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微小RNA-499 rs3746444 A>G变异与食管胃交界腺癌(AEG)风险及淋巴结状态的关联

Association of miRNA-499 rs3746444 A>G variants with adenocarcinoma of esophagogastric junction (AEG) risk and lymph node status.

作者信息

Tang Weifeng, Wang Yafeng, Pan Huiwen, Qiu Hao, Chen Shuchen

机构信息

Department of Cardiothoracic Surgery, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu Province, People's Republic of China.

Department of Cardiology, The People's Hospital of Xishuangbanna dai Autonomous Prefecture, Jinghong, Yunnan Province, People's Republic of China.

出版信息

Onco Targets Ther. 2019 Aug 8;12:6245-6252. doi: 10.2147/OTT.S209013. eCollection 2019.

Abstract

BACKGROUND

MicroRNAs (miRNAs) miRNA-499 rs3746444 A>G polymorphism may be complicated in the susceptibility to cancer. However, the correlation of this polymorphism with adenocarcinoma of esophagogastric junction (AEG) was unknown.

PATIENTS AND METHODS

A total of 1063 AEG patients and 1677 controls were included in this study to assess the association of miR-499 rs3746444 A>G with AEG risk. SNPscan genotyping assay was harnessed to obtain the genotypes of miRNA-499 rs3746444 A>G polymorphism.

RESULTS

We identified that SNP miR-499 rs3746444 A>G increased the susceptibility of AEG (AG vs AA: adjusted OR=1.25, 95% CI=1.05-1.49, =0.012 and AG/GG vs AA: adjusted OR=1.30, 95% CI=1.10-1.54, =0.002). In a stratified analysis, we found that miR-499 rs3746444 A>G polymorphism had an increased susceptibility of AEG in several subgroups (male subgroup: AG vs AA: adjusted =0.004 and AG/GG vs AA: adjusted =0.002; female subgroup: GG vs AG/AA: adjusted =0.046; <64 years subgroup: AG vs AA: adjusted =0.006 and AG/GG vs AA: adjusted =0.003; never smoking subgroup: AG vs AA: adjusted =0.003 and AG/GG vs AA: adjusted =0.001; and never drinking subgroup: AG vs AA: adjusted =0.008 and AG/GG vs AA: adjusted =0.002). The results of power calculation indicated that miR-499 rs3746444 A>G polymorphism increased the risk of AEG in overall comparison, male, <64 years, never smoking, and never drinking subgroups. Among the AEG cases, 625 patients accompanied by positive lymph node. However, the distribution of miRNA-499 rs3746444 A>G variants was no significant difference between different lymph node status.

CONCLUSION

Our findings indicate that miR-499 rs3746444 A>G polymorphism is significantly associated with AEG susceptibility. In the future, further exploration of this genetic factor in relation to AEG susceptibility with an adequate methodological quality is needed.

摘要

背景

微小RNA(miRNA)-499 rs3746444 A>G多态性可能与癌症易感性相关。然而,这种多态性与食管胃交界腺癌(AEG)的相关性尚不清楚。

患者与方法

本研究共纳入1063例AEG患者和1677例对照,以评估miR-499 rs3746444 A>G与AEG风险的关联。采用SNPscan基因分型检测法获取miRNA-499 rs3746444 A>G多态性的基因型。

结果

我们发现SNP miR-499 rs3746444 A>G增加了AEG的易感性(AG与AA比较:校正OR=1.25,95%CI=1.05-1.49,P=0.012;AG/GG与AA比较:校正OR=1.30,95%CI=1.10-1.54,P=0.002)。在分层分析中,我们发现miR-499 rs3746444 A>G多态性在几个亚组中增加了AEG的易感性(男性亚组:AG与AA比较:校正P=0.004;AG/GG与AA比较:校正P=0.002;女性亚组:GG与AG/AA比较:校正P=0.046;<64岁亚组:AG与AA比较:校正P=0.006;AG/GG与AA比较:校正P=0.003;从不吸烟亚组:AG与AA比较:校正P=0.003;AG/GG与AA比较:校正P=0.001;从不饮酒亚组:AG与AA比较:校正P=0.008;AG/GG与AA比较:校正P=0.002)。效能计算结果表明,miR-499 rs3746444 A>G多态性在总体比较、男性、<64岁、从不吸烟和从不饮酒亚组中增加了AEG的风险。在AEG病例中,625例患者伴有阳性淋巴结。然而,miRNA-499 rs3746444 A>G变异在不同淋巴结状态之间的分布无显著差异。

结论

我们的研究结果表明,miR-499 rs3746444 A>G多态性与AEG易感性显著相关。未来,需要以足够的方法学质量进一步探索这一与AEG易感性相关的遗传因素。

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