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多态性作为前列腺癌根治术后局部生化复发的预测因子。

Polymorphisms as Predictors of the Biochemical Recurrence of Localized Prostate Cancer after Radical Prostatectomy.

机构信息

Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.

School of Medicine, Chung Shan Medical University, Taichung, Taiwan.

出版信息

Int J Med Sci. 2023 May 21;20(7):969-975. doi: 10.7150/ijms.84364. eCollection 2023.

Abstract

The downregulation of WW domain-containing oxidoreductase (WWOX), a tumor suppressor gene, is associated with the tumorigenesis and poor prognosis of various cancers. In this study, we investigated the associations between the polymorphisms of , clinicopathologic features of prostate cancer (PCa), and risk of postoperative biochemical recurrence (BCR). We evaluated the effects of five single-nucleotide polymorphisms (SNPs) of on the clinicopathologic features of 578 patients with PCa. The risk of postoperative BCR was 2.053-fold higher in patients carrying at least one "A" allele in rs12918952 than in those with homozygous G/G. Furthermore, patients with at least one polymorphic "T" allele in rs11545028 had an elevated (1.504-fold) risk of PCa with seminal vesicle invasion. In patients with postoperative BCR, the risks of an advanced Gleason grade and clinical metastasis were 3.317- and 5.259-fold higher in patients carrying at least one "G" allele in rs3764340 than in other patients. Our findings indicate the SNPs are significantly associated with highly aggressive pathologic features of PCa and an elevated risk of post-RP biochemical recurrence.

摘要

WW 结构域包含氧化还原酶(WWOX)的下调与多种癌症的肿瘤发生和不良预后有关。在这项研究中,我们研究了 多态性与前列腺癌(PCa)的临床病理特征以及术后生化复发(BCR)风险之间的关系。我们评估了 578 例 PCa 患者中 5 个单核苷酸多态性(SNPs)对 的临床病理特征的影响。与携带纯合 GG 基因型的患者相比,携带 rs12918952 中至少一个“ A”等位基因的患者术后 BCR 的风险高 2.053 倍。此外,在 rs11545028 中至少携带一个多态性“ T”等位基因的患者发生精囊侵犯的 PCa 的风险升高(1.504 倍)。在术后 BCR 的患者中,与其他患者相比,携带 rs3764340 中至少一个“ G”等位基因的患者具有高级别 Gleason 分级和临床转移的风险分别高 3.317 倍和 5.259 倍。我们的研究结果表明, 多态性与 PCa 的侵袭性较强的病理特征以及 RP 后生化复发风险增加显著相关。

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