He Bang-Shun, Sun Hui-Ling, Xu Tao, Pan Yu-Qin, Lin Kang, Gao Tian-Yi, Zhang Zhen-Yu, Wang Shu-Kui
General Clinical Research Center, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Department of Laboratory Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
J Cancer. 2017 Feb 11;8(4):531-536. doi: 10.7150/jca.17519. eCollection 2017.
Genome-wide association studies have identified that polymorphisms in 8q24 confer susceptibility to gastric cancer. Polymorphisms in the lncRNA , , and transcribed from the 8q24 locus have a potential risk for gastric cancer. To evaluate whether there is such an association in Chinese population, a case-control study enrolled 494 patients and 494 healthy controls was carried out. Sequenom MassARRAY platform was used for genotyping. This study showed that rs16901946 G allele was associated with increased risk of gastric cancer (AG: adjusted OR = 1.33, 95% CI =1.02-1.73, p=0.033; GG: adjusted OR = 2.07; 95% CI = 1.11-3.86, p=0.023, AG/GG: adjusted OR = 1.39, 95% CI = 1.08-1.1.79, p=0.011; additive model: adjusted OR = 1.37; 95% CI = 1.10-1.70, p=0.004). Stratified analysis revealed that the increased risk was more evident in the cohort of younger subjects (adjusted OR = 1.84, 95% CI = 1.18-2.87, p=0.007), males (adjusted OR = 1.55, 95% CI = 1.15-2.08, p=0.004), positive infection (adjusted OR = 1.44, 95% CI = 1.02-2.03, p=0.041), gastric cardia adenocarcinoma (adjusted OR = 1.61, 95% CI = 1.10-2.35, p=0.014), and tumor stage T1-T2 (adjusted OR = 1.58, 95% CI = 1.10-2.28, p=0.013). Our study suggested that rs16901946 G allele carriers have an increased risk of gastric cancer, and the risk could be enhanced by the interactions between the polymorphism and age, sex, infection.
全基因组关联研究已确定8q24区域的多态性与胃癌易感性相关。从8q24基因座转录的lncRNA、 和 的多态性具有患胃癌的潜在风险。为评估中国人群中是否存在这种关联,开展了一项病例对照研究,纳入494例患者和494名健康对照。采用Sequenom MassARRAY平台进行基因分型。本研究表明,rs16901946的G等位基因与胃癌风险增加相关(AG:校正OR = 1.33,95%CI = 1.02 - 1.73,p = 0.033;GG:校正OR = 2.07;95%CI = 1.11 - 3.86,p = 0.023,AG/GG:校正OR = 1.39,95%CI = 1.08 - 1.1.79,p = 0.011;加性模型:校正OR = 1.37;95%CI = 1.10 - 1.70,p = 0.004)。分层分析显示,在较年轻受试者队列(校正OR = 1.84,95%CI = 1.18 - 2.87,p = 0.007)、男性(校正OR = 1.55,95%CI = 1.15 - 2.08,p = 0.004)、 感染阳性(校正OR = 1.44,95%CI = 1.02 - 2.03,p = 0.041)、胃贲门腺癌(校正OR = 1.61,95%CI = 1.10 - 2.35,p = 0.014)以及肿瘤分期T1 - T2(校正OR = 1.58,95%CI = 1.10 - 2.28,p = 0.013)中,风险增加更为明显。我们的研究提示,rs16901946的G等位基因携带者患胃癌的风险增加,且该多态性与年龄、性别、 感染之间的相互作用可能会增强这种风险。