Department of Clinical Laboratory, Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Department of Clinical Laboratory, Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, Henan, China.
Sci Rep. 2018 May 8;8(1):7244. doi: 10.1038/s41598-018-25726-9.
Cervical cancer is an extremely prevalent disease worldwide. The purpose of this study was to illustrate the relationship between methylenetetrahydrofolate reductase (MTHFR) polymorphisms or methionine synthase reductase (MTRR) polymorphisms and cervical cancer. There were 372 women who performed genetic and folic acid assessments. For the MTHFR C677T, there was no significant difference in the distribution of C allele and T allele in the three groups. However, the mutant C allele of MTHFR A1298C was significantly higher in the cancer group than in the normal group. Similarly, the mutant G allele of MTRR A66G was also higher than the normal group. The serum folic acid levels were gradually decreased with the development of cervical lesions. Serum folate levels in 4-9 ng/ml and ≤4 ng/ml were both significantly associated with cervical cancer risk. However, the MTHFR C677T polymorphism was not associated with the risk of cervical cancer or CIN. In contrast, the MTHFR A1298C polymorphism could increase the risk of both cervical cancer and CIN. In addition, the MTRR A66G polymorphism was only associated with the risk of cervical cancer but not CIN.
宫颈癌是一种在全球范围内极为普遍的疾病。本研究旨在阐明亚甲基四氢叶酸还原酶(MTHFR)多态性或甲硫氨酸合成酶还原酶(MTRR)多态性与宫颈癌之间的关系。有 372 名女性进行了遗传和叶酸评估。对于 MTHFR C677T,三个组中 C 等位基因和 T 等位基因的分布没有显著差异。然而,MTHFR A1298C 的突变 C 等位基因在癌症组中明显高于正常组。同样,MTRR A66G 的突变 G 等位基因也高于正常组。血清叶酸水平随宫颈病变的发展逐渐降低。4-9ng/ml 和 ≤4ng/ml 的血清叶酸水平均与宫颈癌风险显著相关。然而,MTHFR C677T 多态性与宫颈癌或 CIN 的风险无关。相比之下,MTHFR A1298C 多态性可增加宫颈癌和 CIN 的风险。此外,MTRR A66G 多态性仅与宫颈癌风险相关,而与 CIN 无关。