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C-myc 和 K-ras 基因多态性与非霍奇金淋巴瘤的关系。

Association between C-myc and K-ras gene polymorphisms and non-Hodgkin lymphoma.

机构信息

Department of Hematology, the First Affiliated Hospital of Anhui Medical University, Hefei, China.

出版信息

Eur Rev Med Pharmacol Sci. 2020 Apr;24(8):4396-4403. doi: 10.26355/eurrev_202004_21021.

Abstract

OBJECTIVE

To explore the association between c-myc and K-ras gene polymorphisms and non-Hodgkin lymphoma (NHL).

PATIENTS AND METHODS

A total of 200 NHL patients in our hospital in the past 3 years were collected as disease group, while 200 healthy people were taken as control group. The genomic deoxyribonucleic acid (DNA) in the peripheral blood was extracted in both groups, amplified via Polymerase Chain Reaction (PCR) and sent to the company for the detection of c-myc and K-ras gene polymorphisms. The expressions of c-myc and K-ras were detected via Reverse Transcription-quantitative PCR (RT-qPCR), and the levels of clinical indexes hemoglobin (Hb), platelet (PLT) and lactate dehydrogenase (LDH) were determined in the Laboratory Department.

RESULTS

The allele distribution at c-myc gene locus rs121918684 was different between control group and disease group (p=0.000), and the G allele frequency was 202 (0.505) in the control group and 263 (0.657) in the disease group. In the disease group, the GG genotype frequency at c-myc gene locus rs121918684 [97 (0.485)], the CC genotype frequency at rs775522201 [98 (0.490)], and the GA genotype frequency at K-ras gene locus rs1137188 [127 (0.635)] were all significantly higher than those in the control group (p=0.000, p=0.002, p=0.011). In the disease group, the frequency of recessive model GC+CC (p=0.003), heterozygous model GC (p=0.035), and homozygous model CC (p=0.037) at c-myc gene locus rs121918684 was significantly lower than that in the control group, and the frequency of recessive model CT+TT (p=0.046) at c-myc gene locus rs775522201 was also markedly lower than that in the control group. The haplotype frequency of c-myc CC (p=0.000), GC (p=0.000), and GT (p=0.018) in the disease group was different from that in the control group. Moreover, the CT genotype at c-myc gene locus rs775522201 was remarkably correlated with the c-myc gene expression, and the gene expression was markedly increased in the disease group. The TT genotype at K-ras gene locus rs12245 was correlated with the K-ras gene expression, and the gene expression was notably increased in the disease group. There was an association between GG genotype at c-myc gene locus rs121918684 and LDH level (p=0.000), between CT genotype at c-myc gene locus rs775522201 and PLT level (p=0.002), and between AA genotype at K-ras gene locus rs1137188 and Hb level (p=0.003).

CONCLUSIONS

The c-myc and K-ras gene polymorphisms are associated with susceptibility to NHL, gene expression and levels of Hb, PLT, and LDH.

摘要

目的

探讨 c-myc 和 K-ras 基因多态性与非霍奇金淋巴瘤(NHL)的关系。

方法

选取我院近 3 年收治的 NHL 患者 200 例作为疾病组,选取同期健康体检者 200 例作为对照组。采集两组外周血基因组脱氧核糖核酸(DNA),采用聚合酶链反应(PCR)进行扩增,并送至公司检测 c-myc 和 K-ras 基因多态性。采用反转录-定量 PCR(RT-qPCR)检测 c-myc 和 K-ras 的表达,检验科检测血红蛋白(Hb)、血小板(PLT)和乳酸脱氢酶(LDH)等临床指标水平。

结果

对照组和疾病组 c-myc 基因 rs121918684 位点等位基因分布存在差异(p=0.000),对照组 G 等位基因频率为 202(0.505),疾病组为 263(0.657)。在疾病组中,c-myc 基因 rs121918684 位点 GG 基因型频率[97(0.485)]、rs775522201 位点 CC 基因型频率[98(0.490)]和 K-ras 基因 rs1137188 位点 GA 基因型频率[127(0.635)]均显著高于对照组(p=0.000,p=0.002,p=0.011)。在疾病组中,c-myc 基因 rs121918684 位点 GC+CC 隐性模型频率(p=0.003)、GC 杂合模型频率(p=0.035)和 CC 纯合模型频率(p=0.037)显著低于对照组,c-myc 基因 rs775522201 位点 CT+TT 隐性模型频率(p=0.046)也显著低于对照组。c-myc 基因 rs121918684 位点 CC(p=0.000)、GC(p=0.000)和 GT(p=0.018)的单倍型频率在疾病组与对照组之间存在差异。此外,c-myc 基因 rs775522201 位点 CT 基因型与 c-myc 基因表达显著相关,疾病组的基因表达明显升高。K-ras 基因 rs12245 位点 TT 基因型与 K-ras 基因表达相关,疾病组的基因表达明显升高。c-myc 基因 rs121918684 位点 GG 基因型与 LDH 水平相关(p=0.000),c-myc 基因 rs775522201 位点 CT 基因型与 PLT 水平相关(p=0.002),K-ras 基因 rs1137188 位点 AA 基因型与 Hb 水平相关(p=0.003)。

结论

c-myc 和 K-ras 基因多态性与 NHL 的易感性、基因表达以及 Hb、PLT 和 LDH 水平有关。

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