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白介素-16基因多态性与肝癌遗传易感性研究
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摘要
目的:研究白介素-16(IL-16)基因rs11556218T/G、rs4072111C/T、rs4778889T/C三个位点的多态性,希望通过此项群体研究,在广西人群中揭示IL-16的基因多态性与肝癌的遗传相关性,获得具有重要功能意义的与肝癌遗传易感性相关的SNP或单倍型,为肝癌的人群预防提供新的遗传标记以及为肝癌的治疗提供新靶标。
     方法:对来自肝癌高发区广西的141例肝癌患者(肝癌组)和142例健康体检者(对照组),采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)方法及DNA测序法,分别检测IL-16基因rs11556218T/G、rs4072111C/T、rs4778889T/C三个位点的多态性,用χ~2检验比较基因型和等位基因在肝癌组和对照组间的差异,logstic回归分析计算比值比(Oddsratios,OR)和95%可信区间(Confidence Intervals,CI),并以性别和年龄进行校正,对基因多态性和肝癌的易感性进行关联分析。以上统计均采用SPSS 13.0软件。采用PLINK软件构建单倍型并进行分析。
     结果:
     1.肝癌组和对照组在性别和年龄组成上的差异无统计学意义(P>0.05),具有可比性。肝癌组和对照组IL-16 rs11556218T/G、rs4072111C/T、rs4778889T/C三个位点基因型均符合Hardy-weinberg平衡,所检测的样本具有代表性和可比性。2. IL-16 rs11556218T/G位点共有TT、TG、GG三种基因型,三个基因型在肝癌组和对照组中分布频率的差异无统计学意义(P=0.97)。与TT基因型相比,TG基因型和肝癌的患病风险无相关性(P=0.38), GG基因型和肝癌的患病风险无相关性(P=0.90),说明IL-16 rs11556218T/G位点的基因多态性与肝癌的遗传易感性无关。
     3. IL-16 rs4072111C/T位点共有CC、CT、TT三种基因型,三个基因型在肝癌组和对照组中分布频率的差异无统计学意义(P=0.59)。与CC基因型相比,CT基因型和肝癌的患病风险无相关性(P=0.46),TT基因型和肝癌的患病风险无相关性(P=0.64),说明IL-16 rs4072111C/T位点的基因多态性与肝癌的遗传易感性无关。
     4. IL-16 rs4778889T/C位点共有TT、TC、CC三种基因型,三个基因型在肝癌组和对照组中分布频率的差异无统计学意义(P=0.12)。与TT基因型相比,TC基因型和肝癌的患病风险有相关性(P=0.04),CC基因型和肝癌的患病风险无相关性(P=0.59)。与TT基因型相比,TC基因型患肝癌的风险显著降低至0.50倍,说明TC基因型有可能是肝癌的一个保护因素。
     5. IL-16三个SNP的频率在对照组中的分布与华西地区、北京和日本等地研究的结果较类似,与美国犹他州、尼日利亚人群等研究的结果差异较大。
     6.无论是在男性人群中还是在女性人群中,IL-16 rs11556218T/G、rs4072111C/T、rs4778889T/C三个位点的基因型与肝癌的患病风险无相关性(P>0.05)。
     7.无论是在HBV携带人群中还是在非HBV携带人群中,IL-16 rs11556218T/G、rs4072111C/T、rs4778889T/C三个位点的基因型与肝癌的患病风险无相关性(P>0.05)。
     8. GTC单倍型在肝癌组中的频率显著低于在对照组中的频率,GTC单倍型患肝癌的风险显著减低至0.02(P=0.03),提示GTC单倍型有可能是肝癌的一个保护因素。其他单倍型与肝癌的患病风险无相关性(P>0.05)。
     结论:IL-16 rs4778889T/C位点TC基因型与肝癌的遗传易感性相关,TC基因型患肝癌的风险显著降低至0.50倍,说明TC基因型有可能是肝癌的一个保护因素。IL-16三个SNP的频率在对照组中的分布与华西地区、北京和日本等地研究的结果较类似,与美国犹他州、尼日利亚人群等研究的结果差异较大。GTC单倍型患肝癌的风险显著减低至0.02,提示GTC单倍型有可能是肝癌的一个保护因素。
Objectives To study polymorphisms between rs11556218T / G, rs4778889T/C and rs4072111C/T of interleukin -16 (IL-16) gene. To reveal the association between polymorphisms of IL-16 and hepatocellular carcinoma in GuangXi population. To obtain the important SNP or haplotype which was associated with the susceptibility to hepatocellular carcinoma, providing new genetic markers for the prevention of hepatocellular carcinoma and new target for the treatment of hepatocellular carcinoma.
     Methods Polymerase chain reaction restriction fragment length polymorphism (PCR-RFLP) strategy and DNA sequencing methods were used to analyze polymorphisms of IL-16 in 141 patients with HCC and age, sex-matched 142 healthy controls. Usingχ~2 test to exam the differences of genotype, allele, haplotype between the HCC group and control group, logstic regression was used to analysis odds ratio (Oddsratios, OR) and 95% CI(Confidence Intervals, CI), adjusted for sex and age by the logistic regression model, analysis the association between SNPs of polymorphisms and hepatocellular carcinoma. All the results were analyzed by SPSS 13.0. Using PLINK software to construct the haplotypes and analyzed.
     Results
     1. The differences of gender and age composition between HCC group and control group were not statistically significant(P>0.05). Genotype of IL-16 rs11556218T / G, rs4072111C / T, rs4778889T / C in HCC group and control group were consistent with Hardy-weinberg equilibrium, the samples detected were representative and comparable.
     2. There were TT, TG and GG three genotypes in IL-16 rs11556218T / G, the difference of the frequency distribution between the two groups was no statistically significant (P =0.97). Comparing with TT genotype, TG genotype was not associated with susceptibility to hepatocellular carcinoma (P = 0.38), GG genotype was not associated with susceptibility to hepatocellular carcinoma (P =0.90). The genetic polymorphism of IL-16 rs11556218T / G was not associated with susceptibility to hepatocellular carcinoma.
     3. There were CC, CT and TT three genotypes in IL-16 rs4072111C/T, the difference of the frequency distribution between the two groups was no statistically significant (P = 0.59). Comparing with CC genotype, CT genotype was not associated with susceptibility to hepatocellular carcinoma (P = 0.46), TT genotype was not associated with susceptibility to hepatocellular carcinoma (P =0.64). The genetic polymorphism of IL-16 rs4072111C/T was not associated with susceptibility to hepatocellular carcinoma.
     4. There were TT, TC and CC three genotypes in IL-16 rs4778889T / C, the difference of the frequency distribution between the two groups was no statistically significant (P = 0.12). Comparing with TT genotype, TC genotype was associated with susceptibility to hepatocellular carcinoma(P=0.04), CC genotype was no associated with susceptibility to hepatocellular carcinoma (P =0.59). Comparing with TT genotype, the risk of patients carrying TC genotype developing hepatocellular carcinoma was significantly reduced to 0.5. The TC genotype maybe a protective factor for hepatocellular carcinoma.
     5. The distribution of the three SNPs in the control group were similar to the findings from the west regions of China, Beijing and Japan, but there were differences when compared with the Utah of United States and Nigeria.
     6. Both in the male and female population, the three SNPs of IL-16 were not associated with susceptibility to hepatocellular carcinoma (P>0.05).
     7. Both in HBV carriers and non-HBV carrier population, the three SNPs of IL-16 were not associated with susceptibility to hepatocellular carcinoma (P>0.05).
     8. The GTC haplotype frequency in the HCC group was significantly lower than that in the control group. The risk of patients carrying the GTC developing hepatocellular carcinoma was significantly reduced to 0.02. The GTC haplotype maybe a protective factor for hepatocellular carcinoma. The other haplotypes were not associated with susceptibility to hepatocellular carcinoma (P>0.05).
     Conclution The rs4778889T/C polymorphism of TC genotype was significantly associated with the susceptibility to HCC. The risk of patients carrying TC genotype developing hepatocellular carcinoma was significantly reduced to 0.5. The TC genotype maybe a protective factor for hepatocellular carcinoma. The distribution of the three SNPs in the control group were similar to the findings from the west regions of China, Beijing and Japan, but there were differences when compared with the Utah of United States and Nigeria. The risk of patients carrying the GTC developing hepatocellular carcinoma was significantly reduced to 0.02. The GTC haplotype maybe a protective factor for hepatocellular carcinoma.
引文
[1] Marrero CR, Marrero JA. Viral hepatitis and hepatocellular carcinoma[J]. Arch Med Res, 2007,38(6):612-620.
    [2] Parkin DM, Bray F, Ferlay J, et al. Global cancer statistics, 2002[J]. CA Cancer J Clin, 2005,55(2):74-108.
    [3]黄志碧,邬质彬,徐国诚.广西肝癌高发区人群多种肝炎病毒感染的流行病学研究[J].广西医科大学学报, 2000,17(1):79-82.
    [4] Seeff LB. Natural history of chronic hepatitis C[J]. Hepatology, 2002,36(5 Suppl 1):S35-46.
    [5] Hussain SP, Harris CC. Inflammation and cancer: an ancient link with novel potentials[J]. Int J Cancer, 2007,121(11):2373-2380.
    [6] Balkwill F, Mantovani A. Inflammation and cancer: back to Virchow?[J]. Lancet, 2001,357(9255):539-545.
    [7] Sawai N, Kita M, Kodama T, et al. Role of gamma interferon in Helicobacter pylori-induced gastric inflammatory responses in a mouse model[J]. Infect Immun, 1999,67(1):279-285.
    [8] Matsuzaki K, Murata M, Yoshida K, et al. Chronic inflammation associated with hepatitis C virus infection perturbs hepatic transforming growth factor beta signaling, promoting cirrhosis and hepatocellular carcinoma[J]. Hepatology, 2007,46(1):48-57.
    [9] Philpott M, Ferguson LR. Immunonutrition and cancer[J]. Mutat Res, 2004,551(1-2):29-42.
    [10] Cruikshank W, Center DM. Modulation of lymphocyte migration by human lymphokines. II. Purification of a lymphotactic factor (LCF)[J]. J Immunol, 1982,128(6):2569-2574.
    [11] Zhang Y, Center DM, Wu DM, et al. Processing and activation of pro-interleukin-16 by caspase-3[J]. J Biol Chem, 1998,273(2):1144-1149.
    [12] Gao LB, Rao L, Wang YY, et al. The association of interleukin-16 polymorphisms with IL-16 serum levels and risk of colorectal and gastric cancer[J]. Carcinogenesis, 2009,30(2):295-299.
    [13] Gao LB, Liang WB, Xue H, et al. Genetic polymorphism of interleukin-16 and risk of nasopharyngeal carcinoma[J]. Clin Chim Acta, 2009,409(1-2):132-135.
    [14] Venter JC, Adams MD, Myers EW, et al. The sequence of the human genome[J]. Science, 2001,291(5507):1304-1351.
    [15] Tan A, Yeh SH, Liu CJ, et al. Viral hepatocarcinogenesis: from infection to cancer[J]. Liver Int, 2008,28(2):175-188.
    [16] Ke X, Durrant C, Morris AP, et al. Efficiency and consistency of haplotype tagging of dense SNP maps in multiple samples[J]. Hum Mol Genet, 2004,13(21):2557-2565.
    [17] Mathy NL, Scheuer W, Lanzendorfer M, et al. Interleukin-16 stimulates the expression and production of pro-inflammatory cytokines by human monocytes[J]. Immunology, 2000,100(1):63-69.
    [18] Glas J, Torok HP, Unterhuber H, et al. The -295T-to-C promoter polymorphism of the IL-16 gene is associated with Crohn's disease[J]. Clin Immunol, 2003,106(3):197-200.
    [19] Gu XJ, Cui B, Zhao ZF, et al. Association of the interleukin (IL)-16 gene polymorphisms with Graves' disease[J]. Clin Immunol, 2008,127 (3):298-302.
    [20] Xue H, Gao L, Wu Y, et al. The IL-16 gene polymorphisms and the risk of the systemic lupus erythematosus[J]. Clin Chim Acta, 2009,403(1-2):223-225.
    [21] El-Serag HB, Mason AC. Rising incidence of hepatocellular carcinoma in the United States[J]. N Engl J Med, 1999,340(10):745-750.
    [22] Parkin DM, Bray FI, Devesa SS. Cancer burden in the year 2000. The global picture[J]. Eur J Cancer, 2001,37 Suppl 8:S4-66.
    [23] Dickinson JA, Wun YT, Wong SL. Modelling death rates for carriers of hepatitis B[J]. Epidemiol Infect, 2002,128(1):83-92.
    [24] Weiss KM, Terwilliger JD. How many diseases does it take to map a gene with SNPs?[J]. Nat Genet, 2000,26(2):151-157.
    [25]李丹萍,张传臻,李坤,等.胃癌发生与XPC基因单倍型的关系[J].中华实验外科杂志, 2010,27(6):747-750.
    [1]吴继周,李国坚,陈务卿,等.广西新发现肝癌高发点的初步流行病学研究[J].内科,2009,4(5):678-680.
    [2] El-Serag HB, Mason AC. Rising incidence of hepatocellular carcinoma in the United States[J]. N Engl J Med,1999,340(10):745-750.
    [3] Wang DG, Fan JB, Siao CJ, et al. Large-scale identification, mapping, and genotyping of single-nucleotide polymorphisms in the human genome[J]. Science,1998,280(5366):1077-1082.
    [4] Nickerson DA, Taylor SL, Weiss KM, et al. DNA sequence diversity in a 9.7-kb region of the human lipoprotein lipase gene[J]. Nat Genet,1998,19(3):233-240.
    [5]张友才,邓生长,朱尤庆.Ⅱ相毒物代谢酶基因致癌物代谢及其与大肠癌遗传易感性研究近况[J].肿瘤防治研究,2003,30(2):170-171.
    [6] Hirvonen A. Polymorphisms of xenobiotic-metabolizing enzymes and susceptibility to cancer[J]. Environ Health Perspect,1999,107 Suppl 1:37-47.
    [7] Umeno M, McBride OW, Yang CS, et al. Human ethanol-inducible P450IIE1: complete gene sequence, promoter characterization, chromosome mapping, and cDNA-directed expression[J]. Biochemistry, 1988,27(25): 9006-9013.
    [8] Yu MW, Gladek-Yarborough A, Chiamprasert S, et al. Cytochrome P450 2E1 and glutathione S-transferase M1 polymorphisms and susceptibility to hepatocellular carcinoma[J]. Gastroenterology,1995,109(4):1266-1273.
    [9]叶新平,彭涛,刘唐威,等. CYP2E1遗传型与饮酒习惯对广西肝癌易感性的影响[J].广西医科大学学报,2008,25(4):493-395.
    [10]贺菽嘉,顾永耀,廖志红. GSTM1基因多态性和烟酒习惯与原发性肝癌易感性的关系[J].广西医科大学学报,2008,25(4).
    [11] Asim M, Khan LA, Husain SA, et al. Genetic polymorphism of glutathione S transferases M1 and T1 in Indian patients with hepatocellular carcinoma[J]. Dis Markers,2010,28(6):369-376.
    [12] Xiao D, Wang C, Du MJ, et al. Relationship between polymorphisms of genes encoding microsomal epoxide hydrolase and glutathione S-transferase P1 and chronic obstructive pulmonary disease[J]. Chin Med J (Engl),2004,117(5):661-667.
    [13] Tiemersma EW, Omer RE, Bunschoten A, et al. Role of genetic polymorphism of glutathione-S-transferase T1 and microsomal epoxide hydrolase in aflatoxin-associated hepatocellular carcinoma[J]. Cancer Epidemiol Biomarkers Prev,2001,10(7):785-791.
    [14] Mu LN, Cao W, Zhang ZF, et al. Methylenetetrahydrofolate reductase (MTHFR) C677T and A1298C polymorphisms and the risk of primary hepatocellular carcinoma (HCC) in a Chinese population[J]. Cancer Causes Control,2007,18(6):665-675.
    [15] Brown CA, McKinney KQ, Kaufman JS, et al. A common polymorphism in methionine synthase reductase increases risk of premature coronary artery disease[J]. J Cardiovasc Risk,2000,7(3):197-200.
    [16] Leclerc D, Odievre M, Wu Q, et al. Molecular cloning, expression and physical mapping of the human methionine synthase reductase gene[J]. Gene,1999,240(1):75-88.
    [17] Kwak SY, Kim UK, Cho HJ, et al. Methylenetetrahydrofolate reductase (MTHFR) and methionine synthase reductase (MTRR) gene polymorphisms as risk factors for hepatocellular carcinoma in a Koreanpopulation[J]. Anticancer Res,2008,28(5A):2807-2811.
    [18] Fu Z, Hu Y, Konishi K, et al. Crystal structure of glycine N-methyltransferase from rat liver[J]. Biochemistry,1996,35 (37):11985-11993.
    [19] Duthie SJ. Folic acid deficiency and cancer: mechanisms of DNA instability[J]. Br Med Bull,1999,55(3):578-592.
    [20] Tseng TL, Shih YP, Huang YC, et al. Genotypic and phenotypic characterization of a putative tumor susceptibility gene, GNMT, in liver cancer[J]. Cancer Res,2003,63(3):647-654.
    [21] Parkin DM, Bray F, Ferlay J, et al. Global cancer statistics, 2002[J]. CA Cancer J Clin,2005,55(2):74-108.
    [22] Giannitrapani L, Soresi M, La Spada E, et al. Sex hormones and risk of liver tumor[J]. Ann N Y Acad Sci,2006,1089:228-236.
    [23] Castagnetta LA, Agostara B, Montalto G, et al. Local estrogen formation by nontumoral, cirrhotic, and malignant human liver tissues and cells[J]. Cancer Res,2003,63(16):5041-5045.
    [24]李维麟,蔡霞. CYP17单核苷酸多态性的研究进展[J].国际生殖健康/计划生育杂志,2009,28(2):118-120.
    [25] Rossi L, Leveri M, Gritti C, et al. Genetic polymorphisms of steroid hormone metabolizing enzymes and risk of liver cancer in hepatitis C-infected patients[J]. J Hepatol,2003,39(4):564-570.
    [26] Li Y, Yao J, Chang M, et al. Equine catechol estrogen 4-hydroxyequilenin is a more potent inhibitor of the variant form of catechol-O- methyltransferase[J]. Chem Res Toxicol,2004,17(4):512-520.
    [27] Floyd RA. The role of 8-hydroxyguanine in carcinogenesis[J]. Carcinogenesis,1990,11(9):1447-1450.
    [28]张昊,郝冰涛. DNA损伤修复基因hOGG1的遗传多态性与肝癌易感性的研究[J].中国肿瘤临床,2005,32(15):841-843.
    [29]苏智雄,黎乐群,彭涛,等. hOGG1和PARP在原发性肝癌组织中的表达及意义[J].广西医学,2008,30(10):1467-1471.
    [30] Sugasawa K, Ng JM, Masutani C, et al. Xeroderma pigmentosum group C protein complex is the initiator of global genome nucleotide excision repair[J]. Mol Cell,1998,2(2):223-232.
    [31]李龙嫚,曾小云,纪龙,等. DNA修复基因XPC和XPG单核苷酸多态性与肝细胞癌易感性的关系[J].中华肝脏病杂志,2010,18(4):271-275.
    [32] Long XD, Ma Y, Zhou YF, et al. Polymorphism in xeroderma pigmentosum complementation group C codon 939 and aflatoxin B1-related hepatocellular carcinoma in the Guangxi population[J]. Hepatology, 2010,52(4):1301-1309.
    [33] Lamerdin JE, Montgomery MA, Stilwagen SA, et al. Genomic sequence comparison of the human and mouse XRCC1 DNA repair gene regions[J]. Genomics,1995,25(2):547-554.
    [34] Thompson LH, Brookman KW, Jones NJ, et al. Molecular cloning of the human XRCC1 gene, which corrects defective DNA strand break repair and sister chromatid exchange[J]. Mol Cell Biol,1990,10(12):6160-6171.
    [35] Kiran M, Chawla YK, Jain M, et al. Haplotypes of microsomal epoxide hydrolase and x-ray cross-complementing group 1 genes in Indian hepatocellular carcinoma patients[J]. DNA Cell Biol,2009,28(11):573-577.
    [36]李宁,任翊,汪得胜,等.汉民族XRCC1基因399位密码子单核苷酸多态性与原发肝癌关系的研究[J].临床肝脏病杂志,2008,24(5):361-364.
    [37] Balkwill F, Mantovani A. Inflammation and cancer: back to Virchow?[J]. Lancet,2001,357(9255):539-545.
    [38] Aggarwal BB, Vijayalekshmi RV, Sung B. Targeting inflammatory pathways for prevention and therapy of cancer: short-term friend, long-term foe[J]. Clin Cancer Res,2009,15(2):425-430.
    [39] Sawai N, Kita M, Kodama T, et al. Role of gamma interferon in Helicobacter pylori-induced gastric inflammatory responses in a mouse model[J]. Infect Immun,1999,67(1):279-285.
    [40] Matsuzaki K, Murata M, Yoshida K, et al. Chronic inflammation associated with hepatitis C virus infection perturbs hepatic transforming growth factor beta signaling, promoting cirrhosis and hepatocellular carcinoma[J]. Hepatology,2007,46(1):48-57.
    [41] Philpott M, Ferguson LR. Immunonutrition and cancer[J]. Mutat Res,2004,551(1-2):29-42.
    [42] Pinsky MR. Dysregulation of the immune response in severe sepsis[J]. Am J Med Sci,2004,328(4):220-229.
    [43] Nedospasov SA, Hirt B, Shakhov AN, et al. The genes for tumor necrosis factor (TNF-alpha) and lymphotoxin (TNF-beta) are tandemly arranged on chromosome 17 of the mouse[J]. Nucleic Acids Res,1986, 14(19):7713-7725.
    [44] Anderson GM, Nakada MT, DeWitte M. Tumor necrosis factor-alpha in the pathogenesis and treatment of cancer[J]. Curr Opin Pharmacol, 2004,4(4):314-320.
    [45]黄海玲,解继胜,黄赞松,等. TNF-α-238G/A基因多态性与原发性肝癌的关系[J].解剖科学进展,2007,13(1):11-13.
    [46] Yang Y, Luo C, Feng R, et al. The TNF-alpha, IL-1B and IL-10 polymorphisms and risk for hepatocellular carcinoma: a meta-analysis[J]. J Cancer Res Clin Oncol,2010.
    [47]薛惠平,倪培华,吴洁敏,等.炎症性肠病IL-1β基因多态性及连锁不平衡研究[J].上海交通大学学报(医学版),2006,26(8):912-915.
    [48] Arend WP. The balance between IL-1 and IL-1Ra in disease[J]. Cytokine Growth Factor Rev,2002,13(4-5):323-340.
    [49] Sakamoto T, Higaki Y, Hara M, et al. Interaction between interleukin-1beta -31T/C gene polymorphism and drinking and smoking habits on the risk of hepatocellular carcinoma among Japanese[J]. Cancer Lett,2008,271(1): 98-104.
    [50] Hirankarn N, Kimkong I, Kummee P, et al. Interleukin-1beta gene polymorphism associated with hepatocellular carcinoma in hepatitis B virus infection[J]. World J Gastroenterol,2006,12(5):776-779.
    [51]徐春华,周范民,张荣.白细胞介素18在脑肿瘤中的研究进展[J].中国临床神经科学,2007,15(3):323-325.
    [52] Yumoto E, Higashi T, Nouso K, et al. Serum gamma-interferon-inducing factor (IL-18) and IL-10 levels in patients with acute hepatitis and fulminant hepatic failure[J]. J Gastroenterol Hepatol,2002,17(3):285-294.
    [53] Kim YS, Cheong JY, Cho SW, et al. A functional SNP of the interleukin-18 gene is associated with the presence of hepatocellular carcinoma in hepatitis B virus-infected patients[J]. Dig Dis Sci,2009,54(12):2722-2728.
    [54] Bouzgarrou N, Hassen E, Schvoerer E, et al. Association of interleukin-18 polymorphisms and plasma level with the outcome of chronic HCV infection[J]. J Med Virol,2008,80(4):607-614.
    [55]李小玲,李桂源,周后德.单核苷酸多态性的研究进展[J].国外医学生理、病理科学与临床分册,2003,23(5):444-446.

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