Colorectal cancer disparities:Racial differences in colorectal adenopolyps and altered expression of Mitochondrial genes
结直肠癌差异:结直肠腺息肉的种族差异和线粒体基因表达的改变
基本信息
- 批准号:9280274
- 负责人:
- 金额:$ 10.65万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2017
- 资助国家:美国
- 起止时间:2017-08-01 至 2021-06-30
- 项目状态:已结题
- 来源:
- 关键词:AdenocarcinomaAdenomatous PolypsAffectAfrican AmericanAgeAge-YearsAlabamaAnatomyArchitectureAreaAutopsyBehaviorBiologyBiopsyBiopsy SpecimenBody mass indexCarcinomaCaucasiansClinicalCluster AnalysisColorectalColorectal AdenocarcinomaColorectal AdenomaColorectal CancerColorectal NeoplasmsColorectal PolypCouplingDataDiagnosticDiseaseDocumentationDysplasiaEarly DiagnosisEpitheliumFrequenciesFundingGene ExpressionGene MutationGenesGenetic PolymorphismGenomeGenomicsGlandGoalsGuidelinesHistologicHistologyHistopathologyIncidenceIndividualLaboratoriesLarge Intestine CarcinomaLesionLinkLocationMalignant NeoplasmsMicrodissectionMitochondriaMitochondrial DNAMolecular ProfilingMorphologyMutationNormal tissue morphologyOutcomeOxidative StressPTGS2 genePaperPatientsPatternPersonsPlayPolypsPopulationPrecancerous PolypPredispositionPremalignantPrevalenceProteinsQuantitative Reverse Transcriptase PCRRNARaceRecommendationRegression AnalysisResearch DesignReverse TranscriptionRisk AssessmentRoleSample SizeSamplingSourceStatistical Data InterpretationSubgroupSulfhydryl CompoundsSurfaceSurvival RateTestingTissue BanksTissue SampleTissuesTranscriptTubular formationTubulovillous AdenomaTumor BiologyTumor stageUnited States National Institutes of HealthUniversitiesVariantVillousVillous AdenomaWorkadenomaage differenceage groupage relatedagedbasebiomarker identificationcancer health disparitycarcinogenesiscase controlcaucasian Americanclinically relevantcohortearly experienceexperiencegenetic varianthuman tissueinnovationinsertion/deletion mutationinsightmitochondrial DNA mutationnoveloutcome forecastoverexpressionpolyposispredict clinical outcomepublic health relevanceracial differenceracial disparityrepairedscreeningtreatment strategytumortumor progression
项目摘要
Abstract: Regardless of race, 50 years of age is the current screening recommendations for colorectal cancer
(CRC) disease based on an assumption that the prevailing CRC disparities are relatively due to differences in
access to quality screening and the post diagnostic therapies. However, several lines of evidence have
suggested that in younger age groups, AA have twice the CRC incidence rate as Whites, and their stage-
adjusted CRC survival rates are lower than Whites. Given that most CRCs arise from precancerous of
adenomatous polyps (adenopolyps) that evolve into invasive adenocarcinoma, it is plausible that certain
“modifying” genes expression may potentially responsible for the observation in AA experience to earlier
adenopolyps initiation and more rapid adenopolyps progression to adenocarcinoma. If such is the case, one
potential factor in the persistent of CRC disparities may be the race-nonconforming/or neutral age guideline for
screening initiation. Studies regarding age-related AA-White differences in CRC progression through the
intermediate stages (polyp sizes of tubular, tubulovillous, and villous, and dysplastic histology) are needed. To
establish such evidence, it requires genetic alteration study in a modifying gene(s) and a tissue source
representing the colorectal adenopolyp prevalence and profile in the population from a large enough autopsy
sample size with complete adenopolyps clearance and having complete colorectal adenopolyps documentation.
Our study will leverage a unique of 640 colorectal adenopolyp/ cancer cases and 1280 control tissue samples in
a frequency matched nested case-control within our lab and Southern Division Co-operative Human tissues
Network at University of Alabama collected through previous NIH-funded studies. The sample size has
sufficient statistical power to compare AA and Whites on precancerous of colorectal adenopolyps prevalence
and cancer-relevant features with difference age strata. These tissue collections are large and well-annotated
by micro-dissection. Our laboratory recently demonstrated that there were progressive increase of mitochondrial
gene expressions in colorectal adenopolyps and carcinomas when compared to their normal surrounding
tissues (accepted paper Tumor Biology #TUBI-16-00926R1), suggesting that certain mt-genes expression are
involved in the malignancy of colorectal adenopolyps to invasive adenocarcinoma. Based on these data, the
central hypothesis of this project is that over-expression of certain mt-genes play a role in the aggressiveness of
precancerous colorectal tumor behavior within younger AA which are reflected in their high incidence and low
survival rate of this disease. To test this hypothesis, we will determine the level of mt-genes alterations in
colorectal adenopolyps between AA-White subgroups. Also, we will evaluate our results relative to AA-White
differences within 10 year age strata and their related features (size, histology, anatomic location, dysplasia
status, and adenocarcinoma), as well as body mass index (BMI) using univariate statistical tests, multiple
regression and cluster analysis.
摘要:不分种族,50岁以下是目前大肠癌的筛查推荐年龄
(CRC)疾病的基础上的假设,即普遍的CRC差异是相对由于差异,
获得高质量的筛查和诊断后治疗。然而,一些证据表明,
提示,在较年轻的年龄组中,AA的CRC发病率是白人的两倍,他们的分期-
调整后的CRC生存率低于白人。鉴于大多数CRC是由癌前病变引起的,
腺瘤性息肉(adenopolyps)演变为浸润性腺癌,这是合理的,某些
“修饰”基因表达可能是AA经历中观察到的较早的原因。
腺瘤样息肉开始和更快的腺瘤样息肉进展为腺癌。如果是这样,一
CRC差异持续存在的潜在因素可能是种族差异/或中性年龄指南,
筛选启动。关于年龄相关的AA-白人在CRC进展中的差异的研究
需要中期(管状、管状绒毛状和绒毛状息肉大小,以及发育异常组织学)。到
要建立这样证据,需要对修饰基因和组织来源进行遗传改变研究
代表了足够大的尸检人群中结直肠腺瘤的患病率和特征
具有完整的息肉清除和完整的结直肠息肉记录的样本量。
我们的研究将利用640例结直肠腺瘤/癌症病例和1280例对照组织样本,
在我们的实验室和南方分部合作人体组织内进行频率匹配的嵌套病例对照
网络在亚拉巴马大学收集通过以前的NIH资助的研究。样本量有
有足够的统计学把握度比较AA和白人对结直肠腺瘤癌前病变患病率的影响
以及不同年龄层的癌症相关特征。这些组织收藏量很大,注释也很好
通过显微解剖。我们的实验室最近证明,在有线粒体的进行性增加,
结直肠腺瘤和癌与其正常周围组织相比的基因表达
组织(已接受的论文Tumor Biology #TUBI-16- 00926 R1),表明某些mt基因的表达是
参与结直肠腺瘤性息肉向浸润性腺癌的恶性转化。根据这些数据,
该项目的中心假设是某些mt基因的过度表达在
年轻AA中的癌前结肠直肠肿瘤行为,反映在其高发病率和低发病率中。
这种疾病的生存率。为了验证这一假设,我们将确定在20例受试者中mt-genes改变的水平。
AA-White亚组之间的结直肠腺瘤性息肉。此外,我们将评估我们的结果相对于AA-白色
10岁年龄层内的差异及其相关特征(大小、组织学、解剖位置、发育异常
状态和腺癌),以及体重指数(BMI),使用单变量统计检验,多变量
回归和聚类分析。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Felix O Aikhionbare其他文献
HLA-G DNA sequence variants and risk of perinatal HIV-1 transmission
HLA-G DNA 序列变异和围产期 HIV-1 传播风险
- DOI:
- 发表时间:
2006 - 期刊:
- 影响因子:2.2
- 作者:
Felix O Aikhionbare;K. Kumaresan;Falah Shamsa;Vincent C. Bond - 通讯作者:
Vincent C. Bond
Felix O Aikhionbare的其他文献
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{{ truncateString('Felix O Aikhionbare', 18)}}的其他基金
Mitochondrial Genome Analysis to Detect Aggressive Behavior of Premalignant Color
线粒体基因组分析检测癌前颜色的攻击行为
- 批准号:
8339130 - 财政年份:2012
- 资助金额:
$ 10.65万 - 项目类别:
Mitochondrial Genome Analysis to Detect Aggressive Behavior of Premalignant Color
线粒体基因组分析检测癌前颜色的攻击行为
- 批准号:
8536869 - 财政年份:2012
- 资助金额:
$ 10.65万 - 项目类别:
Mitochondrial Genome Analysis to Detect Aggressive Behavior of Premalignant Color
线粒体基因组分析检测癌前颜色的攻击行为
- 批准号:
8700424 - 财政年份:2012
- 资助金额:
$ 10.65万 - 项目类别:
MITOCHONDRIAL GENOME ANALYSIS OF EPITHELIAL SEROUS OVARIAN CARCINOMA
上皮性浆液性卵巢癌的线粒体基因组分析
- 批准号:
8037199 - 财政年份:2010
- 资助金额:
$ 10.65万 - 项目类别:
MITOCHONDRIAL GENOME ANALYSIS OF EPITHELIAL SEROUS OVARIAN CARCINOMA
上皮性浆液性卵巢癌的线粒体基因组分析
- 批准号:
7896248 - 财政年份:2010
- 资助金额:
$ 10.65万 - 项目类别:
Role of Mitochondrial Genomic Alterations in Epithelial Ovarian Tumors
线粒体基因组改变在上皮性卵巢肿瘤中的作用
- 批准号:
7688902 - 财政年份:2009
- 资助金额:
$ 10.65万 - 项目类别:
Role of Mitochondrial Genomic Alterations in Epithelial Ovarian Tumors
线粒体基因组改变在上皮性卵巢肿瘤中的作用
- 批准号:
7943124 - 财政年份:2009
- 资助金额:
$ 10.65万 - 项目类别:
NICHD Small Grants Programs--Perinatal HIV Transmission
NICHD 小额赠款计划——围产期艾滋病毒传播
- 批准号:
6653673 - 财政年份:2003
- 资助金额:
$ 10.65万 - 项目类别:
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