李继华 1何俊 1唐锐 2Wei HU 3Qing LAN 3何兴舟 4李云 1张云生1
作者信息
- 1. 655000 曲靖，曲靖市疾病预防控制中心
- 2. 655000 曲靖，曲靖市卫生局
- 3. 20892 Bethesda，National Cancer Institute
- 4. 100050 北京，中国疾病预防控制中心
- 折叠
摘要
Abstract
Background and objective It has been proven that the lung cancer mortality rate in Xuanwei County, China was among the highest in the country and has been associated with exposure to indoor smoky coal emissions that con-tain high levels of polycyclic aromatic hydrocarbons. Tis risk may be modified by variation in genetic polymorphisms and coal subtypes. Our objective was to use molecular epidemiological techniques to investigate the relationship among genetic polymorphisms, coal subtype and lung cancer risk in Xuanwei County. Methods On the basis of two population-based case-control studies in residents of Xuanwei County, China, questionnaires covering demographic information, smoking his-tory, family and personal medical history, and information on other variables were administered and buccal cells and sputum samples were collected separately from each subject enrolled to extract DNA. GST superfamily, AKR1C3 superfamily, OGG1 superfamily and other genotype were scanned by useing PCR method. ORs and 95%CIs were used to estimate the associa-tion between genotypes, coal subtypes and lung cancer risk factors by conditional Logistic regression using Statistical Analysis Sofware. Results Compared with subjects who using smokeless coal or wood, smoky coal use was statistically significantly associated with lung cancer risk (OR=7.7, 95%CI: 4.5-13.3). Tere was marked heterogeneity in risk estimates for specific sub-types of smoky coal. Estimates were highest for coal from the Laibin (OR=24.8), Longtan (OR=11.6) and Baoshan (OR=6.0) coal types, and lower for coal from other types; the risk within the same subtype of coal in male and female were similar. Te GSTM1-null genotype, the AKR1C3 (Ex1-70C>G), OGG1 (Ex6-315C>G) genotypes were closely associated with increased risk of lung cancer in Xuanwei County, and their odds ratios (95%CI) were 2.3 (1.3-4.2), 1.8 (1.0-3.5) and 1.9 (1.1-3.3), re-spectively. Compared to subjects who with GSTM1-positive and used less than 130 tons of smoky coal during their lifetime, higher risks were closely associated with GSTM1-null and heavier users (≥130 tons), with the OR was 4.9 (95%CI: 1.3-18.2) and 2.7 (95%CI: 1.0-7.4) for female and male, respectively. However, higher risks were only found within female for AKR1C3 (Ex1-70C>G) and OGG1 (Ex6-315C>G), with OR (95%CI)=12.9 (2.2-107.8) and 5.7 (1.1-34.2), respectively. Conclusion Lung cancer risks varied among coal subtypes; however, risks were similar between men and women exposed to the same type of coal. Te GSTM1-null genotype may enhance susceptibility to air pollution from indoor smoky coal combustion emissions. AKR1C3 and OGG1 genotypes were significantly associated with higher risk of lung cancer, especially among heavily exposed women.关键词
肺肿瘤/烟煤/GSTT1/AKR1C3/OGG1/宣威Key words
Lung neoplasms/Smoky coal/GSTT1/AKR1C3/OGG1/Xuanwei county
