School of Public Health, Taipei Medical University, 250 Wu-Hsing St., Taipei 110, Taiwan.
Anticancer Res. 2011 Nov;31(11):3939-44.
The aim of this study was to investigate the association of human oxoguanine glycosylase (hOGG1) and xeroderma pigmentosum group D (XPD) polymorphisms with urothelial carcinoma (UC) in Taiwan.
This hospital-based case-control study included 460 UC cases and 540 cancer-free controls, who had been frequency matched by age and gender, between August 2006 and October 2009. The joint effects of cigarette smoking, alcohol consumption and risk genotypes of the hOGG1 and XPD genes on UC risk was estimated using an unconditional logistic regression.
Individuals carrying both the hOGG1 (C/G or G/G) and XPD (A/C or C/C) risk genotypes had a significantly higher UC risk (OR=1.8, 95% CI=1.01-3.0) than the hOGG1 (C/C) and XPD (A/A) reference group. Those who had a history of cigarette smoking and alcohol consumption carrying both the hOGG1 and XPD risk genotypes had the highest UC risk (OR=9.9, 95% CI= 4.5-21.8). The UC cases carrying both the hOGG1 and XPD risk genotypes had a significantly increased risk (OR=5.2, 95% CI=1.2-22.3) of high grade tumor.
A significant joint effect of cigarette smoking, alcohol consumption and both hOGG1 and XPD risk genotypes increases UC risk and UC cases carrying both hOGG1 and XPD risk genotypes have a significantly greater risk of high grade tumor.
本研究旨在探讨人类 8-氧鸟嘌呤糖苷酶(hOGG1)和着色性干皮病基因 X 蛋白(XPD)多态性与台湾地区膀胱癌(UC)的关系。
本病例对照研究为医院为基础的研究,纳入了 2006 年 8 月至 2009 年 10 月期间,经年龄和性别频数匹配的 460 例膀胱癌病例和 540 例无癌对照。采用非条件 logistic 回归模型评估吸烟、饮酒和 hOGG1、XPD 基因风险基因型的联合作用对 UC 发病风险的影响。
同时携带 hOGG1(C/G 或 G/G)和 XPD(A/C 或 C/C)风险基因型的个体 UC 发病风险显著增加(OR=1.8,95%CI=1.01-3.0),与 hOGG1(C/C)和 XPD(A/A)参考组相比。有吸烟和饮酒史且同时携带 hOGG1 和 XPD 风险基因型的个体 UC 发病风险最高(OR=9.9,95%CI=4.5-21.8)。同时携带 hOGG1 和 XPD 风险基因型的 UC 病例发生高级别肿瘤的风险显著增加(OR=5.2,95%CI=1.2-22.3)。
吸烟、饮酒与 hOGG1 和 XPD 风险基因型的联合作用显著增加了 UC 发病风险,同时携带 hOGG1 和 XPD 风险基因型的 UC 病例发生高级别肿瘤的风险显著增加。