World J Gastroenterol. 2011 Nov 7;17(41):4640-2. doi: 10.3748/wjg.v17.i41.4640.
The aim of this study was to investigate an association between the development of cholangiocarcinoma (CCA) and the ABO variant rs505922 (known to increase pancreatic cancer risk) in a large cohort of European individuals with CCA. In total, 180 individuals with CCA and 350 CCA-free controls were included. The ABO variant rs505922 was genotyped using a polymerase chain reaction-based assay. Association between this single nucleotide polymorphism (SNP) and CCA was tested in contingency tables. Neither allele distributions nor association tests and regression analysis provided evidence for an increased risk of CCA among carriers of the ABO variant (all P > 0.05). Nevertheless, we documented a deviation from Hardy-Weinberg equilibrium in the entire CCA cohort (P = 0.028) and for patients with intrahepatic (P = 0.037) but not extrahepatic tumor localization (P > 0.05). The association tests did not provide evidence for a prominent role of the investigated SNP in the genetic risk of CCA. However, Hardy-Weinberg disequilibrium in the entire cohort and the intrahepatic CCA subgroup warrants future studies investigating a potential CCA risk modulation by individual blood groups.
本研究旨在调查在一个大型欧洲胆管癌(CCA)患者队列中,ABO 变体 rs505922(已知增加胰腺癌风险)与胆管癌发展之间的关联。共纳入 180 名 CCA 患者和 350 名 CCA 对照组。使用聚合酶链反应(PCR)检测 ABO 变体 rs505922 的基因型。在列联表中测试该单核苷酸多态性(SNP)与 CCA 之间的关联。携带 ABO 变体的个体的等位基因分布、关联检验和回归分析均未提供 CCA 风险增加的证据(均 P>0.05)。然而,我们在整个 CCA 队列中记录到 Hardy-Weinberg 平衡偏离(P=0.028),在肝内肿瘤定位患者中也记录到 Hardy-Weinberg 平衡偏离(P=0.037),但在肝外肿瘤定位患者中没有记录到 Hardy-Weinberg 平衡偏离(P>0.05)。关联检验并未提供证据表明所研究的 SNP 在 CCA 的遗传风险中起主要作用。然而,整个队列和肝内 CCA 亚组的 Hardy-Weinberg 不平衡表明,未来需要研究个体血型对 CCA 风险的潜在调节作用。