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[BARD1基因单核苷酸多态性与上皮性卵巢癌中BRCA1基因突变的相关性]

[Association between single nucleotide polymorphism of BARD1 gene and BRCA1 gene mutation in epithelial ovarian cancer].

作者信息

Liu W L, Zhao J Z, Wang Z Z, Dong B, Hou Y Y, Wu X X, Guo Y J

机构信息

Department of Molecular Pathology, the Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 2017 Jun 25;52(6):403-410. doi: 10.3760/cma.j.issn.0529-567X.2017.06.009.

Abstract

To investigate the relationship between single nucleotide polymorphism (SNP) of BARD1 gene and BRCA1 gene in epithelial ovarian cancer (EOC). Nineteen EOC patients with BRCA1 gene mutation and 50 EOC cases without BRCA1 gene mutation between January 2016 and October 2016 were collected, and all EOC were diagnosed by pathological method. BARD1 gene variants were detected by next generation sequencing (NGS). The SNP of BARD1 gene was analyzed by Pearson linear correlation. Logistic regression analysis was used to research the clinicopathologic features and BRCA1 gene mutation associated with BARD1 gene SNP. Pearson's chi-square test was used to analyze the association between BARD1 gene Val507Met, Arg378Ser and Pro24Ser with different clinicopathologic features and BRCA1 gene mutation risk. (1) Eight BARD1 gene variants were found in 69 ovarian cancer patients, in which Val507Met, Arg378Ser and Pro24Ser were common variants, and the rate of mutation were all 54% (37/69). (2) There was a significant linear correlation among Val507Met, Arg378Ser and Pro24Ser (all <0.01). (3) Obvious differences were found in Val507Met, Arg378Ser and Pro24Ser of BARD1 gene between BRCA1(+) and BRCA1(-) (all <0.05) . (4) No differences were found between BARD1 gene Val507Met, Arg378Ser and Pro24Ser and the clinicopathologic features (all >0.05), while obvious differences were found in BRCA1 gene mutation compared to the controls group. The risk of BRCA1 mutation in Val507Met and Arg378Ser were more evident in subjects with negative family history, positive menopause history, negative tubal ligation, onset age (≤60 years old) and sensitivity to platinum-based chemotherapy in EOC (all <0.05), while Pro24Ser was only more evident in positive menopause history of EOC (<0.05). BARD1 Val507Met, Arg378Ser and Pro24Ser are the common genotypes, which are associated with BRCA1 mutation in EOC. The family history, menopause history, tubal ligation, onset age and sensitivity to platinum-based chemotherapy have effects on BARD1 SNP in the risk of BRCA1 gene mutation.

摘要

探讨上皮性卵巢癌(EOC)中BARD1基因与BRCA1基因单核苷酸多态性(SNP)之间的关系。收集2016年1月至2016年10月期间19例BRCA1基因突变的EOC患者和50例无BRCA1基因突变的EOC病例,所有EOC均经病理方法确诊。采用二代测序(NGS)检测BARD1基因变异。通过Pearson线性相关分析BARD1基因的SNP。采用Logistic回归分析研究与BARD1基因SNP相关的临床病理特征及BRCA1基因突变情况。采用Pearson卡方检验分析BARD1基因Val507Met、Arg378Ser和Pro24Ser与不同临床病理特征及BRCA1基因突变风险之间的关联。(1)在69例卵巢癌患者中发现8种BARD1基因变异,其中Val507Met、Arg378Ser和Pro24Ser为常见变异,突变率均为54%(37/69)。(2)Val507Met、Arg378Ser和Pro24Ser之间存在显著线性相关(均<0.01)。(3)BARD1基因的Val507Met、Arg378Ser和Pro24Ser在BRCA1(+)和BRCA1(-)之间存在明显差异(均<0.05)。(4)BARD1基因的Val507Met、Arg378Ser和Pro24Ser与临床病理特征之间无差异(均>0.05),而与对照组相比,BRCA1基因突变存在明显差异。Val507Met和Arg378Ser中BRCA1突变风险在EOC患者中家族史阴性、绝经史阳性、输卵管结扎阴性、发病年龄(≤60岁)及对铂类化疗敏感的患者中更明显(均<0.05),而Pro24Ser仅在EOC患者绝经史阳性中更明显(<0.05)。BARD1 Val507Met、Arg378Ser和Pro24Ser是常见基因型,与EOC中的BRCA1突变相关。家族史、绝经史、输卵管结扎、发病年龄及对铂类化疗的敏感性对BRCA1基因突变风险中的BARD1 SNP有影响。

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