Department of Clinical and Chemical Pathology, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.
Department of Medical Oncology, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.
Egypt J Immunol. 2023 Apr;30(2):37-46.
Breast cancer is the most common cancer among females with increasing incidence and death rates. Resistin is pro-inflammatory molecule which shares in diverse cellular signaling pathways. This study aimed to evaluate resistin and RETN rs3219175 gene polymorphism and their relevance to diagnostic susceptibility, prognostic value, and genetic risk among Egyptian female patients with breast cancer. Eighty female patients with breast cancer were recruited from the Oncology Department, Faculty of Medicine, Beni-Suef University. Breast cancer staging and grading were determined. Eighty age-matched normal females participated as controls. Quantitative determination of serum resistin was assayed by an enzyme-linked immunosorbent assay (ELISA). RETN rs3219175 gene polymorphism was determined by real time polymerase chain reaction (RT-PCR) TaqMan allelic discrimination assay. Serum resistin showed statistically significantly higher level among females with breast cancer when compared to controls (p < 0.001). Resistin showed sensitivity of 80% and specificity of 67.5% at cut off value of 1.27 ng/mL for diagnosis of breast cancer (p =0.001). RETN rs3219175 gene polymorphism showed significantly higher frequency of AG, AA genotypes, and A allele among cases when compared to controls (p < 0.001). No statistical difference was found in resistin level or RETN rs3219175 gene polymorphism regarding tumor characteristics including size, lymph nodes or distant metastasis. Resistin showed significantly higher level among carriers of AG followed by AA genotypes and among A allele (p < 0.001). In conclusion, resistin could be proposed as a possible potential diagnostic marker and A allele of RETN rs3219175 gene might be suggested as a genetic risk allele among female patients with breast cancer.
乳腺癌是女性中最常见的癌症,发病率和死亡率呈上升趋势。抵抗素是一种促炎分子,参与多种细胞信号通路。本研究旨在评估抵抗素和 RETN rs3219175 基因多态性及其与埃及女性乳腺癌患者的诊断易感性、预后价值和遗传风险的相关性。从本尼苏夫大学医学院肿瘤内科招募了 80 名女性乳腺癌患者。通过肿瘤分期和分级确定乳腺癌分期和分级。选择 80 名年龄匹配的正常女性作为对照。采用酶联免疫吸附试验(ELISA)定量测定血清抵抗素。采用实时聚合酶链反应(RT-PCR)TaqMan 等位基因鉴别检测 RETN rs3219175 基因多态性。与对照组相比,乳腺癌女性的血清抵抗素水平显著升高(p < 0.001)。当截断值为 1.27ng/ml 时,抵抗素对乳腺癌的诊断具有 80%的敏感性和 67.5%的特异性(p = 0.001)。与对照组相比,RETN rs3219175 基因多态性在病例中显示出更高的 AG、AA 基因型和 A 等位基因频率(p < 0.001)。在肿瘤特征(包括大小、淋巴结或远处转移)方面,抵抗素水平或 RETN rs3219175 基因多态性无统计学差异。在携带 AG 基因型的患者中,AG 基因型和 AA 基因型的抵抗素水平显著升高,而 A 等位基因的抵抗素水平也显著升高(p < 0.001)。综上所述,抵抗素可作为一种潜在的诊断标志物,RETN rs3219175 基因的 A 等位基因可能是女性乳腺癌患者的遗传风险等位基因。