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维生素D受体基因多态性在胰腺癌中的作用:一项中国的病例对照研究。

Role of vitamin D receptor gene polymorphisms in pancreatic cancer: a case-control study in China.

作者信息

Li Lei, Shang Feifei, Zhang Weihui, Zhang Canhong, Li Junshan, Wang Changhui, Wei Lin

机构信息

Department of Gastroenterology, Taian City Central Hospital, 271000, Taian, Shandong Province, China,

出版信息

Tumour Biol. 2015 Jun;36(6):4707-14. doi: 10.1007/s13277-015-3119-6. Epub 2015 Jan 24.

Abstract

The study was conducted to investigate the relationship between vitamin D receptor (VDR) gene rs2228570 and rs1544410 polymorphisms and pancreatic cancer (PC). Two hundred fifty-eight PC patients and 385 healthy controls were enrolled in this study. The genotypes of rs2228570 and rs1544410 were assayed using the polymerase chain reaction/restriction fragment length polymorphism (PCR-RFLP) method. Univariate and multivariate logistic regression analyses were applied to determine the association between PC-onset risk and VDR gene polymorphisms. Contingency table analysis was performed to evaluate the relationship between the gene polymorphisms and clinicopathological tumor features such as location, pathological differentiation, and the TNM classification of PC. In rs2228570, the T loci and genotypes with T allele could increase the risk of PC; in rs1544410, the G loci and genotypes AG + GG could decrease the onset risk of PC significantly. The contingency table analysis indicated that the rs2228570 polymorphisms were correlated with the pathological differentiation of PC significantly, and the rs1544410 polymorphisms were correlated with the TNM classification of PC significantly. In conclusion, the VDR gene polymorphisms were correlated with incidence, pathological differentiation, and the TNM classification of PC significantly in our study population. So, the VDR polymorphisms have important implications in the incident rate and survival rate of PC.

摘要

本研究旨在探讨维生素D受体(VDR)基因rs2228570和rs1544410多态性与胰腺癌(PC)之间的关系。本研究纳入了258例PC患者和385例健康对照。采用聚合酶链反应/限制性片段长度多态性(PCR-RFLP)方法检测rs2228570和rs1544410的基因型。应用单因素和多因素逻辑回归分析来确定PC发病风险与VDR基因多态性之间的关联。进行列联表分析以评估基因多态性与PC的位置、病理分化和TNM分类等临床病理肿瘤特征之间的关系。在rs2228570中,T位点和携带T等位基因的基因型可增加PC风险;在rs1544410中,G位点以及AG + GG基因型可显著降低PC发病风险。列联表分析表明,rs2228570多态性与PC的病理分化显著相关,rs1544410多态性与PC的TNM分类显著相关。总之,在我们的研究人群中,VDR基因多态性与PC的发病率、病理分化和TNM分类显著相关。因此,VDR多态性对PC的发病率和生存率具有重要意义。

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