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标记多态性与结直肠癌风险:一项涉及2306名受试者的病例对照研究。

tagging polymorphisms and risk of colorectal cancer: a case-control study involving 2,306 subjects.

作者信息

Zou Chen, Qiu Hao, Tang Weifeng, Wang Yafeng, Lan Bin, Chen Yu

机构信息

Department of General Surgery, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu Province, China.

Department of Immunology, School of Medicine, Jiangsu University, Zhenjiang, Jiangsu Province, China.

出版信息

Onco Targets Ther. 2018 Aug 7;11:4609-4619. doi: 10.2147/OTT.S173421. eCollection 2018.

Abstract

BACKGROUND

is a candidate gene which has been implicated in the development of colorectal cancer (CRC).

PATIENTS AND METHODS

To determine the important role of polymorphisms on risk of CRC, we genotyped four tagging polymorphisms and calculated crude/adjusted ORs with their 95% CIs. We recruited 1,003 sporadic CRC cases and 1,303 controls.

RESULTS

The findings suggested that CTLA-4 rs231775 G>A polymorphism increased the risk of CRC (homozygote model: adjusted OR=1.40, 95% CI=1.05-1.87, =0.022; dominant model: adjusted OR=1.19, 95% CI=1.00-1.41, =0.047; and recessive model: adjusted OR=1.38, 95% CI=1.05-1.82, =0.021). In a stratified analysis by site of tumor, this association was also found in colon cancer. We also found that rs231775 GA/AA genotypes might be associated with an increased risk of CRC in Zhenjiang cohort. In addition, we found the CTLA-4 rs16840252 C>T polymorphism was associated with the risk of colon cancer. Haplotype comparison analysis showed that - GCC A, GCTA, and other haplotypes increased the risk of CRC (<0.001, <0.001, and 0.002, respectively).

CONCLUSION

This study evidences an association of tagging polymorphisms and haplotypes with CRC risk. Additional well-designed studies with large sample sizes are required to confirm our findings.

摘要

背景

是一个与结直肠癌(CRC)发生相关的候选基因。

患者与方法

为确定多态性对CRC风险的重要作用,我们对四个标签多态性进行了基因分型,并计算了粗/调整后的比值比及其95%置信区间。我们招募了1003例散发性CRC病例和1303例对照。

结果

研究结果表明,CTLA-4 rs231775 G>A多态性增加了CRC风险(纯合子模型:调整后的比值比=1.40,95%置信区间=1.05-1.87,P=0.022;显性模型:调整后的比值比=1.19,95%置信区间=1.00-1.41,P=0.047;隐性模型:调整后的比值比=1.38,95%置信区间=1.05-1.82,P=0.021)。在按肿瘤部位进行的分层分析中,结肠癌中也发现了这种关联。我们还发现,rs231775 GA/AA基因型可能与镇江队列中CRC风险增加有关。此外,我们发现CTLA-4 rs16840252 C>T多态性与结肠癌风险有关。单倍型比较分析表明,-GCC A、GCTA和其他单倍型增加了CRC风险(分别为P<0.001、P<0.001和P=0.002)。

结论

本研究证明了标签多态性和单倍型与CRC风险之间的关联。需要更多设计良好的大样本研究来证实我们的发现。

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