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喉癌易感性与预后及CYP1A1和GSTM1基因多态性的关系

[Relationship between susceptibility and prognosis of laryngeal cancer and genetic polymorphisms in CYP1A1 and GSTM1].

作者信息

Li Li, Lin Peng, Deng Yi-fu, Zhu Zhang-ling, Lu Hong-hua

机构信息

Department of Otorhinolaryngology Head and Neck Surgery, First Central Hospital, Tianjin 300192, China.

出版信息

Zhonghua Er Bi Yan Hou Ke Za Zhi. 2004 Jan;39(1):2-7.

Abstract

OBJECTIVE

To investigate the relationship between susceptibility and prognosis of laryngeal cancer and genetic polymorphisms in CYP1A1 GSTM1.

METHODS

The genetic polymorphisms of CYP1A1 exon-7 and GSTM1 were analyzed by polymorphism-polymerase chain reaction (PCR) technique in peripheral blood leukocytes of 89 laryngeal cancer cases and 164 non-cancer controls.

RESULTS

Either in the frequency of CYP1A1 (W, MW, M) and GSTM1 negative individual of laryngeal cancer were significantly higher than that in the controls(P < 0.05). Combined genetype of CYP1A1 and GSTM1, that is CYP1A1 W/GSTM1 (-), CYP1A1 MW/GSTM1 (-), CYP1A1 M/GSTM1 (+), CYP1A1 M/GSTM1 (-) had higher risk than those combined genotypes, which ratios were 1.42 (0.62-3.22), 1.67 (0.7-4.03), 2.55 (1.0-6.54) and 4.02 (1.65-9.79), respectively. Statistic analysis suggested an interaction between smoking and CYP1A1 M/GSTM1 (-) genotypes polymorphisms which increase risk of laryngeal cancer. There was no significant difference in the frequency of CYP1A1, GSTM1 individual with the development and prognosis of laryngeal cancer.

CONCLUSION

The present datas suggested that genetic polymorphisms of CYP1A1 and GSTM1 were susceptible to laryngeal cancer. Individuals with CYP1A1 M or GSTM1 (-) had increased risk of developing laryngeal cancer, but individuals with combined CYP1A1 M/GSTM1 (-) and smoking were more susceptible. Genetic polymorphisms of CYP1A1 and GSTM1 are not related with clinic process of laryngeal cancer.

摘要

目的

探讨细胞色素P450 1A1(CYP1A1)和谷胱甘肽S-转移酶M1(GSTM1)基因多态性与喉癌易感性及预后的关系。

方法

采用多态性聚合酶链反应(PCR)技术分析89例喉癌患者和164例非癌对照者外周血白细胞中CYP1A1外显子7和GSTM1基因多态性。

结果

喉癌患者中CYP1A1(W、MW、M)和GSTM1阴性个体的频率均显著高于对照组(P<0.05)。CYP1A1和GSTM1的联合基因型,即CYP1A1 W/GSTM1(-)、CYP1A1 MW/GSTM1(-)、CYP1A1 M/GSTM1(+)、CYP1A1 M/GSTM1(-)的风险高于其他联合基因型,其比值分别为1.42(0.62-3.22)、1.67(0.7-4.03)、2.55(1.0-6.54)和4.02(1.65-9.79)。统计学分析表明吸烟与CYP1A1 M/GSTM1(-)基因型多态性之间存在相互作用,增加了喉癌风险。CYP1A1、GSTM1个体频率在喉癌发生发展及预后方面无显著差异。

结论

现有数据表明CYP1A1和GSTM1基因多态性与喉癌易感性有关。CYP1A1 M或GSTM1(-)个体患喉癌的风险增加,但CYP1A1 M/GSTM1(-)且吸烟的个体更易患癌。CYP1A1和GSTM1基因多态性与喉癌临床进程无关。

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