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汉族人群中10q26常见变异与良性前列腺增生侵袭性的关联

Association of a common variant at 10q26 and benign prostatic hyperplasia aggressiveness in han chinese descent.

作者信息

Gu Xin, Huang Tao, Xu Ding, Duan Liujian, Jiao Yang, Kang Jian, Zheng S Lilly, Xu Jianfeng, Sun Jielin, Qi Jun

机构信息

Department of Urology, Xinhua Hospital, Medical School of Shanghai Jiaotong University, Shanghai 200092, China.

出版信息

Biochem Res Int. 2013;2013:820849. doi: 10.1155/2013/820849. Epub 2013 Aug 1.

Abstract

Recent studies reported that rs2252004 at 10q26 was significantly associated with prostate cancer (PCa) risk in a Japanese population and was subsequently confirmed in a Chinese population. We aimed to assess the relationship between this locus and risk/aggressiveness of benign prostatic hyperplasia (BPH). The current study included 426 BPH cases and 1,008 controls from Xinhua Hospital in Shanghai, China. All BPH patients were treated with α -adrenergic blockers and 5 α -reductase inhibitors for at least 9 months. Associations between rs2252004 and BPH risk/aggressiveness were tested using logistic regression. Associations between rs2252004 and clinical parameters including International Prostate Symptom Score (IPSS), total prostate volume (TPV), total PSA (tPSA), and free PSA (fPSA) were evaluated by linear regression. Allele "A" in rs2252004 was significantly associated with increased risk for aggressiveness of BPH in a Chinese population (OR = 1.42, 95% CI: 1.04-1.96, P = 0.03). Patients with the genotype "A/A" (homozygous minor allele) had an increase of IPSS and TPV after treatment (P = 0.045 and 0.024, resp.). No association was observed between rs2252004, BPH risk, and baseline clinicopathological traits (All P > 0.05). Our study is the first to show that rs2252004 at 10q26 was associated with BPH aggressiveness and efficacy of BPH treatment.

摘要

近期研究报道,位于10q26的rs2252004与日本人群的前列腺癌(PCa)风险显著相关,随后在中国人群中也得到了证实。我们旨在评估该基因座与良性前列腺增生(BPH)风险/侵袭性之间的关系。本研究纳入了来自中国上海新华医院的426例BPH患者和1008例对照。所有BPH患者均接受了α-肾上腺素能阻滞剂和5α-还原酶抑制剂治疗至少9个月。使用逻辑回归检验rs2252004与BPH风险/侵袭性之间的关联。通过线性回归评估rs2252004与包括国际前列腺症状评分(IPSS)、前列腺总体积(TPV)、总前列腺特异性抗原(tPSA)和游离前列腺特异性抗原(fPSA)在内的临床参数之间的关联。在中国人群中,rs2252004中的等位基因“A”与BPH侵袭性风险增加显著相关(OR = 1.42,95% CI:1.04 - 1.96,P = 0.03)。基因型为“A/A”(纯合子次要等位基因)的患者在治疗后IPSS和TPV有所增加(分别为P = 0.045和0.024)。未观察到rs2252004、BPH风险与基线临床病理特征之间存在关联(所有P > 0.05)。我们的研究首次表明,位于10q26的rs2252004与BPH侵袭性及BPH治疗疗效相关。

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