Chen Shuchen, Wang Yafeng, Chen Yu, Lin Jihong, Liu Chao, Kang Mingqiang, Tang Weifeng
Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China.
Department of Cardiology, The People's Hospital of Xishuangbanna Dai Autonomous Prefecture, Jinghong, Yunnan Province, China.
Oncotarget. 2017 Sep 4;8(44):76634-76643. doi: 10.18632/oncotarget.20638. eCollection 2017 Sep 29.
The objective of this case-control study was to extensively explore the relationship of (CTLA-4) tagging polymorphisms with susceptibility to non-small-cell lung cancer (NSCLC). We recruited 521 sporadic NSCLC cases and 1,030 non-cancer controls. The genotypes of CTLA-4 rs16840252 C>T, rs231775 G>A, rs3087243 G>A and rs733618 T>C polymorphisms were evaluated using a custom-by-design 48-Plex SNPscan Kit. Our findings revealed there was no statistically significant difference in CTLA-4 genotypes distribution among NSCLC patients and non-cancer controls. Similar findings were observed in the logistic regression analyses. However, the stratified analyses suggested CTLA-4 rs733618 vatiants were correlated with the development of NSCLC in ≥ 60 years subgroup (TC vs. TT: adjusted OR = 1.45, 95% CI = 1.04-2.02, = 0.030) and even drinking subgroup (TC vs. TT: adjusted OR = 2.27, 95% CI = 1.11-4.60, = 0.024 and TC/CC vs. TT: adjusted OR = 2.26, 95% CI = 1.15-4.43, = 0.018). In conclusion, the present case-control study highlights that the CTLA-4 rs733618 T>C polymorphism was associated with the development of NSCLC in ≥ 60 years and even drinking subgroups. A fine-mapping study with functional assessment is necessary to confirm or refute our findings.
本病例对照研究的目的是广泛探讨细胞毒性T淋巴细胞相关抗原4(CTLA-4)标签多态性与非小细胞肺癌(NSCLC)易感性之间的关系。我们招募了521例散发性NSCLC病例和1030例非癌症对照。使用定制的48重SNPscan试剂盒评估CTLA-4 rs16840252 C>T、rs231775 G>A、rs3087243 G>A和rs733618 T>C多态性的基因型。我们的研究结果显示,NSCLC患者和非癌症对照之间CTLA-4基因型分布没有统计学上的显著差异。在逻辑回归分析中也观察到了类似的结果。然而,分层分析表明,CTLA-4 rs733618变体与≥60岁亚组(TC与TT:调整后的OR=1.45,95%CI=1.04-2.02,P=0.030)以及偶尔饮酒亚组(TC与TT:调整后的OR=2.27,95%CI=1.11-4.60,P=0.024;TC/CC与TT:调整后的OR=2.26,95%CI=1.15-4.43,P=0.018)的NSCLC发生相关。总之,本病例对照研究强调CTLA-4 rs733618 T>C多态性与≥60岁及偶尔饮酒亚组的NSCLC发生有关。需要进行一项具有功能评估的精细定位研究来证实或反驳我们的发现。