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四种长链非编码 RNA 多态性(rs2151280、rs7763881、rs1136410 和 rs3787016)对胶质瘤风险和预后的影响:一项病例对照研究。

Impact of four lncRNA polymorphisms (rs2151280, rs7763881, rs1136410, and rs3787016) on glioma risk and prognosis: A case-control study.

机构信息

Department of Oncology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

Department of Breast Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

出版信息

Mol Carcinog. 2019 Dec;58(12):2218-2229. doi: 10.1002/mc.23110. Epub 2019 Sep 5.

DOI:10.1002/mc.23110
PMID:31489712
Abstract

Long noncoding RNA (lncRNA) polymorphisms are reportedly in connection with tumor susceptibility and prognosis. Glioma is one of the most aggressive and common cancers of the central nervous system. This study aimed to investigate the relationship between four lncRNA variants and glioma susceptibility and prognosis in a Chinese Han population. Sequenom Mass-ARRAY was used to genotype 605 patients with glioma and 1300 cancer-free individuals. Odds ratios or hazard ratios and related 95% confidence intervals were calculated to estimate the correlations. Logistic and Cox regression models, log-rank tests, and Kaplan-Meier curves were used for the statistical analysis. Six inheritance models showed that ANRIL rs2151280 variant genotype (A>G) was related to the susceptibility of glioma, while the other three lncRNAs showed no association. Patients treated with temozolomide or nimustine had better progression-free survival (PFS) and overall survival (OS) than those treated with platinum. Besides, patients aged older than 40 years showed a poorer OS. The Cox multivariate analysis revealed that the rs1136410 GG genotype (A>G) was beneficial for OS and PFS. The Kaplan-Meier analyses indicated that rs1136410 A>G and the rs7763881 A>C were associated with longer OS. ANRIL rs2151280 variant genotype might increase susceptibility of glioma. In addition, PARP1 rs1136410 variant genotype could be beneficial for the overall survival of patients with glioma. More research data are needed to further validate our results.

摘要

长链非编码 RNA(lncRNA)多态性与肿瘤易感性和预后有关。神经胶质瘤是中枢神经系统最具侵袭性和最常见的癌症之一。本研究旨在探讨中国汉族人群中四种 lncRNA 变异与神经胶质瘤易感性和预后的关系。使用Sequenom Mass-ARRAY 对 605 例神经胶质瘤患者和 1300 例无癌症个体进行基因分型。计算比值比或风险比及其相关 95%置信区间以估计相关性。使用逻辑和 Cox 回归模型、对数秩检验和 Kaplan-Meier 曲线进行统计分析。六种遗传模型表明,ANRIL rs2151280 变体基因型(A>G)与神经胶质瘤的易感性有关,而其他三种 lncRNA 则没有关联。接受替莫唑胺或尼莫司汀治疗的患者无进展生存期(PFS)和总生存期(OS)优于接受铂类药物治疗的患者。此外,年龄大于 40 岁的患者 OS 较差。Cox 多变量分析显示 rs1136410 GG 基因型(A>G)有利于 OS 和 PFS。Kaplan-Meier 分析表明 rs1136410 A>G 和 rs7763881 A>C 与更长的 OS 相关。ANRIL rs2151280 变体基因型可能会增加神经胶质瘤的易感性。此外,PARP1 rs1136410 变体基因型可能有利于神经胶质瘤患者的总生存期。需要更多的研究数据来进一步验证我们的结果。

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