PRDM1 rs2185379 与 BRCA1 不同,不是晚期卵巢癌患者的预后标志物。

IF 2.2 4区 医学 Q3 ONCOLOGY
Klara Horackova, Michal Vocka, Sarka Lopatova, Petra Zemankova, Zdenek Kleibl, Jana Soukupova
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引用次数: 0

摘要

背景:卵巢癌(OC)大多确诊时已是晚期,发病率和死亡率都很高。尽管如此,一些患者仍能获得长期无病生存。然而,预后指标尚未得到很好的确定:本研究的主要目的是在一个大型独立晚期 OC 患者队列中分析 PRDM1 中建议的预后标记 rs2185379 与长期生存的关系:我们对 545 例特征明确的晚期 OC 患者进行了基因分型。方法:我们对 545 例特征明确的晚期 OC 患者进行了基因分型,并对所有患者进行了 OC 易感性检测。分析了 PRDM1 rs2185379 及其他监测到的临床病理和遗传变量对生存率的影响:单变量分析显示,PRDM1 rs2185379 对生存率无明显影响,而绝经后患者的预后明显较差(HR = 2.49; 95%CI 1.90-3.26; p= 4.14 × 10 - 11),死亡率随年龄线性增加(HR = 1.05 per year; 95%CI 1.04-1.07; p= 2 × 10 - 6)、诊断为非高级别浆液性OC的患者(HR = 0.44; 95%CI 0.32-0.60; p= 1.95 × 10 - 7)和携带gBRCA1致病变异的患者(HR = 0.65; 95%CI 0.48-0.87; p= 4.53 × 10 - 3)。对PRDM1 rs2185379与其他重要预后因素的影响进行的多变量分析表明,PRDM1 rs2185379与绝经后妇女的生存率降低有微弱关系(HR = 1.54; 95%CI 1.01-2.38; p=0.046):与诊断年龄、OC组织学或gBRCA1状态不同,PRDM1中的rs2185379不太可能成为晚期OC患者长期生存的标志物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PRDM1 rs2185379, unlike BRCA1, is not a prognostic marker in patients with advanced ovarian cancer.

Background: Ovarian cancer (OC) is mostly diagnosed in advanced stages with high incidence-to-mortality rate. Nevertheless, some patients achieve long-term disease-free survival. However, the prognostic markers have not been well established.

Objective: The primary objective of this study was to analyse the association of the suggested prognostic marker rs2185379 in PRDM1 with long-term survival in a large independent cohort of advanced OC patients.

Methods: We genotyped 545 well-characterized advanced OC patients. All patients were tested for OC predisposition. The effect of PRDM1 rs2185379 and other monitored clinicopathological and genetic variables on survival were analysed.

Results: The univariate analysis revealed no significant effect of PRDM1 rs2185379 on survival whereas significantly worse prognosis was observed in postmenopausal patients (HR = 2.49; 95%CI 1.90-3.26; p= 4.14 × 10 - 11) with mortality linearly increasing with age (HR = 1.05 per year; 95%CI 1.04-1.07; p= 2 × 10 - 6), in patients diagnosed with non-high-grade serous OC (HR = 0.44; 95%CI 0.32-0.60; p= 1.95 × 10 - 7) and in patients carrying a gBRCA1 pathogenic variant (HR = 0.65; 95%CI 0.48-0.87; p= 4.53 × 10 - 3). The multivariate analysis interrogating the effect of PRDM1 rs2185379 with other significant prognostic factors revealed marginal association of PRDM1 rs2185379 with worse survival in postmenopausal women (HR = 1.54; 95%CI 1.01-2.38; p= 0.046).

Conclusions: Unlike age at diagnosis, OC histology or gBRCA1 status, rs2185379 in PRDM1 is unlikely a marker of long-term survival in patients with advance OC.

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来源期刊
Cancer Biomarkers
Cancer Biomarkers ONCOLOGY-
CiteScore
5.20
自引率
3.20%
发文量
195
审稿时长
3 months
期刊介绍: Concentrating on molecular biomarkers in cancer research, Cancer Biomarkers publishes original research findings (and reviews solicited by the editor) on the subject of the identification of markers associated with the disease processes whether or not they are an integral part of the pathological lesion. The disease markers may include, but are not limited to, genomic, epigenomic, proteomics, cellular and morphologic, and genetic factors predisposing to the disease or indicating the occurrence of the disease. Manuscripts on these factors or biomarkers, either in altered forms, abnormal concentrations or with abnormal tissue distribution leading to disease causation will be accepted.
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