Guan Qian, Yuan Li, Lin Ao, Lin Huiran, Huang Xiaokai, Ruan Jichen, Zhuo Zhenjian
School of Medicine, South China University of Technology, Guangzhou, China.
Department of Pediatric Surgery, Guangzhou Institute of Pediatrics, Guangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Guangzhou Women and Children's Medical Center, Guangzhou, China.
Transl Pediatr. 2021 Mar;10(3):579-586. doi: 10.21037/tp-20-359.
Glioma, also known as neuroglioma, is the most common primary tumors of the central nervous system. Many previous studies have reported associations between RAS gene polymorphisms and multiple tumors. However, the role of RAS gene polymorphisms on glioma risk has not been investigated.
We conducted a two-center case-control study to investigate whether the RAS gene polymorphisms predispose individuals to gliomas in 248 healthy controls and 191 glioma patients. RAS gene polymorphisms (rs12587 G>T, rs7973450 A>G, rs7312175 G>A in KRAS, rs2273267 A>T in NRAS) were genotyped by the TaqMan assay. The relationship between RAS gene functional single nucleotide polymorphisms (SNPs) and the risk of glioma was evaluated based on odds ratios (ORs) and 95% confidence intervals (CIs).
Individuals with KRAS rs7312175 GA genotype were more likely to develop glioma than those with GG genotype (adjusted OR =1.66, 95% CI: 1.05-2.64, P=0.030). However, the other three SNPs could not affect glioma risk. In stratified analysis of age, gender, subtypes, and clinical stages, rs7312175 GA carriers were more likely to develop glioma in the following subgroups: children less than 60 months, tumor derived from the astrocytic tumors, and clinical stages I.
The study showed that polymorphism rs7312175 GA in the KRAS gene was associated with increased glioma susceptibility. Further investigation is warranted to confirm these findings and to better elucidate the involved biological pathways.
胶质瘤,也称为神经胶质瘤,是中枢神经系统最常见的原发性肿瘤。此前许多研究报道了RAS基因多态性与多种肿瘤之间的关联。然而,RAS基因多态性对胶质瘤风险的作用尚未得到研究。
我们进行了一项两中心病例对照研究,以调查RAS基因多态性是否使个体易患胶质瘤,研究对象包括248名健康对照者和191名胶质瘤患者。采用TaqMan分析法对RAS基因多态性(KRAS基因中的rs12587 G>T、rs7973450 A>G、rs7312175 G>A,NRAS基因中的rs2273267 A>T)进行基因分型。基于优势比(OR)和95%置信区间(CI)评估RAS基因功能性单核苷酸多态性(SNP)与胶质瘤风险之间的关系。
KRAS基因rs7312175 GA基因型个体比GG基因型个体更易患胶质瘤(校正OR =1.66,95% CI:1.05 - 2.64,P =0.030)。然而,其他三个SNP不影响胶质瘤风险。在年龄、性别、亚型和临床分期的分层分析中,rs7312175 GA携带者在以下亚组中更易患胶质瘤:60个月以下儿童、星形细胞瘤来源的肿瘤以及临床I期。
该研究表明KRAS基因中的多态性rs7312175 GA与胶质瘤易感性增加有关。有必要进一步研究以证实这些发现并更好地阐明相关生物学途径。