Suneetha K J, Nancy K Nirmala, Rajalekshmy K R, Sagar T G, Rajkumar T
Dept of Molecular Oncology, Cancer Institute (WIA), Chennai, Tamil Nadu, India.
Asian Pac J Cancer Prev. 2008 Oct-Dec;9(4):733-6.
Acute lymphoblastic leukaemia (ALL) is the most common pediatric malignancy worldwide. The origin of this disease may be explained by a combination of genetic and environmental factors. Glutathione-s-transferases are a multi-gene family of enzymes involved in the detoxification of a wide variety of environmental carcinogens. A total of 92 immunophenotyped cases (below 25 years of age) and 150 cord blood controls were here analysed by PCR for GSTM1(Present/Null) and RQ-PCR allelic discrimination assay for GSTP1(Ile105Val). We found a significant increased risk for ALL with the GSTM1 null genotype (OR: 1.96, 95%CI=1.08-3.57), but no significant risk was found with the GSTP1 (Ile/Val) genotype (OR: 1.32, 95%CI = 0.74-2.37) and the GSTP1 Val/Val genotype (OR: 1.41, 95%CI=0.5-3.96) alone. Combined analysis of GSTM1 and GSTP1 showed significant higher risk associated with the GSTM1 (null/null) and GSTP1 [(Ile/Val)/ (Val/Val)] genotype (OR=2.78: 95%CI=1.16-6.69).
急性淋巴细胞白血病(ALL)是全球最常见的儿童恶性肿瘤。这种疾病的起源可以用遗传和环境因素的综合作用来解释。谷胱甘肽 - S - 转移酶是一个多基因家族的酶,参与多种环境致癌物的解毒过程。本研究通过聚合酶链反应(PCR)分析了92例免疫表型病例(年龄在25岁以下)和150例脐血对照样本中的GSTM1(存在/缺失)情况,并通过实时定量聚合酶链反应(RQ - PCR)等位基因鉴别分析检测了GSTP1(Ile105Val)。我们发现GSTM1基因缺失型与ALL发病风险显著增加相关(比值比:1.96,95%置信区间=1.08 - 3.57),但单独的GSTP1(Ile/Val)基因型(比值比:1.32,95%置信区间 = 0.74 - 2.37)和GSTP1 Val/Val基因型(比值比:1.41,95%置信区间=0.5 - 3.96)未发现显著风险。GSTM1和GSTP1的联合分析显示,GSTM1(缺失/缺失)和GSTP1 [(Ile/Val)/(Val/Val)]基因型与显著更高的风险相关(比值比=2.78:95%置信区间=1.16 - 6.69)。