基础医学与临床 ›› 2017, Vol. 37 ›› Issue (11): 1541-1545.

• 研究论文 • 上一篇    下一篇

PD-1基因遗传变异与上皮性卵巢癌发病风险的关联

李琰1,张会兰1,康山1,周荣秒1,王娜2   

  1. 1. 河北医科大学第四医院
    2. 河北医科大学附属第四医院分子生物室
  • 收稿日期:2016-09-21 修回日期:2016-11-02 出版日期:2017-11-05 发布日期:2017-11-01
  • 通讯作者: 李琰 E-mail:lykx1962@163.com
  • 基金资助:
    PD-1/PD-Ls途径遗传变异在卵巢癌发生和预后中作用的研究

Association between PD-1 genetic variants and the risk of epithelial ovarian cancer

  • Received:2016-09-21 Revised:2016-11-02 Online:2017-11-05 Published:2017-11-01

摘要: 目的:探讨细胞程序性死亡受体-1(PD-1)基因遗传变异与上皮性卵巢癌发病风险的关系。方法:用聚合酶连接酶检测反应技术(PCR-LDR)检测分析620例上皮性卵巢癌患者和620名对照妇女PD-1.1 A/G和PD-1.5 C/T两个单核苷酸多态位点的基因型和等位基因频率。结果:PD-1.1 A/G多态的AA、AG、GG 3种基因型频率在病例组和对照组中具有显著差异(P<0.05)。比较AA基因型携带者,AG和GG基因型携带者显著降低上皮性卵巢癌的发病风险(OR=0.71,95%CI=0.54-0.94和OR=0.68,95%CI=0.50-0.94)。病例组中G等位基因频率明显低于对照组(P<0.05)。与A等位基因相比,G等位基因显著降低妇女上皮性卵巢癌的发病风险(OR=0.83,95%CI=0.71-0.97)。PD-1.5 C/T多态C和T等位基因频率在两组间具有统计学意义,病例组中T等位基因频率明显低于对照组(P<0.05)。与C等位基因相比,T等位基因显著降低妇女上皮性卵巢癌的发病风险(OR=0.82,95%CI=0.69-0.98)。结论:PD-1.1 A/G和PD-1.5 C/T两个单核苷酸多态位点可能是中国北方妇女上皮性卵巢癌发病风险的分子标志物。

关键词: PD-1基因,遗传变异,上皮性卵巢癌,发病风险

Abstract: Objective: To evaluate the effect of PD-1 gene polymorphisms on the risk of developing epithelial ovarian cancer (EOC) and patients’ outcomes. Methods: A case–control study was performed in 620 EOC patients and 620 control women. The genotype and allele frequencies of PD-1.1 A/G and PD-1.5 C/T polymorphisms were determined using the polymerase chain reaction/ligase detection reaction (PCR-LDR) method using the polymerase chain reaction/ligase detection reaction (PCR-LDR) method. Results: There were significant differences in the genotype and allele distribution frequencies of the PD-1.1 A/G between cases and controls (P=0.028 and P=0.02, respectively). Compared with the AA genotype, AG and GG genotypes may significantly decrease the risk of developing EOC (OR=0.71, 95%CI=0.54–0.94; OR=0.68, 95%CI=0.50–0.94, respectively). We did not find a significant difference in the genotype distribution frequency of the PD-1.5 C/T between cases and controls (P=0.096), but the frequency of T alleles was significantly lower in the EOC cases than that in the controls (P=0.033). Compared to the carriers with C alleles, the carriers with T alleles were at a significantly decreased risk of developing EOC (OR=0.82, 95%CI=0.69–0.98). Conclusions: PD-1.1 A/G and PD-1.5 C/T polymorphisms may be potential molecular marker for predicting the risk of epithelial ovarian cancer in Chinese norther women.

Key words: PD-1 gene, genetic variant, epithelial ovarian cancer, risk

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