p21 Ser31Arg多态性与新疆维吾尔族宫颈癌发生的相关性探讨

Correlation between Cervical Carcinoma and p21 Codon 31 Serine/ Arginine Polymorphism in Uygur Women in Xinjiang

  • 摘要: 目的 :探讨p21WAF1/CIP1基因第31位密码子多态性(p21Ser31Arg)与新疆维吾尔族(维族)宫颈癌遗传易感性的关系。 方法 :采用限制性酶切片段长度多态性分析(PCR-RFLP)技术检测100例维族宫颈癌及100例维族正常宫颈组织中p21Ser31Arg的分布,分析两者之间的相关性。 结果 :1)宫颈癌组中p21Ser31Arg三种基因型检出率分别为Arg/Arg13.0%、Ser/Ser38.0%、Arg/Ser49.0%。对照组中三种基因型检出率分别为Arg/Arg10.0%、Ser/Ser39.0%、Arg/Ser51.0%,两组基因型构成比经统计学分析差异无显著性(χ2=0.444,P>0.05)。2)p21Ser31Arg多态性在中分化和低分化鳞癌组之间的构成比差异有显著性(χ2=6.560,P=0.038)。3)p21Ser31Arg多态性与年龄分组无相关性(χ2=0.341,P>0.05)。 结论 :p21Ser31Arg多态性可能与维族宫颈癌的遗传易感性无明显相关性,但多因素分层分析显示不同的基因型可能与宫颈癌不同的组织分化程度有关,但与年龄分组无关。

     

    Abstract: Objective :To determine the distribution of p21 Ser31Arg polymorphism and correlatethis polymorphism to genetic susceptibility to cervical carcinoma in Uygur women in Xinjiang. Meth-Ods :PCR, semi-nested PCR and PCR-RFLP were performed to detect the p21 Ser31Arg genotype dis-tribution in 100 cases of cervical carcinoma and 100 normal cases. Results :1) The frequency of Arg/Arg, Ser/Ser and Arg/Ser was 13.0%, 38.0% and 49.0%, respectively, in the cervical carcinoma casesand 10.0%, 39.0% and 51%, respectively, in the control cases. Differences in genotype frequencies be-tween the cervical carcinomas and the controls was not statistically significant (χ2 = 0.444, P>0.05). 2)The genotype frequencies in well-differentiated squamous cell carcinoma were significantly differentfrom those found in poorly-differentiated squamous cell carcinoma (χ2 =6.560, P=0.038). 3) No signifi-cant difference in p21 Ser31Arg polymorphism frequency was observed across various age groups (χ2 =0.341, P>0.05). Conclusion :The p21 Ser31Arg polymorphism may not be associated with cervical car-cinoma in Uygur women in Xinjiang, but multifactorial laminate analysis shows that the different geno-types are related to different types of cervical carcinoma but not related to patient age.

     

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