Abstract | BACKGROUND: We conducted a case-control study to examine the relationship between human leukocyte antigen-A ( HLA-A) allele polymorphism and the pathogenesis of cervical neoplasia among Japanese women. METHODS: A total of 119 patients with invasive cervical squamous cell carcinoma were compared to 119 age- and menopausal status-matched non- cancer controls. Blood samples were taken from all cases and controls and lifestyle information was collected by means of a self-administered questionnaire. The estimated impact of HLA-A alleles on cervical cancer risk was evaluated by unconditional logistic regression models. RESULTS: The frequency of HLA-A(*)0206 among cases was significantly lower than among controls (P = 0.006). There was an inverse association between A(*)0206 and cervical cancer risk (odds ratio [OR] = 0.31, 95% confidence interval [95% CI] = 0.15 to 0.65, P = 0.002), and a positive association for HLA-A(*)2402 (OR = 1.76, 95% CI = 1.00 to 3.09, P = 0.048). After correction for multiple comparisons, A(*)0206 was significantly associated with reduced cervical cancer risk (corrected P = 0.036). Furthermore, the inverse association between A(*)0206 and cervical cancer risk was independent of smoking status (never smoker: OR = 0.37, 95% CI = 0.15 to 0.90; ever smoker: OR = 0.23, 95% CI = 0.06 to 0.89). CONCLUSIONS: There was an inverse association between HLA-A(*)0206 and cervical cancer risk among Japanese women, which suggests that HLA-A polymorphism influences cervical cancer risk. Further investigation in other populations is thus warranted.
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Authors | Satoyo Hosono, Takakazu Kawase, Keitaro Matsuo, Miki Watanabe, Hiroaki Kajiyama, Kaoru Hirose, Takeshi Suzuki, Kumiko Kidokoro, Hidemi Ito, Toru Nakanishi, Yasushi Yatabe, Nobuyuki Hamajima, Fumitaka Kikkawa, Kazuo Tajima, Hideo Tanaka |
Journal | Journal of epidemiology
(J Epidemiol)
Vol. 20
Issue 4
Pg. 295-301
( 2010)
ISSN: 1349-9092 [Electronic] Japan |
PMID | 20501960
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Adult
- Alleles
- Carcinoma, Squamous Cell
(genetics)
- Case-Control Studies
- Female
- Gene Frequency
- Genetic Predisposition to Disease
- HLA-A Antigens
(genetics)
- Humans
- Japan
- Logistic Models
- Middle Aged
- Odds Ratio
- Polymorphism, Genetic
- Risk Factors
- Smoking
- Surveys and Questionnaires
- Uterine Cervical Neoplasms
(genetics)
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