151. A Functional Polymorphism on Chromosome 15q25 Associated with Survival of Early Stage Non–Small-Cell Lung Cancer
- Author
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Sanghoon Jheon, Eung Bae Lee, Guang Jin, Chang Ho Kim, Sung Ick Cha, Enyue Yang, Seung Soo Yoo, Shin Yup Lee, Jae Yong Park, Eun Young Bae, Jaehee Lee, Sukki Cho, Won-Kee Lee, Jin Eun Choi, and Hyo-Sung Jeon
- Subjects
Male ,Oncology ,Pulmonary and Respiratory Medicine ,Pathology ,medicine.medical_specialty ,Lung Neoplasms ,Survival ,Adenocarcinoma ,Receptors, Nicotinic ,Polymerase Chain Reaction ,Polymorphism, Single Nucleotide ,Survival outcome ,Carcinoma, Non-Small-Cell Lung ,Internal medicine ,Genotype ,Humans ,Medicine ,In patient ,Polymorphism ,Lung cancer ,Neoplasm Staging ,Functional polymorphism ,Chromosomes, Human, Pair 15 ,business.industry ,Non–small-cell lung cancer ,Hazard ratio ,DNA ,Middle Aged ,Prognosis ,medicine.disease ,Confidence interval ,Survival Rate ,CHRNA3 ,Carcinoma, Squamous Cell ,Carcinoma, Large Cell ,Female ,Non small cell ,business - Abstract
Introduction: The 15q25 region has been associated with lung-cancer risk and might also be associated with the prognosis of lung cancer. This study was conducted to determine the impact of a functional polymorphism in the CHRNA3 gene on chromosome 15q25 in the survival of patients with early-stage non–small-cell lung cancer (NSCLC). Methods: Five hundred and eighty-three consecutive patients with surgically resected NSCLC were enrolled. The rs6495309C > T polymorphism in the promoter of the CHRNA3 gene was investigated. The association between genotype and overall survival (OS) and disease-free survival (DFS) was analyzed. Results: Patients with the rs6495309 CT or TT genotype had a significantly better OS and DFS than the rs6495309 CC genotype (adjusted hazard ratio for OS=0.56, 95% confidence interval=0.41–0.75, p = 0.0001; and adjusted hazard ratio for DFS=0.61, 95% confidence interval=0.48–0.79, p = 0.0001). An association between the rs6495309C > T polymorphism and survival outcome was demonstrated in smokers and never-smokers, and in squamous-cell carcinomas and adenocarcinomas. Conclusion: The CHRNA3 rs6495309C > T polymorphism may affect survival in patients with early-stage NSCLC. Analysis of the rs6495309C > T polymorphism can help identify patients at high risk of a poor disease outcome.
- Published
- 2012
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