Abstract | BACKGROUND: METHODS: The Linkage disequilibrium of SP-D and tagSNPs were analyzed by using Haploview 4.1. Eight tagSNPs were genotyped among 396 lung cancer patients who received thoracic radiation therapy with follow-up time (median [P25, P75]: 11[6, 18]) using improved multiplex ligation detection reaction (iMLDR). The associations between clinical characteristics, tagSNP alleles, genotypes, haplotypes and onset time of grade ≥2 or ≥3 RP were evaluated by using univariate and multivariate Cox proportional hazard regression model. RESULTS: Three tagSNPs of SP-D (rs1998374, rs911887 and rs2255326) were significantly associated with grade ≥2 RP in multivariate analysis with multiple testing (Q test). The rs199874 had a protective effect for grade ≥2 RP in the dominant model (Hazard ratio (HR), 0.575; 95% confidence interval (CI), 0.378-0.875). The homozygous mutant genotype for rs911887 had risk effect for grade ≥2 RP (HR, 2.209; 95% CI, 1.251-3.902). The A mutant allele of rs2255326 also showed an elevated risk for grade ≥2 RP (HR, 1.777; 95% CI, 1.283-2.461) and this risk effect was still significant in the recessive genetic model (HR, 3.320; 95% CI, 1.659-6.644) and dominant genetic model (HR, 1.773; 95% CI, 1.166-2.696). Compared to the lung cancer patients bearing the most common haplotype C-G-T, the patients bearing the haplotype T-A-C (rs1998374-rs2255326-rs911887) showed a significant risk of both grade ≥2 RP (HR, 1.885; 95% CI, 1.284-2.765) and grade ≥3 RP (HR, 2.256; 95% CI, 1.248-4.080). CONCLUSIONS:
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Authors | Li Xu, Junhong Jiang, Yunming Li, Ling Zhang, Zhihui Li, Jing Xian, Chaoyang Jiang, Yong Diao, Xiaomei Su, Hongyu Xu, Yue Zhang, Tao Zhang, Zhenzhou Yang, Bangxian Tan, Hua Li |
Journal | Cancer medicine
(Cancer Med)
Vol. 8
Issue 5
Pg. 2599-2611
(05 2019)
ISSN: 2045-7634 [Electronic] United States |
PMID | 30897289
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2019 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. |
Chemical References |
- Pulmonary Surfactant-Associated Protein D
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Topics |
- Adult
- Aged
- Alleles
- Female
- Gene Frequency
- Genetic Association Studies
- Genetic Predisposition to Disease
- Genetic Variation
- Humans
- Lung Neoplasms
(complications, genetics, radiotherapy)
- Male
- Middle Aged
- Neoplasm Staging
- Polymorphism, Single Nucleotide
- Positron Emission Tomography Computed Tomography
- Pulmonary Surfactant-Associated Protein D
(genetics)
- Radiation Pneumonitis
(diagnosis, etiology)
- Radiotherapy
(adverse effects)
- Radiotherapy Dosage
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