Fernandes Glaucia Maria M, Russo Anelise, Proença Marcela Alcântara, Gazola Nathalia Fernanda, Rodrigues Gabriela Helena, Biselli-Chicote Patrícia Matos, Silva Ana Elizabete, Netinho João Gomes, Pavarino Érika Cristina, Goloni-Bertollo Eny Maria
Glaucia Maria M Fernandes, Anelise Russo, Nathalia Fernanda Gazola, Gabriela Helena Rodrigues, Patrícia Matos Biselli-Chicote, Érika Cristina Pavarino, Eny Maria Goloni-Bertollo, Genetics and Molecular Biology Research Unit - UPGEM, Department of Molecular Biology, São José do Rio Preto Medical School, FAMERP, São José do Rio Preto, SP 15090-000, Brazil.
World J Gastroenterol. 2016 Dec 7;22(45):9974-9983. doi: 10.3748/wjg.v22.i45.9974.
To investigate the contribution of polymorphisms in the , and genes on sporadic colorectal cancer (SCRC) risk.
Six hundred forty-one individuals (227 patients with SCRC and 400 controls) were enrolled in the study. The variables analyzed were age, gender, tobacco and alcohol consumption, and clinical and histopathological tumor parameters. The *2A, *2C *5B and *6 polymorphisms were analyzed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). The Tyr113His, His139Arg and *2C polymorphisms were detected by real-time PCR. Chi-squared test and binary logistic regression were used in the statistical analysis. Haplotype analysis was conducted using the Haploview program, version 2.05.
Age over 62 years was a risk factor for SCRC development (OR = 7.54, 95%CI: 4.94-11.50, < 0.01). Male individuals were less susceptible to SCRC (OR = 0.55, 95%CI: 0.35-0.85, < 0.01). The polymorphism was associated with SCRC in the codominant (heterozygous genotype: OR = 2.66, 95%CI: 1.64-4.32, < 0.01), dominant (OR = 2.82, 95%CI: 1.74-4.55, < 0.01), overdominant (OR = 2.58, 95%CI: 1.59-4.19, < 0.01), and log-additive models (OR = 2.84, 95%CI: 1.78-4.52, < 0.01). The polymorphism was associated with an increased SCRC risk in codominant (heterozygous genotype: OR = 2.81, 95%CI: 1.84-4.28, < 0.01; homozygous polymorphic: OR = 7.32, 95%CI: 1.85-28.96, < 0.01), dominant (OR = 2.97, 95%CI: 1.97-4.50, < 0.01), recessive (OR = 5.26, 95%CI: 1.35-20.50, = 0.016), overdominant (OR = 2.64, 95%CI: 1.74-4.01, < 0.01), and log-additive models (OR = 2.78, 95%CI: 1.91-4.06, < 0.01). The haplotype formed by the minor alleles of the CYP2E15B (C) and CYP2E16 (A) polymorphisms was associated with SCRC ( = 0.002). However, the *2A, *2C, and polymorphisms were not associated with SCRC.
In conclusion, the results demonstrated that and minor alleles play a role in the development of SCRC.
研究细胞色素P450 2E1(CYP2E1)基因的*2A、*2C、5B和6多态性对散发性结直肠癌(SCRC)风险的影响。
本研究纳入641名个体(227例SCRC患者和400名对照)。分析的变量包括年龄、性别、烟草和酒精消费以及临床和组织病理学肿瘤参数。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)分析*2A、2C、5B和6多态性。通过实时PCR检测CYP2E1 Tyr113His、His139Arg和2C多态性。统计分析采用卡方检验和二元逻辑回归。使用Haploview 2.05版程序进行单倍型分析。
62岁以上是SCRC发生的危险因素(OR = 7.54,95%CI:4.94 - 11.50,P < 0.01)。男性个体对SCRC的易感性较低(OR = 0.55,95%CI:r0.35 - 0.85,P < 0.01)。CYP2E1多态性在共显性(杂合基因型:OR = 2.66,95%CI:1.64 - 4.32,P < r0.01)、显性(OR = 2.82,95%CI:1.74 - 4.55,P < 0.01)、超显性(OR = 2.58,95%CI:1.59 - 4.19,P < 0.01)和对数相加模型(OR = 2.84,95%CI:1.78 - 4.52,P < 0.01)中与SCRC相关。CYP2E5B多态性在共显性(杂合基因型:OR = 2.81,95%CI:1.84 - 4.28,P < 0.01;纯合多态性:OR = 7.32,95%CI:1.85 - r28.96,P < 0.01)、显性(OR = 2.97,95%CI:1.97 - 4.50,P < 0.01)、隐性(OR = 5.26,95%CI:1.35 - 20.50,P = 0.016)、超显性(OR = 2.64,95%CI:1.74 - 4.01,P < 0.01)和对数相加模型(OR = 2.78,95%CI:1.91 - 4.06,P < 0.01)中与SCRC风险增加相关。由CYP2E15B(C)和CYP2E1*6(A)多态性的次要等位基因形成的单倍型与SCRC相关(P = 0.002)。然而,*2A、*2C、Tyr113His和His139Arg多态性与SCRC无关。
总之,结果表明CYP2E5B和CYP2E6次要等位基因在SCRC的发生中起作用。