TAP1 637A/G基因多态性与中国云南汉族鼻咽癌发病风险关系的研究
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摘要
目的研究抗原处理相关转运体蛋白1(The transporter associated with antigen processing 1 TAP-1) 637A/G基因多态性(SNP)与中国云南汉族鼻咽癌(nasopharyngeal carcinoma, NPC)发病风险性关系,寻找鼻咽癌的易感基因。
     方法应用聚合酶链反应—限制性片段长度多态性(restriction fragment length polymorphism-PCR,PCR-RFLP)对233例云南籍汉族鼻咽癌患者和296例云南籍汉族非肿瘤对照组进行TAP1 637A/G SNP检测,采用聚合酶链反应(PCR)检测鼻咽癌患者EB病毒(Epstein-Barr virus, EBV)感染状况。计算各基因型与鼻咽癌发病风险以及与鼻咽癌患者EBV感染的相关性。
     结果1.233例云南鼻咽癌患者中EBV感染率为58.4%,对照组EBV感染率为42.2%,差异有统计学意义(p<0.05)。2.比较各基因型在两组中的分布:纯合子突变(GG型)、杂合子突变(AG型)和无突变者(AA型)分布差异均有统计学意义。且TAP-1637A/G多态性与鼻咽癌的发病有关,与AA基因型相比,携带GG、AG基因型罹患鼻咽癌的风险分别为4.26倍(95% CI=2.08-8.66,P<0.001)和1.56倍(95%CI=1.12-2.33;P=0.036);至少携带637G等位基因罹患鼻咽癌的风险为1.88倍(95% CI=1.35-2.82,P<0.001)。3.TAP-1三种基因型频率在EBV阳性组与EBV阴性组间比较,差异有统计学意义。P=0.02;在EBV阳性组中至少携带637G等位基因罹患鼻咽癌的风险为2.76倍(95% CI=1.69-4.63,P<0.001),而在EBV阴性组中携带637G等位基因并不增加个体罹患鼻咽癌的风险,OR值为0.98(95%CI=0.59-1.66,P<0.001)。
     结论1.TAP-1 637位点A/G基因多态性与云南汉族鼻咽癌遗传易感相关;2.TAP1基因多态性干扰HLA I抗原呈递在EBV感染致云南汉族鼻咽癌患病过程可能相关。
Objective To study the relationship between 637A/G gene polymorphisms of The transporter associated with antigen processing 1 gene and nasopharyngeal carcinomas(NPC),In order to find out the susceptible genes of nasopharyngeal carcinomas in Han population in Yunnan China.
     Methods Two hundred thirty and three cases with NPC and Two hundred ninety and six cases matched cancer-free controls were genotyped for the TAP-1 637A/G polymorphism by polymerase chain reaction-restriction fragment length polymorphism(PCR-RFLP). Epstein-Barr virus infection was detected by PCR。The adjusted odds ratios (OR) and 95% confidence intervals (CI) were calculated by using unconditional logistic regression model.
     Results Contrast with homozygous TAP1 637 AA, G allele significantly increasing risk of NPC was associated with homozygous 637 GG OR=4.26 (95% CI=2.08-8.66,P<0.001) and heterozygous 637 AG OR=1.56 (95% CI=1.12-2.33; P= 0.036). The subjects at least having one TAP-1 637 G allele had OR of 1.88 (95% CI=1.35-2.82,P<0.001). Furthermore, Smoking and EBV infection may increase the risk of developing NPC interacting with TAP1 637 A/G polymorphism.
     Conclusions 1.The TAP1 637G allele is associated with the NPC in Han population in Yunnan China,2. EBV pathogenesis in NPC might be facilitated by polymorphisms in the TAP1 proteins.
引文
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