the risk associated with lesions being almost 2.3-fold increased (OR=2.26, 95%CI=1.10-4.65,p=0.03) and 3.17-fold higher in patients above >45 years old (95%CI=1.02-9.79, p=0.04). The analysis of the twogenotypes demonstrated that GSTM1 null genotype significantly increased risk only for low grade squamousintraepithelial lesion-LSIL (OR=2.81, 95%CI=1.03-7.68, p=0.04). GSTT1 null genotype or different genotypecombinations were not found to be risk factors, irrespective to lesion stages, age or smoking. We found that therisk of cervical lesions might be significantly related to the GSTM1 null genotype, especially in women agedabove 45 years. Furthermore, the GSTM1 polymorphism might have greater role in development of early stagelesions.