机构:[1]Nanjing Med Univ, Affiliated Hosp 1, Dept Neurosurg, Nanjing 210029, Jiangsu, Peoples R China;江苏省人民医院[2]Capital Med Univ, Tiantan Hosp, Dept Neurosurg, Beijing 100050, Peoples R China;重点科室诊疗科室神经外科神经外科首都医科大学附属天坛医院[3]Tianjin Med Univ Gen Hosp, Dept Neurosurg, Tianjin 300052, Peoples R China
Background: Genetic variations in DNA double-strand break repair genes can influence the ability of a cell to repair damaged DNA and alter an individual's susceptibility to cancer. We studied whether polymorphisms in DNA double-strand break repair genes are associated with an increased risk of glioma development. Methods: We genotyped 10 potentially functional single nucleotide polymorphisms (SNPs) in 7 DNA double-strand break repair pathway genes (XRCC3, BRCA2, RAG1, XRCC5, LIG4, XRCC4 and ATM) in a case-control study including 384 glioma patients and 384 cancer-free controls in a Chinese Han population. Genotypes were determined using the OpenArray platform. Results: In the single-locus analysis there was a significant association between gliomas and the LIG4 rs1805388 (Ex2 +54C>T, Thr9Ile) TT genotype (adjusted OR, 3.27; 95% CI, 1.87-5.71), as well as the TC genotype (adjusted OR, 1.62; 95% CI, 1.20-2.18). We also found that the homozygous variant genotype (GG) of XRCC4 rs1805377 (IVS7-1A>G, splice-site) was associated with a significantly increased risk of gliomas (OR, 1.77; 95% CI, 1.12-2.80). Interestingly, we detected a significant additive and multiplicative interaction effect between the LIG4 rs1805388 and XRCC4 rs1805377 polymorphisms with an increasing risk of gliomas. When we stratified our analysis by smoking status, LIG4 rs1805388 was associated with an increased glioma risk among smokers. Conclusions: These results indicate for the first time that LIG4 rs1805388 and XRCC4 rs1805377, alone or in combination, are associated with a risk of gliomas.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [30901534]; Jiangsu Province's Natural Science FoundationNatural Science Foundation of Jiangsu Province [BK2009444]; Grant for the 135 Key Medical Project of Jiangsu Province [XK201117]; Priority Academic Program Development of Jiangsu Higher Education Institutions