Xu Xin, Yin Zhihua, Ren Yangwu, Guan Peng, Zhou Baosen
Department of Clinical Epidemiology and Center of Evidence-Based Medicine, The First Hospital of China Medical University Shenyang, Liaoning, People's Republic of China.
Key Laboratory of Cancer Etiology and Intervention, University of Liaoning Province Shenyang, Liaoning, People's Republic of China.
Int J Clin Exp Pathol. 2018 Jan 1;11(1):438-447. eCollection 2018.
The effects of miR-605 rs2043556 single nucleotide polymorphism (SNP) on the risk and prognosis of lung cancer are unclear. This study investigated the relationships between miR-605 rs2043556 and the susceptibility and overall survival (OS) of lung cancer in Chinese non-smoking females. This hospital-based case-control study included 450 cases and 450 controls. Also, a prospective cohort study was carried out, and the patients were followed up until February 29th, 2016. There were 334 patients with prognostic information. Odds ratio and hazard ratio (HR) and their 95% confidence intervals (CIs) were calculated, respectively. In squamous cell carcinomas (SqCC) patients, homozygous GG genotype carriers had a 2.157-fold elevated risk of lung cancer compared with homozygous AA genotype carriers after adjusting age (95% CI = 1.029-4.524, = 0.042). After adjusting age, pathological type, clinical stage, chemotherapy and surgery, only a marginal significance was observed among the patients with GG genotype, who had a longer OS than those with AA genotype (HR = 0.632, 95% CI = 0.398-1.003, = 0.051). For patients younger than 60 years, those containing GG genotype was independently associated with OS (HR = 0.511, 95% CI = 0.268-0.977, = 0.042). Patients with adenocarcinomas containing GG genotype was independently associated with OS (HR = 0.530, 95% CI = 0.312-0.898, = 0.018). MiR-605 rs2043556 polymorphism could be associated with the susceptibility of SqCC in northeast Chinese non-smoking females. Age and pathological type might have the potential to modify the association between miR-605 rs2043556 and the OS of non-smoking female lung cancer patients.
miR - 605 rs2043556单核苷酸多态性(SNP)对肺癌风险和预后的影响尚不清楚。本研究调查了miR - 605 rs2043556与中国非吸烟女性肺癌易感性及总生存期(OS)之间的关系。这项基于医院的病例对照研究纳入了450例病例和450例对照。此外,还进行了一项前瞻性队列研究,对患者进行随访直至2016年2月29日。有334例患者具有预后信息。分别计算了比值比和风险比(HR)及其95%置信区间(CI)。在鳞状细胞癌(SqCC)患者中,调整年龄后,纯合子GG基因型携带者患肺癌的风险比纯合子AA基因型携带者高2.157倍(95%CI = 1.029 - 4.524,P = 0.042)。调整年龄、病理类型、临床分期、化疗和手术后,在GG基因型患者中仅观察到边缘显著性,其OS比AA基因型患者长(HR = 0.632,95%CI = 0.398 - 1.003,P = 0.051)。对于年龄小于60岁的患者,携带GG基因型与OS独立相关(HR = 0.511,95%CI = 0.268 - 0.977,P = 0.042)。腺癌患者中携带GG基因型与OS独立相关(HR = 0.530,95%CI = 0.312 - 0.898,P = 0.018)。miR - 605 rs2043556多态性可能与中国东北非吸烟女性SqCC的易感性有关。年龄和病理类型可能会改变miR - 605 rs2043556与非吸烟女性肺癌患者OS之间的关联。