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UGT1A7基因多态性与膀胱癌易感性的关联

[Association between genetic polymorphism of UGT1A7 and susceptibility of bladder cancer].

作者信息

Liu Jian, Yang Xiao-ming, Liu Gang, Chang Lian-sheng, Zhang Li-rong, Song Dong-kui

机构信息

Department of Urinary Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2009 Dec 1;89(44):3122-5.

Abstract

OBJECTIVE

To investigate the association between genetic polymorphism of UGT1A7 and susceptibility of bladder cancer.

METHODS

Based upon a case-control study, UGT1A7 polymorphisms were determined by the semi-nested polymerase chain reaction (SN-PCR) and allele-specific polymerase chain reaction (AS-PCR) in 208 cases with bladder cancer and 205 non-tumor controls. Risks were evaluated by unconditional logistic regression analysis.

RESULTS

The frequency of variant homozygous genotype in cases (20.7%) was higher than that in controls (12.2%) and the difference was statistically significant [P < 0.05, OR = 2.16 (1.18 - 3.96)]. The frequency of variant allele (*)3 in cases was higher than that in controls (27.9%, 20.5% respectively) and the difference was statistically significant [P = 0.009, OR = 1.56 (95%CI: 1.12 - 2.18)]. The smokers with variant homozygous and heterozygous genotypes showed an increased risk of bladder cancer compared with those with wild genotype [2.16 (95%CI: 1.07 - 4.36), 2.64 (95%CI: 1.02 - 6.80) respectively]. There was no association between the UGT1A7 polymorphisms and the pathological grade and clinical stage of bladder cancer (both P > 0.05).

CONCLUSION

The genetic polymorphisms of UGT1A7 are associated with the susceptibility of bladder cancer and have interactions with smoking in bladder carcinogenesis.

摘要

目的

探讨尿苷二磷酸葡萄糖醛酸基转移酶1A7(UGT1A7)基因多态性与膀胱癌易感性之间的关系。

方法

基于病例对照研究,采用半巢式聚合酶链反应(SN-PCR)和等位基因特异性聚合酶链反应(AS-PCR)对208例膀胱癌患者和205例非肿瘤对照者的UGT1A7基因多态性进行检测。通过非条件逻辑回归分析评估风险。

结果

病例组变异纯合基因型频率(20.7%)高于对照组(12.2%),差异有统计学意义[P<0.05,比值比(OR)=2.16(1.18 - 3.96)]。病例组变异等位基因(*)3频率高于对照组(分别为27.9%、20.5%),差异有统计学意义[P = 0.009,OR = 1.56(95%可信区间:1.12 - 2.18)]。与野生基因型吸烟者相比,变异纯合和杂合基因型吸烟者患膀胱癌的风险增加[分别为2.16(95%可信区间:1.07 - 4.36),2.64(95%可信区间:1.02 - 6.80)]。UGT1A7基因多态性与膀胱癌的病理分级和临床分期均无相关性(均P>0.05)。

结论

UGT1A7基因多态性与膀胱癌易感性相关,且在膀胱癌发生过程中与吸烟存在交互作用。

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