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BRCA2基因多态性与乳腺癌临床参数之间的关联。

Association between polymorphisms of the BRCA2 gene and clinical parameters in breast cancer.

作者信息

Krupa R, Sliwinski T, Morawiec Z, Pawlowska E, Zadrozny M, Blasiak J

机构信息

Laboratory of DNA Repair, Department of Molecular Genetics, University of Lodz, Lodz 90-237, Poland.

出版信息

Exp Oncol. 2009 Dec;31(4):250-1.

Abstract

BACKGROUND

A C/T transition - rs4987117 (the Thr1915Met polymorphism) and an A/G transition - rs11571653 (the Met784Val polymorphism) in the BRCA2 gene were linked to breast cancer risk in Polish and Japanese populations, respectively.

AIM

To study the association between polymorphisms of the BRCA2 gene and clinical parameters in breast cancer.

METHODS

Both polymorphisms were evaluated by RFLP - PCR in blood samples obtained from 117 women with sporadic breast cancer. Patients were stratified by genotype, Bloom - Richardson grade, TNM stage, estrogene and progesterone receptors (PR) status and the linkages of each genotype with each stratum were calculated by logistic regression.

RESULTS

Variant genotypes and alleles of both polymorphisms of the BRCA2 gene were inversely related to hormone receptor status for a group of patients with at least one positive receptor status as compared to a group with both receptors negative status (OR 0.27, 95% CI 0.07 - 0.95, p = 0.043 and OR 0.39, 95% CI 0.19 - 0.82, p = 0.013 for Met1915Met homozygote and 1915Met allele, respectively and OR 0.02, 95% CI 0.00 - 0.13, p = 0.0005 and OR 0.43, 95% CI 0.21 - 0.88, p = 0.021, for Val784Val homozygote and the 784Val allele. No association was found between both polymorphisms and Bloom - Richardson grading and TNM staging.

CONCLUSIONS

Our results suggest that variant genotypes of the Thr1915Met and Met784Val polymorphisms of the BRCA2 gene may be indicative factors in therapy of ductal breast cancer.

摘要

背景

BRCA2基因中的一个C/T转换——rs4987117(Thr1915Met多态性)和一个A/G转换——rs11571653(Met784Val多态性)分别与波兰和日本人群的乳腺癌风险相关。

目的

研究BRCA2基因多态性与乳腺癌临床参数之间的关联。

方法

通过RFLP-PCR对从117例散发性乳腺癌女性患者采集的血样中的两种多态性进行评估。患者按基因型、Bloom-Richardson分级、TNM分期、雌激素和孕激素受体(PR)状态进行分层,并通过逻辑回归计算每种基因型与各分层之间的关联。

结果

与两种受体均为阴性状态的患者组相比,BRCA2基因两种多态性的变异基因型和等位基因与至少有一种受体呈阳性状态的一组患者的激素受体状态呈负相关(Met1915Met纯合子和1915Met等位基因的OR分别为0.27,95%CI为0.07-0.95,p=0.043;OR为0.39,95%CI为0.19-0.82,p=0.013;Val784Val纯合子和784Val等位基因的OR分别为0.02,95%CI为0.00-0.13,p=0.0005;OR为0.43,95%CI为0.21-0.88,p=0.021)。未发现两种多态性与Bloom-Richardson分级和TNM分期之间存在关联。

结论

我们的结果表明,BRCA2基因Thr1915Met和Met784Val多态性的变异基因型可能是导管乳腺癌治疗中的指示性因素。

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