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    題名: 臺灣地區口腔癌易感性與雙股斷裂修補基因關聯性之探究;Study of Associations of Double Strand Break Genes with Oral Cancer Susceptibility in Taiwanese
    作者: 許嘉方;Chia-Fang Hsu
    貢獻者: 中國醫藥大學:臨床醫學研究所
    關鍵詞: 口腔癌;雙股斷裂修補基因;單一核苷;酸多型性;oral cancer;genes of non-homologous end joining (NHEJ);single nucleotide polymorphisms
    日期: 2008-07-16
    上傳時間: 2009-08-12 14:12:07 (UTC+8)
    摘要: Non-homologous end joining (NHEJ)相關基因,對於維持人體基因體的穩定,扮演了相當重要的角色。其中許多的基因,例如XRCC4、Ku70及Ku80等,由於其功能對DNA修復相當重要,因此當這些基因的表現受到影響,或是功能不足時,整個基因體的穩定性便會大打折扣,從而增加癌症的發生率。而位於NHEJ相關基因上的單一核苷酸多型性(single nucleotide polymorphism, SNP)位點已經多篇文獻提出與許多不同的人類癌症分別具有關聯性。綜上可見這些基因的位點其多型性的不同,確實會影響到基因的功能,進而促使癌症發生。
    口腔癌為國人常見之疾病,而雖然NHEJ相關基因之SNP與口腔癌有明顯關聯性之研究,已有數篇相關的論文於國外的族群發表,其結果固然可供參考,但未必與國人之情形完全相同,因此,進行以國內族群為研究主體的相關研究,確實有其必要性與急迫性。
    文獻中指出,部分國人因為有嚼食檳榔的習慣,導致口腔癌的發生機率增加。本研究即探討國人身上NHEJ相關基因中Ku80之多型性與口腔癌發生之關聯性,我們發現Ku80 G-1401T rs828907位點的基因型,以卡方試驗分析,比較口腔癌病患組與正常對照組之對偶基因頻率其p value為0.038303(<0.05),具有顯著差異;其中G/T及T/T兩種基因型在口腔癌病患組當中所佔的比例,明顯的高出其所在正常對照組中所佔的比例;體內帶有T型變異型的個體,在罹患口腔癌方面有較高的風險,而在有嚼食檳榔習慣的人們身上,風險更高。我們的研究對於早期的癌症基因篩檢,早期發現高危險群並及早預防等防治口腔癌的工作,將有很具潛力的貢獻。

    Genes of non-homologous end joining (NHEJ) are very important in maintaining the stability of human genome. Some important NHEJ genes, such as XRCC4, Ku70 and Ku80, may play important roles in DNA repair. It is also reported that the risk of cancer will increase when some of these genes do not behave their complete function or expression. The association between single nucleotide polymorphisms (SNPs) on these genes of NHEJ and various cancers has already been reported by various laboratories. Therefore, the polymorphisms of the SNPs on these genes can affect the normal function of these genes, and further raise the risk of cancer.
    Oral cancer, a common disease in Taiwan, is a very serious public threaten. Although the association between SNPs on Ku80 of NHEJ and oral cancer risk has already been studied, but these reports were all foreign populations, not Taiwanese population, thus it is necessary and urgent to investigate the involved of Ku80 polymorphisms in oral cancer.
    It is popular that some of the Taiwanese have the habits of chewing betel nuts, which is reported to be closely-related to oral cancer risk. Among the SNPs we investigated in this research, we found that only the Ku80 G-1401T rs828907 was associated with oral cancer risk (p=0.038303), and this novel SNP of Ku80 may be very useful in early detection and prevention of oral cancer.
    顯示於類別:[臨床醫學研究所] 博碩士論文

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