Gong Hong-Yun, Hu Wei-Guo, Wang Xiu-Ling, Zhu Fan, Song Qin-Bin
Hong-Yun Gong, Wei-Guo Hu, Qin-Bin Song, Department of Oncology, Renmin Hospital of Wuhan University, Wuhan 430060, Hebei Province, China.
World J Gastrointest Oncol. 2014 Dec 15;6(12):444-9. doi: 10.4251/wjgo.v6.i12.444.
To evaluate the potential prognostic value of GNAS1 T393C polymorphism in advanced non-small cell lung cancer.
We extracted genomic DNA from the peripheral blood leucocytes of 94 patients with advanced non-small cell lung cancer. Quantitative real-time polymerase chain reaction was used to determine the allelic discrimination. The correlation between genotype and overall survival was evaluated using the multivariate analysis and Kaplan-Meier approach.
Thirty-eight out of 94 (40%) patients displayed a TT genotype, 29 out of 94 (31%) a CT genotype and 27 out of 94 (29%) a CC genotype. The median survival of TT (25 mo) genotype carriers was longer than CT (12 mo) or CC (8 mo) genotype carriers. The favorable TT genotype predicted better overall survival (OS) (2-year OS: 48%; P =0.01) compared with CT (2-year OS: 18%) or CC (2-year OS: 15%) genotype. However, dichotomization between C-genotypes (CC + CT) and T-genotypes (TT) revealed significantly lower survival rates (2-year OS: 16%; P = 0.01) for C allele carriers.
Our data provided strong evidence that the GNAS1 T393C genetic polymorphism influenced the prognosis in advanced non-small lung cancer with a worse outcome for C allele carriers.
评估GNAS1基因T393C多态性在晚期非小细胞肺癌中的潜在预后价值。
我们从94例晚期非小细胞肺癌患者的外周血白细胞中提取基因组DNA。采用定量实时聚合酶链反应来确定等位基因鉴别。使用多变量分析和Kaplan-Meier方法评估基因型与总生存期之间的相关性。
94例患者中,38例(40%)表现为TT基因型,29例(31%)为CT基因型,27例(29%)为CC基因型。TT基因型(25个月)携带者的中位生存期长于CT基因型(12个月)或CC基因型(8个月)携带者。与CT基因型(2年总生存率:18%)或CC基因型(2年总生存率:15%)相比,有利的TT基因型预测总生存期(OS)更好(2年总生存率:48%;P =0.01)。然而,C基因型(CC + CT)和T基因型(TT)之间的二分法显示,C等位基因携带者的生存率显著较低(2年总生存率:16%;P =0.01)。
我们的数据提供了有力证据,表明GNAS1基因T393C基因多态性影响晚期非小细胞肺癌的预后,C等位基因携带者的预后较差。