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基因多态性影响儿童横纹肌肉瘤的风险和预后。

polymorphisms influence the risk and prognosis of rhabdomyosarcoma in children.

作者信息

Zhang Xiaohong, Sun Yaping, Niu Huilin, Tan Ping, Liu Shanshan, Liu Xiaoping, Liu Xiaodan, Luo Ailing, Cai Mansi, Yan Yaping, Xu Ling, Yang Xu

机构信息

Department of Hematology/Oncology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.

Research Institute of Tsinghua University in Shenzhen, Shenzhen, China.

出版信息

Front Oncol. 2024 Apr 24;14:1387735. doi: 10.3389/fonc.2024.1387735. eCollection 2024.

Abstract

BACKGROUND

Rhabdomyosarcoma(RMS) is the most common soft tissue sarcoma in children and single nucleotide polymorphisms(SNPs) in certain genes influence risk of RMS. Although had been reported in multiple cancers including RMS, the role of polymorphisms in RMS remains unclear. In this case-control study, we evaluated the association of SNPs with RMS risk and prognosis in children.

METHODS

Four SNPs(rs17069665 A>G, rs4946936 T>C, rs4945816 C>T and rs9400241 C>A) were genotyped in 110 RMS cases and 359 controls. The associations between polymorphisms and RMS risk were determined by odds ratios(ORs) with 95% confidence intervals(CIs). The associations of rs17069665 and rs4946936 with overall survival in RMS children were estimated using the Kaplan-Meier method and log-rank test. Functional analysis in silico was performed to estimate the probability that rs17069665 and rs4946936 might influence the regulation of .

RESULTS

We found that rs17069665 (GG vs. AA+AG, adjusted OR=2.96; 95%CI [1.10-3.32]; =0.010) and rs4946936 (TC+CC vs. TT, adjusted OR=0.48; 95%CI [0.25-0.90]; =0.023) were related to the increased and decreased RMS risk, respectively. Besides, rs17069665(<0.001) and rs4946936(<0.001) were associated with decreased and increased overall survival in RMS patients, respectively. Functional analysis showed that rs17069665 and rs4946936 might influence the transcription and expression of via altering the bindings to MYC, CTCF, and/or RELA.

CONCLUSIONS

This study revealed that polymorphisms influence the RMS susceptibility and prognosis in children, and might altered the expression of . polymorphism was suggested as a biomarker for RMS susceptibility and prognosis.

摘要

背景

横纹肌肉瘤(RMS)是儿童最常见的软组织肉瘤,某些基因中的单核苷酸多态性(SNP)会影响RMS的发病风险。尽管在包括RMS在内的多种癌症中都有相关报道,但这些多态性在RMS中的作用仍不清楚。在这项病例对照研究中,我们评估了某些SNP与儿童RMS风险及预后的相关性。

方法

对110例RMS病例和359例对照进行了4个SNP(rs17069665 A>G、rs4946936 T>C、rs4945816 C>T和rs9400241 C>A)的基因分型。通过比值比(OR)及95%置信区间(CI)确定这些多态性与RMS风险之间的关联。采用Kaplan-Meier法和对数秩检验评估rs17069665和rs4946936与RMS患儿总生存的相关性。进行了计算机功能分析,以估计rs17069665和rs4946936可能影响相关调控的概率。

结果

我们发现,rs17069665(GG与AA+AG相比,校正OR=2.96;95%CI[1.10 - 3.32];P=0.010)和rs4946936(TC+CC与TT相比,校正OR=0.48;95%CI[0.25 - 0.90];P=0.023)分别与RMS风险增加和降低相关。此外,rs17069665(P<0.001)和rs4946936(P<0.001)分别与RMS患者总生存降低和增加相关。功能分析表明,rs17069665和rs4946936可能通过改变与MYC, CTCF和/或RELA的结合来影响相关的转录和表达。

结论

本研究表明,某些多态性影响儿童RMS的易感性和预后,并可能改变相关的表达。这些多态性被认为是RMS易感性和预后的生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f69/11076676/1930b44bac5d/fonc-14-1387735-g001.jpg

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