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白细胞介素-11基因变异与感染之间的相互作用对胃癌易感性的影响。

Contribution of interaction between genetic variants of interleukin-11 and infection to the susceptibility of gastric cancer.

作者信息

Liao Chuanwen, Hu Shuqin, Zheng Zihan, Tong Huazhang

机构信息

Department of Gastrointestinal Surgery, People's Hospital of Jiangxi Province, Nanchang, Jiangxi Province 330006, People's Republic of China.

Medical Department, People's Hospital of Jiangxi Province, Nanchang, Jiangxi Province 330006, People's Republic of China.

出版信息

Onco Targets Ther. 2019 Sep 11;12:7459-7466. doi: 10.2147/OTT.S214238. eCollection 2019.

Abstract

BACKGROUND

Gastric cancer (GC) ranks the second leading cause of cancer-related mortality worldwide. We aimed to clarify the relevance of genetic variants of , a hub of various carcinogenic pathways, as well as their interactions with () infection in the development of GC.

METHODS

A case-control study with 880 GC cases and 900 healthy controls was conducted in a Chinese population. Six tagSNPs were detected by Taqman Allelic Discrimination assay, while status was detected by Typing Detection Kit for Antibody to and serum level was measured using ELISA method.

RESULTS

We found that rs1126760 (C vs T: OR=1.39, 95% CIs=1.13-1.70, =0.002) and rs1126757 (C vs T: OR=0.82, 95% CIs=0.72-0.93, =0.002) were significantly associated with susceptibility of GC. Even adjusted for Bonferroni correction, the results were still significant (=0.002×6=0.012). rs1126760 was significantly associated with higher serum and expression level of , while rs1126757 was significantly associated with lower serum level (<0.001). Significant interaction with infection was identified for rs1126760 ( for interaction =0.005). Higher expression of the gene was significant with development and poor prognosis of GC.

CONCLUSION

Our study provides strong evidence that genetic variants of the gene may interact with infection and contribute to the development of GC. Further studies with larger sample size and functional experiments are needed to validate our findings.

摘要

背景

胃癌(GC)是全球癌症相关死亡的第二大主要原因。我们旨在阐明各种致癌途径的枢纽基因的遗传变异及其与幽门螺杆菌(Hp)感染在胃癌发生发展中的相关性。

方法

在中国人群中进行了一项病例对照研究,包括880例胃癌病例和900例健康对照。通过Taqman等位基因鉴别分析检测6个标签单核苷酸多态性(tagSNP),同时使用幽门螺杆菌抗体分型检测试剂盒检测Hp感染状态,并采用酶联免疫吸附测定(ELISA)法测量血清Hp水平。

结果

我们发现rs1126760(C与T:比值比[OR]=1.39,95%可信区间[CI]=1.13 - 1.70,P=0.002)和rs1126757(C与T:OR=0.82,95% CI=0.72 - 0.93,P=0.002)与胃癌易感性显著相关。即使经Bonferroni校正后,结果仍具有显著性(P=0.002×6 = 0.012)。rs1126760与较高的血清Hp水平和Hp表达水平显著相关,而rs1126757与较低的血清Hp水平显著相关(P<0.001)。rs1126760与Hp感染存在显著交互作用(交互作用P=0.005)。该基因的高表达与胃癌的发生发展及不良预后显著相关。

结论

我们的研究提供了强有力的证据,表明该基因的遗传变异可能与Hp感染相互作用并促进胃癌的发生发展。需要进一步进行更大样本量的研究和功能实验来验证我们的发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac6/6751226/cf050d7e2bbb/OTT-12-7459-g0001.jpg

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