Einarsdóttir K, Darabi H, Czene K, Li Y, Low Y L, Li Y Q, Bonnard C, Wedrén S, Liu E T, Hall P, Liu J, Humphreys K
Centre for Health Services Research, School of Population Health, University of Western Australia, Crawley, Perth, Western Australia, Australia.
Br J Cancer. 2009 Apr 21;100(8):1358-64. doi: 10.1038/sj.bjc.6604984. Epub 2009 Mar 24.
We investigated common genetic variation in the entire ESR1 and EGF genes in relation to endometrial cancer risk, myometrial invasion and endometrial cancer survival. We genotyped a dense set of single-nucleotide polymorphisms (SNPs) in both genes and selected haplotype tagging SNPs (tagSNPs). The tagSNPs were genotyped in 713 Swedish endometrial cancer cases and 1567 population controls and the results incorporated into logistic regression and Cox proportional hazards models. We found five adjacent tagSNPs covering a region of 15 kb at the 5' end of ESR1 that decreased the endometrial cancer risk. The ESR1 variants did not, however, seem to affect myometrial invasion or endometrial cancer survival. For the EGF gene, no association emerged between common genetic variants and endometrial cancer risk or myometrial invasion, but we found a five-tagSNP region that covered 51 kb at the 5' end of the gene where all five tagSNPs seemed to decrease the risk of dying from endometrial cancer. One of the five tagSNPs in this region was in strong linkage disequilibrium (LD) with the untranslated A61G (rs4444903) EGF variant, earlier shown to be associated with risk for other forms of cancer.
我们研究了雌激素受体1(ESR1)和表皮生长因子(EGF)基因的常见基因变异与子宫内膜癌风险、肌层浸润及子宫内膜癌生存率之间的关系。我们对这两个基因中的一组密集单核苷酸多态性(SNP)进行了基因分型,并选择了单倍型标签SNP(tagSNP)。在713例瑞典子宫内膜癌病例和1567名人群对照中对tagSNP进行了基因分型,并将结果纳入逻辑回归和Cox比例风险模型。我们发现ESR1基因5'端一个覆盖15kb区域的五个相邻tagSNP降低了子宫内膜癌风险。然而,ESR1基因变异似乎并未影响肌层浸润或子宫内膜癌生存率。对于EGF基因,常见基因变异与子宫内膜癌风险或肌层浸润之间未发现关联,但我们发现该基因5'端一个覆盖51kb的五个tagSNP区域,其中所有五个tagSNP似乎都降低了死于子宫内膜癌的风险。该区域五个tagSNP中的一个与未翻译的A61G(rs4444903)EGF变异处于强连锁不平衡(LD)状态,此前已表明该变异与其他形式癌症的风险相关。