Hu Mingjun, Du Jieli, Cui Lihong, Huang Tingqin, Guo Xiaoye, Zhao Yonglin, Ma Xudong, Jin Tianbo, Li Gang, Song Jinning
Department of Neurosurgery, First Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an 710061, China.
Department of Neurosurgery, Xi'an First Hospital, Xi'an 710002, China.
Oncotarget. 2016 Dec 6;7(49):80680-80687. doi: 10.18632/oncotarget.13028.
Interleukin-10 (IL-10) and DNA repair gene PRKDC mutations are implicated in the development of multiple human cancers, including glioma. We investigated associations between IL-10 and PRKDC gene polymorphisms and prognosis in low- and high-grade glioma patients. We analyzed the associations of one IL-10 and one PRKDC single nucleotide polymorphism with patient clinical factors in 481 glioma patients using Cox proportional hazard models and Kaplan-Meier curves. We also assessed associations between patient clinical characteristics and prognosis. Our data showed that the extent of tumor resection (gross-total resection) and application of chemotherapy were associated with improved patient outcomes in all glioma cases. Additionally, univariate (Log-rank p = 0.019) and multivariate Cox regression analyses (p = 0.022) showed that the IL-10 rs1800871 C/T genotype correlates with improved overall survival in cases of low-grade glioma, whereas the PRKDC rs7003908 C/C genotype correlated with reduced overall and progression-free survival in high-grade glioma patients in univariate (Log-rank p = 0.000 and p = 0.000, respectively) and multivariate Cox regression analyses (p = 0.001; p = 0.002, respectively). These results suggest that IL-10 rs1800871 and PRKDC rs7003908 may be useful biomarkers for predicting glioma patient outcome. Further functional studies are needed to evaluate the mechanisms by which these polymorphisms affect glioma progression.
白细胞介素-10(IL-10)和DNA修复基因PRKDC突变与包括神经胶质瘤在内的多种人类癌症的发生发展有关。我们研究了IL-10和PRKDC基因多态性与低级别和高级别神经胶质瘤患者预后之间的关联。我们使用Cox比例风险模型和Kaplan-Meier曲线分析了481例神经胶质瘤患者中一个IL-10和一个PRKDC单核苷酸多态性与患者临床因素之间的关联。我们还评估了患者临床特征与预后之间的关联。我们的数据表明,在所有神经胶质瘤病例中,肿瘤切除范围(全切除)和化疗的应用与患者预后改善相关。此外,单因素(对数秩检验p = 0.019)和多因素Cox回归分析(p = 0.022)表明,IL-10 rs1800871 C/T基因型与低级别神经胶质瘤患者的总生存期改善相关,而PRKDC rs7003908 C/C基因型在单因素(对数秩检验p分别为0.000和0.000)和多因素Cox回归分析(p分别为0.001;0.002)中与高级别神经胶质瘤患者的总生存期和无进展生存期降低相关。这些结果表明,IL-10 rs1800871和PRKDC rs7003908可能是预测神经胶质瘤患者预后的有用生物标志物。需要进一步的功能研究来评估这些多态性影响神经胶质瘤进展的机制。