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International Journal of Clinical Oncology

, Volume 24, Issue 5, pp 476–484 | Cite as

STAT3 rs4796793 contributes to lung cancer risk and clinical outcomes of platinum-based chemotherapy

  • Wei-Jing Gong
  • Li-Yun Ma
  • Lei Hu
  • Yong-Ning Lv
  • Hong Huang
  • Jia-Qiang Xu
  • Dan-Dan Huang
  • Rui-Jie Liu
  • Yong Han
  • Yu Zhang
  • Shao-Jun Shi
  • San-Lan WuEmail author
Article
  • 149 Downloads

Abstract

Background

Signal transducer and activator of transcription (STAT) 3 plays a vital role in carcinogenesis and drug response. Platinum-based chemotherapy is the first-line treatment for lung cancer patients, especially those in advanced stages. In the present study, we investigated the association of STAT3 polymorphism rs4796793 with lung cancer susceptibility, platinum-based chemotherapy response, and toxicity.

Methods

A total of 498 lung cancer patients and 213 healthy controls were enrolled in the study. 467 of them received at least 2-cycle platinum-based chemotherapy. Unconditional logistical regression analysis was used to assess the associations.

Results

STAT3 rs4769793 G allele carriers had an increased susceptibility of lung cancer [additive model: adjusted OR (95% CI) 1.376 (1.058–1.789), P = 0.017; recessive model: adjusted OR (95% CI) 1.734 (1.007–2.985), P = 0.047]. Rs4769793 was not significantly associated with platinum-based chemotherapy response in lung cancer patients. STAT3 rs4796793 was associated with an increased risk of severe overall toxicity [additive model: adjusted OR (95% CI) 1.410 (1.076–1.850), P = 0.013; dominant model: adjusted OR (95% CI) 1.638 (1.091–2.459), P = 0.017], especially hematological toxicity [additive model: adjusted OR (95% CI) 1.352 (1.001–1.826), P = 0.049].

Conclusions

STAT3 rs4796793 may be considered as a potential candidate biomarker for the prediction of susceptibility and prognosis in Chinese lung cancer patients. However, well-designed studies with larger sample sizes are required to verify the results.

Keywords

STAT3 rs4769793 Lung cancer Susceptibility Platinum-based chemotherapy Prognosis 

Notes

Acknowledgements

The authors thank all the subjects who volunteered to take part in the study.

Funding

The work was supported by the National Key R&D Program of China (No. 2017YFC0909900) and Hubei Province health and family planning scientific research project (WJ2017M118).

Compliance with ethical standards

Conflict of interest

All authors have no conflict of interest to disclose.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

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Copyright information

© Japan Society of Clinical Oncology 2019

Authors and Affiliations

  1. 1.Department of Pharmacy, Union Hospital, Tongji Medical CollegeHuazhong University of Science and TechnologyWuhanChina
  2. 2.Department of PharmacyPeking University People’s HospitalBeijingChina
  3. 3.Wuhan Highway Management OfficeWuhanChina
  4. 4.Department of Nursing, Union Hospital, Tongji Medical CollegeHuazhong University of Science and TechnologyWuhanChina
  5. 5.Department of Pathology, Xiangya HospitalCentral South UniversityChangshaChina

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