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与PLCE1基因rs2274223、C20orf54基因rs13042395和RUNX1基因rs2014300多态性相关的食管鳞状细胞癌风险的关联研究及荟萃分析

An Association and Meta-Analysis of Esophageal Squamous Cell Carcinoma Risk Associated with PLCE1 rs2274223, C20orf54 rs13042395 and RUNX1 rs2014300 Polymorphisms.

作者信息

Nariman-Saleh-Fam Ziba, Saadatian Zahra, Nariman-Saleh-Fam Lida, Ouladsahebmadarek Elaheh, Tavakkoly-Bazzaz Javad, Bastami Milad

机构信息

Women's Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Student Research Committee, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Pathol Oncol Res. 2020 Apr;26(2):681-692. doi: 10.1007/s12253-019-00579-3. Epub 2019 Jan 21.

Abstract

One of the highest risk of esophageal squamous cell carcinoma (ESCC) in the world has been reported in Iran, which is located in the Asian esophageal cancer belt. ESCC constitutes 90% of the esophageal cancer cases in Iran. Genome wide association studies (GWASs) in Chinese have identified a number of candidate variants, of which PLCE1rs2274223, C20orf54rs13042395 and RUNX1rs2014300 are studied in high risk populations including Chinese, Caucasians and Africans. However, results are inconsistent and it is unknown whether similar associations exist in Iranian population. We evaluated association of three GWAS identified variants with risk of ESCC in an Iranian cohort consisted of 200 ESCC patients and 300 healthy controls and conducted meta-analysis of ESCC risk associated with rs2274223 (involving 9810 cases and 13,128 controls) and rs13042395 (involving 2363 cases and 5329 controls). Logistic regression analysis showed that rs2274223 was associated with ESCC under codominant [GG/AA, 2.47(1.17-5.23), P:0.021], dominant [AG + GG/AA, 1.57(1.09-2.27), P:0.016], recessive [GG/AA+AG, 2.18(1.04-4.56), P:0.036] and log-additive models [1.51(1.12-2.02), P:0.006]. C20orf54 rs13042395 was not associated with ESCC under any genetic model. RUNX1 rs2014300 was associated with risk of ESCC assuming codominant [AG/GG, 0.63(0.41-0.97), P:0.018], dominant [AG + AA/GG, 0.59 (0.39-0.89), P:0.010] and log-additive models [0.61 (0.42-0.87), P: 0.005]. Meta-analysis found significant associations between rs2274223 and ESCC under all analyzed genetic models. However, meta-analysis stratified by ethnicity showed a significant association in Asians but not non-Asian populations. No significant association was found for rs13042395 in meta-analysis. This study provided first evidence for association of GWAS-identified variants with risk of ESCC in an Iranian cohort.

摘要

据报道,位于亚洲食管癌高发带的伊朗是世界上食管鳞状细胞癌(ESCC)风险最高的地区之一。在伊朗,ESCC占食管癌病例的90%。中国的全基因组关联研究(GWAS)已经确定了一些候选变异,其中PLCE1rs2274223、C20orf54rs13042395和RUNX1rs2014300在包括中国人、高加索人和非洲人在内的高危人群中进行了研究。然而,结果并不一致,伊朗人群中是否存在类似关联尚不清楚。我们评估了三个GWAS确定的变异与伊朗一个队列中ESCC风险的关联,该队列由200例ESCC患者和300例健康对照组成,并对与rs2274223(涉及9810例病例和13128例对照)和rs13042395(涉及2363例病例和5329例对照)相关的ESCC风险进行了荟萃分析。逻辑回归分析表明,rs2274223在共显性[GG/AA,2.47(1.17 - 5.23),P:0.021]、显性[AG + GG/AA,1.57(1.09 - 2.27),P:0.016]、隐性[GG/AA + AG,2.18(1.04 - 4.56),P:0.036]和对数加性模型[1.51(1.12 - 2.02),P:0.006]下与ESCC相关。C20orf54 rs13042395在任何遗传模型下均与ESCC无关。RUNX1 rs2014300在共显性[AG/GG,0.63(0.41 - 0.97),P:0.018]、显性[AG + AA/GG,0.59(0.39 - 0.89),P:0.010]和对数加性模型[0.61(0.42 - 0.87),P:0.005]下与ESCC风险相关。荟萃分析发现在所有分析的遗传模型下rs2274223与ESCC之间存在显著关联。然而,按种族分层的荟萃分析显示在亚洲人群中有显著关联,而在非亚洲人群中没有。rs13042395在荟萃分析中未发现显著关联。本研究为伊朗队列中GWAS确定的变异与ESCC风险的关联提供了首个证据。

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