Lian MinXue, Jiang HaiTao, Wang Hui, Guo ShiWen
Department of Neurosurgery, First Affiliated Hospital of Xi'an Jiaotong University, PR China.
Department of Neurological Geriatrics, Second Affiliated Hospital of Xi'an Jiaotong University, PR China.
J Renin Angiotensin Aldosterone Syst. 2015 Jun;16(2):443-7. doi: 10.1177/1470320313495910. Epub 2014 Aug 20.
The insertion/deletion (I/D) polymorphism of the angiotensin-converting enzyme (ACE) gene has recently been linked to the pathogenesis and progression of human cancers. The aim of this study was to evaluate the potential association between ACE I/D polymorphism and glioma in a Chinese population.
A case-control study involving patients with 800 glioma and 800 controls was conducted. Polymerase chain reaction restriction fragment length polymorphism (PCR-RFLP) assay was applied to assess the ACE I/D genotypes.
Glioma cases had a significantly higher frequency of DD genotype [odds ratio (OR) = 1.61, 95% confidence interval (CI) = 1.12, 2.32; p = 0.01] than controls. When stratified by the grade of glioma, cases with WHO IV glioma had a significantly higher frequency of DD genotype (OR = 1.51, 95% CI = 1.03, 2.21; p = 0.03). When stratified by the histology of glioma, there was no significant difference in the distribution of each genotype.
Our study suggested that the ACE DD genotype was associated with a higher glioma risk in this Chinese population. To the best of our knowledge, this is the first report describing the potential association between ACE I/D polymorphism and glioma. Additional studies are needed to confirm this finding.
血管紧张素转换酶(ACE)基因的插入/缺失(I/D)多态性最近被认为与人类癌症的发病机制和进展有关。本研究的目的是评估中国人群中ACE I/D多态性与胶质瘤之间的潜在关联。
进行了一项病例对照研究,纳入800例胶质瘤患者和800例对照。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)分析来评估ACE I/D基因型。
胶质瘤病例中DD基因型的频率显著高于对照组[比值比(OR)=1.61,95%置信区间(CI)=1.12,2.32;p=0.01]。按胶质瘤分级分层时,世界卫生组织(WHO)IV级胶质瘤病例中DD基因型的频率显著更高(OR=1.51,95%CI=1.03,2.21;p=0.03)。按胶质瘤组织学分层时,各基因型的分布无显著差异。
我们的研究表明,在这个中国人群中,ACE DD基因型与较高的胶质瘤风险相关。据我们所知,这是第一份描述ACE I/D多态性与胶质瘤之间潜在关联的报告。需要进一步的研究来证实这一发现。