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基因多态性与乳腺癌易感性之间的相关性

The Correlation between Gene Polymorphism and Susceptibility to Breast Cancer.

作者信息

Eras Nazan, Daloglu Ferah Tuncel, Çolak Tahsin, Guler Mehmet, Akbas Etem

机构信息

Department of Medical Genetics, Faculty of Medicine, Mersin University, Mersin, Turkey.

Department of Pathology, Faculty of Medicine, Mersin University, Mersin, Turkey.

出版信息

J Breast Cancer. 2019 Jun;22(2):210-218. doi: 10.4048/jbc.2019.22.e27.

Abstract

PURPOSE

Interleukin-1 beta (IL-1β), a pro-inflammatory cytokine, has been shown to influence breast cancer susceptibility. The relationship between its risk of breast cancer and polymorphism has been demonstrated, but the results remain controversial. Therefore, our study aimed to investigate the correlation between the gene polymorphism and susceptibility to breast cancer.

METHODS

The genotype frequencies of polymorphism were compared between 204 breast cancer cases and 210 controls using polymerase chain reaction and restriction fragment length polymorphism techinques. Further multivariate binary logistic regression analyses were used to assess the association between polymorphism and breast cancer risk.

RESULTS

The frequency of the allele of polymorphism in breast cancer cases was significantly higher than that in the controls (56.1% vs. 47.9%). The frequencies of genotypes , , and in the cases were 22.1%, 43.6%, and 34.3%, respectively, while in the control group they were 24.3%, 55.7%, and 20.0%, respectively. There was a significant difference between the prevalence of genotype in the 2 groups (adjusted odds ratio [OR], 2.06; 95% confidence interval [CI], 1.16-3.66;   =  0.014). Breast cancer risk increased in women with genotype, body mass index (BMI) ≥ 25 kg/m (OR, 2.19; 95% CI, 1.09-4.36), late age at first birth (OR, 2.43; 95% CI, 1.29-4.56), postmenopausal status (OR, 3.15; 95% CI, 1.39-7.16), and negative smoking history (OR, 2.52; 95% CI, 1.32-4.82). Furthermore, increase in breast cancer risk among women diagnosed with invasive ductal carcinoma was associated with genotypes (OR, 2.82; 95% CI, 1.38-5.76).

CONCLUSION

The polymorphism affects breast cancer susceptibility, especially in women with late age at first birth, high BMI, postmenopausal status, negative smoking history, and invasive ductal carcinoma. Our study adds to the evidence about the importance of polymorphism in breast cancer susceptibility.

摘要

目的

白细胞介素-1β(IL-1β)是一种促炎细胞因子,已被证明会影响乳腺癌易感性。其与乳腺癌风险的关系及基因多态性已得到证实,但结果仍存在争议。因此,我们的研究旨在调查基因多态性与乳腺癌易感性之间的相关性。

方法

采用聚合酶链反应和限制性片段长度多态性技术,比较204例乳腺癌患者和210例对照者的多态性基因型频率。进一步进行多因素二元逻辑回归分析,以评估多态性与乳腺癌风险之间的关联。

结果

乳腺癌患者中多态性等位基因的频率显著高于对照组(56.1%对47.9%)。病例组中基因型、和的频率分别为22.1%、43.6%和34.3%,而对照组中分别为24.3%、55.7%和20.0%。两组间基因型患病率存在显著差异(调整优势比[OR],2.06;95%置信区间[CI],1.16 - 3.66;P = 0.014)。基因型、体重指数(BMI)≥25 kg/m²(OR,2.19;95% CI,1.09 - 4.36)、初产年龄较大(OR,2.43;95% CI,1.29 - 4.56)、绝经后状态(OR,3.15;95% CI,1.39 - 7.16)以及无吸烟史(OR,2.52;95% CI,1.32 - 4.82)的女性患乳腺癌风险增加。此外,浸润性导管癌女性患乳腺癌风险增加与基因型有关(OR,2.82;95% CI,1.38 - 5.76)。

结论

多态性影响乳腺癌易感性,尤其是初产年龄较大、BMI高、绝经后状态、无吸烟史以及浸润性导管癌的女性。我们的研究补充了关于多态性在乳腺癌易感性中重要性的证据。

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