喀土穆苏丹地区前列腺癌患者雄激素受体基因多态性检测

Jumaa Abuajila Salem Salama, Dawelbiet Abdelaal Yahia, M. Ali, A. Elsadig, Tarig A. M. Hamid
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摘要

背景:前列腺癌(PCa)是男性最常见的实体肿瘤。遗传易感性被认为是导致这种癌症的危险因素之一。目的:探讨雄激素受体基因多态性对苏丹前列腺癌易感性的影响。方法:本研究于2021年12月至2022年5月在喀土穆州进行。选择的研究人群包括100名前列腺癌患者,他们在化疗后接受了常规的随访评估。所有受试者共采集EDTA抗凝静脉血5 ml。采用竞争化学发光免疫法测定前列腺特异性抗原(PSA)。所有样品采用化学法提取DNA,采用Eco147I酶PCR-RFLP法进行基因分型。结果:雄激素受体基因型显示野生型(G/G)比杂合型(G/A)多出现89%(11%),等位基因G比等位基因A多出现94.5%(5.5%)。前列腺癌患者血清PSA平均值为18.71±31.68 ng/ml。不同AR基因型患者血清PSA均值与激素水平无显著相关性(p值> 0.05)。结论:本研究人群雄激素受体基因多态性为杂合型。此外;AR基因型与血清PSA水平无显著相关性。
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Detection of Androgen Receptor Gene Polymorphism in Sudanese Patients of Prostate Cancer in Khartoum State
Background: Prostate cancer (PCa) is the most commonly diagnosed solid tumor among men. Genetic susceptibility had been proposed among the risk factors for the development of this cancer. Aim: To investigate the effect of androgen receptor gene polymorphism in the susceptibility of prostate cancer among Sudanese patients. Methods: This study was conducted in Khartoum State during the period from December 2021 to May 2022. The study population that was selected consisted of one hundred patients, who had prostate cancer, who attended for routine follow-up assessment following their chemotherapy treatment. A total of 5 ml EDTA anti-coagulated venous blood samples were obtained from all participants. Prostate specific antigen (PSA) was measured by competitive chemiluminescence immunoassay. DNA extraction was performed for all samples by chemical method and genotyping was performed by PCR-RFLP method using Eco147I enzyme. Results: The Androgen receptor genotype showed that wild (G/G) type was more frequent (89%) than heterozygous (G/A) type (11%), and allele G was more frequent (94.5%)  than allele A (5.5%). The mean serum PSA level among prostate cancer patients was 18.71+31.68 ng/ml. Comparison of the mean serum PSA levels between different AR genotypes revealed no significant association between the genotype and the hormonal level (p. values > 0.05). Conclusion: Androgen receptor gene polymorphism was detected in this study population as heterozygous type. Moreover; there was no significant association between AR genotype and serum PSA level.
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