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人表皮生长因子受体2(HER2)第655位密码子异亮氨酸到缬氨酸的多态性与乳腺癌易感性呈负相关。

HER2 Ile655Val polymorphism is negatively associated with breast cancer susceptibility.

作者信息

de Almeida Felipe Campos, Banin Hirata Bruna Karina, Ariza Carolina Batista, Losi Guembarovski Roberta, de Oliveira Karen Brajão, Suzuki Karen Mayumi, Guembarovski Alda Losi, Oda Julie Massayo Maeda, Vitiello Glauco Akelinghton Freire, Watanabe Maria Angelica Ehara

机构信息

Department of Pathological Sciences, Biological Sciences Center, Londrina State University, Londrina, Paraná, Brazil.

Department of General Biology, Biological Sciences Center, Londrina State University, Londrina, Paraná, Brazil.

出版信息

J Clin Lab Anal. 2018 Jul;32(6):e22406. doi: 10.1002/jcla.22406. Epub 2018 Feb 8.

Abstract

BACKGROUND

The HER2 (human epidermal growth factor receptor-2) Ile655Val (rs1136201) genetic polymorphism can alter the receptor structure and its auto-activation, which can modify the signal transduction and, consequently, the cell cycle regulation. For this reason, this polymorphism has been extensively investigated as a candidate marker for breast cancer (BC). In this context, the aim of this study was to evaluate the possible influence of HER2 Ile655Val in BC susceptibility and prognostic factors in a Brazilian population.

METHODS

Polymorphism genotype was assessed through RFLP-PCR in 107 BC patients with clinicopathological data available and in 150 women with no evidence of neoplasia and with no familial history of BC as control group. Association between this polymorphism and BC susceptibility and clinical parameters was evaluated through odds ratio (OR) and chi-squared or Fisher's exact test, respectively.

RESULTS

A significant negative association between valine allele and BC susceptibility in dominant model was found (OR 0.5; 95% CI 0.27-0.93, P = .036). No significant association was found in relation to BC clinicopathological features (tumor size, lymph nodes commitment, histological grade, HER2 overexpression, hormonal receptors, p53, and Ki-67).

CONCLUSION

Although this polymorphism did not demonstrate potential as a prognostic marker, it may be a suitable susceptibility marker for BC.

摘要

背景

HER2(人表皮生长因子受体2)Ile655Val(rs1136201)基因多态性可改变受体结构及其自身激活,进而影响信号转导,最终影响细胞周期调控。因此,该多态性作为乳腺癌(BC)的候选标志物已得到广泛研究。在此背景下,本研究旨在评估HER2 Ile655Val对巴西人群BC易感性及预后因素的可能影响。

方法

通过RFLP-PCR对107例有临床病理数据的BC患者及150例无肿瘤证据且无BC家族史的女性作为对照组进行多态性基因型评估。分别通过优势比(OR)和卡方检验或Fisher精确检验评估该多态性与BC易感性及临床参数之间的关联。

结果

在显性模型中发现缬氨酸等位基因与BC易感性之间存在显著负相关(OR 0.5;95%CI 0.27 - 0.93,P = 0.036)。在BC临床病理特征(肿瘤大小、淋巴结受累情况、组织学分级、HER2过表达、激素受体、p53和Ki-67)方面未发现显著关联。

结论

虽然该多态性未显示出作为预后标志物的潜力,但可能是BC的一个合适的易感性标志物。

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