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Updated: Oct 3, 2025

Heterotypic Three-dimensional In Vitro Modeling of Stromal-Epithelial Interactions During Ovarian Cancer Initiation and Progression
Published on: August 28, 2012
CTLA-4 polymorphism contributes to the genetic susceptibility of epithelial ovarian cancer
Juan Chen1, Shan Kang1, Jianlei Wu1
1Department of Obstetrics and Gynaecology, Hebei Medical University, Fourth Hospital, Shijiazhuang, China.
Aim:
Cytotoxic T-lymphocyte antigen-4 (CTLA-4), an inhibitory molecule on T-cells, plays a key role in tumorigenesis and progression. In the present study, we investigated the effects of three polymorphisms in the CTLA-4 gene on the risk of epithelial ovarian cancer and the clinical outcomes of patients.
Methods:
A case-control study was performed in 527 epithelial ovarian cancer patients and 532 controls. Genotypes of three polymorphisms were determined by polymerase chain reaction/ligase detection reaction. A survival analysis was performed in 346 patients who were followed up for more than 3 years and 208 patients who were followed up for more than 5 years.
Results:
There were significant differences in the genotype and allele distribution frequencies of the rs5742909 C/T polymorphism in CTLA-4 between patients and controls (p = 0.009 and p = 0.04, respectively). Compared with the CC genotype, the CT + TT genotype may significantly decrease the risk of developing epithelial ovarian cancer (OR = 0.69, 95% CI = 0.52-0.91). However, no significant association between the rs231775 G/A and rs3087243 G/A polymorphisms and epithelial ovarian cancer risk was observed. The survival analysis showed that three polymorphisms may not be related to the clinical outcomes of patients.
Conclusion:
Our results suggested that the rs5742909 C/T polymorphism of CTLA-4 may decrease the genetic susceptibility to epithelial ovarian cancer among northern Chinese women.
Insights
The CTLA-4 rs5742909 C/T polymorphism may reduce the risk of developing epithelial ovarian cancer in northern Chinese women. This specific CTLA-4 gene variant was associated with decreased genetic susceptibility to this cancer.
Area of Science:
- Immunogenetics
- Cancer Genetics
- Molecular Epidemiology
Background:
- Cytotoxic T-lymphocyte antigen-4 (CTLA-4) is an inhibitory T-cell molecule crucial in cancer development.
- Understanding genetic variations in CTLA-4 can offer insights into cancer susceptibility.
Purpose of the Study:
- To investigate the association between CTLA-4 gene polymorphisms and epithelial ovarian cancer risk.
- To evaluate the impact of these polymorphisms on patient clinical outcomes.
Main Methods:
- A case-control study involving 527 epithelial ovarian cancer patients and 532 controls.
- Genotyping of three CTLA-4 polymorphisms (rs5742909, rs231775, rs3087243) using PCR/LDR.
- Survival analysis was conducted on patient cohorts with 3-year and 5-year follow-ups.
Main Results:
- The rs5742909 C/T polymorphism showed significant differences in genotype and allele frequencies between cases and controls (p=0.009, p=0.04).
- Carriers of the CT or TT genotypes for rs5742909 had a reduced risk of epithelial ovarian cancer (OR=0.69).
- No significant associations were found for rs231775 and rs3087243 polymorphisms with cancer risk or for any of the three polymorphisms with clinical outcomes.
Conclusions:
- The CTLA-4 rs5742909 C/T polymorphism is associated with a decreased genetic susceptibility to epithelial ovarian cancer.
- This finding is specific to the northern Chinese female population studied.
- CTLA-4 polymorphisms did not appear to influence the clinical outcomes in this patient group.
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