Li Yong, Zhuo Zhen-Jian, Zhou Haiyan, Liu Jiabin, Liu Zan, Zhang Jiao, Cheng Jiwen, Li Suhong, Zhou Haixia, Zhou Rong, He Jing, Zhao Yaowang
, Department of Pediatric Surgery, Hunan Children's Hospital, Changsha, China.
, Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Aging (Albany NY). 2019 Apr 20;11(8):2369-2377. doi: 10.18632/aging.101920.
Neuroblastoma is the most frequently diagnosed neural tumor of childhood. Abnormal function of the long intergenic non-coding RNA (lincRNA) has been implicated in various human malignancies. Genome-wide association studies revealed the rs11655237 C>T polymorphism to be associated with the risk of neuroblastoma, though the effect was not well defined, in part due to the small sample size in our earlier study. Herein, we verified the impact of rs11655237 C>T on the risk of neuroblastoma in 700 cases and 1516 controls from six centers in China. After pooling all enrolled patients, we observed a significant association between rs11655237 C>T and risk of neuroblastoma (TT vs. CC: adjusted odds ratio [OR]=1.58, 95% confidence interval [CI]=1.06-2.35, =0.024; additive model: adjusted OR=1.20, 95% CI=1.03-1.39, =0.020; recessive model: adjusted OR=1.50, 95% CI=1.02-2.22, =0.040). Stratification analysis revealed a significant relationship between rs11655237 CT/TT and neuroblastoma risk in subgroups of males, patients whose tumor originated in the adrenal gland, and patients with clinical stage IV disease. These findings add new evidence of the importance of rs11655237 C>T to the risk of developing neuroblastoma.
神经母细胞瘤是儿童期最常被诊断出的神经肿瘤。长链基因间非编码RNA(lincRNA)的功能异常与多种人类恶性肿瘤有关。全基因组关联研究显示,rs11655237 C>T多态性与神经母细胞瘤风险相关,不过其影响尚未明确界定,部分原因是我们早期研究中的样本量较小。在此,我们在中国六个中心的700例病例和1516例对照中验证了rs11655237 C>T对神经母细胞瘤风险的影响。汇总所有入组患者后,我们观察到rs11655237 C>T与神经母细胞瘤风险之间存在显著关联(TT与CC相比:调整后的优势比[OR]=1.58,95%置信区间[CI]=1.06 - 2.35,P = 0.024;加性模型:调整后的OR = 1.20,95% CI = 1.03 - 1.39,P = 0.020;隐性模型:调整后的OR = 1.50,95% CI = 1.02 - 2.22,P = 0.040)。分层分析显示,在男性亚组、肿瘤起源于肾上腺的患者以及临床IV期疾病患者中,rs11655237 CT/TT与神经母细胞瘤风险之间存在显著关系。这些发现为rs11655237 C>T对神经母细胞瘤发生风险的重要性增添了新证据。