Department of Biochemistry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama 15503, Bahrain.
Department of Physiology and Biochemistry, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
Biomolecules. 2023 Oct 9;13(10):1498. doi: 10.3390/biom13101498.
Globally, bladder cancer (BC) is one of the ten most common tumors. Obesity is a worldwide problem associated with an increased BC risk. Considering that levels of leptin and/or its receptor are often deregulated in obese individuals, we hypothesized that they could contribute to BC. To test this hypothesis, we utilized a case-control study in which 116 patients with a confirmed diagnosis of BC and 116 controls were recruited. The serum levels of leptin and leptin receptor were measured. Patients and controls were also genotyped for SNPs in the (rs7799039, rs791620, and rs2167270) and genes (rs1137100, rs1137101, and rs1805094). The univariate analysis indicated that BC patients had significantly higher levels of leptin and lower levels of leptin receptor ( < 0.05). Moreover, rs7799039 of and rs1137101 of were associated with BC ( < 0.05). In the multivariate analysis, leptin receptor levels were protective (OR: 0.98, 95% CI = 0.97-0.99, = 0.002) while the GG genotype of rs1137101 of increased BC risk (OR: 3.42, 95% CI = 1.27-9.20, = 0.02). These findings highlight that lifestyle changes could be useful in preventing BC and that disturbances in energy metabolism could play a role in the pathobiology of BC.
全球范围内,膀胱癌(BC)是十大最常见肿瘤之一。肥胖是一个全球性问题,与膀胱癌风险增加有关。鉴于肥胖个体中瘦素及其受体的水平常常失调,我们假设它们可能导致 BC。为了验证这一假设,我们进行了一项病例对照研究,共招募了 116 例确诊膀胱癌患者和 116 例对照。测量了血清瘦素和瘦素受体水平。还对患者和对照进行了单核苷酸多态性(rs7799039、rs791620 和 rs2167270)和 (rs1137100、rs1137101 和 rs1805094)基因的基因分型。单因素分析表明,BC 患者的瘦素水平显著升高,瘦素受体水平显著降低(<0.05)。此外,和 的 rs7799039 及 的 rs1137101 与 BC 相关(<0.05)。在多因素分析中,瘦素受体水平具有保护作用(OR:0.98,95%CI=0.97-0.99,=0.002),而 的 rs1137101 的 GG 基因型增加了 BC 风险(OR:3.42,95%CI=1.27-9.20,=0.02)。这些发现强调了生活方式的改变可能对预防 BC 有用,而能量代谢紊乱可能在 BC 的病理生物学中发挥作用。