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  1. NTU Theses and Dissertations Repository
  2. 公共衛生學院
  3. 流行病學與預防醫學研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/42885
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dc.contributor.advisor于明暉
dc.contributor.authorLi-Ying Chenen
dc.contributor.author陳俐穎zh_TW
dc.date.accessioned2021-06-15T01:27:30Z-
dc.date.available2019-07-31
dc.date.copyright2009-09-16
dc.date.issued2009
dc.date.submitted2009-07-22
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37. Barreiros AP, Sprinzl M, Rosset S, Hohler T, Otto G, Theobald M, et al. EGF and HGF levels are increased during active HBV infection and enhance survival signaling
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hyperendemic area. Oncogene 2006;25(22):3219-24.
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carcinoma in patients with cirrhosis. JAMA 2008;299(1):53-60.
41. Shahbazi M, Pravica V, Nasreen N, Fakhoury H, Fryer AA, Strange RC, et al. Association between functional polymorphism in EGF gene and malignant melanoma.
Lancet 2002;359(9304):397-401.
42. Lim YJ, Kim J-W, Song JY, Hong M-S, Jin S-Y, Yoon SH, et al. Epidermal growth factor gene polymorphism is different between schizophrenia and lung cancer patients
in Korean population. Neuroscience Letters 2005;374(3):157-160.
43. Vishnoi M, Pandey SN, Modi DR, Kumar A, Mittal B. Genetic susceptibility of epidermal growth factor +61A>G and transforming growth factor [beta]1 -509C>T gene
polymorphisms with gallbladder cancer. Human Immunology 2008;69(6):360-367.
44. Yu MW, Yang YC, Yang SY, Cheng SW, Liaw YF, Lin SM, et al. Hormonal markers and hepatitis B virus-related hepatocellular carcinoma risk: a nested case-control study among men. J Natl Cancer Inst 2001;93(21):1644-51.
45. Kirschberg O, Schuttler C, Repp R, Schaefer S. A multiplex-PCR to identify hepatitis B virus--enotypes A-F. J Clin Virol 2004;29(1):39-43.
46. Yu MW, Yeh SH, Chen PJ, Liaw YF, Lin CL, Liu CJ, et al. Hepatitis B virus genotype and DNA level and hepatocellular carcinoma: a prospective study in men. J
Natl Cancer Inst 2005;97(4):265-72.
47. C. Berasain, J. Castillo, M.J. Perugorria, M.U. Latasa, J. Prieto, M.A. Avila.
Inflammation and Liver Cancer. Annals of the New York Academy of Sciences 2009;1155(Steroid Enzymes and Cancer):206-221.
48. Mankouri J, Griffin S, Harris M. The hepatitis C virus non-structural protein NS5A alters the trafficking profile of the epidermal growth factor receptor. Traffic
2008;9(9):1497-509.
49. Schorr O, Borel C, Trepo C, Zoulim F, Hantz O. Effects of liver growth factors on hepadnavirus replication in chronically infected duck hepatocytes. J Hepatol
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50. Brenndorfer ED, Karthe J, Frelin L, Cebula P, Erhardt A, Schulte am Esch J, et al. Nonstructural 3/4A protease of hepatitis C virus activates epithelial growth factor-induced signal transduction by cleavage of the T-cell protein tyrosine phosphatase. Hepatology 2009;49(6):1810-20.
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52. Teixeira AL, Ribeiro R, Cardoso D, Pinto D, Lobo F, Fraga A, et al. Genetic Polymorphism in EGF Is Associated with Prostate Cancer Aggressiveness and Progression-Free Interval in Androgen Blockade-Treated Patients. Clin Cancer Res 2008;14(11):3367-3371.
53. Pao W, Miller VA. Epidermal Growth Factor Receptor Mutations, Small-Molecule Kinase Inhibitors, and Non-Small-Cell Lung Cancer: Current Knowledge and Future
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54. Mason RA, Morlock EV, Karagas MR, Kelsey KT, Marsit CJ, Schned AR, et al. EGFR pathway polymorphisms and bladder cancer susceptibility and prognosis. Carcinogenesis 2009;30(7):1155-1160.
55. Lupberger J, Hildt E. Hepatitis B virus-induced oncogenesis. World J Gastroenterol 2007;13(1):74-81.
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61. Jacobs EJ, Hsing AW, Bain EB, Stevens VL, Wang Y, Chen J, et al. Polymorphisms in Angiogenesis-Related Genes and Prostate Cancer. Cancer Epidemiol Biomarkers Prev 2008;17(4):972-977.
62. Cheung WY, Zhai R, Kulke M, Heist R, Asomaning K, Ma C, et al. Epidermal Growth Factor A61G Gene Polymorphism, Gastroesophageal Reflux Disease, and Esophageal Adenocarcinoma Risk. Carcinogenesis 2009:bgp126.
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65. Kang S, Kim JW, Park NH, Song YS, Park SY, Kang SB, et al. Epidermal growth factor 61 A/G polymorphism and uterine cervical cancer. Int J Gynecol Cancer 2007;17(2):492-6.
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67. Chandra V, Kar-Roy A, Kumari S, Mayor S, Jameel S. The Hepatitis E Virus ORF3 Protein Modulates Epidermal Growth Factor Receptor Trafficking, STAT3 Translocation, and the Acute-Phase Response. J. Virol. 2008;82(14):7100-7110.
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/42885-
dc.description.abstract背景:表皮生長因子(EGF)所調控的訊號傳遞影響各種細胞的生長、分化,位在 此基因上的基因多型性可能在上皮細胞癌,例如肝細胞癌的發展佔有重要的地位。方法:本研究選擇了兩個在表皮生長因子基因上的功能性SNP 做分析,分別為5’UTR 上的rs4444903 及exon 15 上的rs11569017。世代研究包括4432 個B 型肝炎帶原男性,分別從公務人員健康檢查及林口長庚紀念醫院在1989 到1992 之間進入,至2007 年約追蹤16 年且已有200 個肝細胞癌病例。本研究也利用長期追蹤病毒量資料、B 型肝炎病毒基因型及B 型肝炎e 抗原狀態等病毒因子來評估B型肝炎病毒對於SNPs 及肝細胞癌之間的關係的影響(n=1133)。結果:本研究沒有發現兩個SNP 與肝細胞癌或肝硬化之間有任何相關;但在SNP rs4444903 與B 型肝炎病毒量之間發現有負相關,無論是單點資料或是長期追蹤資料都達到顯著,多變項調整之勝算比分別為:單點資料AG vs AA= 0.56 (95%信賴區間:0.35-0.91);GG vs AA= 0.54(信賴區間:0.33-0.86),長期追蹤資料:AG vs AA= 0.68(95%信賴區間:0.56-0.83); GG vs AA= 0.67(95%信賴區間:0.56-0.82)。
結論:本研究的結果無法證實SNP rs4444903 對上皮細胞癌的發生的影響,但就結果顯現該SNP 可能在B 型肝炎帶原者身上對病毒的複製活性有影響。此部份需要更詳盡的研究,對於未來B 型肝炎帶原者病情的監控以及接受相關的治療應該會有很大的幫助。
zh_TW
dc.description.abstractBackground: The epidermal growth factor (EGF) signaling pathway affects cell proliferation and differentiation. Polymorphism in the EGF gene may play a role in the
development of epithelial cancers, such as hepatocellular carcinoma (HCC). Methods: We genotyped two EGF functional polymorphisms (rs4444903 at 5’ untranslated region
[UTR] and rs11569017 at exon 15) in a cohort of 4432 cancer-free HBsAg-positive men (of whom 200 developed HCC and 4232 remained unaffected through 16 years of
follow-up) who were recruited from Government Employee Central Clinics and Chang Gung Memorial Hospital between 1989 and 1992. To evaluate the impact of HBV viral
factors on the association between the EGF SNPs and HCC, a longitudinal viral-load study (n=1133) with available data on HBeAg status and HBV genotype and DNA were also conducted within the cohort study. Results: We did not observe any association with the two EGF SNPs for HCC or cirrhosis. However, a statistically, significantly inverse association was found between SNP rs4444903 and circulating HBV DNA level, irrespective of cross-sectional (adjusted odds ratio [95% confidence interval]: AG vs
AA= 0.56 [95% CI=0.35-0.91]; GG vs AA= 0.54 [95% CI=0.33-0.86]) or longitudinal (adjusted odds ratio [95% confidence interval]: AG vs AA= 0.68 [95% CI=0.56-0.83];
GG vs AA= 0.67 [95% CI=0.56-0.82]) measure of viral load. Conclusion: Our results argue against a role of the EGF 5’ UTR SNP in epithelial cancers. EGF genetic
polymorphism may alter viral replication activity during the development of HCC among HBsAg carriers. A better understanding of the relationship between the EGF 5’
UTR SNP and viral load might be valuable for monitoring HBsAg carriers with HCC under treatment with inhibitors of EGF signaling pathway.
en
dc.description.provenanceMade available in DSpace on 2021-06-15T01:27:30Z (GMT). No. of bitstreams: 1
ntu-98-R96842008-1.pdf: 317321 bytes, checksum: a075aa03829da03c9670fbe3194d54ad (MD5)
Previous issue date: 2009
en
dc.description.tableofcontents1. 中文摘要-----------------------------------------------2
2. Abstract-----------------------------------------------3
3. Introduction-------------------------------------------4
4. Materials and Methods----------------------------------8
5. Results-----------------------------------------------11
6. Discussion--------------------------------------------14
7. References--------------------------------------------18
8. Appendix----------------------------------------------24
dc.language.isoen
dc.subject世代研究zh_TW
dc.subject表皮生長因子zh_TW
dc.subject基因多型性zh_TW
dc.subject肝細胞癌zh_TW
dc.subjectB 型肝炎病毒zh_TW
dc.subjectGene polymorphismen
dc.subjectCohort studyen
dc.subjectHepatocellular carcinomaen
dc.subjectHepatitis B virusen
dc.subjectEpidermal growth factoren
dc.title表皮生長因子基因多型性和B型肝炎帶原者之肝細胞癌危險性:世代研究zh_TW
dc.titleRole of EGF Gene Functional Polymorphism in the Development
of Hepatocellular Carcinoma among Hepatitis B Carriers
en
dc.typeThesis
dc.date.schoolyear97-2
dc.description.degree碩士
dc.contributor.oralexamcommittee張久瑗,郭育良,莊雅惠
dc.subject.keyword表皮生長因子,基因多型性,肝細胞癌,B 型肝炎病毒,世代研究,zh_TW
dc.subject.keywordEpidermal growth factor,Gene polymorphism,Hepatitis B virus,Hepatocellular carcinoma,Cohort study,en
dc.relation.page32
dc.rights.note有償授權
dc.date.accepted2009-07-23
dc.contributor.author-college公共衛生學院zh_TW
dc.contributor.author-dept流行病學研究所zh_TW
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