山东大学学报 (医学版) ›› 2018, Vol. 56 ›› Issue (2): 28-33.doi: 10.6040/j.issn.1671-7554.0.2017.778
• • 上一篇
赵庆庆1,尹格平2
ZHAO Qingqing1, YIN Geping2
摘要: 目的 探讨肿瘤坏死因子-α(TNF-α)启动子基因5个单核苷酸多态性(SNP)位点(rs361525、rs1800629、rs1800750、rs1799964、rs673)的基因型、等位基因频率与山东省汉族妇女宫颈癌发病易感性的相关性。 方法 采用TaqMan探针法对选取的TNF-α 启动子5个SNP位点进行基因分型,分析比较宫颈癌组452例(其中原位癌组104例和浸润癌组348例)和对照组494例的基因类型与基因频率,并对两组进行流行病学调查与人乳头瘤病毒(HPV)亚型分析。 结果 与对照组比较,宫颈癌组 rs361525(CT)、rs1800629(AG)和rs17999645(AG)基因型增加宫颈癌遗传风险倍数分别为3.040(95%CI:1.761~5.248, P=0.001)、2.580(95%CI:1.867~3.564, P=0.001)、3.162(95%CI:2.332~4.187, P=0.001)。rs1800750、rs673基因型频率在宫颈癌组及对照组之间差异无统计学意义(P=0.929,0.670)。5个SNP位点基因分型频率在浸润癌组与原位癌组间差异无统计学意义(P=0.124,0.455,0.437,0.809,0.868)。宫颈癌组HPV感染率(91.4%)高于对照组(10.3%)(P=0.001),浸润癌组(95.4%)HPV感染率高于原位癌组(77.9%)(P=0.001)。 结论 TNF-α 启动子 rs361525、rs1800629、rs17999645单核苷酸基因多态性可能是山东省汉族妇女宫颈癌的遗传危险因素,rs1800750、rs673位点与山东省汉族妇女宫颈癌发生无明显相关性。
中图分类号:
[1] 李晨, 程玉峰, 李爱禄. 妇科门诊女性人乳头瘤病毒感染型别分布特征及临床分析[J]. 山东大学学报(医学版), 2015, 53(11): 73-76. LI Chen, CHENG Yufeng, LI Ailu. Clinical analysis and type distribution of human papilloma virus among gynecologic outpatients[J]. Journal of Shandong University(Health Sciences), 2015, 53(11): 73-76. [2] Tan SC, Ankathil R. Genetic susceptibility to cervical cancer: role of common polymorphisms in apoptosis-related genes[J]. Tumour Biol, 2015, 36(9): 6633-6644. [3] Xu Y, Cao X, Jiang J, et al. TNF-α-308/-238 polymorphisms are associated with gastric cancer: A case-control family study in China[J]. Clin Res Hepatol Gastroenterol, 2017, 41(1): 103-109. [4] Jones DZ, Ragin C, Kidd NC, et al. The impact of genetic variants in inflammatory-related genes on prostate cancer risk among men of African Descent: a case control study[J]. Hered Cancer Clin Pract, 2013, 11(1): 19. doi: 10.1186/1897-4287-11-19. [5] Tsai JF, Chen SC, Lin ZY, et al. Independent and additive interaction between polymorphisms of tumor necrosis factor α-308 and lymphotoxin α+252 on risk of hepatocellular carcinoma related to hepatitis B[J]. Kaohsiung J Med Sci, 2017, 33(9): 453-457. [6] Mitjans M, Arias B. The genetics of depression: what information can new methodologic approaches provide?[J]. Actas Esp Psiquiatr, 2012, 40(2): 70-83. [7] 熊兴东, 成捷, 刘新光, 等. miR-124rs531564基因多态性与宫颈癌遗传易感有密切关系[J]. 南方医科大学学报, 2014, 34(2): 210-213. XIONG Xingdong, CHENG Jie, LIU Xinguang, et al. Correlation analysis between miR-124rs531564 polymorphisms and susceptibility to cervical cancer[J]. Journal of Southern Medical University, 2014, 34(2): 210-213. [8] 周晖, 卢淮武, 彭永排, 等. 《2015年NCCN宫颈癌临床实践指南》解读[J]. 中国实用妇科与产科杂志, 2015, 31(3): 185-191. ZHOU Hui, LU Huaiwu, PENG Yongpai, et al. Interpretation of “2015 Clinical Guide to NCCN Cervical Cancer”[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2015, 31(3): 185-191. [9] 程静新, 姚立丽,李贺月, 等. 5766例宫颈癌临床特征分析[J]. 实用妇产科杂志, 2014, 30(10): 768-772. CHENG Jingxin, YAO Lili, LI Heyue, et al. Clinical features of 5766 cases of cervical cancer[J]. Journal of Practical Obstetrics and Gynecology, 2014, 30(10): 768-772. [10] Torre LA, Bray F, Siegel RL, et al. Global cancer statistics, 2012[J]. CA Cancer J Clin, 2015, 65(2): 87-108. [11] 朱蕾芳, 郭俭, 吕蓓, 等. HPV感染基因型在宫颈正常组织、宫颈鳞状细胞癌和腺癌组织中的分布情况分析[J]. 中国性科学, 2017, 26(4): 58-61. ZHU Leifang, GUO Jian, LÜ Bei, et al. Analysis of the distribution of HPV genotypes in cervical normal tissues, cervical squamous cell carcinoma and adenocarcinoma tissues[J]. The Chinese Journal of Human Sexuality, 2017, 26(4): 58-61. [12] 魏丽惠. HPV感染现状及在宫颈癌和癌前病变筛查中的意义[J]. 实用妇产科杂志, 2017, 33(2): 81-83. WEI Lihui. The status of HPV infection and its significance in the screening of cervical cancer and precancerous lesions[J]. Journal of Practical Obstetrics and Gynecology, 2017, 33(2): 81-83. [13] 金丽兰, 蔡刚, 林琳, 等. Taqman-MGB法检测CYP3A5基因rs776746位点单核苷酸多态性及该位点对他克莫司代谢的影响[J]. 检验医学, 2015, 30(8): 830-834. JIN Lilan, CAI Gang, LIN Lin, et al. Single nucleotide polymorphism of rs776746 in CYP3A5 gene by Taqman-MGB assay and the effect of the site on tacrolimus metabolism[J]. Laboratory Medicine, 2015, 30(8): 830-834. [14] 姜文灿, 岳素文, 江洪, 等. TaqMan探针法实时荧光定量PCR的应用和研究进展[J/CD]. 临床检验杂志, 2015, 4(1): 797-805. JIANG Wencan, YUE Suwen, JIANG Hong, et al. Application and research progress of TaqMan probe real-time fluorescent quantitative[J/CD]. Clinical Laboratory Journal, 2015, 4(1): 797-805. [15] Shen C, Sun H, Sun D, et al. Polymorphisms of tumor necrosis factor-alpha and breast cancer risk: a meta-analysis[J]. Breast Cancer Res Treat, 2011, 126(3): 763-770. [16] Du LC, Gao R. Role of TNF-α 308G/A polymorphism in gastric cancer risk: a case report and meta-analysis[J]. Turk J Gastoenterol, 2017, 28(4): 272-282. [17] Yang Y, Luo C, Feng R, et al. The TNF-alpha, IL-1B and IL-10 polymorphisms and risk for hepatocellular carcinoma: a meta-analysis[J]. J Cancer Res Clin Oncol, 2011, 137(6): 947-952. [18] Cai J, Yang MY, Hou N, et al. Association of tumor necrosis factor-α 308G/A polymorphism with urogenital cancer risk: a systematic review and meta-analysis[J]. Genet Mol Res, 2015, 14(4): 16102-16112. [19] Li Z, Li SA, Sun Y, et al. TNF-α -308 A allele is associated with an increased risk of distant metastasis in rectal cancer patients from Southwestern China[J]. PLoS One, 2017, 12(6): e0178218. doi: 10.1371/journal.pone.0178218. eCollection 2017 [20] Luo M, Yang Y, Luo D, et al. Tumor necrosis factor-alpha promoter polymorphism 308 G/A is not significantly associated with esophageal cancer risk: a meta-analysis[J]. Oncotarget, 2016, 7(48): 79901-79913. [21] Tavares MC, De Lima Júnior SF, Coelho AV. Tumor necrosis factor(TNF)alpha and interleukin(IL)18 genes polymorphisms are correlated with susceptibility to HPV infection in patients with and without cervical intraepithelial lesion[J]. Ann Hum Biol, 2016, 43(3): 261-268. [22] Rotar IC, Muresan D, Radu P, et al. TNF-α 308 G/A polymorphism and cervical intraepithelial neoplasia[J]. Anticancer Res, 2014, 34(1): 373-378. [23] Zidi S, Stayoussef M, Zouidi F, et al. Tumor necrosis factor alpha(-238/-308)and TNFRII-VNTR(-322)polymorphisms as genetic biomarkers of susceptibility to develop cervical cancer among tunisians[J]. Pathol Oncol Res, 2015, 21(2): 339-345. [24] Yin G, Zhu T, Li J, et al. CXCL12 rs266085 and TNF-α rs1799724 polymorphisms and susceptibility to cervical cancer in a Chinese population[J]. Int J Clin Exp Pathol, 2015, 8(5): 5768-5774. [25] Chinchai T, Homchan K, Sopipong W, et al. Lack of Associations between TNF-α Polymorphisms and Cervical Cancer in Thai women[J]. Asian Pac J Cancer Prev, 2016, 17(3): 953-956. |
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