目的:探讨外周血基因组DNA端粒长度与肺癌危险性的关系。方法:采用荧光定量PCR法检测200例肺癌患者(肺癌组)、200例健康体检者(对照组)外周血基因组DNA的相对端粒长度(RTL)。结果:肺癌组RTL小于对照组(P〈0.05)。按对照组RTL的中位数0.95为分界点,经非条件logistic回归分析,在调整年龄、吸烟状态后,RTL≤0.95显著增加患肺癌的危险性(OR=3.264,95%CI=2.134~4.992)。不同组织学类型和不同临床分期肺癌患者的RTL差异均无统计学意义(F=0.797,0.503,P均〉0.05)。结论:外周血基因组DNA端粒缩短可增加患肺癌的危险性,可能是肺癌发生发展过程中的早期效应生物学标志。
Aim: To observe the association of peripheral blood genomic DNA telomere length with lung cancer. Methods: Quantitative PCR was used to detect the peripheral blood genomic DNA relative telomere length( RTL) of 200 lung cancer patients ( cancer group) and 200 healthy controls ( control group) . Results: RTL of the cancer group was low-er than that of the control group( P 0. 05) . When the subjects were categorized into 2 layers based on the median of RTL of the control group,the result of logistic regression showed that RTL≤0. 95 would be a risk factor for lung cancer( OR = 3. 264,95% CI = 2. 134 ~ 4. 992) when adjusting age and smoking status. There were no significant differences in RTL a-mong patients with different histological types or different stages( F = 0. 797,0. 503,P 0. 05) . Conclusion: The shorter telomere could increase the risk of lung cancer,and the detection of telomere length of peripheral blood genomic DNA could contribute to early diagnosis of lung cancer.