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中国女性中CYP2D6 *10基因多态性与乳腺癌风险及临床病理特征的相关性

The association of CYP2D6 *10 polymorphism with breast cancer risk and clinico-pathologic characteristics in Chinese women.

作者信息

Li Hongxia, Feng Liya, Xu Ye, Yao Lihua, Ouyang Tao, Li Jinfeng, Wang Tianfeng, Fan Zhaoqing, Lin Benyao, Li Jiyou, Xie Yuntao

机构信息

Breast Centre, Beijing Cancer Hospital, Peking University School of Oncology, Beijing, PR China.

出版信息

Acta Oncol. 2006;45(5):597-601. doi: 10.1080/02841860600660803.

Abstract

A relatively little is known of whether CYP2D6 *10 (188 C to T) polymorphism mediates susceptibility to breast cancer. In this study the CYP2D6 *10 polymorphism was detected in Chinese women (286 breast cancer patients and 305 healthy women) by a PCR-RFLP assay. We found that women with the 188T/T genotype displayed a slightly increased risk for breast cancer as compared with those with the 188C/C genotype (OR 1.36, CI 0.89-2.1), the association of the 188T/T genotype with breast cancer risk was more pronounced among postmenopausal women (OR 1.49, CI 0.8-2.76), but the association did not reach statistical significance. Furthermore, we found that patients carrying the 188T/T or T/C genotype were more likely to be a positive lymph node status than those with the 188C/C genotype (OR 2.12, CI 1.08-4.18, P = 0.019). Our results suggest that CYP2D6 *10 mutant 188T/T genotype displays a non-significant increased risk for breast cancer. Moreover, patients carrying 188T/T or T/C genotype might exhibit a more aggressive phenotype than those carrying 188C/C genotype, as the observation association of genotype with clinical outcome may be due to chance, therefore, further studies are required to confirm our present findings.

摘要

关于细胞色素P450 2D6 *10(188C→T)多态性是否介导乳腺癌易感性,人们所知相对较少。在本研究中,采用聚合酶链反应-限制性片段长度多态性分析(PCR-RFLP)检测了中国女性(286例乳腺癌患者和305例健康女性)的细胞色素P450 2D6 *10多态性。我们发现,与188C/C基因型女性相比,188T/T基因型女性患乳腺癌的风险略有增加(比值比1.36,95%置信区间0.89 - 2.1),188T/T基因型与乳腺癌风险的关联在绝经后女性中更为明显(比值比1.49,95%置信区间0.8 - 2.76),但该关联未达到统计学显著性。此外,我们发现携带188T/T或T/C基因型的患者比携带188C/C基因型的患者更有可能出现阳性淋巴结状态(比值比2.12,95%置信区间1.08 - 4.18,P = 0.019)。我们的结果表明,细胞色素P450 2D6 *10突变型188T/T基因型显示出患乳腺癌风险非显著性增加。此外,携带188T/T或T/C基因型的患者可能比携带188C/C基因型的患者表现出更具侵袭性的表型,由于观察到的基因型与临床结局的关联可能是偶然的,因此,需要进一步研究来证实我们目前的发现。

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