Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2000-8-18
pubmed:abstractText
An association between codon-72 p53 polymorphism and risk of human papillomavirus (HPV)-induced cervical cancer has been found recently, but it has been difficult to replicate. In this study, we assess the impact of inter-laboratory variation in p53 genotyping on the validity of the proposed association. DNA specimens were randomly selected from 54 invasive, squamous cell carcinoma cases, 52 HPV-negative, and 39 HPV-positive controls from a previous case-control study in Brazil. Codon-72 polymorphism was blindly analyzed in three different laboratories. We calculated age- and race-adjusted odds ratios (OR) and 95% confidence intervals (CI) using logistic regression for gauging the association between p53 polymorphism and cervical cancer risk. The proportions of the Arg/Arg, Arg/Pro, and Pro/Pro genotypes varied substantially among laboratories with Kappa coefficients in the 0.49-0.63 range. When disagreement between labs was allowed, the OR for the Arg/Arg genotype, compared to other forms, was as low as 1.5 (95% CI: 0.5-3. 9). In contrast, the OR increased to 8.0 (95% CI: 2.3-28.5) after exclusion of discordant genotypes. Restricting the comparison to HPV-positive controls increased the magnitude of the relation appreciably. After exclusion of all discordant diagnoses, the OR was 21.5 (95% CI: 3.4-137.8), whereas with disagreed genotypes the association was not significant (OR = 2.9, 95% CI: 0.7-11.9). Homozygous codon-72 p53-Arg apparently confers a higher susceptibility to HPV-associated cervical tumorigenesis. However, exposure misclassification consequent to inter-laboratory variation in protocols may affect the ability to detect the association.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0020-7136
pubmed:author
pubmed:copyrightInfo
Copyright 2000 Wiley-Liss, Inc.
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
87
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
528-33
pubmed:dateRevised
2007-7-24
pubmed:meshHeading
pubmed-meshheading:10918193-Adult, pubmed-meshheading:10918193-Aged, pubmed-meshheading:10918193-Arginine, pubmed-meshheading:10918193-Case-Control Studies, pubmed-meshheading:10918193-Cocarcinogenesis, pubmed-meshheading:10918193-Codon, pubmed-meshheading:10918193-Female, pubmed-meshheading:10918193-Genes, p53, pubmed-meshheading:10918193-Genotype, pubmed-meshheading:10918193-Humans, pubmed-meshheading:10918193-Middle Aged, pubmed-meshheading:10918193-Observer Variation, pubmed-meshheading:10918193-Papillomaviridae, pubmed-meshheading:10918193-Papillomavirus Infections, pubmed-meshheading:10918193-Polymorphism, Genetic, pubmed-meshheading:10918193-Reproducibility of Results, pubmed-meshheading:10918193-Risk Factors, pubmed-meshheading:10918193-Tumor Suppressor Protein p53, pubmed-meshheading:10918193-Tumor Virus Infections, pubmed-meshheading:10918193-Uterine Cervical Neoplasms
pubmed:year
2000
pubmed:articleTitle
P53 polymorphism in codon 72 and risk of human papillomavirus-induced cervical cancer: effect of inter-laboratory variation.
pubmed:affiliation
Department of Oncology, McGill University, Montreal, Canada.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't