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白细胞介素基因多态性与多发性骨髓瘤易感性之间的关联。

Association between interleukin gene polymorphisms and multiple myeloma susceptibility.

作者信息

Shahzad Muhamaad Naveed, Ijaz Iqra, Naqvi Syed Shah Zaman Haider, Yan Cheng, Lin Fanli, Li Shutan, Huang Chunlan

机构信息

Stem Cell Laboratory, Department of Hematology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China.

Sino-German Department for The Treatment of Ovarian Tumors, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China.

出版信息

Mol Clin Oncol. 2020 Mar;12(3):212-224. doi: 10.3892/mco.2020.1979. Epub 2020 Jan 16.

Abstract

The present study performed a retrospective observational study in order to investigate the relationship between the interleukin family gene polymorphisms and risk of multiple myeloma (MM), based on sixteen case-control studies that contained 2,597 patients with MM and 3,851 controls. The results demonstrated that the genotypes IL-6 and IL-1 GG increased the risk of MM by approximately 40.8 and 80.2% compared with the genotypes AA and CC [odds ratio (OR)=1.14, 95% confidence interval (CI), 0.88-1.47, and OR=1.16, 95% CI, 0.61-2.19; respectively]. The results also revealed a significant association between T:C polymorphism of the IL-6 and IL-10 and the risk of MM (TC/CC: OR=1.37, 95% CI, 0.88-2.16 and TT/CC: OR=1.26, 95% CI, 0.77-2.06, respectively). Additionally, no significant association was identified between the C:A polymorphisms of the IL-6 (rs8192284) and IL-10 (rs1800872) receptors and the overall risk of MM (P>0.05). G:C polymorphisms of the IL-1β1464G>C and IL-6572G>C significantly increased the risk of MM (P<0.05). However, it has been determined that there is a significant association between the C:T polymorphism of the IL-1α-889C>T and IL-1β-3737C>T and the risk of MM (P<0.001). Subgroup analysis revealed that the detection of G:A polymorphisms in the IL-6 promoter (OR=1.05, 95% CI, 0.78-1.44) is more accurate in MM samples of the Asian population (OR=1.24, 95% CI, 0.92-1.74). In addition, no significant association was identified between the IL gene polymorphisms in MM samples categorized by ethnicity and the IL family type (P=0.27). These single nucleotide polymorphism loci may be the appropriate gene markers for gene screening and a promising therapeutic strategy in the prognostics of patients with MM.

摘要

本研究进行了一项回顾性观察性研究,以基于16项病例对照研究(其中包含2597例多发性骨髓瘤患者和3851例对照)来调查白细胞介素家族基因多态性与多发性骨髓瘤(MM)风险之间的关系。结果表明,与AA和CC基因型相比,IL-6和IL-1的GG基因型使MM风险分别增加了约40.8%和80.2%[优势比(OR)=1.14,95%置信区间(CI),0.88 - 1.47,以及OR = 1.16,95% CI,0.61 - 2.19;分别]。结果还显示,IL-6和IL-10的T:C多态性与MM风险之间存在显著关联(TC/CC:OR = 1.37,95% CI,0.88 - 2.16以及TT/CC:OR = 1.26,95% CI,0.77 - 2.06,分别)。此外,未发现IL-6(rs8192284)和IL-10(rs1800872)受体的C:A多态性与MM的总体风险之间存在显著关联(P>0.05)。IL-1β1464G>C和IL-6572G>C的G:C多态性显著增加了MM风险(P<0.05)。然而,已确定IL-1α - 889C>T和IL-1β - 3737C>T的C:T多态性与MM风险之间存在显著关联(P<0.001)。亚组分析显示,在亚洲人群的MM样本中检测IL-6启动子中的G:A多态性(OR = 1.05,95% CI,0.78 - 1.44)更为准确(OR = 1.24,95% CI,0.92 - 1.74)。此外,按种族分类的MM样本中的IL基因多态性与IL家族类型之间未发现显著关联(P = 0.27)。这些单核苷酸多态性位点可能是用于基因筛查的合适基因标记,并且是MM患者预后中一种有前景的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0669/7016519/711e53ba055a/mco-12-03-0212-g00.jpg

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