Mary Ann and J. Milburn Smith Child Health Research Program, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Prostate. 2011 May 15;71(7):682-9. doi: 10.1002/pros.21284. Epub 2010 Oct 13.
Deciphering the genetic basis of prostate cancer aggressiveness could provide valuable information for the screening and treatment of this common but complex disease. We previously detected linkage between a broad region on chromosome 7q22-35 and Gleason score-a strong predictor of prostate cancer aggressiveness. To further clarify this finding and focus on the potentially causative gene, we undertook a fine-mapping study across the 7q22-35 region.
Our study population encompassed 698 siblings diagnosed with prostate cancer. 3,072 single nucleotide polymorphisms (SNPs) spanning the chromosome 7q22-35 region were genotyped using the Illumina GoldenGate assay. The impact of SNPs on Gleason scores were evaluated using affected sibling pair linkage and family-based association tests.
We confirmed the previous linkage signal and narrowed the 7q22-35 prostate cancer aggressiveness locus to a 370 kb region. Centered under the linkage peak is the gene KLRG2 (killer cell lectin-like receptor subfamily G, member 2). Association tests indicated that the potentially functional non-synonymous SNP rs17160911 in KLRG2 was significantly associated with Gleason score (P = 0.0007).
These findings suggest that genetic variants in the gene KLRG2 may affect Gleason score at diagnosis and hence the aggressiveness of prostate cancer.
解析前列腺癌侵袭性的遗传基础可为这种常见但复杂疾病的筛查和治疗提供有价值的信息。我们先前在染色体 7q22-35 上的一个广泛区域和格里森评分(前列腺癌侵袭性的有力预测指标)之间检测到了连锁关系。为了进一步阐明这一发现,并关注潜在的致病基因,我们在 7q22-35 区域进行了精细定位研究。
我们的研究人群包括 698 名被诊断患有前列腺癌的兄弟姐妹。使用 Illumina GoldenGate 测定法对跨越染色体 7q22-35 区域的 3072 个单核苷酸多态性(SNP)进行基因分型。使用受影响的同胞对连锁和基于家庭的关联测试评估 SNP 对格里森评分的影响。
我们证实了先前的连锁信号,并将 7q22-35 前列腺癌侵袭性位点缩小到 370kb 区域。连锁峰下的中心是基因 KLRG2(杀伤细胞凝集素样受体亚家族 G,成员 2)。关联测试表明,KLRG2 中潜在功能的非同义 SNP rs17160911 与格里森评分显著相关(P=0.0007)。
这些发现表明,KLRG2 基因中的遗传变异可能影响诊断时的格里森评分,进而影响前列腺癌的侵袭性。