Fan Guangrui, Li Kun, Pang Yangyang, Zhao Youli, Tao Yan, Gui Huimin, Wang Hanzhang, Svatek Robert, Rodriguez Ronald, Wang Zhiping
Institute of Urology, Lanzhou University Second Hospital, Key Laboratory of Urological Diseases in Gansu Province, Gansu Nephron-Urological Clinical Center, Lanzhou, China.
Department of Urology, The University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Transl Androl Urol. 2021 Feb;10(2):692-702. doi: 10.21037/tau-20-1032.
To investigate the association between single nucleotide polymorphisms (rs10078761, rs12696304, rs2853669, rs16847897, rs2736100, rs10069690) of telomerase gene (TERT) and the risk clinical benign prostatic hyperplasia (BPH) in a Chinese Han population of the Northwest region.
A total of 150 BPH patients and 150 healthy older males from the northwest Chinese Han population were included in this study. The sample size for this unmatched case-control study was estimated by the look-up table method. Meanwhile, the general information and disease data of patients were collected. Age was only collected in healthy control subjects for statistical correction. Genotypes were detected using a multiplex PCR + ligase detection reaction (LDR). Typing results and clinical data were statistically analyzed using multiple linear regression and logistic regression. Pearson correlation was used for Hardy-Weinberg equilibrium.
The included population is in Hardy-Weinberg equilibrium. There was no significant association between SNP and the risk of BPH by correlation analysis. However, 4 haplotypes (TCTGGT, TCTGTC, TGCCTC, and TGTGTC) were identified as risk factors of BPH by haplotype analysis. The SNP rs2853669 is an independent risk factor for smooth muscle type of hyperplasia. Besides, rs2736100, rs10078761, and rs10069690 which are in linkage disequilibrium are associated with the severity of BPH.
Polymorphism of the TERT gene determines the different disease development and pathological manifestations of BPH in the Chinese Han population the Northwest region.
探讨端粒酶基因(TERT)单核苷酸多态性(rs10078761、rs12696304、rs2853669、rs16847897、rs2736100、rs10069690)与中国西北地区汉族人群临床良性前列腺增生(BPH)风险的相关性。
本研究纳入了150例中国西北汉族BPH患者和150例健康老年男性。采用查表法估计该非匹配病例对照研究的样本量。同时,收集患者的一般信息和疾病数据。仅在健康对照者中收集年龄用于统计校正。采用多重聚合酶链反应+连接酶检测反应(LDR)检测基因型。使用多元线性回归和逻辑回归对分型结果和临床数据进行统计分析。采用Pearson相关性检验评估Hardy-Weinberg平衡。
纳入人群处于Hardy-Weinberg平衡。相关性分析显示,SNP与BPH风险之间无显著关联。然而,单倍型分析确定4种单倍型(TCTGGT、TCTGTC、TGCCTC和TGTGTC)为BPH的危险因素。SNP rs2853669是平滑肌型增生的独立危险因素。此外,处于连锁不平衡状态的rs2736100、rs10078761和rs10069690与BPH的严重程度相关。
TERT基因多态性决定了中国西北地区汉族人群BPH的不同疾病发展和病理表现。