摘要
目的探讨尿苷二磷酸葡萄糖醛酸转移酶1A7(UGTlA7)基因多态性与膀胱癌易感性的关系。方法以病例对照研究方法,应用半巢式PCR(SN—PCR)和等位基因特异性PCR(AS—PCR)分别检测208例膀胱癌患者和205例非肿瘤患者的UGTlA7基因多态性,对各基因型和等位基因单独或联合吸烟行为进行统计学分析。结果膀胱癌组变异纯合基因型[*x/*X(X=*2,*3,*4)]的频率(20.7%)高于对照组(12.2%),差异有统计学意义[P〈0.05,OR=2.16(1.18~3.96)]。膀胱癌组携带变异等位基因’3的频率(27.9%)高于对照组(20.5%),差异有统计学意义[P=0.009,OR=1.56(95%CI:1.12—2.18)]。吸烟人群中,变异杂合基因型[*x/*X(X=*2,*3,*4)]或变异纯合基因型者与野生型者相比,膀胱癌组和对照组间差异有统计学意义,oR(95%a)值分别为2.16(1.07~4.36)、2.64(1.02~6.80)。UGT1A7基因多态性与膀胱癌病理分级和临床分期均无相关性(均P〉0.05)。结论UGT1A7基因多态性与膀胱癌易感性有关,该基因多态性与吸烟行为在膀胱癌的发生中存在交互作用。
Objective To investigate the association between genetic polymorphism of UGT1 A7 and susceptibility of bladder cancer. Methods Based upon a case-control study, UGT1A7 polymorphisms were determined by the semi-nested polymerase chain reaction (SN-PCR) and allele-specific polymerase chain reaction (AS-PCR) in 208 cases with bladder cancer and 205 non-tumor controls. Risks were evaluated by unconditional logistic regression analysis. Results The frequency of variant homozygous genotype in cases (20. 7% ) was higher than that in controls (12. 2% ) and the difference was statistically significant [P 〈 0. 05, OR =2. 16 (1.18 -3.96)]. The frequency of variant allele *3 in cases was higher than that in controls (27. 9%, 20. 5% respectively) and the difference was statistically significant [ P = 0. 009, OR = 1.56 (95% CI: 1.12 -2. 18)]. The smokers with variant homozygous and heterozygous genotypes showed an increased risk of bladder cancer compared with those with wild genotype [ 2. 16 (95% CI: 1.07 -4. 36), 2. 64 (95% CI: 1.02 - 6. 80) respectively ]. There was no association between the UGT1 A7 polymorphisms and the pathological grade and clinical stage of bladder cancer ( both P 〉 0. 05 ). Conclusion The genetic polymorphisms of UGT1A7 are associated with the susceptibility of bladder cancer and have interactions with smoking in bladder carcinogenesis.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2009年第44期3122-3125,共4页
National Medical Journal of China
基金
基金项目:河南省科技厅科技攻关项目(072102310106)
关键词
膀胱肿瘤
多态性
单核苷酸
吸烟
UGT1A7
Urinary bladder neoplasms
Polymorphism, single nucleotide
Smoking
UGT1A7