Kim Jung Oh, Jun Hak Hoon, Kim Eo Jin, Lee Jeong Yong, Park Han Sung, Ryu Chang Soo, Kim Seungki, Oh Doyeun, Kim Jong Woo, Kim Nam Keun
Department of Biomedical Science, College of Life Science, CHA University, Seongnam-si, South Korea.
Department of Surgery, Bundang CHA Medical Center, School of Medicine, CHA University, Seongnam-si, South Korea.
Front Oncol. 2020 Feb 7;10:72. doi: 10.3389/fonc.2020.00072. eCollection 2020.
In colorectal carcinogenesis, the unique molecular and genetic changes that occur within cells result in specific CRC phenotypes. The involvement of the long non-coding RNA, , in cancer development, progression, and metastasis is well-established. Various studies have reported on the contribution of to cancer pathogenesis. Therefore, we selected four polymorphisms (rs7958904G>C, rs1899663G>T, rs4759314A>G, and rs920778T>C) to evaluate the association of each variant with CRC prevalence and prognosis. We conducted a case-control study of 850 individuals to identify the genotype frequencies of each polymorphism. The study population included 450 CRC patients and 400 control individuals that were randomly selected following a health screening. Notably, rs7958904 and rs1899663, their hetero genotype, and the dominant model were significantly different when compared to the healthy control group (rs7958904; AOR = 1.392, 95% CI = 1.052-1.843, = 0.021). To evaluate the effect of polymorphisms on the survival rate, we analyzed patient mortality and relapse occurrence within 3 and 5 years with Cox-regression analysis. The rs7958904 CC polymorphism mortality rate was significantly higher than the GG polymorphism mortality rate (adjusted HR = 2.995, 95% CI = 1.189-7.542, = 0.021). In addition, the rs920778 CC genotype was significantly different than the TT genotype (adjusted HR = 3.639, 95% CI = 1.435-9.230, = 0.007). In addition, this study confirmed that genetic variants of alter the mRNA expression level ( < 0.01). We suggest that rs7958904G>C which is associated with CRC prevalence and mortality is a potential biomarker for CRC. The association between gene polymorphisms and CRC prevalence were reported for the first time.
在结直肠癌发生过程中,细胞内发生的独特分子和基因变化导致了特定的结直肠癌表型。长链非编码RNA在癌症发生、发展和转移中的作用已得到充分证实。各种研究报道了其对癌症发病机制的贡献。因此,我们选择了四个多态性位点(rs7958904G>C、rs1899663G>T、rs4759314A>G和rs920778T>C)来评估每个变异与结直肠癌患病率和预后的关联。我们对850名个体进行了病例对照研究,以确定每个多态性位点的基因型频率。研究人群包括450名结直肠癌患者和400名在健康筛查后随机选择的对照个体。值得注意的是,与健康对照组相比,rs7958904和rs1899663、它们的杂合基因型以及显性模型存在显著差异(rs7958904;优势比=1.392,95%置信区间=1.052-1.843,P=0.021)。为了评估多态性对生存率的影响,我们用Cox回归分析了患者在3年和5年内的死亡率和复发情况。rs7958904 CC多态性的死亡率显著高于GG多态性的死亡率(调整后风险比=2.995,95%置信区间=1.189-7.542,P=0.021)。此外,rs920778 CC基因型与TT基因型存在显著差异(调整后风险比=3.639,95%置信区间=1.435-9.230,P=0.007)。此外,本研究证实的基因变异会改变mRNA表达水平(P<0.01)。我们认为与结直肠癌患病率和死亡率相关的rs7958904G>C是结直肠癌的一个潜在生物标志物。首次报道了基因多态性与结直肠癌患病率之间的关联。