Yin Jun, Liu Chao, Wang Xu, Wang Liming, Shi Yijun, Tang Weifeng, Ding Guowen, Liu Ruiping, Chen Suocheng, Gu Haiyong, Zheng Liang
Department of Cardiothoracic Surgery, Affiliated People's Hospital of Jiangsu University, Zhenjiang, 212002, China.
Tumour Biol. 2014 Jul;35(7):6593-600. doi: 10.1007/s13277-014-1872-6. Epub 2014 Apr 3.
Gastric cardiac adenocarcinoma (GCA) is one of the common malignant tumors in the world and has a high incidence in China. Both environmental risk factors and genetic factors might play an essential role in the GCA carcinogenesis. We performed a hospital-based case-control study to evaluate the genetic effects of interleukin 15 (IL15) and IL15 receptor alpha (IL15RA) functional single nucleotide polymorphisms (SNPs) on the pathogenesis of GCA. A total of 243 GCA cases and 476 controls were enrolled in this study. The genotypes were determined using a custom-by-design 48-Plex SNPscan(TM) Kit. When the IL15RA rs2228059 AA homozygote genotype was used as the reference group, the CC genotype was correlated with a significantly decreased risk for GCA (CC vs. AA: adjusted OR = 0.61, 95 % CI = 0.37-0.98, p = 0.042). Our results revealed that functional variant IL15RA rs2228059 A > C might attenuate individual's risk of GCA. However, there was no significant association between the other five IL15 SNPs and GCA susceptibility. This present study demonstrated that IL15RA rs2228059 A > C polymorphism might modify GCA susceptibility. The results were based on a limited sample size; future larger studies with more rigorous designs are warranted to validate our findings.
贲门腺癌(GCA)是全球常见的恶性肿瘤之一,在中国发病率较高。环境风险因素和遗传因素可能在GCA致癌过程中都起着至关重要的作用。我们进行了一项基于医院的病例对照研究,以评估白细胞介素15(IL15)和IL15受体α(IL15RA)功能性单核苷酸多态性(SNP)对GCA发病机制的遗传影响。本研究共纳入243例GCA病例和476例对照。使用定制设计的48重SNPscan™试剂盒确定基因型。当将IL15RA rs2228059 AA纯合子基因型作为参照组时,CC基因型与GCA风险显著降低相关(CC与AA比较:校正OR = 0.61,95%CI = 0.37 - 0.98,p = 0.042)。我们的结果显示,功能性变异IL15RA rs2228059 A>C可能会降低个体患GCA的风险。然而,其他五个IL15 SNP与GCA易感性之间没有显著关联。本研究表明,IL15RA rs2228059 A>C多态性可能会改变GCA易感性。这些结果基于有限的样本量;未来需要更严格设计的更大规模研究来验证我们的发现。