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糖尿病患者基因多态性与乳腺癌发病及预后的相关性
引用本文:刘肖,张丽华,张旺,杨静,赵莉莉,王采宁.糖尿病患者基因多态性与乳腺癌发病及预后的相关性[J].肿瘤防治研究,2023,50(2):157-162.
作者姓名:刘肖  张丽华  张旺  杨静  赵莉莉  王采宁
作者单位:1. 063000 唐山,唐山市人民医院内分泌科;2. 063000 唐山,唐山市古冶区医院超声科;3. 063000 唐山,唐山市开滦总医院内分泌科
基金项目:唐山市科技计划项目(20150206C);河北省医学科学研究课题计划项目(20221810)
摘    要:Objective To analyze the effects of fat mass and obesity-associated (FTO) gene, IL-6, and HSP-60 gene polymorphism on the incidence rate and prognosis of breast cancer (BCa) for patients with type 2 diabetes mellitus (T2DM). Methods A total of 1551 patients with BCa were included in the experimental group and 1605 women of the same age who participated in physical examination were included in the control group. The clinical data of the 3156 participants were collected through the baseline data questionnaire, and the genotypes of FTO, IL-6, and HSP-60 single-nucleotide polymorphism (SNP) were determined through blood sample detection. The predictive value of the three SNPs for the incidence risk of BCa for T2DM patients was evaluated. The OS of 1168 patients with BCa was obtained through follow-up, and the effects of the three SNPs and T2DM on OS of BCa patients were evaluated. Results The three loci were FTO rs3751812, IL-6 rs1800796, and HSP-60 rs2605039. The BCa incidence rate for T2DM women with wild homozygous SNP genotype was significantly higher than that for non-T2DM women (FTO: χ2=3.530, P=0.013; IL-6: χ2=6.288, P=0.029; HSP-60: χ2=4.926, P=0.005). The three wild homozygous genotypes were independent risk factors that influenced the incidence rate of BCa (all P<0.05). Patients with HSP-60 rs2605039 (GT+TT) genotype had better OS (P=0.031). Conclusion FTO, IL-6, and HSP-60 gene polymorphisms have certain value in BCa prediction for T2DM patients. Patients with BCa and HSP-60 rs2605039 GT+TT genotype have high OS. © 2023, CHINA RESEARCH ON PREVENTION AND TREATMENT. All rights reserved.

关 键 词:基因多态性  2型糖尿病  乳腺癌  发病率  预后
收稿时间:2022-05-27

Correlation Between Gene Polymorphism and Breast Cancer Incidence and Prognosis for Patients with Diabetes
LIU Xiao,ZHANG Lihua,ZHANG Wang,YANG Jing,ZHAO Lili,WANG Caining.Correlation Between Gene Polymorphism and Breast Cancer Incidence and Prognosis for Patients with Diabetes[J].Cancer Research on Prevention and Treatment,2023,50(2):157-162.
Authors:LIU Xiao  ZHANG Lihua  ZHANG Wang  YANG Jing  ZHAO Lili  WANG Caining
Institution:1. Endocrine Department, Tangshan People’s Hospital, Tangshan 063000, China; 2. Department of Ultrasound, Tangshan Guye District Hospital, Tangshan 063000, China; 3. Endocrine Department, Tangshan Kailuan General Hospital, Tangshan 063000, China
Abstract:Objective To analyze the effects of fat mass and obesity-associated (FTO) gene, IL-6, and HSP-60 gene polymorphism on the incidence rate and prognosis of breast cancer (BCa) for patients with type 2 diabetes mellitus (T2DM). Methods A total of 1551 patients with BCa were included in the experimental group and 1605 women of the same age who participated in physical examination were included in the control group. The clinical data of the 3156 participants were collected through the baseline data questionnaire, and the genotypes of FTO, IL-6, and HSP-60 single-nucleotide polymorphism (SNP) were determined through blood sample detection. The predictive value of the three SNPs for the incidence risk of BCa for T2DM patients was evaluated. The OS of 1168 patients with BCa was obtained through follow-up, and the effects of the three SNPs and T2DM on OS of BCa patients were evaluated. Results The three loci were FTO rs3751812, IL-6 rs1800796, and HSP-60 rs2605039. The BCa incidence rate for T2DM women with wild homozygous SNP genotype was significantly higher than that for non-T2DM women (FTO: χ2=3.530, P=0.013; IL-6: χ2=6.288, P=0.029; HSP-60: χ2=4.926, P=0.005). The three wild homozygous genotypes were independent risk factors that influenced the incidence rate of BCa (all P<0.05). Patients with HSP-60 rs2605039 (GT+TT) genotype had better OS (P=0.031). Conclusion FTO, IL-6, and HSP-60 gene polymorphisms have certain value in BCa prediction for T2DM patients. Patients with BCa and HSP-60 rs2605039 GT+TT genotype have high OS.
Keywords:Gene polymorphism  Type 2 diabetes mellitus  Breast cancer  Incidence  Prognosis  
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