Department of Radiation Oncology, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Shandong Provincial Key Laboratory of Radiation Oncology, Cancer Research Center, Shandong Cancer Hospital affiliated to Shandong University, Shandong Academy of Medical Sciences, Jinan, Shandong Province, China.
J Gene Med. 2018 Jan;20(1). doi: 10.1002/jgm.3000. Epub 2018 Jan 4.
How germline single nucleotide polymorphisms are involved in the etiology of medulloblastoma remans poorly understood. We hypothesized that CCDKN2A/B rs1063192 and rs4977756 and also the long noncoding RNA (lncRNA) CDKN2BAS rs2157719 glioma susceptibility polymorphisms identified by genome-wide association studies may contribute to medulloblastoma predisposition.
To test this hypothesis, we genotyped these genetic variants among 160 medulloblastoma patients and 443 health controls in a Chinese population. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated by logistic regression.
We found that only the lncRNA CDKN2BAS rs2157719 T>C genetic polymorphism was significantly associated with an increased medulloblastoma risk (C allele: OR = 1.85, 95% CI = 1.32-2.58; p = 2.7 × 10 ). The stratified analyses showed an elevated risk of pediatric medulloblastoma associated with CDKN2BAS rs2157719 CC or TC genotype (both p < 0.05). Moreover, the association between the CDKN2BAS rs2157719 polymorphism and medulloblastoma risk is more pronounced in males (OR = 2.22, 95% CI = 1.36-3.62; p = 0.001).
The findings of the present study provide important insights into the genetic complexities and predisposition of medulloblastoma in Chinese, especially at the lncRNA germline variation level.
胚系单核苷酸多态性如何参与髓母细胞瘤的发病机制仍不清楚。我们假设全基因组关联研究中确定的 CCDKN2A/B rs1063192 和 rs4977756 以及长非编码 RNA(lncRNA)CDKN2BAS rs2157719 胶质瘤易感性多态性可能导致髓母细胞瘤易感性。
为了检验这一假设,我们在中国人群中对 160 例髓母细胞瘤患者和 443 名健康对照进行了这些遗传变异的基因分型。采用 logistic 回归估计比值比(OR)和 95%置信区间(CI)。
我们发现只有 lncRNA CDKN2BAS rs2157719 T>C 遗传多态性与髓母细胞瘤风险增加显著相关(C 等位基因:OR=1.85,95%CI=1.32-2.58;p=2.7×10)。分层分析显示,CDKN2BAS rs2157719 CC 或 TC 基因型与儿童髓母细胞瘤风险升高相关(均 p<0.05)。此外,CDKN2BAS rs2157719 多态性与髓母细胞瘤风险之间的关联在男性中更为明显(OR=2.22,95%CI=1.36-3.62;p=0.001)。
本研究结果为中国髓母细胞瘤的遗传复杂性和易感性提供了重要的见解,尤其是在 lncRNA 胚系变异水平。