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评估 rs5498 和 rs3093030 多态性与中国结直肠癌患者的相关性。

Evaluation of rs5498 and rs3093030 Polymorphisms in Chinese Patients with Colorectal Cancer.

机构信息

Department of Oncology, Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China.

Department of Clinical Laboratory, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.

出版信息

DNA Cell Biol. 2021 Feb;40(2):384-392. doi: 10.1089/dna.2020.6089. Epub 2020 Dec 21.

Abstract

Colorectal cancer (CRC) is a common cancer threatening human health. Intercellular adhesion molecule-1 (ICAM-1, CD54) displays a key role in carcinogenesis and previous studies have suggested that single-nucleotide polymorphisms (SNPs) are predicted to increase the risk of CRC. However, the relationship of SNPs with CRC susceptibility was controversial. We conducted a case-control study to clarify the association of SNPs (rs5498 and rs3093030) with the CRC risk. A total of 1003 CRC patients and 1303 controls were recruited to determine SNPs (rs5498 and rs3093030) by SNPscan method. In the case-control study, we found that rs5498 polymorphism did not influence CRC risk (AG vs. AA: adjusted  = 0.179; GG vs. AA: adjusted  = 0.281, AG+GG vs. AA: adjusted  = 0.398; GG vs. AA+AG: adjusted  = 0.153), and rs3093030 polymorphism did not influence CRC risk (CT vs. CC: adjusted  = 0.841; TT vs. CC: adjusted  = 0.175, CT+TT vs. CC: adjusted  = 0.574 and TT vs. CC+TT: adjusted  = 0.180). In a subgroup of age >61, rs5498 decreased the risk of CRC ( = 0.047). Multivariate analysis revealed that smoking ( = 0.002; odds ratio [OR]: 1.76, 95% confidence interval [CI]: 1.18-2.63), alcohol intake ( < 0.001; OR: 1.99, 95% CI: 1.31-3.05), and body mass index <24 ( < 0.001; OR: 1.55, 95% CI: 1.06-2.26) increased the risk of CRC. Our findings showed that rs3093030 was not correlated with the susceptibility of CRC, and rs5498 increased the risk of CRC in the subgroup of age ≥61. In the future, larger and ethnically homogeneous populations are needed to confirm our results.

摘要

结直肠癌(CRC)是一种威胁人类健康的常见癌症。细胞间黏附分子-1(ICAM-1,CD54)在致癌作用中起关键作用,先前的研究表明,单核苷酸多态性(SNPs)可预测 CRC 风险增加。然而,SNP 与 CRC 易感性的关系存在争议。我们进行了一项病例对照研究,以阐明 SNPs(rs5498 和 rs3093030)与 CRC 风险的关系。共招募了 1003 例 CRC 患者和 1303 例对照,采用 SNPscan 法检测 SNPs(rs5498 和 rs3093030)。在病例对照研究中,我们发现 rs5498 多态性不影响 CRC 风险(AG 与 AA:调整后=0.179;GG 与 AA:调整后=0.281,AG+GG 与 AA:调整后=0.398;GG 与 AA+AG:调整后=0.153),rs3093030 多态性不影响 CRC 风险(CT 与 CC:调整后=0.841;TT 与 CC:调整后=0.175,CT+TT 与 CC:调整后=0.574,TT 与 CC+TT:调整后=0.180)。在年龄>61 岁的亚组中,rs5498 降低了 CRC 的风险(=0.047)。多变量分析显示,吸烟(=0.002;比值比[OR]:1.76,95%置信区间[CI]:1.18-2.63)、饮酒(<0.001;OR:1.99,95% CI:1.31-3.05)和 BMI<24(<0.001;OR:1.55,95% CI:1.06-2.26)增加了 CRC 的风险。我们的研究结果表明,rs3093030 与 CRC 的易感性无关,rs5498 在年龄≥61 岁的亚组中增加了 CRC 的风险。未来需要更大、种族同质性更高的人群来证实我们的结果。

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