Wen Yuan-Yuan, Pan Xiong-Fei, Loh Marie, Tian Zhi, Yang Shu-Juan, Lv Si-Han, Huang Wen-Zhi, Huang He, Xie Yao, Soong Richie, Yang Chun-Xia
Department of Epidemiology, West China School of Public Health, Sichuan University, Chengdu, China.
Asian Pac J Cancer Prev. 2012;13(5):2139-44. doi: 10.7314/apjcp.2012.13.5.2139.
Gastric cancer remains a major health problem in China. We hypothesized that XRCC1 Arg194Trp and ADPRT Val762Ala may be associated with risk.
We designed a multicenter 1:1 matched case- control study of 307 pairs of gastric cancers and controls between October 2010 and August 2011. XRCC1 Arg194Trp and ADPRT Val762Ala were sequenced, and demographic data as well as lifestyle factors were collected using a self-designed questionnaire.
Individuals carrying XRCC1 Trp/Trp or Arg/Trp variant genotype had a significantly increased risk of gastric cancer (OR, 1.718; 95% CI, 1.190-2.479), while the OR for ADPRT Val762Ala variant genotype (Ala/Ala or Val/Ala) was 1.175 (95% CI, 0.796-1.737). No gene-gene or gene-environment interactions were found. In addition, family history of cancer and drinkers proportion were higher among cases than among controls (P<0.05).
XRCC1 194 Arg/Trp or Trp/Trp genotype, family history of cancer, and drinking are suspected risk factors of gastric cancer from our study. Our findings may offer insight into further similar large gene-environment and gene-gene studies in this region.
胃癌在中国仍然是一个主要的健康问题。我们推测XRCC1基因的Arg194Trp突变和ADPRT基因的Val762Ala突变可能与胃癌风险相关。
我们设计了一项多中心1:1匹配的病例对照研究,于2010年10月至2011年8月期间纳入307对胃癌患者和对照。对XRCC1基因的Arg194Trp突变和ADPRT基因的Val762Ala突变进行测序,并使用自行设计的问卷收集人口统计学数据和生活方式因素。
携带XRCC1基因Trp/Trp或Arg/Trp变异基因型的个体患胃癌的风险显著增加(比值比[OR],1.718;95%置信区间[CI],1.190-2.479),而ADPRT基因Val762Ala变异基因型(Ala/Ala或Val/Ala)的OR为1.175(95%CI,0.796-1.737)。未发现基因-基因或基因-环境相互作用。此外,病例组的癌症家族史和饮酒者比例高于对照组(P<0.05)。
根据我们的研究,XRCC1基因194位密码子的Arg/Trp或Trp/Trp基因型、癌症家族史和饮酒是胃癌的可疑危险因素。我们的研究结果可能为该地区进一步开展类似的大规模基因-环境和基因-基因研究提供思路。