Mahmoudi Touraj, Karimi Khatoon, Arkani Maral, Farahani Hamid, Nobakht Hossein, Dabiri Reza, Asadi Asadollah, Zali Mohammad Reza
Gastroenterology and Liver Diseases Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran E-mail :
Asian Pac J Cancer Prev. 2014;15(15):6035-9. doi: 10.7314/apjcp.2014.15.15.6035.
Substantial evidence from epidemiological studies has suggested that increased levels of calcium may play a protective role against colorectal cancer (CRC). Given the vital role of calcium sensing receptor (CaSR) and parathyroid hormone (PTH) in the maintenance of calcium homeostasis, we explored whether the rs1801725 (A986S) variant located in exon 7 of the CaSR gene and the rs6256 variant located in exon 3 of PTH gene might be associated with CRC risk.
In this study 860 subjects including 350 cases with CRC and 510 controls were enrolled and genotyped using PCR-RFLP methods.
We observed no significant difference in genotype or allele frequencies between the cases with CRC and controls for both CaSR and PTH genes either before or after adjustment for confounding factors including age, BMI, sex, smoking status, and family history of CRC. Furthermore, no evidence for effect modification of any association of rs1801725 and rs6256 variants and CRC by BMI, sex, or tumor site was observed. In addition, there was no significant difference in genotype and allele frequencies between the normal weight (BMI<25 kg/m2) cases and overweight/ obese (BMI≥25 kg/m2) cases for the two SNPs.
These data indicated that the CaSR gene A986S variant is not a genetic contributor to CRC risk in the Iranian population. Furthermore, our results suggest for the first time that PTH gene variant does not affect CRC risk. Nonetheless, further studies with larger sample size are needed to validate these findings.
流行病学研究的大量证据表明,钙水平升高可能对结直肠癌(CRC)起到保护作用。鉴于钙敏感受体(CaSR)和甲状旁腺激素(PTH)在维持钙稳态中的重要作用,我们探讨了位于CaSR基因第7外显子的rs1801725(A986S)变异和位于PTH基因第3外显子的rs6256变异是否可能与CRC风险相关。
本研究纳入了860名受试者,包括350例CRC患者和510名对照,并采用PCR-RFLP方法进行基因分型。
在对包括年龄、BMI、性别、吸烟状况和CRC家族史等混杂因素进行调整之前和之后,我们观察到CRC患者和对照组中CaSR和PTH基因的基因型或等位基因频率均无显著差异。此外,未观察到BMI、性别或肿瘤部位对rs1801725和rs6256变异与CRC之间的任何关联产生效应修饰的证据。此外,两个单核苷酸多态性(SNP)在正常体重(BMI<25 kg/m2)病例和超重/肥胖(BMI≥25 kg/m2)病例之间的基因型和等位基因频率也无显著差异。
这些数据表明,CaSR基因的A986S变异不是伊朗人群CRC风险的遗传因素。此外,我们的结果首次表明PTH基因变异不会影响CRC风险。尽管如此,仍需要更大样本量的进一步研究来验证这些发现。