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National Cancer Center Research Institute, Tokyo, Japan [T. A. D., S. H., T. N., J. Y., M. N.]; Istituto Nazionale Tumori, 20133 Milan, Italy [T. A. D., G. M.]; Japanese Red Cross Central Blood Center, Tokyo, Japan [T. J.]; Saitama Cancer Center Research Institute, Saitama, Japan [K. K.]; Kanagawa Cancer Center Research Institute, Yokohama, Japan [M. K., M. O-K.]; Hamamatsu University of Medicine, Hamamatsu, Japan [H. S.]; National Okinawa Hospital, Okinawa, Japan [K. G.]; and Aichi Cancer Center Research Institute, Nagoya, Japan [T. T., T. M.]
Pulmonary adenoma susceptibility 1 (Pas1), the
major locus affecting inherited predisposition to lung tumor
development in mice, maps near the Kras2 gene. We
previously reported a significant association between a
KRAS2/RsaI polymorphism and the risk and prognosis of
lung adenocarcinoma (ADCA) in the Italian population. In the present
case-control study, we examined 269 lung ADCA patients, 121 squamous
cell lung carcinoma patients, and 632 healthy individuals (general
population controls) in the Japanese population with genetic markers
spanning
1200 kb in the KRAS2 region. Allele-specific
oligonucleotide hybridization revealed the same
KRAS2/RsaI polymorphism associated with risk and
prognosis as in Italian lung ADCA patients; the polymorphism was
significantly associated with clinical stage
(P < 0.001) and survival rate (log
rank = 0.0014), confirming the mapping of PAS1 and
pointing to the role of this locus in human lung cancer.
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