外来化合物代谢酶基因多态性与克什米尔山谷食管癌的关系及环境因素的影响。
Association of xenobiotic metabolizing enzymes genetic polymorphisms with esophageal cancer in Kashmir Valley and influence of environmental factors.
机构信息
Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Raebareilly Road, Lucknow, India.
出版信息
Nutr Cancer. 2010;62(6):734-42. doi: 10.1080/01635581003605904.
The Kashmir Valley has an elevated incidence rate of esophageal cancer (EC). Several environmental and genetic factors have been suspected for development of EC. A case-control study was performed in 135 EC patients and 195 healthy controls to analyze association of polymorphisms in glutathione S-transferase (GST) mu (GSTM1), GST theta (GSTT1), GST pi (GSTP1), GSTM3, Cytochrome P450 (CYP)1A1, and CYP2E1 genes with susceptibility to EC as well as their interaction with environmental factors such as smoking and high consumption of salted tea in Kashmir valley. All subjects were genotyped through polymerase chain reaction restriction fragment length polymorphism. Data was statistically analyzed using the chi-square test and logistic regression model. Results showed that GSTP1313 val/val and CYP2E1c1c2 genotypes imparted risk for esophageal squamous cell carcinoma (ESCC) and esophageal adenocarcinoma [EADC; odds ratio (OR) = 3.24, 95% confidence interval (CI) = 1.30-8.05; OR = 4.20, 95% CI = 1.65-10.70], respectively. GSTM3AB genotype/B allele was found to be associated with low risk for EC. Tobacco smoking through hukka (water pipe) and consumption of salted tea itself were high risk factors for developing EC (OR = 21.44, 95% CI = 11.63-39.54; OR = 14.86, 95% CI = 8.41-26.24), and the risks were modulated through the interaction of GSTM3AB, GSTP1val/val genotypes. In conclusion, GSTP1val/val and CYP2E1c1c2 genotypes/c2 allele increased the risk of ESCC and EADC, respectively, in the Kashmiri population; whereas GSTM3AB genotype imparted lower risk for both ESCC and EADC.
克什米尔谷的食管癌(EC)发病率较高。已经怀疑有几种环境和遗传因素导致 EC 的发生。对 135 名 EC 患者和 195 名健康对照进行了病例对照研究,以分析谷胱甘肽 S-转移酶(GST)mu(GSTM1)、GST theta(GSTT1)、GST pi(GSTP1)、GSTM3、细胞色素 P450(CYP)1A1 和 CYP2E1 基因的多态性与 EC 易感性的关联,以及它们与环境因素(如吸烟和大量饮用加盐茶)的相互作用。所有受试者均通过聚合酶链反应限制性片段长度多态性进行基因分型。数据采用卡方检验和逻辑回归模型进行统计学分析。结果表明,GSTP1313val/val 和 CYP2E1c1c2 基因型赋予食管鳞癌(ESCC)和食管腺癌 [EADC;比值比(OR)=3.24,95%置信区间(CI)=1.30-8.05;OR=4.20,95%CI=1.65-10.70]的风险,GSTM3AB 基因型/B 等位基因与 EC 的低风险相关。通过水烟(水烟管)吸烟和饮用加盐茶本身是 EC 发病的高风险因素(OR=21.44,95%CI=11.63-39.54;OR=14.86,95%CI=8.41-26.24),GSTM3AB 和 GSTP1val/val 基因型的相互作用调节了这些风险。总之,GSTP1val/val 和 CYP2E1c1c2 基因型/c2 等位基因增加了克什米尔人群中 ESCC 和 EADC 的风险,而 GSTM3AB 基因型赋予了 ESCC 和 EADC 的较低风险。