基因多态性在结直肠癌发展中的重要性

详细

目的:测定MTHFR (Ala222Val), XPD (Lis751Gln), XRCC1 (Arg194Trp), XRCC1 (Arg399Gln), XRCC1 (Arg208His), APE1 (Asp148Glu), hOGG1 (ser326Ces), P53 (Pro47Ser), VEGF (C654G), EGFR(A2073T), TNF(G308A), CHEK2 (Ile157Thr), MMP1 (1607 1G>2G), TIMP1(C53CT) 基因多态性在结直肠癌发生发展中的意思。

材料与方法。我们分析了106例在Regional Clinical Oncology Center 梁赞地区的国家预算机构接受治疗的结肠直肠癌患者。所有患者采用静脉血白细胞DNA提取、聚合酶链反应(PCR)进行基因分型,电泳检测结果。

结果:确诊时患者的年龄与任何被研究基因的多态性均无相关性(p> 0.05)。TNF基因多态性(G308A)与肿瘤分期有统计学意义:其主要纯合基因型G/G在III-IV期患者中更为常见(p=0.047)。G / G TNF等位基因(G308A)与MMP1基因纯合突变等位基因(1607 1G/2G)的存在,与III-IV期诊断患者比例的增加有直接关系。两种多态性的结合在研究组中具有统计学差异(p=0.025)。在10例IV期患者中,有8例发现VEGF基因(C654G)中存在G / G多态性。这种突变的纯合子变异在I期(37.5%)、II期(40%)和III期(37.5%)患者中更少见(p = 0.0147)。

结论。所研究的基因并不影响结肠直肠癌的年龄相关标准,而且在男女患者中发现的频率是一样的,无论年龄组。肿瘤的定位和分化程度也与所研究基因的多态性无关。TNF基因(G308A)的G / A多态性应被认为是有助于降低肿瘤侵袭性的有利标准(p <0.05)。G/G主要基因型的鉴定,特别是结合MMP1基因纯合突变等位基因(1607 1G/2G)是不利因素(p <0.05)。G/G VEGF纯合突变基因型(C654G)的存在与肿瘤快速进展和转移活性直接相关(p <0.05)。

作者简介

Evgeniy Kulikov

Ryazan State Medical University

Email: moroka1695@yandex.ru
ORCID iD: 0000-0003-4926-6646
Researcher ID: S-1851-2016

MD, PhD, Professor, Head of the Department of Oncology

俄罗斯联邦, Ryazan

Aleksey Sudakov

Ryazan State Medical University

Email: moroka1695@yandex.ru
ORCID iD: 0000-0002-6791-9797
SPIN 代码: 9307-0078

Assistant of the Department of Oncology

俄罗斯联邦, Ryazan

Aleksandr Nikiforov

Ryazan State Medical University

Email: moroka1695@yandex.ru
ORCID iD: 0000-0002-7364-7687
SPIN 代码: 8366-5282

MD, PhD, Associate Professor of the Department of Pharmacology with the Course of Pharmacy of the Faculty of Additional Postgraduate Education

俄罗斯联邦, Ryazan

Sergey Mertsalov

Ryazan State Medical University

Email: moroka1695@yandex.ru
ORCID iD: 0000-0002-8804-3034

MD, PhD, Assistant of the Department of Oncology

 
俄罗斯联邦, Ryazan

Vladimir Grigorenko

Ryazan State Medical University

编辑信件的主要联系方式.
Email: moroka1695@yandex.ru
ORCID iD: 0000-0002-4664-5723
SPIN 代码: 7174-5611
Researcher ID: F-8605-2019

Clinical Resident of the Department of Oncology

俄罗斯联邦, Ryazan

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版权所有 © Kulikov E., Sudakov A., Nikiforov A., Mertsalov S., Grigorenko V., 2020

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