Mối liên hệ giữa các biến thể nucleotide đơn ở gen E2F1 và E2F2 với các đặc điểm giải phẫu bệnh của ung thư tế bào vảy thanh quản

Tomas Jakštas1, Agnė Bartnykaitė2, Evaldas Padervinskis1, Aurelija Vegienė1, Elona Juozaitytė3, Virgilijus Uloza1, Rasa Ugenskienė4
1Department of Otorhinolaryngology, Lithuanian University of Health Sciences, Kaunas, Lithuania
2Oncology Research Laboratory, Oncology Institute, Lithuanian University of Health Sciences, Kaunas, Lithuania
3Oncology Institute, Lithuanian University of Health Sciences, Kaunas, Lithuania
4Department of Genetics and Molecular Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania

Tóm tắt

Tóm tắt Nền tảng Ung thư tế bào vảy thanh quản (LSCC) là một trong những loại ung thư phổ biến nhất ở đường hô hấp trên. Nó được biết đến với tỷ lệ tử vong cao và tiên lượng kém ở giai đoạn muộn. Có những yếu tố nguy cơ đã được biết đến đối với LSCC, tuy nhiên, việc tìm kiếm các dấu ấn sinh học tiên lượng và cụ thể trong máu cho sự phát triển và tiên lượng của LSCC là rất cần thiết. Nghiên cứu hiện tại nhằm đánh giá ảnh hưởng của bốn biến thể nucleotide đơn (SNPs), E2F1 (rs3213183 và rs3213180) và E2F2 (rs2075993 và rs3820028), đến sự phát triển của LSCC, các đặc điểm hình thái và tỷ lệ sống sót sau 5 năm của bệnh nhân. Phương pháp Tổng cộng có 200 bệnh nhân LSCC và 200 đối tượng chứng được bao gồm trong nghiên cứu này; cả hai nhóm được ghép nối theo tuổi và giới tính. Trong nghiên cứu hiện tại, chúng tôi đã phân tích bốn biến thể nucleotide đơn (SNPs) trong các gen E2F1 (rs3213183 và rs3213180) và E2F2 (rs2075993 và rs3820028) và đánh giá mối liên hệ của chúng với nguy cơ phát triển LSCC, biểu hiện lâm sàng và hình thái, cũng như tỷ lệ sống sót sau 5 năm của bệnh nhân. Genotyping được thực hiện bằng RT-PCR. Kết quả Không có SNP nào trong số được phân tích cho thấy mối liên hệ trực tiếp với sự phát triển của LSCC. Những người mang allele G của E2F2 rs2075993 (OR = 4.589, 95% CI 1.050-20.051, p = 0.043) và những người mang allele A của rs3820028 (OR = 4.750, 95% CI 1.088–20.736, p = 0.038) có nguy cơ cao hơn một cách có ý nghĩa thống kê đối với các dạng LSCC biệt hóa kém hoặc không biệt hóa hơn so với những người không mang allele. Những người đồng hợp tử GC của E2F1 rs3213180 được phát hiện có nguy cơ cao hơn 3.7 lần đối với sự liên quan của lympho (OR = 3.710, 95% CI 1.452–9.479, p = 0.006). Không có mối liên hệ đáng kể nào giữa các SNP được điều tra và tỷ lệ sống sót sau 5 năm của bệnh nhân. Kết luận Nghiên cứu hiện tại chỉ ra rằng E2F2 rs2075993 và rs3820028 ảnh hưởng đến sự biệt hóa của LSCC, trong khi E2F1 rs3213180 ảnh hưởng đến sự liên quan của hạch bạch huyết.

Từ khóa


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