Kim Sook-Young, Yoo Jae-Young, Shin Aesun, Kim Yeonju, Lee Eun-Sook, Lee Yeon-Su
Cancer Genomics Branch, National Cancer Center, Goyang, South Korea.
Asian Pac J Cancer Prev. 2012;13(1):41-8. doi: 10.7314/apjcp.2012.13.1.041.
Breast cancer is the second leading cancer in Korean women. To assess potential genetic associations between the prostate stem cell antigen (PSCA) gene in the chromosome 8q24 locus and breast cancer risk in Korean women, 13 SNPs were selected and associations with breast cancer risk were analyzed with reference to hormone receptor (HR) and menopausal status.
We analyzed DNA extracted from buffy coat from 456 patients and 461 control samples, using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) based upon region-specific PCR followed by allele- specific single base primer extension reactions. Risks associated with PSCA genotypes and haplotypes were estimated with chi-square test (χ2 -test), and polytomous logistic regression models using odds ratios (OR) and 95% confidence intervals (CIs), by HR and menopausal status.
In case-control analysis, odds ratios (OR) of rs2294009, rs2294008, rs2978981, rs2920298, rs2976395, and rs2976396 were statistically significant only among women with estrogen receptor (ER) negative cancers, and those of rs2294008, rs2978981, rs2294010, rs2920298, rs2976394, rs10216533, and rs2976396 were statistically significant only in pre-menopausal women, and not in postmenopausal women. Risk with the TTGGCAA haplotype was significantly elevated in ER (-) status (OR= 1.48, 95% CI= 1.03~2.12, p<0.05). Especially risk of allele T of rs2294008 is significantly low in pre-menopausal breast cancer patients and AA genotype of rs2976395 in ER (-) status represents the increase of OR value.
This report indicated for the first time that associations exist between PSCA SNPs and breast cancer susceptibility in Korean women, particularly those who are pre-menopausal with an estrogen receptor negative tumor status.
乳腺癌是韩国女性中第二大常见癌症。为了评估位于8号染色体q24位点的前列腺干细胞抗原(PSCA)基因与韩国女性乳腺癌风险之间的潜在遗传关联,我们选取了13个单核苷酸多态性(SNP),并参照激素受体(HR)和绝经状态分析了它们与乳腺癌风险的关联。
我们使用基于区域特异性聚合酶链反应(PCR)并随后进行等位基因特异性单碱基引物延伸反应的基质辅助激光解吸/电离飞行时间质谱(MALDI-TOF MS)技术,分析了从456例患者的血沉棕黄层和461个对照样本中提取的DNA。通过卡方检验(χ2检验)以及使用比值比(OR)和95%置信区间(CI)的多分类逻辑回归模型,按HR和绝经状态估计与PSCA基因分型和单倍型相关的风险。
在病例对照分析中,rs2294009、rs2294008、rs2978981、rs2920298、rs2976395和rs2976396的比值比(OR)仅在雌激素受体(ER)阴性癌症的女性中具有统计学意义,而rs2294008、rs2978981、rs2294010、rs2920298、rs2976394、rs10216533和rs2976396的比值比仅在绝经前女性中具有统计学意义,在绝经后女性中则无统计学意义。TTGGCAA单倍型的风险在ER(-)状态下显著升高(OR = 1.48,95% CI = 1.03~2.12,p<0.05)。特别是,rs2294008的T等位基因在绝经前乳腺癌患者中的风险显著较低,而rs2976395的AA基因型在ER(-)状态下代表OR值升高。
本报告首次表明,PSCA基因的单核苷酸多态性与韩国女性乳腺癌易感性之间存在关联,特别是那些绝经前且雌激素受体呈阴性肿瘤状态的女性。