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OBTECTIVE TO investigate the COrrelation betweenpolymorphism of the 5-untranslated region(5-UTR)ofthymidylate synthase genes,as well as the lifestyle,and thesusceptibility of gastric carcinoma.METHoDS A case-control study,with 60 cases of gastriccarcinoma and 170 cases of general risk population-based controlsfrom Nantong,Jiangsu province,China,was conducted.Theepidemiological data,such as living habits of the cancer patients,were collected.DNA of peripheral blood leukocytes was obtainedfrom all of the subjects.The TS 5-UTR tandem repeat genotypewas detected using polymerase chain reaction(PCR).RESULTS There were three TS 5-UTR genotypes in the groupof gastric cancer cases(2R/2R,2R/3R and 3R/3R)and six TS5-UTR genotypes in the group of the controls(2R/2R,2R/3R,3R/3R,2R/4R,2R/5R and 3R/4R).The genotypic frequencies wererespectively 5.0%,43.3%and 51.7%in the gastric cancer group.Compared with the parameters in the control group,i,e., 4.7%,31.7%,60.6%,1.2%,1.2%and 0.6%.There were no significantdifferences between the two groups.Compared with the 3R/3R-genotvpe individuals who Where non.smokers,drank alcoholtwice or less each week,drank tea and did not intake pickled food(PF),the risk of gastric cancer significantly went up in the 2R/2Ror 2R/3R-genotype people who had habits of smoking,drinkingalcohol more than twice each week,no tea drinking but withfrequent intake of PF.The adjusted ORs were as follows,3.79 (95%CI:2.45-8.64),3.41(95%CI:1.21-8.47),5.99(95%CI:3.01-14_7),and 3.61(95%CI:1.81-8.78).CoNCLUSIoN There iS an obvious correlation between thepolymorphisms of TS 5-UTR genotypes and the lifestyle ofindividuals in the development of gastric carcinoma.smoking,alcohol drinking,tea drinking,pickled food.Hospital and Springer