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中国广东鼻咽癌的遗传流行病学研究

[Study on genetic epidemiology of nasopharyngeal carcinoma in Guangdong, China].

作者信息

Huang Tengbo, Liu Qing, Huang Huiming, Cao Sumei

机构信息

Cancer Center, Sun Yat-sen University of Medical Sciences, Guangzhou, Guangdong, 510060 P. R. China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2002 Apr;19(2):134-7.

Abstract

OBJECTIVE

To explore the characteristic of genetic epidemiology of nasopharyngeal carcinoma (NPC) in a high risk area Guangdong province, China.

METHODS

Population investigation was made on the nuclear pedigrees of the first patient with NPC and his/her spouse, and then complex segregation analysis was performed using regressive Logistic model.

RESULTS

The risk of suffering from NPC is 9.31 times higher in the first degree relatives of patient with NPC than in the first degree relatives of spouse. The separation ratio and heritability are 0.0588 (0.0182, 0.0994) and 68.08% respectively. The result of complex segregation analysis shows that model D is better than model A.

CONCLUSION

The genetic trend and familial clustering of NPC are more significant and powerful in Guangdong. The risk of suffering from NPC is related with parent's state and senior sibling's state. Nasopharyngeal carcinoma is a multi-gene hereditary disease, but a single gene that decides the susceptibility to NPC may be present.

摘要

目的

探讨中国广东省鼻咽癌高发区鼻咽癌的遗传流行病学特征。

方法

对鼻咽癌首例患者及其配偶的核心家系进行人群调查,然后采用回归逻辑模型进行复杂分离分析。

结果

鼻咽癌患者一级亲属患鼻咽癌的风险是配偶一级亲属的9.31倍。分离比和遗传度分别为0.0588(0.0182,0.0994)和68.08%。复杂分离分析结果显示模型D优于模型A。

结论

鼻咽癌的遗传倾向和家族聚集性在广东更为显著和强烈。患鼻咽癌的风险与父母状况和年长同胞状况有关。鼻咽癌是一种多基因遗传病,但可能存在决定鼻咽癌易感性的单个基因。

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