TGFB1 and TGFBR1 polymorphic variants in relationship to bladder cancer risk and prognosis.

TGFB1 and TGFBR1 polymorphic variants in relationship to bladder cancer risk and prognosis.
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DOI:
10.1002/ijc.24013
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发表时间:
2009-02-01
影响因子:
6.4
通讯作者:
Real FX
Real FX
中科院分区:
医学1区
文献类型:
--
作者:
Castillejo A;Rothman N;Murta-Nascimento C;Malats N;García-Closas M;Gómez-Martínez A;Lloreta J;Tardón A;Serra C;García-Closas R;Chanock S;Silverman DT;Dosemeci M;Kogevinas M;Carrato A;Soto JL;Real FX

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The TGF-β signalling pathway plays an important role in tumor development and progression. We aimed at analyzing whether seven different common variants in genes coding for two key members of the TGF-β signalling pathway (TGFB1 and TGFBR1) are associated with bladder cancer risk as well as prognosis. A total of 1,157 cases with urothelial cell carcinoma of the bladder and 1,157 matched controls where genotyped for three SNPs in TGFB1 (rs1982073, rs1800472, rs1800471) and an additional three SNPs and one indel polymorphism in TGFBR1 (rs868, rs928180, rs334358, and rs11466445, respectively). In the case-control study, we estimated odds ratios and 95% confidence intervals for each individual genetic variant using unconditional logistic regression adjusting for age, gender, study area and smoking status. Survival analysis was performed using the Kaplan-Meier method and Cox models. The endpoints of interest were tumor relapse, progression, and death from bladder cancer. All the SNPs analyzed showed a similar distribution among cases and controls. The distribution of the TGFBR1*6A allele (rs11466445) was also similar among cases and controls, indicating no association with bladder cancer risk. Similarly, none of the haplotypes was significantly associated with bladder cancer risk. Among patients with muscle-invasive tumors, we found a significant association between TGFBR1-rs868 and disease-specific mortality with an allele dosage effect (p-trend=0.003). In conclusion, the genetic variants analysed were not associated with an increased risk of bladder cancer. The association of TGFBR1-rs868 with outcome should be validated in independent patient series.
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