Alenzi Mohammed Jayed, Ghazy Amany A, Taha Diaa-Eldin
Department of Surgery, College of Medicine, Jouf University, Sakaka, Saudi Arabia.
Department of Pathology (Microbiology and Immunology Unit), College of Medicine, Jouf University, Sakaka, Saudi Arabia.
Prostate Cancer. 2021 Apr 21;2021:5539851. doi: 10.1155/2021/5539851. eCollection 2021.
Prostate cancer (PCa) has almost the highest genetic transmission that mimics an autosomal dominance hereditary pattern of cancers in some families. Its incidence in Arab countries was reported to be steadily increasing. . To determine the relevance of HLA-DPA1 rs3077 (A/G) SNP with prostate cancer's risk and/or severity. . Forty PCa patients and forty age matched patients with benign prostatic hyperplasia (BPH), as a control group, were enrolled in the study. Serum levels of urea, creatinine, total prostate-specific antigen (PSA), and free PSA were measured. PSA ratio was determined as well. Genotyping of HLA-DPA1 rs3077 (A/G) SNP was done using real-time PCR. . The measured lab parameters, except free PSA, were significantly higher among PCa patients in comparison to controls ( < 0.001 ). Moreover, PSA ratio was significantly high among PCa patients ( < 0.001 ). HLA-DPA1 rs3077 GG genotype was more frequent in PCa patients and the associated OR was 2.546 (=0.059), while AA genotype was more frequent in the control group and the associated OR was 0.145 (=0.081). Frequency of G allele was higher among PCa patients than the control group while A allele frequency was significantly decreased (=0.034 ) (protective allele). On multivariate analysis, there is no significant correlation found between HLA-DPA1 rs3077 SNP and PSA ratio (OR = 4.5, 95% CI = 1.2-17.4, =0.856). . HLA-DPA1 rs3077 G allele could be a risk factor for prostate cancer. However, HLA-DPA1 rs3077 SNP has no relation to PCa severity.
前列腺癌(PCa)在某些家族中几乎具有最高的遗传传递率,呈现出类似常染色体显性遗传模式的癌症特征。据报道,其在阿拉伯国家的发病率呈稳步上升趋势。本研究旨在确定HLA - DPA1 rs3077(A/G)单核苷酸多态性(SNP)与前列腺癌风险和/或严重程度的相关性。本研究纳入了40例前列腺癌患者和40例年龄匹配的良性前列腺增生(BPH)患者作为对照组。检测了血清尿素、肌酐、总前列腺特异性抗原(PSA)和游离PSA水平,并计算了PSA比值。采用实时聚合酶链反应(PCR)对HLA - DPA1 rs3077(A/G)SNP进行基因分型。与对照组相比,前列腺癌患者除游离PSA外的其他检测实验室参数均显著更高(<0.001)。此外,前列腺癌患者的PSA比值也显著升高(<0.001)。HLA - DPA1 rs3077 GG基因型在前列腺癌患者中更为常见,相关比值比(OR)为2.546(P = 0.059),而AA基因型在对照组中更为常见,相关OR为0.145(P = 0.081)。前列腺癌患者中G等位基因的频率高于对照组,并发现A等位基因频率显著降低(P = 0.034)(保护等位基因)。多因素分析显示,HLA - DPA1 rs3077 SNP与PSA比值之间无显著相关性(OR = 4.5,95%置信区间[CI] = 1.2 - 17.4,P = 0.856)。HLA - DPA1 rs3077 G等位基因可能是前列腺癌的一个危险因素。然而,HLA - DPA1 rs3077 SNP与前列腺癌严重程度无关。