The most common types of esophageal cancer are glandular cancer and squamous cell cancer.. Glandular cancer is the main type of esophageal cancer found in Western countries. In contrast, esophageal squamous cell cancer (ESCC) constitutes more than 90% of cases in Japan. The research group led by Masaki Mori, a professor at Graduate School of Medicine, Osaka University, Genta Sawada, a physician at Sakai City Medical Center, Koshi Mimori, a professor at Kyushu University Beppu Hospital, Satoru Miyano, a professor at Human Genome Center, Institute of Medical Science, The University of Tokyo has now identified 15 genes that are thought to be especially associated with ESCC of Japanese. These results are based on a detailed survey of the lifestyle habits of 144 Japanese ESCC patients and the so far largest genomic analysis using a supercomputer. This analysis also enabled the researchers to identify the patterns of genetic anomaly that are characteristic of esophageal cancer suffered by people with genetically linked low levels of alcohol-metabolizing enzyme activities.
The detailed analysis of both Japanese patients’ genes as well as lifestyle habits provided evidence that esophageal cancer is influenced by both environmental (alcohol consumption, smoking) and genetic factors (levels of alcohol-metabolizing enzyme production). The researchers furthermore were able to distinguish between three groups of ESCC: The first group is found with patients who carry a higher esophageal cancer risk due to drinking and smoking, the second group with patients carrying higher risks due to drinking alone and the third group with patients whose cancer risk is not associated with drinking or smoking.
The important finding of genetic anomalies in Japanese ESCC patients will open up new pathways in developing medical treatments targeted at these genetic anomalies. This has the potential to make cancer treatment more efficient and tailored to the individual patient compared to conventional cancer drugs that sometimes cause severe side effects by blindly attacking cells.