首页|EGFR基因多态性与前列腺癌发生风险及预后的关系分析

EGFR基因多态性与前列腺癌发生风险及预后的关系分析

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目的 探讨分析EGFR基因多态性与前列腺癌(PCa)发生风险及预后的关系.方法 选取2018年1月至2020年1月在本院就诊的100例PCa患者作为研究组,选取同一时期本院进行体检的100例健康男性作为对照组.检测两组的EGFR基因rs884419位点的基因型,采用Sanger法验证平衡,观察EGFR基因rs884419位点的GG型、AG型及AA型与PCa患者临床特征、前列腺癌易感性及预后的关系.结果 与对照组相比,研究组患者的EGFR基因rs884419基因型的GG型占比降低,AG型及AA型占比升高,差异均有统计学意义(均P<0.05).EGFR基因rs884419位点基因型GG型、AG型、AA型的PCa患者的前列腺特异性抗原(PSA)水平及Gleason评分比较,差异均无统计学意义(均P>0.05),而临床分期和转移阶段比较,差异均有统计学意义(均P<0.05).GG型患者的病理分期Ⅰ~Ⅱ期高于Ⅲ~Ⅳ期,AG型和AA型患者的病理分期Ⅰ~Ⅱ期低于Ⅲ~Ⅳ期,转移阶段GG型患者的M0高于M1,AG型及AA型患者的M.低于M1(均P<0.05).logistic回归分析结果显示,EGFR基因rs884419位点基因型AG型、AA型与PCa发生风险存在关联,差异均有统计学意义(均P<0.05).PCa患者的2年生存率为80.00%,病死率为20.00%.结论 EGFR基因rs884419位点与PCa发生风险及预后存在关联,EGFR基因rs884419位点AA型可显著提高疾病易感性,增加病死率.
Relationship between EGFR gene polymorphism and the risk and prognosis of prostate cancer
Objective To analyze the relationship between EGFR gene polymorphism and the risk and prognosis of prostate cancer(PCa).Methods From January 2018 to January 2020,100 pa-tients with prostate cancer treated in our hospital were selected as the study group,and 100 healthy men who underwent physical examination in our hospital during the same period were selected as the control group.The genotypes of EGFR gene rs884419 in the two groups were detected,and Sanger method was used to verify the balance,and the relationship between EGFR gene rs884419 GG,AG and AA types and the clinical characteristics,prostate cancer susceptibility and prognosis of patients with prostate cancer was observed.Results Compared with the control group,the proportion of EGFR gene rs884419 genotype GG decreased in the study group,and the proportion of AG and AA genotype increased,with statistical significance(all P<0.05).There were no statistically significant differ-ences in PSA level and Gleason score between EGFR rs884419 genotype GG,AG,AA and PCa pa-tients(all P>0.05),but there were statistically significant differences in clinical stage and metastasis stage(all P<0.05).The pathological stages of stage Ⅰ to Ⅱ in GG patients were higher than that of stage Ⅲ to Ⅳ,those of stage Ⅰ to Ⅱ in AG and AA patients were lower than that of stage Ⅲ to Ⅳ,M0 in GG patients was higher than M,in metastatic stage,and M0 in AG and AA patients was lower than M1(all P<0.05).Logistic regression analysis showed that AG and AA genotypes at rs884419 of EGFR gene were associated with the risk of PCa,and the differences were statistically significant(all P<0.05).The 2-year survival rate and mortality of PCa patients were 80.00%and 20.00%.Con-clusions EGFR rs884419 locus is associated with the risk and prognosis of prostate cancer.EGFR rs884419 genotype AA can significantly increase disease susceptibility and mortality.

Prostatic NeoplasmsEpidermal Growth Factor ReceptorGene Polymorphism

朱陆军、林清华、丘勇超

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广州中医药大学第一附属医院泌尿外科,广州 510000

前列腺肿瘤 表皮生长因子受体 基因多态性

2024

国际泌尿系统杂志
中华医学会,湖南省医学会

国际泌尿系统杂志

CSTPCD
影响因子:0.414
ISSN:1673-4416
年,卷(期):2024.44(4)