title: Association of L-myc polymorphism with lung cancer susceptibility and prognosis in relation to age-selected controls and stratified cases.
abstract: The association of L-myc polymorphism with cancer susceptibility and prognosis has produced conflicting results. This may have been due to racial/ethnic differences and methodological variations in the studies, such as, control selection and case stratification. Therefore, we investigated the genotype distribution of the L-myc polymorphism in 169 lung cancer patients and 169 non-cancer controls, and analyzed the association of this polymorphism with cancer susceptibility and prognosis in relation to age-specific controls as well as stratified cases. The genotype frequencies in the Taiwanese non-cancer controls were 0.56 (L) and 0.44 (S). Chi-square (chi(2)) analysis indicated a significant difference in the Taiwanese genotype distribution of L-myc compared with that of African-Americans (P=0.001). Logistic regression analysis of cases/controls, adjusted for both age and sex, indicated that an increased frequency of the LL genotype was observed in early-staged patients compared with the non-cancer controls (OR=0.43, 95% CI, 0.20-0.94, P=0.03). In addition, the frequency of the LL genotype was significantly higher in stages I+II patients (47.4%) than in stages III+IV patients (28.4%) (P=0.05). Furthermore, the S allele frequency was significantly increased in stages III+IV patients (P=0.005). As both L-myc and p53 polymorphisms were analyzed for their prognostic value, the patients with an S allele of the L-myc gene and a Pro/Pro variant genotype of the p53 gene had significantly poorer prognoses compared with other patients (P=0.004, by the log rank test). These data suggest that the S allele of the L-myc polymorphism may be associated with lung cancer progression.
authors.affiliation: Department of Internal Medicine, Taichung Veterans General Hospital, Taiwan, ROC.
authors.forename: Chuen-Ming
authors.initials: CM
authors.lastname: Shih
authors.forename: Yen-Ya
authors.initials: YY
authors.lastname: Kuo
authors.forename: Yu-Chieh
authors.initials: YC
authors.lastname: Wang
authors.forename: Shiou-Ling
authors.initials: SL
authors.lastname: Jian
authors.forename: Yu-Ting
authors.initials: YT
authors.lastname: Hsu
authors.forename: Hsing-Yi
authors.initials: HY
authors.lastname: Wu
authors.forename: Ming-Woei
authors.initials: MW
authors.lastname: Guo
authors.forename: Yi-Ching
authors.initials: YC
authors.lastname: Wang
mesh_terms: D000230:Adenocarcinoma / Q000235:genetics; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000483:Alleles; D018287:Carcinoma, Large Cell / Q000209:etiology / Q000235:genetics; D018288:Carcinoma, Small Cell / Q000209:etiology / Q000235:genetics; D002294:Carcinoma, Squamous Cell / Q000209:etiology / Q000235:genetics; D016022:Case-Control Studies; D004273:DNA, Neoplasm / Q000032:analysis; D005260:Female; D016259:Genes, myc / Q000235:genetics*; D016158:Genes, p53 / Q000235:genetics; D020022:Genetic Predisposition to Disease; D005838:Genotype; D006801:Humans; D008175:Lung Neoplasms / Q000235:genetics*; D008297:Male; D008875:Middle Aged; D011110:Polymorphism, Genetic; D011379:Prognosis
chemical_list: D004273:DNA, Neoplasm