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山东大学学报(医学版)

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基因多态性与乙型肝炎病毒感染后肝硬化、肝细胞癌的关系

朱明明1,孙成刚1,刘晓花2,杨爱新3,孙丹1   

  1. 1. 山东大学附属省立医院消化内科, 济南 250021; 2. 济南市传染病医院, 济南 250021;3. 济南工程职业技术学院, 济南 250200
  • 收稿日期:2007-11-02 修回日期:1900-01-01 出版日期:2008-01-16 发布日期:2008-01-16
  • 通讯作者: 孙成刚

Genetic polymorphisms of CYP17 and risks of cirrhosis or hepatocellular carcinoma in hepatitis B-infected patients

ZHU Ming-ming1,SUN Cheng-gang1,LIU Xiao-hua2,YANG Ai-xin3,SUN Dan1   

  1. 1. Department of Gastroenterology,Shandong Provincial Hospital, Shandong University;2. Jinan Infectious Disease Hospital; 3. Jinan Engineering Vocational Technical College
  • Received:2007-11-02 Revised:1900-01-01 Online:2008-01-16 Published:2008-01-16
  • Contact: SUN Cheng-gang

摘要: 目的研究参与雌激素代谢的细胞色素P45017(Cytochrome P45017, CYP17) MspA1I位点基因多态性与山东地区汉族人乙型肝炎病毒(hepatitis B virus, HBV)感染后肝硬化、肝细胞癌(HCC)的关系。方法应用聚合酶链反应限制性片段长度多态性(PCRRFLP)技术,对山东地区96例乙肝相关性HCC患者、107例乙肝后肝硬化患者、82例慢性乙型肝炎患者、91例乙型肝炎表面抗原(HBsAg)携带者、80例健康对照组的CYP17基因MspA1I位点的T/C多态进行研究。结果与携带者相比,CYP17 A2/A2基因型明显增加了女性HBV感染患者HCC的发病风险(OR=5.93, P=0.002),尤其在绝经后的妇女,OR增加至6.18,P=0.003,而在男性患者中差异无统计学意义。乙肝肝硬化患者与携带者相比,A2/A2基因型频率差异亦无统计学意义(P>0.05)。结论CYP17 MspA1I多态位点A2/A2基因型与山东地区女性HBV感染后HCC的易感性有关。

Abstract: To explore the relationship between genetic polymorphisms of CYP17 MspA1I and cirrhosis or hepatocellular carcinoma in hepatitis B infected patients of Shandong Province. Methods80 healthy controls and 376 HBV patients including 96 hepatocelluar carcinomas(HCC), 107 cirrhosis, 82 hepatitis and 91 HBsAg carriers were determined the T→C in CYP17 MspA1I by polymerase chain reaction and restriction fragment length polymorphism (PCRRFLP). ResultsCompared with the carriers, the (-34) A2/A2 genotype of CYP17 significantly increased the risks of HCC patients. Females mostly contributed to this association (OR=5.93, P=0.002), and the OR values increased in postmenopausal women (OR=6.18, P=0.003) but not in male subjects. There were no significant differences in the distribution of CYP 17 genotypes between carriers and cirrhosis (P>0.05). ConclusionCYP17 MspA1I genotypes A2/A2 may be related to liver cancer risk in HBVinfected women in Shandong Province.

Key words: Hepatitis B virus, Carcinoma, hepatocellular,

中图分类号: 

  • R512.62
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