着色性干皮病基因C单核苷酸多态性和吸烟与胰腺癌易感性的关联分析

Association of single nucleotide polymorphism of xeroderma pigmentosum group C and smoking with genetic susceptibility to pancreatic cancer

  • 摘要: 目的 探讨着色性干皮病基因C(XPC)rs3731055和rs2607775单核苷酸多态性和吸烟与胰腺癌易感性的关系。方法 回顾性分析2009年1月至2011年6月新疆医科大学第一附属医院、第三附属医院收治的214例胰腺癌患者和同期214例健康体检者的流行病学资料,采用多重单碱基延伸反应技术(Multiplex SNaPshot)检测214例胰腺癌患者(胰腺癌组)和214例健康体检者(对照组)的静脉血样标本,计数资料比较采用χ2检验,应用非条件Logistic回归法分析XPC基因rs3731055和rs2607775单核苷酸多态性与胰腺癌易感性风险的关联。结果 成功基因分型标本共423例,其中胰腺癌组210例、对照组213例。胰腺癌组和对照组XPC基因rs3731055等位基因G的分布频率分别为75.95%(319/420)和77.00%(328/426),两组比较,差异无统计学意义(χ2=0.12,P>0.05)。基因型GG、GA、AA在胰腺癌组的分布频率分别为58.57%(123/210)、34.76%(73/210)和6.67%(14/210),对照组分别为60.09%(128/213)、33.80%(72/213)和6.10%(13/213)。两组比较,差异无统计学意义(χ2=0.12,P>0.05)。胰腺癌组和对照组rs2607775等位基因C的分布频率分别为87.86%(369/420)和93.43%(398/426),两组比较,差异有统计学意义(χ2=7.75,P<0.05)。rs2607775基因型CC、CG、GG在胰腺癌组的分布频率分别为77.62%(163/210)、20.48%(43/210)和1.90%(4/210),对照组分别为86.85%(185/213)、13.15%(28/213)和0(0/213),两组基因型分布频率比较,差异有统计学意义(χ2=8.54,P<0.05)。携带rs2607775 G/C基因型比携带C/C基因型个体患胰腺癌的风险高(校正OR=1.81,95%CI:1.06~3.10,P<0.05)。携带至少一个突变基因G的个体(G/C+G/G)比携带C/C基因型个体患胰腺癌的风险高(校正OR=1.98,95%CI:1.16~3.36,P<0.05)。胰腺癌组累积吸烟量≥17包年者比例为25.24%(53/210),高于对照组的13.15%(28/213),两组比较,差异有统计学意义(χ2=11.37,P<0.05)。单因素分析结果显示:吸烟量≥17包年增加患胰腺癌的患病风险(校正OR=2.82,95%CI:1.27~6.29,P<0.05)。吸烟量≥17包年且携带XPC基因rs2607775 C/C基因型的人群增加胰腺癌的患病风险(校正OR=2.87,95%CI:1.18~6.99,P<0.05)。吸烟量≥17包年与XPC基因rs2607775 G/C+G/G基因型对胰腺癌的患病风险不存在交互作用(校正OR=3.65,95%CI:0.67~20.03,P>0.05)。结论XPC基因rs2607775的多态性可能在胰腺癌的患病中起一定作用,累积吸烟量≥17包年者更易患胰腺癌,吸烟≥17包年且携带XPC基因rs2607775 C/C基因型的人群增加胰腺癌的患病风险,吸烟≥17包年与XPC基因rs2607775 G/C+G/G基因型对胰腺癌患病的影响不存在交互作用。

     

    Abstract: Objective To investigate the correlation of single nucleotide polymorphism of rs3731055 and rs2607775 of xeroderma pigmentosum group C (XPC) and smoking with genetic susceptibility to pancreatic cancer.Methods The clinical data of 214 patients with pancreatic cancer who were admitted to the First and Third Affiliated Hospitals of Xinjiang Medical University from January 2009 to June 2011 and 214 healthly individuals were retrospectively analyzed. The samples of venous blood of 214 patients with pancreatic cancer (case group) and 214 healthy individuals (control group) were analyzed by the Multiplex SNaPshot method. The count data were analyzed using the chisquare test. The association between the single nucleotide polymorphism of rs3731055 and rs2607775 with genetic susceptibility to pancreatic cancer was analyzed using the Logistic regression method. Results Four hundred and twentythree samples of gene were successfully typed, including 210 in the case group and 213 in the control group. The frequency of G allele of XPC rs3731055 was 75.95%(319/420) in the case group and 77.00%(328/426) in the control group, with no significant difference between the 2 groups (χ2=0.12, P>0.05). The frequencies of genotypes GG, GA and AA were 58.57%(123/210), 34.76%(73/210) and 6.67%(14/210) in the case group, and 60.09%(128/213), 33.80%(72/213) and 6.10%(13/213) in the control group, with no significant difference between the 2 groups (χ2=0.12, P>0.05). The frequency of C allele of XPC rs2607775 was 87.86%(369/420) in the case group and 93.43%(398/426) in the control group, with significant difference between the 2 groups (χ2=7.75, P<0.05). The frequencies of genotypes CC, CG and GG were 77.62%(163/210), 20.48%(43/210) and 1.90%(4/210) in the case group, and 86.85%(185/213), 13.15%(28/213) and 0(0/213) in the control group, with significant difference between the 2 groups (χ2=8.54, P<0.05). Patients with rs2607775 GC genotype were associated with a significantly increased risk of pancreatic cancer compared with patients with rs2607775 CC genotype (adjusted OR=1.81, 95% CI: 1.063.10, P<0.05). Patients with rs2607775 GC+GG genotype were associated with a significantly increased risk of pancreatic cancer compared with patients with rs2607775 CC (adjusted OR=1.98, 95% CI: 1.163.36, P<0.05). The ratio of patients in the case group who smoked cigarettes≥17 pack years was 25.24%(53/210), which was significantly higher than 13.15%(28/213) of the control group (χ2=11.37, P<0.05). The results of univariate analysis showed that patients who smoked cigarettes≥17 pack years had higher risk of getting pancreatic cancer (adjusted OR=2.82, 95%CI: 1.276.29, P<0.05). Patients who smoked cigarettes≥17 pack years and with rs2607775 CC also had higher risk of getting pancreatic cancer (adjusted OR=2.87, 95%CI: 1.186.99, P<0.05). No significant geneenvironment interaction was observed between rs2607775 GC+GG and smoking≥17 pack years (adjusted OR=3.65, 95%CI: 0.6720.03, P>0.05). Conclusions The polymorphisms of XPC rs2607775 may play a role in the onset of pancreatic cancer. Patients who smoke cigarettes≥17 pack years are more easily to have pancreatic cancer. There is no interaction between smoking and XPC rs2607775 in influencing the progression of pancreatic cancer.

     

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