4.6 Article

Genetic Variants in the Wnt/β-Catenin Signaling Pathway as Indicators of Bladder Cancer Risk

期刊

JOURNAL OF UROLOGY
卷 194, 期 6, 页码 1771-1776

出版社

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1016/j.juro.2015.07.032

关键词

urinary bladder neoplasms; Wnt signaling pathway, polymorphism, single nucleotide; beta catenin; risk

资金

  1. NCI NIH HHS [P50 CA091846, R01 CA074880, U01 CA127615, P50 CA91846] Funding Source: Medline

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Purpose: Genetic factors that influence bladder cancer risk remain largely unknown. Previous research has suggested that there is a strong genetic component underlying the risk of bladder cancer. The Wnt/beta-catenin signaling pathway is a key modulator of cellular proliferation through its regulation of stem cell homeostasis. Furthermore, variants in the Wnt/beta-catenin signaling pathway have been implicated in the development of other cancers, leading us to believe that this pathway may have a vital role in bladder cancer development. Materials and Methods: A total of 230 single nucleotide polymorphisms in 40 genes in the Wnt/beta-catenin signaling pathway were genotyped in 803 bladder cancer cases and 803 healthy controls. Results: A total of 20 single nucleotide polymorphisms were nominally significant for risk. Individuals with 2 variants of LRP6: rs10743980 were associated with a decreased risk of bladder cancer in the recessive model in the initial analysis (OR 0.76, 95% CI 0.58-0.99, p = 0.039). This was validated using the bladder genome-wide association study chip (OR 0.51, 95% CI 0.27-1.00, p = 0.049 and for combined analysis p = 0.007). Conclusions: Together these findings implicate variants in the Wnt/b-catenin stem cell pathway as having a role in bladder cancer etiology.

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