Meyer Larissa A, Westin Shannon N, Lu Karen H, Milam Michael R
Department of Gynecologic Oncology, University of Texas MD Anderson Cancer Center, 1155 Herman P. Pressler St, CPB 6.3244, Unit 1362, Houston, TX 77030, USA.
Expert Rev Anticancer Ther. 2008 Jul;8(7):1159-67. doi: 10.1586/14737140.8.7.1159.
For most sporadic cancers, genetic susceptibility results from the additive effect of multiple genetic variants, each of which contributes a modest risk individually. The study of genetic single nucleotide polymorphisms (SNPs) may help explain the differences in individual cancer susceptibility and may assist in identifying novel markers of risk that can be utilized to create more effective and tailored cancer prevention strategies. Genetic polymorphisms in functionally critical genes have been suggested as risk factors for the development of a variety of cancers, including endometrial cancer. Candidate SNPs may be involved in DNA damage repair, steroid metabolism, carcinogen metabolism, cell-cycle control, apoptosis and steroid receptor activation pathways. In this review, recent findings of genetic association studies exploring genetic polymorphisms and their association with endometrial cancer are reported. In addition, the challenges of genetic association studies, such as power and bias, and the need for validation of promising findings are explored.
对于大多数散发性癌症而言,遗传易感性源于多个基因变异的累加效应,每个基因变异单独产生的风险都较小。对基因单核苷酸多态性(SNP)的研究可能有助于解释个体癌症易感性的差异,并有助于识别新的风险标志物,这些标志物可用于制定更有效且更具针对性的癌症预防策略。功能关键基因中的基因多态性已被认为是包括子宫内膜癌在内的多种癌症发生发展的风险因素。候选SNP可能参与DNA损伤修复、类固醇代谢、致癌物代谢、细胞周期调控、细胞凋亡以及类固醇受体激活途径。在本综述中,报告了探索基因多态性及其与子宫内膜癌关联的基因关联研究的最新发现。此外,还探讨了基因关联研究面临的挑战,如效能和偏倚,以及对有前景的研究结果进行验证的必要性。