Association of CD44 Gene Polymorphism with Survival of NSCLC and Risk of Bone Metastasis

Previous studies have reported CD44 expression played an important role in the development and progression of tumor. The aim of study was to investigate whether single nucleotide polymorphisms (SNPs) of CD44 gene were associated with risk of non-small cell lung cancer (NSCLC), survival and occurrenc...

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Veröffentlicht in:Medical science monitor 2015-09, Vol.21, p.2694-2700
Hauptverfasser: Liu, Yaosheng, Qing, Haifeng, Su, Xiuyun, Wang, Cheng, Li, Zhou, Liu, Shubin
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Qing, Haifeng
Su, Xiuyun
Wang, Cheng
Li, Zhou
Liu, Shubin
description Previous studies have reported CD44 expression played an important role in the development and progression of tumor. The aim of study was to investigate whether single nucleotide polymorphisms (SNPs) of CD44 gene were associated with risk of non-small cell lung cancer (NSCLC), survival and occurrence rate of bone metastasis in patients with NSCLC. A total of 234 patients with NSCLC between 2003 and 2010 were enrolled in this study and 468 healthy persons were used as controls. Two polymorphisms, rs13347 and rs187115, in the CD44 gene were genotyped using DNA from blood lymphocytes. For statistical analysis we used the chi-square test, Fisher's exact test, Kaplan-Meier method, and log-rank test. CD44 gene rs13347 polymorphism was not associated with NSCLC risk. For rs187115, the association with NSCLC risk was observed (P
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The aim of study was to investigate whether single nucleotide polymorphisms (SNPs) of CD44 gene were associated with risk of non-small cell lung cancer (NSCLC), survival and occurrence rate of bone metastasis in patients with NSCLC. A total of 234 patients with NSCLC between 2003 and 2010 were enrolled in this study and 468 healthy persons were used as controls. Two polymorphisms, rs13347 and rs187115, in the CD44 gene were genotyped using DNA from blood lymphocytes. For statistical analysis we used the chi-square test, Fisher's exact test, Kaplan-Meier method, and log-rank test. CD44 gene rs13347 polymorphism was not associated with NSCLC risk. For rs187115, the association with NSCLC risk was observed (P&lt;0.001). Allele G carriers had significantly higher occurrence rates of bone metastasis (OR=0.4, 95%CI: 0.20-0.64, P&lt;0.001) and more advanced tumor stage (OR=2.6, 95%CI: 1.50-4.45, P=0.001) compared to carriers of allele A. The survival rates for patients with AA genotype were significantly higher than for patients with the AG+GG genotypes (P&lt;0.001). In multivariate analysis of survival in NSCLC patients, significant predictors were CD44 gene (AG+GG) (RR=0.48, 95%CI: 0.34-0.68, P&lt;0.001), tumor stage (RR=0.45, 95%CI: 0. 0.31-0.65, P&lt;0.001), and bone metastasis (RR=1.52, 95%CI: 1.05-2.21, P=0.027). CD44 gene rs187115 polymorphism is a potential predictive marker of survival in NSCLC patients, and is significantly correlated with bone metastasis and tumor stage.</description><identifier>ISSN: 1643-3750</identifier><identifier>ISSN: 1234-1010</identifier><identifier>EISSN: 1643-3750</identifier><identifier>DOI: 10.12659/MSM.894357</identifier><identifier>PMID: 26356590</identifier><language>eng</language><publisher>United States: International Scientific Literature, Inc</publisher><subject>Aged ; Alleles ; Bone Neoplasms - genetics ; Bone Neoplasms - mortality ; Bone Neoplasms - secondary ; Carcinoma, Non-Small-Cell Lung - genetics ; Carcinoma, Non-Small-Cell Lung - mortality ; Carcinoma, Non-Small-Cell Lung - pathology ; Clinical Research ; Female ; Genotype ; Humans ; Hyaluronan Receptors - genetics ; Kaplan-Meier Estimate ; Lung Neoplasms - genetics ; Lung Neoplasms - mortality ; Lung Neoplasms - pathology ; Lymphocytes - cytology ; Male ; Middle Aged ; Neoplasm Metastasis ; Polymorphism, Single Nucleotide ; Prognosis ; Treatment Outcome</subject><ispartof>Medical science monitor, 2015-09, Vol.21, p.2694-2700</ispartof><rights>Med Sci Monit, 2015 2015</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-931b44cde9fb50971bf462cea87c0b7e99aec93bb250df3bad7c6c17e82cf33c3</citedby><cites>FETCH-LOGICAL-c381t-931b44cde9fb50971bf462cea87c0b7e99aec93bb250df3bad7c6c17e82cf33c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573070/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573070/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26356590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Yaosheng</creatorcontrib><creatorcontrib>Qing, Haifeng</creatorcontrib><creatorcontrib>Su, Xiuyun</creatorcontrib><creatorcontrib>Wang, Cheng</creatorcontrib><creatorcontrib>Li, Zhou</creatorcontrib><creatorcontrib>Liu, Shubin</creatorcontrib><title>Association of CD44 Gene Polymorphism with Survival of NSCLC and Risk of Bone Metastasis</title><title>Medical science monitor</title><addtitle>Med Sci Monit</addtitle><description>Previous studies have reported CD44 expression played an important role in the development and progression of tumor. The aim of study was to investigate whether single nucleotide polymorphisms (SNPs) of CD44 gene were associated with risk of non-small cell lung cancer (NSCLC), survival and occurrence rate of bone metastasis in patients with NSCLC. A total of 234 patients with NSCLC between 2003 and 2010 were enrolled in this study and 468 healthy persons were used as controls. Two polymorphisms, rs13347 and rs187115, in the CD44 gene were genotyped using DNA from blood lymphocytes. For statistical analysis we used the chi-square test, Fisher's exact test, Kaplan-Meier method, and log-rank test. CD44 gene rs13347 polymorphism was not associated with NSCLC risk. For rs187115, the association with NSCLC risk was observed (P&lt;0.001). Allele G carriers had significantly higher occurrence rates of bone metastasis (OR=0.4, 95%CI: 0.20-0.64, P&lt;0.001) and more advanced tumor stage (OR=2.6, 95%CI: 1.50-4.45, P=0.001) compared to carriers of allele A. The survival rates for patients with AA genotype were significantly higher than for patients with the AG+GG genotypes (P&lt;0.001). In multivariate analysis of survival in NSCLC patients, significant predictors were CD44 gene (AG+GG) (RR=0.48, 95%CI: 0.34-0.68, P&lt;0.001), tumor stage (RR=0.45, 95%CI: 0. 0.31-0.65, P&lt;0.001), and bone metastasis (RR=1.52, 95%CI: 1.05-2.21, P=0.027). CD44 gene rs187115 polymorphism is a potential predictive marker of survival in NSCLC patients, and is significantly correlated with bone metastasis and tumor stage.</description><subject>Aged</subject><subject>Alleles</subject><subject>Bone Neoplasms - genetics</subject><subject>Bone Neoplasms - mortality</subject><subject>Bone Neoplasms - secondary</subject><subject>Carcinoma, Non-Small-Cell Lung - genetics</subject><subject>Carcinoma, Non-Small-Cell Lung - mortality</subject><subject>Carcinoma, Non-Small-Cell Lung - pathology</subject><subject>Clinical Research</subject><subject>Female</subject><subject>Genotype</subject><subject>Humans</subject><subject>Hyaluronan Receptors - genetics</subject><subject>Kaplan-Meier Estimate</subject><subject>Lung Neoplasms - genetics</subject><subject>Lung Neoplasms - mortality</subject><subject>Lung Neoplasms - pathology</subject><subject>Lymphocytes - cytology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasm Metastasis</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Prognosis</subject><subject>Treatment Outcome</subject><issn>1643-3750</issn><issn>1234-1010</issn><issn>1643-3750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkVFLwzAUhYMobk6ffJc8CrKZNEnTvgiz6hQ2FafgW0jT1EXbZibtZP_ezk2ZELgh97vnhnMAOMZogIOQxeeT6WQQxZQwvgO6OKSkTzhDu1v3Djjw_h2hIAoR2wedICSsnURd8Dr03ioja2MraHOYXFEKR7rS8NEWy9K6-cz4En6ZeganjVuYhSxW3P00GSdQVhl8Mv5j9XJp26GJrqVvj_GHYC-XhddHm9oDLzfXz8ltf_wwukuG474iEa77McEppSrTcZ4yFHOc5jQMlJYRVyjlOo6lVjFJ04ChLCepzLgKFeY6ClROiCI9cLHWnTdpqTOlq9rJQsydKaVbCiuN-N-pzEy82YWgjBPEUStwuhFw9rPRvhal8UoXhay0bbzAHGPWmhhGLXq2RpWz3jud_63BSPxkIdosxDqLlj7Z_tkf-2s--QZ2wYVn</recordid><startdate>20150910</startdate><enddate>20150910</enddate><creator>Liu, Yaosheng</creator><creator>Qing, Haifeng</creator><creator>Su, Xiuyun</creator><creator>Wang, Cheng</creator><creator>Li, Zhou</creator><creator>Liu, Shubin</creator><general>International Scientific Literature, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150910</creationdate><title>Association of CD44 Gene Polymorphism with Survival of NSCLC and Risk of Bone Metastasis</title><author>Liu, Yaosheng ; Qing, Haifeng ; Su, Xiuyun ; Wang, Cheng ; Li, Zhou ; Liu, Shubin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-931b44cde9fb50971bf462cea87c0b7e99aec93bb250df3bad7c6c17e82cf33c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Alleles</topic><topic>Bone Neoplasms - genetics</topic><topic>Bone Neoplasms - mortality</topic><topic>Bone Neoplasms - secondary</topic><topic>Carcinoma, Non-Small-Cell Lung - genetics</topic><topic>Carcinoma, Non-Small-Cell Lung - mortality</topic><topic>Carcinoma, Non-Small-Cell Lung - pathology</topic><topic>Clinical Research</topic><topic>Female</topic><topic>Genotype</topic><topic>Humans</topic><topic>Hyaluronan Receptors - genetics</topic><topic>Kaplan-Meier Estimate</topic><topic>Lung Neoplasms - genetics</topic><topic>Lung Neoplasms - mortality</topic><topic>Lung Neoplasms - pathology</topic><topic>Lymphocytes - cytology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasm Metastasis</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Prognosis</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Liu, Yaosheng</creatorcontrib><creatorcontrib>Qing, Haifeng</creatorcontrib><creatorcontrib>Su, Xiuyun</creatorcontrib><creatorcontrib>Wang, Cheng</creatorcontrib><creatorcontrib>Li, Zhou</creatorcontrib><creatorcontrib>Liu, Shubin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medical science monitor</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Yaosheng</au><au>Qing, Haifeng</au><au>Su, Xiuyun</au><au>Wang, Cheng</au><au>Li, Zhou</au><au>Liu, Shubin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of CD44 Gene Polymorphism with Survival of NSCLC and Risk of Bone Metastasis</atitle><jtitle>Medical science monitor</jtitle><addtitle>Med Sci Monit</addtitle><date>2015-09-10</date><risdate>2015</risdate><volume>21</volume><spage>2694</spage><epage>2700</epage><pages>2694-2700</pages><issn>1643-3750</issn><issn>1234-1010</issn><eissn>1643-3750</eissn><abstract>Previous studies have reported CD44 expression played an important role in the development and progression of tumor. The aim of study was to investigate whether single nucleotide polymorphisms (SNPs) of CD44 gene were associated with risk of non-small cell lung cancer (NSCLC), survival and occurrence rate of bone metastasis in patients with NSCLC. A total of 234 patients with NSCLC between 2003 and 2010 were enrolled in this study and 468 healthy persons were used as controls. Two polymorphisms, rs13347 and rs187115, in the CD44 gene were genotyped using DNA from blood lymphocytes. For statistical analysis we used the chi-square test, Fisher's exact test, Kaplan-Meier method, and log-rank test. CD44 gene rs13347 polymorphism was not associated with NSCLC risk. For rs187115, the association with NSCLC risk was observed (P&lt;0.001). Allele G carriers had significantly higher occurrence rates of bone metastasis (OR=0.4, 95%CI: 0.20-0.64, P&lt;0.001) and more advanced tumor stage (OR=2.6, 95%CI: 1.50-4.45, P=0.001) compared to carriers of allele A. The survival rates for patients with AA genotype were significantly higher than for patients with the AG+GG genotypes (P&lt;0.001). In multivariate analysis of survival in NSCLC patients, significant predictors were CD44 gene (AG+GG) (RR=0.48, 95%CI: 0.34-0.68, P&lt;0.001), tumor stage (RR=0.45, 95%CI: 0. 0.31-0.65, P&lt;0.001), and bone metastasis (RR=1.52, 95%CI: 1.05-2.21, P=0.027). CD44 gene rs187115 polymorphism is a potential predictive marker of survival in NSCLC patients, and is significantly correlated with bone metastasis and tumor stage.</abstract><cop>United States</cop><pub>International Scientific Literature, Inc</pub><pmid>26356590</pmid><doi>10.12659/MSM.894357</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Alleles
Bone Neoplasms - genetics
Bone Neoplasms - mortality
Bone Neoplasms - secondary
Carcinoma, Non-Small-Cell Lung - genetics
Carcinoma, Non-Small-Cell Lung - mortality
Carcinoma, Non-Small-Cell Lung - pathology
Clinical Research
Female
Genotype
Humans
Hyaluronan Receptors - genetics
Kaplan-Meier Estimate
Lung Neoplasms - genetics
Lung Neoplasms - mortality
Lung Neoplasms - pathology
Lymphocytes - cytology
Male
Middle Aged
Neoplasm Metastasis
Polymorphism, Single Nucleotide
Prognosis
Treatment Outcome
title Association of CD44 Gene Polymorphism with Survival of NSCLC and Risk of Bone Metastasis
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