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[肝细胞癌与DNA修复基因XPD多态性及环境因素相互作用关系的研究]

[Study on the relationship between hepatocellular carcinoma and the interaction between polymorphisms in DNA repair gene XPD and environmental factors].

作者信息

Zeng Xiao-Yun, Qiu Xiao-Qiang, Ji Long, Yu Hong-Ping

机构信息

Public Health School, Guangxi Medical University, Nanning, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2009 Jul;30(7):702-5.

Abstract

OBJECTIVE

To study the relationship between hepatocellular carcinoma and the interaction of polymorphisms in DNA repair gene XPD with environmental factors.

METHODS

A hospital-based case-control study on hepatocellular carcinoma was conducted. All the hepatocellular carcinoma cases (n=300) were newly diagnosed and controls (n=312) were diagnosed with non-tumor cases. XPD genotype (Lys751 Gln and Asp312 Asn) from blood derived DNA was determined using TaqMan MGB Real-time PCR. Unconditional logistic regression was used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs).

RESULTS

For XPD condon 751 genotypes, there was no significant difference between frequencies of the AC or CC among patients and controls (P>0.05) (referent AA). The frequency of XPD312A allelic gene was higher in cases than that in controls and was associated with an increased risk (adjusted OR=2.62, 95% CI: 1.626-4.222) for hepatocellular carcinoma when compared with GG genotype. Interactions were found between infection of HBsAg and XPD312 (OR=7.348), as well as between smoking and non-wild type gene of XPD751 (OR=4.291) and XPD312 (OR=5.341).

CONCLUSION

DNA repair XPD312A allelic gene might increase the risk of Hepatocellular carcinoma. Interactions between HBsAg infection, smoking and XPD were observed in Hepatocellular carcinoma.

摘要

目的

研究肝细胞癌与DNA修复基因XPD多态性之间的相互作用以及与环境因素的关系。

方法

开展一项基于医院的肝细胞癌病例对照研究。所有肝细胞癌病例(n = 300)均为新确诊病例,对照组(n = 312)为非肿瘤病例。采用TaqMan MGB实时荧光定量PCR法检测血液来源DNA中的XPD基因型(Lys751 Gln和Asp312 Asn)。使用非条件logistic回归估计比值比(OR)和95%置信区间(CI)。

结果

对于XPD第751位密码子基因型,患者和对照组中AC或CC的频率与参照组AA相比无显著差异(P>0.05)。XPD312A等位基因在病例组中的频率高于对照组,与GG基因型相比,其与肝细胞癌风险增加相关(调整后的OR = 2.62,95%CI:1.626 - 4.222)。发现HBsAg感染与XPD312之间存在相互作用(OR = 7.348),吸烟与XPD751的非野生型基因(OR = 4.291)以及XPD312(OR = 5.341)之间存在相互作用。

结论

DNA修复基因XPD312A等位基因可能增加肝细胞癌风险。在肝细胞癌中观察到HBsAg感染、吸烟与XPD之间存在相互作用。

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