Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Department of Obstetrics and Gynecology, Chi-Mei Foundation Medical Center, Tainan, Taiwan.
Int J Med Sci. 2020 Feb 4;17(4):490-497. doi: 10.7150/ijms.40204. eCollection 2020.
The objectives of this study were to define the associations among single nucleotide polymorphisms (SNPs) of metastasis-associated in colon cancer-1 () gene, development and clinicopathological characteristics of uterine cervical cancer, and patient survival in Taiwan. Genotypic frequencies of 5 SNPs rs975263, rs3095007, rs4721888, rs3735615 and rs1990172 were identified for 132 patients with invasive cancer, 99 with high-grade cervical intraepithelial neoplasia and 338 normal controls using real-time polymerase chain reaction. It revealed that there were no associations of these SNPs with cervical carcinogenesis. In the meantime, cervical cancer patients with genotype GG in SNP rs975263 tended to display more risk to have vaginal invasion than those with AA/AG (=0.042, OR: 8.70, 95% CI: 0.81-433.22). In multivariate analysis, positive pelvic lymph node metastasis could significantly predict worse 5 years survival rate (=0.001; HR=9.98, 95% CI=2.64-37.77) for cervical cancer patients. In conclusion, pelvic lymph node status rather than SNPs was the only independent parameter that could significantly predict 5 years survival rate in Taiwanese women with cervical cancer.
本研究的目的是定义结肠癌转移相关基因 1 () 基因单核苷酸多态性 (SNPs) 与子宫颈癌的发生、发展和临床病理特征以及台湾患者生存之间的关联。使用实时聚合酶链反应,对 132 例浸润性癌患者、99 例高级别宫颈上皮内瘤变患者和 338 例正常对照者的 5 个 SNP(rs975263、rs3095007、rs4721888、rs3735615 和 rs1990172) 的基因型频率进行了鉴定。结果表明,这些 SNP 与宫颈癌的发生无关。同时,SNP rs975263 基因型为 GG 的宫颈癌患者比 AA/AG 患者更容易发生阴道侵犯(=0.042,OR:8.70,95%CI:0.81-433.22)。多因素分析显示,盆腔淋巴结阳性转移可显著预测宫颈癌患者 5 年生存率(=0.001;HR=9.98,95%CI=2.64-37.77)。综上所述,盆腔淋巴结状态而不是 SNPs 是唯一能显著预测台湾宫颈癌患者 5 年生存率的独立参数。