Department of Special Surgical Disciplines, International Higher School of Medicine, 720054, 1F Intergelpo, Bishkek, Kyrgyz Republic.
Department of Surgery, National Center of Oncology and Hematology, 720020, 92 Akhunbaev Str., Bishkek, Kyrgyz Republic.
Asian Pac J Cancer Prev. 2023 Feb 1;24(2):613-621. doi: 10.31557/APJCP.2023.24.2.613.
The relevance of the study lies in the fact that although the role of polymorphism of some genes that are responsible for cell apoptosis and deoxyribonucleic acid repair in the development of acute leukemia has already been established, its relationship with the gender of patients has not been studied enough. This study was aimed at studying the relationship between the Arg399Gln polymorphism in the XRCC1 deoxyribonucleic acid repair gene and the Arg72Pro polymorphism in the TP53 tumor suppressor gene encoding the p53 protein with the gender of children with acute leukemia.
The study included 100 newly diagnosed pediatric patients of Kyrgyz nationality (69 boys and 31 girls), among which there were 77 patients with acute lymphoblastic leukemia, 22 patients with acute myeloblastic leukemia and 1 patient with a biphenotypic variant. Determination of polymorphisms was carried out by PCR-RFLP analysis or polymerase chain reaction followed by an analysis of restriction fragment length polymorphism. The interrelation of the results obtained with the patients' gender was assessed using statistical methods.
The study showed that there were no gender differences for all three genotypes of the Arg72Pro polymorphic marker of the tumor suppressor p53 (ТР53). Three Arg399Gln genotypes of the XRCC1 gene also did not depend on gender. However, with a separate analysis of each polymorphism, there was a tendency for a greater proportion of the Arg/Gln genotype in the group of boys compared to girls. The Gln/Gln polymorphism relationship requires further study due to insufficient data for analysis.
The study has expanded the understanding of genetic changes and their relationship with gender, which have diagnostic, prognostic and therapeutic implications in acute leukemia. The conducted research of the relationship between individual phenotypes of acute lymphoblastic leukemia with risky polymorphisms in some genes contributes to the study of AL.
该研究的相关性在于,尽管一些负责细胞凋亡和脱氧核糖核酸修复的基因的多态性在急性白血病的发展中已经得到证实,但它们与患者性别之间的关系还没有得到充分研究。本研究旨在研究 XRCC1 脱氧核糖核酸修复基因中的 Arg399Gln 多态性和编码 p53 蛋白的 TP53 肿瘤抑制基因中的 Arg72Pro 多态性与急性白血病患儿性别之间的关系。
本研究纳入了 100 名新诊断的吉尔吉斯斯坦族儿科患者(男 69 例,女 31 例),其中急性淋巴细胞白血病 77 例,急性髓细胞白血病 22 例,双表型变异 1 例。采用 PCR-RFLP 分析或聚合酶链反应后限制性片段长度多态性分析进行多态性测定。采用统计方法评估所得结果与患者性别之间的相互关系。
研究表明,肿瘤抑制 p53(TP53)的 Arg72Pro 多态性标记的所有三种基因型在男性和女性患者之间没有差异。XRCC1 基因的三种 Arg399Gln 基因型也与性别无关。然而,通过对每种多态性进行单独分析,与女孩相比,男孩组 Arg/Gln 基因型的比例有增大的趋势。由于分析数据不足,Gln/Gln 多态性关系需要进一步研究。
该研究扩展了对遗传变化及其与性别的关系的认识,这在急性白血病的诊断、预后和治疗中有重要意义。对某些基因的危险多态性与急性淋巴细胞白血病个体表型之间关系的研究有助于急性淋巴细胞白血病的研究。