Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
J Korean Med Sci. 2013 Jun;28(6):840-7. doi: 10.3346/jkms.2013.28.6.840. Epub 2013 Jun 3.
Lung cancer in never-smokers ranks as the seventh most common cause of cancer death worldwide, and the incidence of lung cancer in non-smoking Korean women appears to be steadily increasing. To identify the effect of genetic polymorphisms on lung cancer risk in non-smoking Korean women, we conducted a genome-wide association study of Korean female non-smokers with lung cancer. We analyzed 440,794 genotype data of 285 cases and 1,455 controls, and nineteen SNPs were associated with lung cancer development (P < 0.001). For external validation, nineteen SNPs were replicated in another sample set composed of 293 cases and 495 controls, and only rs10187911 on 2p16.3 was significantly associated with lung cancer development (dominant model, OR of TG or GG, 1.58, P = 0.025). We confirmed this SNP again in another replication set composed of 546 cases and 744 controls (recessive model, OR of GG, 1.32, P = 0.027). OR and P value in combined set were 1.37 and < 0.001 in additive model, 1.51 and < 0.001 in dominant model, and 1.54 and < 0.001 in recessive model. The effect of this SNP was found to be consistent only in adenocarcinoma patients (1.36 and < 0.001 in additive model, 1.49 and < 0.001 in dominant model, and 1.54 and < 0.001 in recessive model). Furthermore, after imputation with HapMap data, we found regional significance near rs10187911, and five SNPs showed P value less than that of rs10187911 (rs12478012, rs4377361, rs13005521, rs12475464, and rs7564130). Therefore, we concluded that a region on chromosome 2 is significantly associated with lung cancer risk in Korean non-smoking women.
在全球范围内,肺癌在从不吸烟人群中的发病率居于第七位,也是导致癌症死亡的第七大原因,且韩国不吸烟女性的肺癌发病率似乎在稳步上升。为了明确遗传多态性对韩国不吸烟女性肺癌发病风险的影响,我们对韩国不吸烟女性肺癌患者进行了全基因组关联研究。我们分析了 285 例病例和 1455 例对照的 440794 个基因型数据,有 19 个 SNP 与肺癌的发生有关(P<0.001)。为了外部验证,我们在由 293 例病例和 495 例对照组成的另一个样本集中重复了这 19 个 SNP,只有 2p16.3 上的 rs10187911 与肺癌的发生显著相关(显性模型,TG 或 GG 基因型的 OR 为 1.58,P=0.025)。我们在由 546 例病例和 744 例对照组成的另一个重复样本集中再次证实了这一 SNP(隐性模型,GG 基因型的 OR 为 1.32,P=0.027)。在合并样本中,相加模型的 OR 和 P 值分别为 1.37 和 <0.001,显性模型为 1.51 和 <0.001,隐性模型为 1.54 和 <0.001。该 SNP 的作用仅在腺癌患者中保持一致(相加模型的 OR 为 1.36 和 <0.001,显性模型为 1.49 和 <0.001,隐性模型为 1.54 和 <0.001)。此外,我们使用 HapMap 数据进行了推测后发现,rs10187911 附近存在区域意义,有 5 个 SNP 的 P 值小于 rs10187911(rs12478012、rs4377361、rs13005521、rs12475464 和 rs7564130)。因此,我们得出结论,染色体 2 上的一个区域与韩国不吸烟女性的肺癌风险显著相关。