Association among lifestyle, clinical examination, polymorphisms in CDH1 gene and Traditional Chinese Medicine syndrome differentiation of gastric cancer  

作　　者：Junfeng Zhang Zhen Zhan Juan Wu Chunbing Zhang Yaping Yang Shujuan Tong Ruiping Wang Xuewen Yang Wei Dong 

机构地区：[1]Department of Pathogen and Immunology, Discipline of Chinese and Western Integrative Medicine, College of Basic Medicine, Nanjing University of Chinese Medicine [2]Department of Statistics and Preventive Medicine,Discipline of Chinese and Western Integrative Medicine, College of Basic Medicine, Nanjing University of Chinese Medicine [3]Department of Clinical Laboratory, First Affiliated Hospital of Nanjing University of Chinese Medicine [4]Department of Traditional Chinese Medicine Diagnostics, College of Basic Medicine, Nanjing University of Chinese Medicine [5]Department of Traditional Chinese Medicine Oncology, First Affiliated Hospital of Nanjing University of Chinese Medicine

出　　处：《Journal of Traditional Chinese Medicine》2013年第5期572-579,共8页中医杂志（英文版）

基　　金：Supported by National Natural Science Foundation of China(30973715 and 81001502);Jiangsu Natural Science Foundation(BK2008461);Priority Academic Program Development of Jiangsu Higher Education Institutions(PAPD);Research Fund for the Doctoral Program of Higher Education of China(20103237110011);Young Teachers in Nanjing University of Chinese Medicine

摘　　要：OBJECTIVE:To explore the association among lifestyle,clinical examination,polymorphisms in CDH1 gene and Traditional Chinese Medicine(TCM)syndrome differentiation of gastric cancer(GC). METHODS:A hospital-based population of 387 GC patients was investigated in Jiangsu province.Relevant information regarding lifestyle and clinical examination were collected by a standard questionnaire.Four known single nucleotide polymorphisms(SNPs)in CDH1 were investigated by polymerase chain reaction-ligation detection reaction methods.Statistical analysis was conducted by SPSS 16.0 software.RESULTS:The results showed that meal duration and the status of glutamic pyruvic transaminase were significantly associated with TCM syndrome differentiation of GC(both P<0.05).None of the four SNPs in the E-cadherin(CDH1)gene achieved significant differences in their distributions among the nine syndrome types of GC(both P>0.05).However,significant differences were observed in rs13689 genotype distributions between several pairs of syndrome types of GC,suggesting that rs13689 is correlated with the syndrome differentiation of GC.CONCLUSION:Integrated analysis of lifestyle,clinical examination and CDH1 gene polymorphisms can contribute to a better understanding of the GC syndrome types and may improve the efficacy of interventions by stratifying disease according to TCM criteria.OBJECTIVE： To explore the association among lifestyle, clinical examination, polymorphisms in CDH1 gene and Traditional Chinese Medicine（TCM） syndrome differentiation of gastric cancer（GC）. METHODS： A hospital-based population of 387 GC patients was investigated in Jiangsu province. Relevant information regarding lifestyle and clinical examination were collected by a standard questionnaire. Four known single nucleotide polymorphisms（SNPs） in CDH1 were investigated by polymerase chain reaction-ligation detection reaction methods. Statistical analysis was conducted by SPSS 16.0 software. RESULTS： The results showed that meal duration and the status of glutamic pyruvic transaminase were significantly associated with TCM syndrome differentiation of GC（both P0.05）. None of the four SNPs in the E-cadherin（CDH1） gene achieved significant differences in their distributions among the nine syndrome types of GC（both P0.05）. However, significant differences were observed in rs13689 genotype distributions between several pairs of syndrome types of GC, suggesting that rs13689 is correlated with the syndrome differentiation of GC. CONCLUSION： Integrated analysis of lifestyle, clinical examination and CDH1 gene polymorphisms can contribute to a better understanding of the GC syndrome types and may improve the efficacy of interventions by stratifying disease according to TCM criteria.

关 键 词：Cadherins Stomach neoplasms Polymorphism single nucleotide Syndrome differentiation Clinical examination 

分 类 号：R735.2[医药卫生—肿瘤] R273[医药卫生—临床医学]