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白细胞介素-1B(IL-1B)和白细胞介素 1 受体拮抗剂(IL-1RN)基因多态性与中国人群胃癌风险相关。

Polymorphisms in interleukin-1B (IL-1B) and interleukin 1 receptor antagonist (IL-1RN) genes associate with gastric cancer risk in the Chinese population.

机构信息

The Central Laboratory, Nanjing First Hospital Affiliated to Nanjing Medical University, 210006, Nanjing, China.

出版信息

Dig Dis Sci. 2011 Jul;56(7):2017-23. doi: 10.1007/s10620-010-1557-y. Epub 2011 Jan 18.

Abstract

BACKGROUND

Gastric cancer is one of the most common malignancies afflicting the Chinese population. Polymorphisms in interleukin-1B (IL-1B) and interleukin-1 receptor antagonist (IL-1RN) genes have been associated with increased gastric cancer risk.

AIMS

A case-control study enrolled 392 gastric cancer patients and 508 healthy were carried out to investigate the association between polymorphisms in IL-1B and IL-1RN and gastric cancer risk.

METHODS

Polymerase chain reaction (PCR)-restriction fragment length polymorphism was used for detection of two potentially functional polymorphisms (IL-1B-31 and IL-1B-511) in the IL-1B gene promoter and PCR was used for detection of the variable tandem repeat in the second intron of IL-1RN.

RESULTS

The data showed that the IL-1B-31CC genotype increased gastric cancer risk to an adjusted odd of 2.27 (95% CI, 1.49-3.46), IL-1B-31CT to 1.48 (95% CI, 1.01-2.16) and IL-1B-31CT/CC to 1.68 (95% CI, 1.17-2.40), while IL-1B-51TT genotype associated with increased gastric cancer risk to an adjusted odd of 2.53 (95% CI, 1.67-3.84), IL-1B-511TC to 1.45 (95% CI, 1.02-2.06), and IL-1B-511TC TT/TC to 1.72 (95% CI, 1.23, 2.39). Furthermore, IL-1RN heterogeneity genotype (IL-1RN2L) was associated with gastric cancer risk to an adjusted odd of 1.70 (95% CI, 1.05-2.74) compared to the wild-type homozygote (IL-1RNLL). In addition, H. pylori infection enhanced gastric cancer risk through these SNPs.

CONCLUSIONS

The data from the current study demonstrated that the genotype CC or CT of IL-1B-31, TT or CT of IL-1B-511, and 2L of IL-1RN increased risk of gastric cancer in this Chinese population and the risk was further enhanced by H. pylori.

摘要

背景

胃癌是困扰中国人群的最常见恶性肿瘤之一。白细胞介素-1B(IL-1B)和白细胞介素-1 受体拮抗剂(IL-1RN)基因的多态性与胃癌风险增加有关。

目的

进行了一项病例对照研究,共纳入 392 例胃癌患者和 508 例健康对照,旨在探讨 IL-1B 和 IL-1RN 基因多态性与胃癌风险之间的关系。

方法

采用聚合酶链反应(PCR)-限制性片段长度多态性检测 IL-1B 基因启动子中两个潜在功能多态性(IL-1B-31 和 IL-1B-511),PCR 检测 IL-1RN 第二内含子中的可变串联重复。

结果

数据显示,IL-1B-31CC 基因型使胃癌风险增加至调整后的比值比(OR)为 2.27(95%可信区间[CI],1.49-3.46),IL-1B-31CT 为 1.48(95%CI,1.01-2.16),IL-1B-31CT/CC 为 1.68(95%CI,1.17-2.40),而 IL-1B-51TT 基因型使胃癌风险增加至调整后的 OR 为 2.53(95%CI,1.67-3.84),IL-1B-511TC 为 1.45(95%CI,1.02-2.06),IL-1B-511TC/TT/TC 为 1.72(95%CI,1.23-2.39)。此外,IL-1RN 异质基因型(IL-1RN2L)与胃癌风险相关,调整后的 OR 为 1.70(95%CI,1.05-2.74),与野生型纯合子(IL-1RNLL)相比。此外,H. pylori 感染通过这些 SNP 增加了胃癌的风险。

结论

本研究数据表明,在中国人群中,IL-1B-31 的 CC 或 CT、IL-1B-511 的 TT 或 CT 和 IL-1RN 的 2L 基因型增加了胃癌的风险,而 H. pylori 进一步增强了这种风险。

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