The Methylenetetrahydrofolate Reductase C677T Polymorphism in Patients with Esophageal Cancer

A. Kamyab, M. Hashemi, S. Iravani, R. Saeedi
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Abstract

Background: Esophageal cancer is the eighth most common cancer worldwide and the 6th cause of cancer related death. Genetic factors are also responsible in pathogenesis of esophageal cancer. This study aimed to investigate the association between methylenetetrahydrofolate reductase C677T polymorphism and esophageal cancer in Iranian population. Methods and Materials: A cross-sectional study was conducted among patients diagnosed with esophageal cancer in Imam Reza hospital between June 2007 and June 2014, Tehran, Iran. Genotyping was performed using restriction fragment length polymorphism (RFLP)-PCR method using Hinf-1 restriction endonuclease enzyme. Results: The frequencies of various genotypes of MTHFR gene were not statistically significant in cases and controls (P=0.348). There were no statistically significant difference in frequency of C and T alleles in patients with esophageal cancer and controls (P=0.084). Mean survival of patients with esophageal cancer was 31.25 ± 4.25 months in patients with CC genotype, 38.2 ± 4.11 months in CT genotype and 37.2 ± 6.44 months in patients  with TT genotype (P=0.459). Allele frequency was not also associated with mean survival in patients and controls (P=0.168). Conclusion: Methylenetetrahydrofolate reductase C677T polymorphism was not associated with esophageal cancer and did not impact on survival in this subset of Iranian patients.
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食管癌患者亚甲基四氢叶酸还原酶C677T多态性研究
背景:食管癌是全球第八大最常见的癌症,也是第六大癌症相关死亡原因。遗传因素也是食管癌发病的重要因素。本研究旨在探讨伊朗人群中亚甲基四氢叶酸还原酶C677T多态性与食管癌的关系。方法与材料:对2007年6月至2014年6月在伊朗德黑兰伊玛目礼萨医院诊断为食管癌的患者进行横断面研究。采用hif -1限制性内切酶,采用限制性片段长度多态性(RFLP)-PCR方法进行基因分型。结果:MTHFR基因各基因型频率在病例和对照组中差异无统计学意义(P=0.348)。食管癌患者C、T等位基因频率与对照组比较,差异无统计学意义(P=0.084)。CC基因型患者的平均生存期为31.25±4.25个月,CT基因型患者为38.2±4.11个月,TT基因型患者为37.2±6.44个月(P=0.459)。等位基因频率也与患者和对照组的平均生存无关(P=0.168)。结论:亚甲基四氢叶酸还原酶C677T多态性与食管癌无关,对伊朗患者的生存没有影响。
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