Wang Xin-Hua, Long Zi-Wen
Department of Dermatology, Shigatse People's Hospital, Shigatse 857000, P.R. China.
Department of Dermatology, Shigatse People's Hospital, Shigatse 857000, P.R. China; Department of Gastric Cancer and Soft-Tissue Sarcoma Sugery, Fudan University Shanghai Cancer Center, Shanghai 200032, P.R. China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, P.R. China.
Gene. 2017 Jun 20;617:44-53. doi: 10.1016/j.gene.2017.02.023. Epub 2017 Feb 17.
This case-control study aims to investigate the correlations of EGF G1380A, bFGF C754G and VEGF T460C polymorphisms with the susceptibility and prognosis of malignant melanoma. A total of 153 patients with multiple primary melanomas were collected as the case group and another 170 healthy individuals were selected as the control group. ELISA and PCR-RFLP were performed to test the serum level of VEGF and to analyze the genotype as well as allele frequencies of VEGF T460C, EGF G1380A, and bFGF C754G, respectively. The patients were assigned into complete remission (CR), partial remission (PR) and non-remission groups after treatment. HE and CD34 staining were conducted in tissue samples of CR and PR patients. Event-free survival (EFS) and overall survival (OS) were measured. AA genotype of EGF G1380A and GG genotype of bFGF C754G had higher frequency distribution in the case group than the control group. Patients with AA genotype of EGF G1380 and GG genotype of bFGF C754G had an elevated VEGF level in comparison to other genotypes. Patients with GA+GG genotypes of EGF G1380A and CG+CC genotypes of bFGF C754G had higher EFS and OS than those with AA genotype and those with GG genotype, respectively. According to the haplotype analysis, the case group had a notably higher frequency of TAG and CAG along with while lower frequency of TGG and CGC compared with the control group. Logistic regression analysis revealed that the polymorphisms of EGF G1380A and bFGF C754G as well as the haploid TAG increased the susceptibility of malignant melanoma. The results indicated that EGF G1380A and bFGF C754G gene polymorphisms were associated with the susceptibility and prognosis of malignant melanoma, and that the polymorphisms of EGF G1380A and bFGF C754G as well as the haploid TAG increased the susceptibility of malignant melanoma.
本病例对照研究旨在探讨表皮生长因子(EGF)G1380A、碱性成纤维细胞生长因子(bFGF)C754G和血管内皮生长因子(VEGF)T460C基因多态性与恶性黑色素瘤易感性及预后的相关性。共收集153例多原发性黑色素瘤患者作为病例组,另选170例健康个体作为对照组。采用酶联免疫吸附测定(ELISA)和聚合酶链反应-限制性片段长度多态性分析(PCR-RFLP)分别检测VEGF血清水平,分析VEGF T460C、EGF G1380A和bFGF C754G的基因型及等位基因频率。患者治疗后分为完全缓解(CR)、部分缓解(PR)和未缓解组。对CR和PR患者的组织样本进行苏木精-伊红(HE)染色和CD34染色。测量无事件生存期(EFS)和总生存期(OS)。EGF G1380A的AA基因型和bFGF C754G的GG基因型在病例组中的频率分布高于对照组。与其他基因型相比,EGF G1380A的AA基因型和bFGF C754G的GG基因型患者的VEGF水平升高。EGF G1380A的GA+GG基因型和bFGF C754G的CG+CC基因型患者的EFS和OS分别高于AA基因型和GG基因型患者。单倍型分析显示,与对照组相比,病例组中TAG和CAG的频率显著较高,而TGG和CGC的频率较低。逻辑回归分析显示,EGF G1380A和bFGF C75G的基因多态性以及单倍型TAG增加了恶性黑色素瘤的易感性。结果表明,EGF G1380A和bFGF C754G基因多态性与恶性黑色素瘤的易感性及预后相关,且EGF G1380A和bFGF C754G的基因多态性以及单倍型TAG增加了恶性黑色素瘤的易感性。