Rosenthal A N, Ryan A, Al-Jehani R M, Storey A, Harwood C A, Jacobs I J
Gynaecology Cancer Research Unit, St Bartholomew's and Royal London School of Medicine and Dentistry, Queen Mary and Westfield College, UK.
Lancet. 1998 Sep 12;352(9131):871-2. doi: 10.1016/S0140-6736(98)07357-7.
A polymorphism at codon 72 of the human tumour-suppressor gene, p53, results in translation to either arginine or proline. A recent report suggested that the risk of human-papillomavirus-associated cervical cancer in white women is higher for those homozygous for the arginine allele than for those who are heterozygous. We examined a similar number of cervical cancers and a larger control group for their p53 codon 72 polymorphism status to see if we could confirm this result.
Three different groups of UK white women were studied: 96 who had volunteered to take part in a trial of ovarian-cancer screening; 150 attending for routine antenatal care in the Oxford region; and 50 women with cervical cancer. DNA from peripheral blood samples and from archival tissue samples was examined by PCR with allele-specific primers.
The proportions of individuals homozygous for the arginine allele, homozygous for the proline allele, and heterozygous for the two alleles were 59%, 4%, and 36% among women screened for ovarian cancer; 65%, 8%, and 27% among the antenatal-care group; and 54%, 6%, and 40% in women with cervical cancer. Chi2 analysis showed no significant differences in these proportions.
In the population studied, individuals homozygous for the arginine variant of codon 72 of the p53 gene were not at increased risk of cervical cancer.
人类肿瘤抑制基因p53第72位密码子的多态性导致翻译产物为精氨酸或脯氨酸。最近一份报告表明,在白人女性中,携带精氨酸等位基因纯合子的人患人乳头瘤病毒相关宫颈癌的风险高于杂合子。我们检测了数量相近的宫颈癌患者以及一个更大的对照组的p53第72位密码子的多态性状态,以确定我们是否能证实这一结果。
对三组英国白人女性进行了研究:96名自愿参加卵巢癌筛查试验的女性;150名在牛津地区接受常规产前检查的女性;以及50名宫颈癌女性。使用等位基因特异性引物通过聚合酶链反应检测外周血样本和存档组织样本的DNA。
在接受卵巢癌筛查的女性中,精氨酸等位基因纯合子、脯氨酸等位基因纯合子以及两种等位基因杂合子的比例分别为59%、4%和36%;在产前检查组中分别为65%、8%和27%;在宫颈癌女性中分别为54%、6%和40%。卡方分析显示这些比例没有显著差异。
在所研究的人群中,p53基因第72位密码子精氨酸变体的纯合子个体患宫颈癌的风险并未增加。