9q22 上的食管腺癌易感性位点也通过调节 BARX1 的功能赋予食管鳞癌易感性。
An esophageal adenocarcinoma susceptibility locus at 9q22 also confers risk to esophageal squamous cell carcinoma by regulating the function of BARX1.
机构信息
Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing, China; Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment, Collaborative Innovation Center for Cancer Medicine, Nanjing Medical University, Nanjing, China.
Department of Cardiothoracic Surgery, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
出版信息
Cancer Lett. 2018 May 1;421:103-111. doi: 10.1016/j.canlet.2018.02.019. Epub 2018 Feb 14.
Genome wide association studies (GWAS) have identified a series of genetic variants associated with the risk of esophageal adenocarcinoma (EAC)/Barrett's esophagus (BE), which was different from those loci for esophageal squamous cell carcinoma (ESCC). It is important to evaluate whether these susceptibility loci for EAC/BE are also implicated in ESCC development. In the current study, we analyzed genetic variants at 3p13, 9q22, 16q24 and 19p13 in a case-control study including 2139 ESCC patients and 2463 cancer-free controls in a Chinese population, and further characterized the biological relevance of genetic variants by functional assays. We found that the G allele of rs11789015 at 9q22, as compared with the A allele, was significantly associated with a decreased risk of ESCC with a per-allele odds ratio of 0.77 (95%CI, 0.65-0.90; P = 1.38 × 10), whereas the other three loci were not associated with ESCC risk. We further found that rs11789015-G allele correlated with decreased mRNA and protein levels of BARX1. Dual-luciferase reporter gene assay revealed that the A > G change at rs11789015 significantly decreased the promoter activity of BARX1. Both the mRNA and protein levels of BARX1 were significantly higher in ESCC tumor tissues compared with the corresponding normal tissues. Moreover, the deletion of BARX1 substantially reduced ESCC cells growth, migration and invasion. In conclusion, these results suggest that genetic variants at 9q22 are associated with the risk of both EAC/BE and ESCC, possibly by regulating the function of BARX1.
全基因组关联研究(GWAS)已经确定了一系列与食管腺癌(EAC)/巴雷特食管(BE)风险相关的遗传变异,这些变异与食管鳞状细胞癌(ESCC)的位点不同。评估这些 EAC/BE 的易感性位点是否也与 ESCC 的发展有关是很重要的。在本研究中,我们在中国人群中进行了一项病例对照研究,分析了 3p13、9q22、16q24 和 19p13 上的遗传变异,对 2139 例 ESCC 患者和 2463 例无癌对照进行了分析,并通过功能测定进一步表征了遗传变异的生物学相关性。我们发现,与 A 等位基因相比,9q22 上的 rs11789015 的 G 等位基因与 ESCC 风险降低显著相关,每个等位基因的优势比为 0.77(95%CI,0.65-0.90;P=1.38×10),而其他三个位点与 ESCC 风险无关。我们进一步发现,rs11789015-G 等位基因与 BARX1 的 mRNA 和蛋白水平降低相关。双荧光素酶报告基因检测显示,rs11789015 的 A>G 变化显著降低了 BARX1 的启动子活性。与相应的正常组织相比,ESCC 肿瘤组织中的 BARX1 mRNA 和蛋白水平均显著升高。此外,BARX1 的缺失显著降低了 ESCC 细胞的生长、迁移和侵袭。总之,这些结果表明,9q22 上的遗传变异与 EAC/BE 和 ESCC 的风险相关,可能通过调节 BARX1 的功能。