广东鼻咽癌遗传流行病学研究  

Study on genetic epidemiology of nasopharyngeal carcinoma in Guangdong,China

作　　者：黄腾波[1] 柳青[2] 黄惠明[1] 曹素梅[1] 

机构地区：[1]中山医科大学肿瘤防治中心,广州510060 [2]中山医科大学卫生统计教研室,广州510060

出　　处：《中华医学遗传学杂志》2002年第2期134-137,共4页Chinese Journal of Medical Genetics

基　　金："九五"国家重点医学科技攻关项目 (96- 90 6- 0 1 - 0 3)~~

摘　　要：目的　探讨鼻咽癌高发区遗传流行病学特征。方法　通过鼻咽癌先证者及其配偶核心家系群体调查 ,应用回归 L ogistic模型拟合方法作鼻咽癌核心家系复合分离分析。结果　先证者一级亲属患鼻咽癌危险性为配偶一级亲属的 9.31倍 ;鼻咽癌的分离比为 0 .0 5 88(0 .0 182 ,0 .0 994)、遗传度为 6 8.0 8% ;回归 L ogistic模型拟合以 D模型拟合较好。结论　广东人群鼻咽癌遗传倾向更明显、家族聚集性更强。除环境因素及自身基因型外 ,个体发病与否受其父母及所有比他 (她 )年长同胞发病情况影响 ;广东鼻咽癌为多基因遗传病 ,但存在着影响其发病的单个易感基因。Objective To explore the characteristic of genetic epidemiology of nasopharyngeal carcinoma (NPC) in a high risk area--Guangdong province, China. Methods Population investigation was made on the nuclear pedigrees of the first patient with NPC and his/her spouse, and then complex segregation analysis was performed using regressive Logistic model. Results The risk of suffering from NPC is 9.31 times higher in the first degree relatives of patient with NPC than in the first degree relatives of spouse. The separation ratio and heritability are 0.0588(0.0182, 0.0994) and 68.08% respectively. The result of complex segregation analysis shows that model D is better than model A. Conclusion The genetic trend and familial clustering of NPC are more significant and powerful in Guangdong. The risk of suffering from NPC is related with parent's state and senior sibling's state. Nasopharyngeal carcinoma is a multi-gene hereditary disease, but a single gene that decides the susceptibility to NPC may be present.

关 键 词：鼻咽肿瘤 遗传 流行病学 鼻咽癌 单个易感基因 广东 

分 类 号：R739.63[医药卫生—肿瘤]