Li Guoliang, Xiang Yong-Bing, Courtney Regina, Cheng Jia-Rong, Huang Bo, Long Ji-Rong, Cai Hui, Zheng Wei, Shu Xiao-Ou, Cai Qiuyin
Division of Epidemiology and Vanderbilt Epidemiology Center, Department of Medicine, Vanderbilt University School of Medicine and Vanderbilt-Ingram Cancer Center, Nashville, Tennessee 37232, USA.
Chin J Cancer. 2011 Feb;30(2):138-43. doi: 10.5732/cjc.010.10516.
A recent genome-wide association study identified a new susceptibility locus for breast cancer, rs2046210, which is a single nucleotide polymorphism (SNP) located upstream of the estrogen receptor α(ESR1) gene on chromosome 6q25.1. Given that endometrial cancer shares many risk factors with breast cancer and both are related to estrogen exposure and that rs2046210 is in close proximity to the ESR1 gene, we evaluated the association of SNP rs2046210 with endometrial cancer risk among 953 cases and 947 controls in a population-based, case-control study conducted in Shanghai, China. Logistic regression models were used to derive odds ratios (ORs) and 95% confidence intervals (95% CIs) after adjusting for potential confounders. We found that the A allele of rs2046210, linked to an increased risk of breast cancer, was associated with increased but not statistically significant risk of endometrial cancer (OR = 1.16, 95% CI = 0.96-1.41 for the GA and AA genotypes compared with the GG genotype); the association was stronger among post-menopausal women (OR = 1.28, 95% CI = 1.00-1.65). The association tended to be stronger among women with higher or longer estrogen exposure than among women with relatively lower or shorter exposure to estrogen. Our study suggests that rs2046210 may play a role in the etiology of endometrial cancer. Additional studies are needed to confirm our findings.
最近一项全基因组关联研究确定了一个新的乳腺癌易感基因座rs2046210,它是位于6号染色体6q25.1上雌激素受体α(ESR1)基因上游的一个单核苷酸多态性(SNP)。鉴于子宫内膜癌与乳腺癌有许多共同的风险因素,且两者均与雌激素暴露有关,同时rs2046210与ESR1基因位置临近,我们在中国上海开展了一项基于人群的病例对照研究,评估了953例病例和947例对照中SNP rs2046210与子宫内膜癌风险的关联。采用逻辑回归模型在调整潜在混杂因素后得出比值比(OR)和95%置信区间(95%CI)。我们发现,与乳腺癌风险增加相关的rs2046210的A等位基因与子宫内膜癌风险增加有关,但无统计学意义(与GG基因型相比,GA和AA基因型的OR = 1.16,95%CI = 0.96 - 1.41);这种关联在绝经后女性中更强(OR = 1.28,95%CI = 1.00 - 1.65)。与雌激素暴露相对较低或较短的女性相比,雌激素暴露较高或较长的女性中这种关联往往更强。我们的研究表明,rs2046210可能在子宫内膜癌的病因学中起作用。需要进一步的研究来证实我们的发现。