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高丽君, 宋春花, 李海霞, 冯云霞, 曹小琴, 崔姝沥, 代丽萍, 张建营, 王凯娟. 炎性基因与环境交互作用及胃癌易感性分析[J]. 中国公共卫生, 2013, 29(6): 799-801. DOI: 10.11847/zgggws2013-29-06-06
引用本文: 高丽君, 宋春花, 李海霞, 冯云霞, 曹小琴, 崔姝沥, 代丽萍, 张建营, 王凯娟. 炎性基因与环境交互作用及胃癌易感性分析[J]. 中国公共卫生, 2013, 29(6): 799-801. DOI: 10.11847/zgggws2013-29-06-06
GAO Li-jun, SONG Chun-hua, LI Hai-xia.et al, . Inflammatory cytokine gene-environment interaction on risk of gastric cancer susceptibility[J]. Chinese Journal of Public Health, 2013, 29(6): 799-801. DOI: 10.11847/zgggws2013-29-06-06
Citation: GAO Li-jun, SONG Chun-hua, LI Hai-xia.et al, . Inflammatory cytokine gene-environment interaction on risk of gastric cancer susceptibility[J]. Chinese Journal of Public Health, 2013, 29(6): 799-801. DOI: 10.11847/zgggws2013-29-06-06

炎性基因与环境交互作用及胃癌易感性分析

Inflammatory cytokine gene-environment interaction on risk of gastric cancer susceptibility

  • 摘要: 目的探讨胃癌患病风险的炎性基因白介素1(IL-1)、肿瘤坏死因子(TNF)及巨噬细胞转移抑制因子(MIF)与环境间交互作用。方法用多因子降维法(MDR)模型分析基因-环境的交互作用对胃癌易感性影响,结合logistic回归分析进行补充验证。结果最佳交互作用模型是IL-1B-511、IL-1RN、TNF-A-308和肿瘤家族史的联合作用(P<0.01),交叉验证一致性10/10,检验样本准确度为0.72;根据模型将研究对象划分为高危、低危人群,胃癌发病风险交互效应的危险度估计OR=13.49,95%CI=8.62~21.10,且交互作用有统计学意义(P<0.01);将危险因素按结合数量进行分析,结果显示含有1、2、3个危险因素组在病例和对照中分布差异均有统计学意义(P<0.05),OR值分别为2.17、11.61、27.19。结论IL-1B-511、IL-1RNTNF-A-308和肿瘤家族史的交互作用可能增加胃癌患病风险。

     

    Abstract: ObjectiveTo explore the application of multifactor dimensionality reduction(MDR) in the risk assessment of inflammatory cytokine gene (interleukin-1IL-1,tumor necrosis factor TNF and macrophage migration inhibitory factor MIF)-environment interaction in gastric cancer research. MethodsThe MDR software was applied to analyze gene-environment interaction on the risk of gastric cancer susceptibility,while the results of logistic regression was analysed as supplement. ResultsThe interaction among IL-1B-511、IL-1RNTNF-A-308 genotypes and tumor familial history made the best MDR model with a statistical significance(P <0.01).Testing balance accuracy of this model was 0.72 and the cross-validation consistency was 10/10. The research subjects were divided into "high-risk" and "low-risk" groups according to this model.The estimated odds ratio (OR) value of interaction effects on gastric cancer was 13.49(95%confidence interval CI:8.62-21.10) with a statistical significance (P<0.01).There were significant differences among group 1(one factor),group 2(two factors) and group 3(three factors) (P<0.05) with the OR values of 2.17,11.61,and 27.19. ConclusionThe interaction of IL-1B-511、IL-1RNTNF-A-308 and tumor familial history may increase the risk of gastric cancer.

     

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