Qi Guannan, Xiong Huijuan, Zhou Changju
Department of Gynecology and Obstetrics, The Third Xiangya Hospital of Central South University, Tongzi Po Road no. 138, Changsha, 410013, China.
Tumour Biol. 2014 Jun;35(6):5723-6. doi: 10.1007/s13277-014-1758-7. Epub 2014 Feb 28.
Ovarian cancer remains the leading cause of death from gynecological malignancies and the second most common gynecological malignancy among women worldwide. However, the etiology still remains largely unknown. Previous studies identified APOBEC3 gene deletions were significantly associated with higher breast cancer risk in both European and Chinese women. Considering both breast and ovarian cancers being hormonally driven and sharing multiple risk factors, we performed this case-control study to evaluate the association between APOBEC3 deletion and epithelial ovarian cancer (EOC) risk. We analyzed the APOBEC3 deletion in a case-control study of 2,938 Chinese women (including 1,374 EOC cases and 1,564 healthy controls). All participants were genotyped using real-time qualitative PCR (qPCR). APOBEC3 deletion was significant associated with EOC risk, with ORs (95 % CIs) of 1.46 (1.14-1.86) associated with one copy deletion and 2.53 (0.91-7.06) associated with two copy deletion compared with subjects with no deletion (P for trend =1.50 × 10(-3)). Additional adjustments and stratified analyses did not change the results materially. Our data suggests that the loss genotypes of APOBEC3 deletion predispose their carriers to EOC.
卵巢癌仍然是妇科恶性肿瘤死亡的主要原因,也是全球女性中第二常见的妇科恶性肿瘤。然而,其病因在很大程度上仍然未知。先前的研究表明,APOBEC3基因缺失在欧洲和中国女性中均与较高的乳腺癌风险显著相关。鉴于乳腺癌和卵巢癌都受激素驱动且有多个共同风险因素,我们开展了这项病例对照研究,以评估APOBEC3缺失与上皮性卵巢癌(EOC)风险之间的关联。我们在一项针对2938名中国女性(包括1374例EOC病例和1564名健康对照)的病例对照研究中分析了APOBEC3缺失情况。所有参与者均使用实时定量PCR(qPCR)进行基因分型。APOBEC3缺失与EOC风险显著相关,与无缺失的受试者相比,单拷贝缺失的优势比(95%置信区间)为1.46(1.14 - 1.86),双拷贝缺失的优势比为2.53(0.91 - 7.06)(趋势P值 = 1.50×10⁻³)。进一步的调整和分层分析并未实质性改变结果。我们的数据表明,APOBEC3缺失的缺失基因型使其携带者易患EOC。