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李沭, 南月丽, 邓宇, 李岸花, 覃若云, 李婷, 曾小云. 细胞周期信号通路相关基因单核苷酸多态性与肝细胞癌临床病理特征关系[J]. 中国公共卫生, 2017, 33(4): 577-583. DOI: 10.11847/zgggws2017-33-04-16
引用本文: 李沭, 南月丽, 邓宇, 李岸花, 覃若云, 李婷, 曾小云. 细胞周期信号通路相关基因单核苷酸多态性与肝细胞癌临床病理特征关系[J]. 中国公共卫生, 2017, 33(4): 577-583. DOI: 10.11847/zgggws2017-33-04-16
LI Shu, NAN Yue-li, DENG Yu.et al, . Relationship between cell circle signaling pathway gene polymorphisms and clinico-pathological characteristics of hepatocellular carcinoma[J]. Chinese Journal of Public Health, 2017, 33(4): 577-583. DOI: 10.11847/zgggws2017-33-04-16
Citation: LI Shu, NAN Yue-li, DENG Yu.et al, . Relationship between cell circle signaling pathway gene polymorphisms and clinico-pathological characteristics of hepatocellular carcinoma[J]. Chinese Journal of Public Health, 2017, 33(4): 577-583. DOI: 10.11847/zgggws2017-33-04-16

细胞周期信号通路相关基因单核苷酸多态性与肝细胞癌临床病理特征关系

Relationship between cell circle signaling pathway gene polymorphisms and clinico-pathological characteristics of hepatocellular carcinoma

  • 摘要: 目的 探讨细胞周期信号通路相关基因CDC25C、CDKN2A(p16)、MCM4、MCM7、PARDC(DNA-PK)、RAD21、RBL2(p107)、YWHAB(14-3-3)、SMAD3、KAT2B、CHEK1单核苷酸多态性(SNP)与肝细胞癌(HCC)临床病理特征的关系,为HCC的预后预测提供科学依据。方法 于2007年7月—2011年3月整群抽取在广西医科大学第一附属医院肝胆外科就诊和治疗的498例新发HCC患者进行相关流行病学调查和临床病理资料的收集,并采集其空腹静脉血提取血液样本DNA,采用基质辅助激光解吸电离飞行时间质谱方法对14个细胞周期信号通路相关基因SNP位点进行基因分型。结果 在校正了年龄、性别、民族、HCC家族史、HBsAg、吸烟和饮酒情况后,多因素非条件logistic回归分析结果显示,携带YWHAB基因rs2425675位点等位基因A基因型AG/AA患者的包膜侵犯风险为基因型GG患者的2.097倍(OR=2.097,95%CI=1.034~4.256);携带RBL2基因rs3929位点等位基因C基因型GC/CC患者的包膜侵犯风险为基因型GG患者的2.234倍(OR=2.234,95%CI=1.100~4.534);携带CDC25C 基因rs3734166位点等位基因G基因型GA/GG患者的子灶发生风险为基因型AA患者的0.460倍(OR=0.460,95%CI=0.259~0.816),癌栓发生风险为基因型AA患者的0.651倍(OR=0.651,95%CI=0.439~0.965);携带CHEK1基因rs515255位点等位基因T基因型TC/TT患者的子灶发生风险为基因型CC患者的0.451倍(OR=0.451,95%CI=0.252~0.807),肿瘤数目多发的风险为基因型CC患者的0.655倍(OR=0.655,95%CI=0.442~0.971)。分层分析结果显示,YWHAB基因rs2425675位点在无HCC家族史、不吸烟、不饮酒的患者中,其SNP多态性与肝癌肿瘤包膜侵犯和假包膜的发生存在统计学关联(均P<0.05);CDC25C基因rs3734166位点在无HCC家族史、不吸烟、不饮酒、HBsAg阴性和阳性的患者中,其SNP多态性与子灶、癌栓、脉管侵犯和肝硬化的发生存在统计学关联(均P<0.05);CHEK1基因rs515255位点在无HCC家族史、不吸烟、饮酒、不饮酒和HBsAg阳性的患者中,其SNP多态性与包膜侵犯、子灶的发生和肿瘤数目多发存在统计学关联(均P<0.05);RBL2基因rs3929位点在吸烟、不吸烟、饮酒、不饮酒和HBsAg阴性患者中,其SNP多态性与包膜侵犯和脉管侵犯的发生存在统计学关联(均P<0.05)。结论 YWHAB、RBL2、CDC25C和CHEK1基因SNP多态性可能与HCC的临床病理特征相关。

     

    Abstract: Objective To investigate associations of single nucleotide polymorphism (SNP) of cell circle signaling pathway genes CDC25C,CDKN2A(p16),MCM4,MCM7,PARDC (DNA-PK),RAD21,RBL2 (p107),YWHAB (14-3-3),SMAD3,KAT2B,and CHEK1 with clinico-pathological characteristics of hepatocellular carcinoma (HCC) and to provide evidences for conducting HCC prognosis.Methods All newly diagnosed HCC patients (498) seeking medical service at Hepatobiliary Surgery of First Hospital Affiliated to Guangxi Medical University were recruited between July 2007 and March 2011.Medical records,relevant information,and peripheral blood samples of the patients were collected and the SNP of 14 cell circle signaling pathway genes of the patients were genotyped using the matrix-assisted laser desorption ionization-time of flight mass spectrometry method.Results After adjusting for age,gender,nationality,family history of HCC,hepatitis B surface antigen (HBsAg),smoking and alcohol drinking status,the results of unconditional logistic regression analysis indicated that the patients with YWHAB rs2425675 genotype AG/AA had a 2.097 times of risk for suffering from capsule invasion compared to the patients with genotype GG (odds ratioOR=2.097,95% confidence interval95%CI:1.034-4.256);the patients with RBL2 rs3929 genotype GC/CC had a significantly higher risk for suffering from capsule invasion risk compared to the patients with genotype GG (OR=2.234,95%CI=1.100-4.534),while the patients with CDC25C rs3734166 genotype GA/GG had a significantly lower risks of suffering from satellite tumor nodule (OR=0.460,95%CI=0.259-0.816) and tumor thrombi (OR=0.651,95%CI=0.439-0.965) compared to the patients with genotype AA;the patients with CHEK1 rs515255 genotype TC/TT showed significantly lower risks of suffering from satellite tumor nodule (OR=0.451,95%CI=0.252-0.80) and multiple tumor (OR=0.655,95%CI=0.442-0.971) compared to the patients with genotype CC.The results of stratified analysis indicated that SNP of YWHAB rs2425675 was significantly associated with incidences of capsule invasion and pseudocapsule among the patients without family HCC history,not smoking,not drinking alcohol (all P<0.05);SNP of CDC25C rs3734166 was significantly associated with incidences of satellite tumor nodule,tumor thrombi,cirrhosis,and vessel invasion among the patients without family HCC history,not smoking,not drinking alcohol,and HBsAg positive or negative (all P<0.05);SNP of CHEK1 rs515255 was significantly associated with incidences of capsule invasion,tumor thrombi and multiple tumor among the patients without family HCC history,not smoking,drinking alcohol or not drinking alcohol but HBsAg-positive (all P<0.05);SNP of RBL2 rs3929 was significantly associated with incidences of capsule and vessel invasion among the patients smoking or not smoking,drinking or not drinking alcohol,and HBsAg-negative (all P<0.05).Conclusion Gene polymorphism of CDC25C,CHEK1,YWHAB and RBL2 may be associated with clinico-pathological characteristics of HCC.

     

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