Neoplasma. 2018;65(1):153-160. doi: 10.4149/neo_2018_170322N205.
This study was supposed to investigate the correlation between the functional single nucleotide polymorphisms (SNPs) (rs2516839 and rs3737787) in USF1 gene and the efficacy and safety of paclitaxel-based chemotherapy and prognosis in the treatment of ovarian cancer (OC). In total 100 OC patients were selected and divided into the sensitive group and the resistantgroup according to the tumor response to paclitaxel-based chemotherapy after surgery, and the incidence of observed and recorded toxic reaction. Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method was applied to test the polymorphisms of rs2516839 and rs3737787 in USF1 gene after extraction of DNA. The correlation between USF1 gene polymorphisms and paclitaxel-based chemotherapy resistance was analyzed using Logistic regression analysis. Stratified analysis was used to test the incidence of toxic reaction in OC patients. Cox proportional hazard model was adapted to make a multiple-factor survival analysis. Significant differences exhibited in the genotype and the allele frequencies of rs2516839 between the sensitive and resistant groups, which showed no obvious difference in the genotype and allele frequencies of rs3737787. OC patients carrying the GA+AA genotype had higher incidence of serious toxic reaction than those carrying the GG genotype. Physical status score, tumor type, maximum tumor diameter and rs2516839 were the independent risk factors for the prognosis of OC patients. Taken together, our results suggest that the rs2516839 polymorphism in USF1 gene may associate with the efficacy and safety of paclitaxel-based chemotherapy and prognosis in the treatment of OC.
本研究旨在探讨 USF1 基因功能性单核苷酸多态性(SNPs)(rs2516839 和 rs3737787)与紫杉醇为基础的化疗疗效和安全性及卵巢癌(OC)预后的相关性。共选取 100 例 OC 患者,根据术后紫杉醇为基础的化疗肿瘤反应将其分为敏感组和耐药组,观察并记录毒副反应发生率。提取 DNA 后应用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)法检测 USF1 基因 rs2516839 和 rs3737787 的多态性。采用 Logistic 回归分析 USF1 基因多态性与紫杉醇耐药的相关性。采用分层分析检测 OC 患者毒副反应发生率。采用 Cox 比例风险模型进行多因素生存分析。敏感组与耐药组 rs2516839 的基因型和等位基因频率存在显著差异,rs3737787 的基因型和等位基因频率无明显差异。携带 GA+AA 基因型的 OC 患者严重毒副反应发生率高于携带 GG 基因型的患者。体能状态评分、肿瘤类型、最大肿瘤直径和 rs2516839 是 OC 患者预后的独立危险因素。综上所述,USF1 基因 rs2516839 多态性可能与紫杉醇为基础的化疗疗效和安全性及 OC 患者预后相关。