Institute of Medicine, Chung Shan Medical University, Taichung 402, Taiwan.
Division of General Surgery, Department of Surgery, Lin Shin Hospital, Taichung 402, Taiwan.
Genes (Basel). 2019 Jul 4;10(7):506. doi: 10.3390/genes10070506.
Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer, whose diversified occurrence worldwide indicates a connection between genetic variations among individuals and the predisposition to such neoplasms. Mounting evidence has demonstrated that long non-coding RNA (lncRNA) H19 can have both promotive and inhibitory effects on cancer development, revealing a dual role in tumorigenesis. In this study, the link of gene polymorphisms to hepatocarcinogenesis was assessed between 359 HCC patients and 1190 cancer-free subjects. We found that heterozygotes for the minor allele of rs2839698 (T) and rs3741219 (G) were more inclined to develop HCC (OR, 1.291; 95% CI, 1.003-1.661; = 0.047, and OR, 1.361; 95% CI, 1.054-1.758; = 0.018, respectively), whereas homozygotes for the polymorphic allele of rs2107425 (TT) were correlated with a decreased risk of HCC (OR, 0.606; 95% CI, 0.410-0.895; = 0.012). Moreover, patients who bear at least one variant allele (heterozygote or homozygote) of rs3024270 were less prone to develop late-stage tumors (for stage III/IV; OR, 0.566; 95% CI, 0.342-0.937; = 0.027). In addition, carriers of a particular haplotype of three SNPs tested were more susceptible to HCC. In conclusion, our results indicate an association between gene polymorphisms and the incidence and progression of liver cancer.
肝细胞癌 (HCC) 是最常见的原发性肝癌,其在全球的多样化发生表明个体遗传变异与这种肿瘤的易感性之间存在联系。越来越多的证据表明,长链非编码 RNA (lncRNA) H19 对癌症的发生发展既有促进作用,也有抑制作用,在肿瘤发生中具有双重作用。在这项研究中,评估了 359 例 HCC 患者和 1190 例无癌症对照者之间基因多态性与肝癌发生的关系。我们发现,rs2839698 (T) 和 rs3741219 (G) 次要等位基因的杂合子更倾向于发生 HCC (OR, 1.291; 95% CI, 1.003-1.661; = 0.047,和 OR, 1.361; 95% CI, 1.054-1.758; = 0.018,分别),而 rs2107425 多态性等位基因的纯合子与 HCC 风险降低相关 (OR, 0.606; 95% CI, 0.410-0.895; = 0.012)。此外,至少携带一个 rs3024270 变异等位基因(杂合子或纯合子)的患者发生晚期肿瘤的可能性较低(对于 III/IV 期;OR, 0.566; 95% CI, 0.342-0.937; = 0.027)。此外,携带三个测试 SNP 特定单倍型的个体更容易患肝癌。总之,我们的研究结果表明基因多态性与肝癌的发生和进展之间存在关联。