Singh HariOm, Jain Meenu, Sachan Rekha, Mittal Balraj
Department of Genetics, Sanjay Gandhi Post Graduate Institute of Medical Sciences, CSMMU, Lucknow, India.
Int J Gynecol Cancer. 2009 Oct;19(7):1190-4. doi: 10.1111/IGC.0b013e3181a3a3af.
Etiology of cervical cancer is associated with excessive inflammation mediated tumorigenesis. Pro and anti-inflammatory cytokines (tumor necrosis factor alpha, TNFA and interleukin, IL-10) are involved in fighting against the tumorigenesis. Therefore, the present study was designed to evaluate the association of TNFA (-308G>A) and IL-10 (-819C>T) gene polymorphism with risk of cervical cancer. One hundred fifty histopathologically confirmed patients with cervical cancer and 162 age, ethnically-matched cervical cytology negative healthy controls were genotyped for TNFA (-308 G>A) and IL-10 (-819 C>T) polymorphisms using PCR-RFLP. Individuals with combination of TNFA -308GA+AA genotype and A allele were at elevated risk of cervical cancer (odds ratio (OR) = 2.24; P = 0.018 and OR, 2.05; P = 0.012). Frequency of IL-10 -819CT+TT genotype combination and T allele was slightly higher in cases as compared with controls but difference was not significant (OR = 1.52; P = 0.069 and OR = 1.38; P = 0.051). In association of genotypes with clinical characteristics, presence of TNFA -308GA+AA genotype conferred high risk for the stages (IB) (OR = 2.86, P = 0.039) and stages (III) (OR = 2.52; P = 0.015) of cervical cancer. In contrast, IL-10 -819TT genotype was not associated with higher risk of clinical characteristics of cervical cancer. In conclusion, individuals with TNFA -308*A allele carriers were at significantly higher risk of cervical cancer particularly early (IB) and advanced stages (III). However, IL-10 (-819C>T) polymorphism was not associated with risk of cervical cancer.
宫颈癌的病因与过度炎症介导的肿瘤发生有关。促炎和抗炎细胞因子(肿瘤坏死因子α,TNFA和白细胞介素,IL-10)参与对抗肿瘤发生。因此,本研究旨在评估TNFA(-308G>A)和IL-10(-819C>T)基因多态性与宫颈癌风险的关联。对150例经组织病理学确诊的宫颈癌患者和162例年龄、种族匹配的宫颈细胞学阴性健康对照者,采用PCR-RFLP法对TNFA(-308 G>A)和IL-10(-819 C>T)多态性进行基因分型。TNFA -308GA+AA基因型和A等位基因组合的个体患宫颈癌的风险升高(优势比(OR)=2.24;P = 0.018,OR为2.05;P = 0.012)。与对照组相比,病例组中IL-10 -819CT+TT基因型组合和T等位基因的频率略高,但差异不显著(OR = 1.52;P = 0.069,OR = 1.38;P = 0.051)。在基因型与临床特征的关联中,TNFA -308GA+AA基因型的存在使宫颈癌(IB期)(OR = 2.86,P = 0.039)和(III期)(OR = 2.52;P = 0.015)的风险升高。相比之下,IL-10 -8TT基因型与宫颈癌临床特征的较高风险无关。总之,TNFA -308*A等位基因携带者患宫颈癌的风险显著更高,尤其是早期(IB期)和晚期(III期)。然而,IL-10(-819C>T)多态性与宫颈癌风险无关。