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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front Med    2013, Vol. 7 Issue (1) : 138-142    https://doi.org/10.1007/s11684-013-0247-5
RESEARCH ARTICLE
Association of SIPA1 545 C>T polymorphism with survival in Chinese women with metastatic breast cancer
Renling Pei, Ye Xu, Yan Wei, Tao Ouyang, Jinfeng Li, Tianfeng Wang, Zhaoqing Fan, Tie Fan, Benyao Lin, Yuntao Xie()
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Breast Center, Beijing Cancer Hospital & Institute, Peking University Cancer Hospital, Beijing 100142, China
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Abstract

It has been demonstrated that single nucleotide polymorphisms (SNPs) of SIPA1 (signal-induced proliferation associated gene 1) are associated with metastatic efficiency in both human and rodents. The purpose of this study was to determine whether SIPA1 545 C>T polymorphism was associated with overall survival in patients with metastatic breast cancer. In this study, SIPA1 545 C>T polymorphism was detected in 185 metastatic breast cancer patients using polymerase chain reaction-restriction fragment length polymorphism assay (PCR-RFLP). Survival curves for patients with SIPA1 545 C>T polymorphism was compared using the Kaplan-Meier method with log-rank tests. We found that SIPA1 545 C>T polymorphism was significantly associated with survival in 185 patients with metastatic breast cancer. Patients with SIPA1 545 T/T genotype had a significantly worse overall survival (OS) than did patients with C/T or C/C genotype (50.0% vs. 62.9%, P = 0.042). Moreover, in multivariate analysis, as compared with the C/C or C/T genotype, the T/T genotype remained an independent unfavorable prognostic marker of OS in this cohort (hazard ratio [HR] = 2.16; 95% CI= 1.12–4.15; P = 0.022). Our findings indicate that metastatic breast cancer patients with SIPA1 545 T/T genotype have a poorer survival compared to patients with C/C or C/T genotype.

Keywords SIPA1      polymorphism      metastatic breast cancer      survival     
Corresponding Author(s): Xie Yuntao,Email:zlxyt2@bjmu.edu.cn   
Issue Date: 05 March 2013
 Cite this article:   
Renling Pei,Ye Xu,Yan Wei, et al. Association of SIPA1 545 C>T polymorphism with survival in Chinese women with metastatic breast cancer[J]. Front Med, 2013, 7(1): 138-142.
 URL:  
https://academic.hep.com.cn/fmd/EN/10.1007/s11684-013-0247-5
https://academic.hep.com.cn/fmd/EN/Y2013/V7/I1/138
SIPA1 545 C>T
CharacteristicsnC/C (%)C/T (%)T/T (%)P value
Age (years)0.55
<508340 (48.2)36 (43.4)7 (8.4)
≥5010243 (42.2)46 (45.1)13 (12.7)
Menopausal status0.75
Premenopausal8939 (43.8)42 (47.2)8 (9.0)
Postmenopausal9443 (45.7)40 (42.6)11 (11.7)
Unknown2
ER0.78
Positive8439 (46.4)36 (42.9)9 (10.7)
Negative9037 (41.1)42 (46.7)11 (12.2)
Unknown11
PgR0.16
Positive7136 (50.7)30 (42.3)5 (7.0)
Negative10440 (38.5)49 (47.1)15 (14.4)
Unknown10
HER20.23
Positive5020 (40.0)21 (42.0)9 (18.0)
Negative11552 (72.2)53 (71.6)10 (52.6)
Unknown20
Triple negative0.87
Yes3916 (41.0)19 (48.7)4 (10.3)
No12253 (43.4)54 (44.3)15 (12.3)
Unknown24
Tab.1  Association of 545 C>T polymorphism with clinicopathological characteristics in 185 breast cancer patients
CharacteristicsnTwo-year OS
%±SEP value
Age (years)0.09
<508368.2±5.7
≥5010256.7±5.3
Menopausal status0.07
Premenopausal8969.7±5.4
Postmenopausal9454.4±5.6
Unknown2
ER0.03
Positive8470.7±5.3
Negative9053.2±5.8
Unknown11
PgR0.13
Positive7172.4±5.8
Negative10454.7±5.3
Unknown10
HER20.32
Positive5059.2±7.5
Negative11562.8±5.0
Unknown20
Triple negative0.002
Yes3942.8±8.8
No12288.9±2.9
Unknown24
SIPA1 5450.042
C/C+ C/T16562.9±4.1
T/T2050.0±12.8
Tab.2  The correlation between patients characteristics and overall survival
Fig.1  Kaplan-Meier estimate of overall survival by 545 C>T polymorphism in 185 metastatic breast cancer patients.
Fig.1  Kaplan-Meier estimate of overall survival by 545 C>T polymorphism in 185 metastatic breast cancer patients.
Overall survival
VariablesHR(95% CI)P value
SIPA1 545 (T/T vs. C/C or C/T)2.16(1.12-4.15)0.022
Age (≥50years vs.<50years)0.99 (0.53-1.84)0.98
Menopausal status (post. vs. pre.)1.45 (0.93-2.26)0.11
ER (negative vs. positive)1.72 (1.09-2.72)0.02
PgR (negative vs. positive)1.20 (0.70-2.06)0.51
HER2 (positive vs. negative)1.70 (1.02-2.81)0.041
Metastasis (viscera vs. bone)2.16 (1.12-4.16)0.021
Tab.3  Multivariate analyses of overall survival in 185 breast cancer patients
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