A Comprehensive Study of the Association between LEPR Gene rs1137101 Variant and Risk of Digestive System Cancers.

Wei Qiong Hu, Wei Guang Zhou, Guang Wei Zhou, Jia Xi Liao, Jia Xing Shi, FengYang Xie, Shou Heng Li, Yong Wang, Xian Hong Feng, Xiu Li Gu, Bi Feng Chen
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Abstract

Objective: The leptin receptor, encoded by the LEPR gene, is involved in tumorigenesis. A potential functional variant of LEPR, rs1137101 (Gln223Arg), has been extensively investigated for its contribution to the risk of digestive system (DS) cancers, but results remain conflicting rather than conclusive. Here, we performed a case-control study and subsequent meta-analysis to examine the association between rs1137101 and DS cancer risk.

Methods: A total of 1,727 patients with cancer (gastric/liver/colorectal: 460/480/787) and 800 healthy controls were recruited. Genotyping of rs1137101 was conducted using a polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) assay and confirmed using Sanger sequencing. Twenty-four eligible studies were included in the meta-analysis.

Results: After Bonferroni correction, the case-control study revealed that rs1137101 was significantly associated with the risk of liver cancer in the Hubei Chinese population. The meta-analysis suggested that rs1137101 is significantly associated with the risk of overall DS, gastric, and liver cancer in the Chinese population.

Conclusion: The LEPR rs1137101 variant may be a genetic biomarker for susceptibility to DS cancers (especially liver and gastric cancer) in the Chinese population.

LEPR基因rs1137101变异与消化系统癌症风险关系的综合研究
目的由 LEPR 基因编码的瘦素受体与肿瘤发生有关。LEPR 的一个潜在功能变异 rs1137101 (Gln223Arg)已被广泛研究,以确定其对消化系统癌症(DS)风险的影响,但研究结果仍然相互矛盾,而非确凿无疑。在此,我们进行了一项病例对照研究和随后的荟萃分析,以研究 rs1137101 与 DS 癌症风险之间的关联:方法:我们共招募了 1727 名癌症患者(胃癌/肝癌/结直肠癌:460/480/787)和 800 名健康对照者。使用聚合酶链式反应-限制性片段长度多态性(PCR-RFLP)检测法对 rs1137101 进行基因分型,并使用 Sanger 测序法进行确认。24项符合条件的研究被纳入荟萃分析:经过Bonferroni校正后,病例对照研究发现rs1137101与湖北中国人群的肝癌风险显著相关。荟萃分析表明,在中国人群中,rs1137101与总体DS癌、胃癌和肝癌的风险显著相关:结论:LEPR rs1137101变异可能是中国人群易患DS癌症(尤其是肝癌和胃癌)的遗传生物标志物。
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