DNA修复基因XRCC1基因多态性与乳腺癌临床病理参数的相关性

Association of DNA Repair Gene XRCC1 Polymorphisms with Clinicopathologic Characteristics in Chinese Women with Breast Cancer

  • 摘要: 目的 :研究XRCC1基因Arg194Trp和Arg399Gln多态性与中国女性乳腺癌临床病理参数的关系,探讨其在乳腺癌预后中的潜在意义。 方法 :采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)方法,对250例原发性乳腺癌患者进行XRCC1基因Arg194Trp、Arg399Gln多态性分析,用Pearsonχ2检验分析基因型与临床病理特征的关系。 结果 :XRCC1基因Arg194Trp和Arg399Gln多态性与乳腺癌患者的月经状态、肿瘤大小、腋窝淋巴结转移、TNM分期、雌激素受体均无显著相关性(P>0.05)。但该多态位点与乳腺癌患者的孕激素受体(PR)状态和C-erbB2蛋白表达显著相关。携带194纯合突变型的患者PR阴性率(81.0%)显著高于携带194野生型和杂合型患者(55.4%),(P=0.034);携带399纯合突变型的患者C-erbB2蛋白表达阳性率(61.1%)显著高于携带399野生型和杂合型的患者(29.3%),(P=0.006)。 结论 :PR阴性和(或)C-erbB2高表达的乳腺癌患者常提示预后不良。XRCC1基因多态性与PR阴性或C-erbB2高表达显著相关,提示携带XRCC1纯合突变(194或399)乳腺癌患者可能预后不良。

     

    Abstract: Objective : To investigate the correlation of the polymorphisms in DNA repair gene XRCC1 (Arg194Trpand Arg399Gln) with clinicopathologic characteristics in Chinese women with breast cancer. Methods : Thepolymorphisms of XRCC1 were detected by PCR-restriction fragment length polymorphism assay(PCR-RFLP) in 250 primary breast cancer patients. Results : The polymorphisms of XRCC1 were not significantly associated with clinical stage, tumor size, axillary lymph node involvement, estrogen receptor status ormenopausal status (P>0.05). However, patients homozygous for the variant at XRCC1 position 194 weremore likely to have progesterone receptor (PR)-negative tumors than patients with the homozygous wild-typeor heterozygous genotype (81.0% vs. 55.4%, P=0.034). Moreover, patients homozygous for the variant at XRCC1 position 399 had a higher level of C-erbB2 overexpression in the tumors than that found in patients withthe homozygous wild-type or heterozygous genotype (61.1% vs. 29.3%, P=0.006). Conclusion : Breast cancerpatients homozygous for the variant genotype at XRCC1 position 194 or 399 may have an unfavorable clinicaloutcome.

     

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