Department of Pediatric Intensive Care Unit, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, Guangdong, China.
J Gene Med. 2020 Jul;22(7):e3182. doi: 10.1002/jgm.3182. Epub 2020 Mar 16.
Hepatoblastoma is a rare malignancy originating from pluripotent stem cells with unknown etiology. An understanding of the etiology in pediatric hepatoblastoma has been hampered by the unavailability of sufficient patient samples. To date, only a few epidemiological studies with small sample sizes have been performed investigating risk factors for hepatoblastoma. TP53 and pri-miR-34b/c genes are implicated in the tumorigenesis, yet the role of their polymorphisms in hepatoblastoma susceptibility remains unknown.
We conducted a seven-center case-control study to explore the genetic variants predisposing to hepatoblastoma susceptibility. In our study, we genotyped two functional polymorphisms, the TP53 rs1042522 C>G (Arg72Pro) and miR-34b/c rs4938723 T>C, in 313 cases and 1446 controls using the TaqMan method.
Single loci analysis showed that neither TP53 rs1042522 C>G, nor miR-34b/c rs4938723 T>C significantly modified hepatoblastoma risk. In the stratification analysis, we identified that the miR-34b/c rs4938723 TC/CC genotypes were associated with a decreased risk in patients with clinical stages III + IV hepatoblastoma (adjusted odds ratio = 0.53, 95% confidence interval = 0.33-0.84, P=0.007] compared to the rs4938723 TT genotype. Subsequent analysis further showed that the combination of TP53 and miR-34b/c variant genotypes had no impact on susceptibility hepatoblastoma.
Taken together, TP53 rs1042522 C>G and miR-34b/c rs4938723 T>C may not confer hepatoblastoma susceptibility. These findings may aid in our understanding of the genetic etiology of hepatoblastoma.
肝母细胞瘤是一种罕见的恶性肿瘤,起源于多能干细胞,其病因尚不清楚。由于缺乏足够的患者样本,小儿肝母细胞瘤的病因学研究一直受到阻碍。迄今为止,仅有少数几项样本量较小的流行病学研究调查了肝母细胞瘤的危险因素。TP53 和 pri-miR-34b/c 基因参与肿瘤发生,但它们的多态性与肝母细胞瘤易感性的关系尚不清楚。
我们进行了一项七中心病例对照研究,以探讨易患肝母细胞瘤的遗传变异。在我们的研究中,我们使用 TaqMan 方法对 313 例病例和 1446 例对照中的两个功能多态性 TP53 rs1042522 C>G(Arg72Pro)和 miR-34b/c rs4938723 T>C 进行了基因分型。
单基因座分析显示,TP53 rs1042522 C>G 或 miR-34b/c rs4938723 T>C 均不能显著改变肝母细胞瘤的风险。在分层分析中,我们发现 miR-34b/c rs4938723 TC/CC 基因型与临床分期 III+IV 肝母细胞瘤患者的风险降低相关(调整后的优势比=0.53,95%置信区间=0.33-0.84,P=0.007),与 rs4938723 TT 基因型相比。进一步的分析表明,TP53 和 miR-34b/c 变异基因型的组合对易患肝母细胞瘤没有影响。
综上所述,TP53 rs1042522 C>G 和 miR-34b/c rs4938723 T>C 可能不会导致肝母细胞瘤易感性。这些发现可能有助于我们了解肝母细胞瘤的遗传病因。