Department of Epidemiology and biostatistics, MOE Key Laboratory of Modern Toxicology, School of Public Health, Nanjing Medical University, Nanjing, China.
PLoS One. 2012;7(2):e32230. doi: 10.1371/journal.pone.0032230. Epub 2012 Feb 29.
MiR-106b-25 cluster, hosted in intron 13 of MCM7, may play integral roles in diverse processes including immune response and tumorigenesis. A single nucleotide polymorphism (SNP), rs999885, is located in the promoter region of MCM7.
We performed a case-control study including 1300 HBV-positive hepatocellular carcinoma (HCC) cases, 1344 HBV persistent carriers and 1344 subjects with HBV natural clearance to test the association between rs999885 and the risk of HBV persistent infection and HCC. We also investigated the genotype-expression correlation between rs999885 and miR-106b-25 cluster in 25 pairs of HCC and adjacent non-tumor liver tissues.
Compared with the HBV natural clearance subjects carrying rs999885 AA genotype, those with AG/GG genotypes had a decreased risk of chronic HBV infection with an adjusted odds ratio (OR) of 0.79 [95% confidence intervals (CIs) = 0.67-0.93]. However, the AG/GG genotypes were significantly associated with an increased HCC risk in HBV persistent carriers (adjusted OR = 1.25, 95% CIs = 1.06-1.47). Expression analysis revealed that the expression level of miR-106b-25 cluster was significantly higher in AG/GG carriers than those in AA carriers in non-tumor liver tissues.
These findings indicate that the A to G base change of rs999885 may provide a protective effect against chronic HBV infection but an increased risk for HCC in HBV persistent carriers by altering the expression of the miR-106b-25 cluster.
miR-106b-25 簇位于 MCM7 内含子 13 中,可能在包括免疫反应和肿瘤发生在内的多种过程中发挥重要作用。一个单核苷酸多态性(SNP),rs999885,位于 MCM7 的启动子区域。
我们进行了一项病例对照研究,包括 1300 例 HBV 阳性肝细胞癌(HCC)病例、1344 例 HBV 持续携带者和 1344 例 HBV 自然清除者,以检验 rs999885 与 HBV 持续感染和 HCC 风险之间的关联。我们还在 25 对 HCC 和相邻非肿瘤肝组织中调查了 rs999885 与 miR-106b-25 簇之间的基因型-表达相关性。
与 HBV 自然清除者携带 rs999885 AA 基因型相比,携带 AG/GG 基因型者慢性 HBV 感染的风险降低,调整后的比值比(OR)为 0.79(95%置信区间(CI)为 0.67-0.93)。然而,AG/GG 基因型与 HBV 持续携带者 HCC 风险增加显著相关(调整后的 OR 为 1.25,95%CI 为 1.06-1.47)。表达分析显示,在非肿瘤肝组织中,AG/GG 携带者的 miR-106b-25 簇表达水平明显高于 AA 携带者。
这些发现表明,rs999885 的 A 到 G 碱基变化可能通过改变 miR-106b-25 簇的表达,对慢性 HBV 感染提供保护作用,但对 HBV 持续携带者 HCC 的风险增加。