Genetic interaction analysis of TCF7L2 for biochemical recurrence after radical prostatectomy in localized prostate cancer.

Genetic interaction analysis of TCF7L2 for biochemical recurrence after radical prostatectomy in localized prostate cancer.
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DOI:
10.7150/ijms.10953
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发表时间:
2015
影响因子:
3.6
通讯作者:
Bao BY
Bao BY
中科院分区:
医学4区
文献类型:
--
作者:
Chen CS;Huang CY;Huang SP;Lin VC;Yu CC;Chang TY;Bao BY

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背景:大量证据表明Wnt信号通路在前列腺癌的发生发展中起重要作用。我们假设Wnt通路效应子转录因子7样2(TCF 7 L2)的遗传变异可能影响前列腺癌的临床结局。研究方法:我们综合选择了12个标记的单核苷酸多态性(SNP),以捕获TCF 7 L2中大多数常见的变异,并对458例接受根治性前列腺癌切除术(RP)治疗的局限性前列腺癌患者进行基因分型。进行Kaplan-Meier分析、考克斯比例风险模型和生存树分析,以确定与术后生化复发(BCR)相关的显著SNP。结果如下:由TCF 7 L2 rs7094463、rs 10749127和rs 11196224组成的高阶SNP-SNP相互作用谱与BCR显著相关(P趋势= 0.001)。在调整可能的混杂因素后,遗传特征仍然显著(P趋势= 0.007)。研究的SNPs中没有一个与BCR单独相关。结论:我们的研究结果支持TCF 7 L2 SNP的遗传相互作用作为局部前列腺癌患者根治性RP后疾病复发的预测因子。
Backgroud: Accumulated evidence has demonstrated a significant role of the Wnt pathway in human prostate cancer. We hypothesize that genetic variants in the Wnt pathway effector, Transcription factor 7-like 2 (TCF7L2), may influence clinical outcomes in prostate cancer. Methods: We comprehensively selected 12 tagged single-nucleotide polymorphisms (SNPs) to capture majority of common variants across TCF7L2, and genotyped in 458 localized prostate cancer patients treated with radical prostatectomy (RP). Kaplan-Meier analysis, Cox proportional hazard model, and survival tree analyses were performed to identify significant SNPs that correlated with biochemical recurrence (BCR) after surgery. Results: A higher-order SNP-SNP interaction profile consisting of TCF7L2 rs7094463, rs10749127, and rs11196224 was significantly associated with BCR (Ptrend = 0.001). After adjusting for possible confounders, the genetic profile remained significant (Ptrend = 0.007). None of the studied SNPs were individually associated with BCR. Conclusions: Our results support a genetic interaction in the TCF7L2 SNPs as a predictor of disease recurrence after curative RP in localized prostate cancer patients.
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