Association between apolipoprotein E genotypes and cancer risk in patients with acquired immunodeficiency syndrome.

Cancer detection and prevention Pub Date : 2000-01-01
K Liestøl, E A Kvittingen, H Rootwelt, O Dunlop, A K Goplen, J C Pedersen, S H Brorson, A L Børresen-Dale, B Myrvang, J Maehlen
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Abstract

The apolipoprotein E (apoE) genotype was determined in 197 deceased acquired immunodeficiency syndrome (AIDS) patients treated at Ullevaal Hospital in Oslo, Norway. A full autopsy had been performed on all. Cancer had developed in 71 individuals, mainly lymphomas (46) and Kaposi's sarcomas (18). The apoE genotype distribution was consistent with Hardy-Weinberg equilibrium, and allele frequencies were in the typical Scandinavian range (6.9% apoE2; 75.6% apoE3; and 17.5% apoE4). Cancer cases had a significantly higher frequency of apoE4 alleles than noncancer cases (24.6% and 13.5%, respectively) and a lower frequency of apoE2 alleles (3.5% versus 8.7%). Background factors, such as survival from AIDS diagnosis, could not explain these differences. Our study thus indicates that apoE genotype affects the development of cancers among AIDS patients.

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载脂蛋白E基因型与获得性免疫缺陷综合征患者癌症风险的关系
对在挪威奥斯陆Ullevaal医院治疗的197例已故获得性免疫缺陷综合征(AIDS)患者的载脂蛋白E (apoE)基因型进行了测定。所有人都进行了全面的尸检。71人患上癌症,主要是淋巴瘤(46人)和卡波西氏肉瘤(18人)。apoE基因型分布符合Hardy-Weinberg平衡,等位基因频率处于典型的斯堪的纳维亚范围(6.9% apoE2;apoE3 75.6%;17.5% apoE4)。癌症患者的apoE4等位基因频率明显高于非癌症患者(分别为24.6%和13.5%),而apoE2等位基因频率较低(3.5%对8.7%)。背景因素,如从艾滋病诊断中存活下来,不能解释这些差异。因此,我们的研究表明,apoE基因型影响艾滋病患者癌症的发展。
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