The Central Laboratory, Nanjing First Hospital Affiliated to Nanjing Medical University, 210006, Nanjing, China.
Dig Dis Sci. 2011 Jul;56(7):2017-23. doi: 10.1007/s10620-010-1557-y. Epub 2011 Jan 18.
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.
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.
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.
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.
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.
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。
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。
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。
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。
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。