Sun Yi-Hung, Chen Liang-Jou, Wang Chun-Hao, Lee Chung-Yuan, Hsiao Yi-Hsuan, Yang Shun-Fa, Wang Po-Hui
Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Department of Obstetrics and Gynecology, Chi-Mei Foundation Medical Center, Tainan, Taiwan.
J Cancer. 2023 Aug 15;14(13):2529-2537. doi: 10.7150/jca.86678. eCollection 2023.
To date, no study delineates the relationships among the genetic variants of () and uterine cervical carcinogenesis as well as clinicopathological parameters and 5 years survival of cervical cancer patients in Taiwan. Therefore, the involvement of polymorphisms in cervical cancer was investigated. Genotypic frequencies of three polymorphisms rs6501551, rs9914618 and rs11655237 were determined in 199 patients including 115 patients with invasive cancer, 84 with precancerous lesions, and 274 control females using real-time polymerase chain reaction. It revealed that polymorphisms were not found significantly related to development of cervical cancer. Cervical cancer patients with genotypes AG/GG in rs6501551 had more risk to have tumor diameter larger than 4 cm as compared to those with genotype AA (=0.043). Cervical cancer patients with genotype GG in rs6501551 had worse 5 years survival as compared to those with genotypes AA/AG in multivariate analysis (hazard ratio: 4.70; =0.097). However, only two patients exhibiting GG were noted, and one had mortality, another had no mortality. In conclusion, larger sample size needs to verify the associations of genetic variants with clinicopathological parameters and patient survival of cervical cancer for Taiwanese females.
迄今为止,台湾尚无研究阐述()的基因变异与子宫颈癌发生、临床病理参数以及子宫颈癌患者5年生存率之间的关系。因此,本研究调查了()基因多态性与子宫颈癌的相关性。采用实时聚合酶链反应技术,对199例女性进行检测,其中包括115例浸润癌患者、84例癌前病变患者以及274例对照女性,以确定三种()基因多态性rs6501551、rs9914618和rs11655237的基因型频率。结果显示,()基因多态性与子宫颈癌的发生无显著相关性。rs6501551基因型为AG/GG的子宫颈癌患者,其肿瘤直径大于4 cm的风险高于基因型为AA的患者(P = 0.043)。多因素分析显示,rs6501551基因型为GG的子宫颈癌患者5年生存率低于基因型为AA/AG的患者(风险比:4.70;P = 0.097)。然而,仅发现2例GG基因型患者,其中1例死亡,1例未死亡。总之,需要更大样本量来验证()基因变异与台湾女性子宫颈癌临床病理参数及患者生存率之间的关联。