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静脉血栓栓塞症 GWAS 报道的遗传构成与卵巢癌患者的临床结局相关。

Implications of venous thromboembolism GWAS reported genetic makeup in the clinical outcome of ovarian cancer patients.

机构信息

Molecular Oncology and Viral Pathology Group, Portuguese Institute of Oncology of Porto, Edificio Laboratórios, 1° piso, Rua Dr. António Bernardino de Almeida, 4200-072, Porto, Portugal.

ICBAS, Abel Salazar Institute for the Biomedical Sciences, Rua de Jorge Viterbo Ferreira, 228, 4050-313, Porto, Portugal.

出版信息

Pharmacogenomics J. 2021 Apr;21(2):222-232. doi: 10.1038/s41397-020-00201-9. Epub 2020 Nov 7.

Abstract

Ovarian cancer (OC) represents the most lethal gynaecological neoplasia. Conversely, venous thromboembolism (VTE) and OC are intricately connected, with many haemostatic components favouring OC progression. In light of this bilateral relationship, genome-wide association studies (GWAS) have reported several single-nucleotide polymorphisms (SNPs) associated with VTE risk that could be used as predictors of OC clinical outcome for better therapeutic management strategies. Thus, the present study aimed to analyse the impact of VTE GWAS-identified SNPs on the clinical outcome of 336 epithelial ovarian cancer (EOC) patients. Polymorphism genotyping was performed using the TaqMan Allelic Discrimination methodology. Carriers with the ZFPM2 rs4734879 G allele presented a significantly higher 5-year OS, 10-year OS and disease-free survival (DFS) compared to AA genotype patients with FIGO I/II stages (P = 0.009, P = 0.001 and P = 0.003, respectively). Regarding SLC19A2 rs2038024 polymorphism, carriers with the CC genotype presented a significantly lower 5-year OS, 10-year OS and DFS compared to A allele carriers in the same FIGO subgroup (P < 0.001, P = 0.004 and P = 0.005, respectively). As for CNTN6 rs6764623 polymorphism, carriers with the CC genotype presented a significantly lower 5-year OS compared to A allele carriers with FIGO I/II stages (P = 0.015). As for OTUD7A rs7164569, F11 rs4253417 and PROCR rs10747514, no significant impact on EOC patients' survival was observed. However, future studies are required to validate these results and uncover the biological mechanisms underlying our results.

摘要

卵巢癌(OC)是最致命的妇科肿瘤。相反,静脉血栓栓塞症(VTE)和 OC 之间存在复杂的联系,许多止血成分有利于 OC 的进展。鉴于这种双向关系,全基因组关联研究(GWAS)已经报道了几个与 VTE 风险相关的单核苷酸多态性(SNP),这些 SNP 可以作为 OC 临床结果的预测因子,以制定更好的治疗管理策略。因此,本研究旨在分析 VTE GWAS 鉴定的 SNPs 对 336 例上皮性卵巢癌(EOC)患者临床结局的影响。采用 TaqMan 等位基因鉴别法进行多态性基因分型。与 FIGO I/II 期的 AA 基因型患者相比,ZFPM2 rs4734879 G 等位基因携带者的 5 年 OS、10 年 OS 和无病生存(DFS)显著更高(P=0.009、P=0.001 和 P=0.003)。关于 SLC19A2 rs2038024 多态性,在同一 FIGO 亚组中,与 C 等位基因携带者相比,CC 基因型携带者的 5 年 OS、10 年 OS 和 DFS 显著更低(P<0.001、P=0.004 和 P=0.005)。对于 CNTN6 rs6764623 多态性,CC 基因型携带者的 5 年 OS 显著低于 FIGO I/II 期的 A 等位基因携带者(P=0.015)。对于 OTUD7A rs7164569、F11 rs4253417 和 PROCR rs10747514,未观察到对 EOC 患者生存的显著影响。然而,需要进一步的研究来验证这些结果并揭示我们研究结果背后的生物学机制。

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