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[中国人群中mTORC1基因多态性与原发性结直肠癌风险]

[Polymorphisms of mTORC1 genes and risk of primary colorectal adenocarcinoma in Chinese populations].

作者信息

Yu L, Liu Z Y, Jiao J, Shi X L, Cui W L, Zhang W, Li Q X

机构信息

Department of Pathology, Changji Campus, the First Affiliated Hospital, Xinjiang Medical University, Changji 831100, China.

出版信息

Zhonghua Bing Li Xue Za Zhi. 2018 Jul 8;47(7):492-498. doi: 10.3760/cma.j.issn.0529-5807.2018.07.003.

Abstract

To study the associations between variants of mTORC1 of PI3K/AKT/mTOR pathway and colorectal cancer. In this hospital-based case-control study, at the First Affiliated Hospital, Xinjiang Medical University from 2000 to 2013, 665 primary colorectal cancer cases and 695 cancer-free controls were genotyped at 10 potentially functional single nucleotide polymorphism (SNPs) loci of mTORC1 (mTOR: rs1034528, rs2295080; Raptor: rs1062935, rs3751934; mLST8: rs3160, rs26865; DEPTOR: rs2271900, rs4871827; AKT1S1: rs2290774, rs2353005) to assess their associations with risk of colorectal cancer by Logistic regression analysis. In single-locus analysis, found a significantly decreased risk of colorectal cancer associated with mLST8 rs26865 by recessive genetic model, especially in populations of ≤68 years of age (=0.64; 95%=0.43-0.96, =0.031), female (=0.61; 95%=0.38-0.99, =0.046), non-smoking (=0.55; 95%=0.35-0.87, =0.010). mTOR rs1034528 CC genotypes were associated with higher risk of colorectal cancer in >68-year-old populations (=3.34; 95%=1.12-9.91, =0.030). Raptor rs3751934 CA/AA genotypes were associated with lower colorectal cancer risk in population of body mass index(BMI)>25 kg/m(2) (=0.68; 95%=0.47-0.98, =0.038); and AKT1S1 rs2290774 CC genotypes were associated with lower colorectal cancer risk in non-smoking population (=0.67; 95%=0.45-0.99, =0.048). Furthermore, found that populations carrying more than two low-risk genotypes were associated with lower colorectal cancer risk, compared with that of populations carrying less than two low-risk genotypes (=0.74, 95%=0.58-0.95, =0.017), especially in population of ≤68 years of age, male and BMI>25 kg/m(2,) and non-smoking. SNPs of mTORC1-related genes individually or jointly contribute to colorectal cancer susceptibility in Chinese. Further studies of larger cohorts are needed to validate the findings.

摘要

研究PI3K/AKT/mTOR通路中mTORC1的变异与结直肠癌之间的关联。在这项基于医院的病例对照研究中,于2000年至2013年期间在新疆医科大学第一附属医院,对665例原发性结直肠癌病例和695例无癌对照在mTORC1的10个潜在功能性单核苷酸多态性(SNP)位点(mTOR:rs1034528、rs2295080;Raptor:rs1062935、rs3751934;mLST8:rs3160、rs26865;DEPTOR:rs2271900、rs4871827;AKT1S1:rs2290774、rs2353005)进行基因分型,通过逻辑回归分析评估它们与结直肠癌风险的关联。在单基因座分析中,发现mLST8 rs26865通过隐性遗传模型与结直肠癌风险显著降低相关,尤其是在年龄≤68岁的人群中(比值比=0.64;95%置信区间=0.43 - 0.96,P=0.031)、女性(比值比=0.61;95%置信区间=0.38 - 0.99,P=0.046)、非吸烟人群(比值比=0.55;95%置信区间=0.35 - 0.87,P=0.010)。mTOR rs1034528 CC基因型在68岁以上人群中与较高的结直肠癌风险相关(比值比=3.34;95%置信区间=1.12 - 9.91,P=0.030)。Raptor rs3751934 CA/AA基因型在体重指数(BMI)>25 kg/m²的人群中与较低的结直肠癌风险相关(比值比=0.68;95%置信区间=0.47 - 0.98,P=0.038);而AKT1S1 rs2290774 CC基因型在非吸烟人群中与较低的结直肠癌风险相关(比值比=0.67;95%置信区间=0.45 - 0.99,P=0.048)。此外,发现携带超过两个低风险基因型的人群与携带少于两个低风险基因型的人群相比,结直肠癌风险较低(比值比=0.74,95%置信区间=0.58 - 0.95,P=0.017),尤其是在年龄≤68岁、男性、BMI>25 kg/m²以及非吸烟人群中。mTORC1相关基因的SNP单独或共同影响中国人群的结直肠癌易感性。需要进一步对更大的队列进行研究以验证这些发现。

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