MnSOD Val16Ala polymorphism and prostate cancer susceptibility: a meta-analysis involving 8,962 Subjects

MnSOD Val16Ala polymorphism and prostate cancer susceptibility: a meta-analysis involving 8,962 Subjects
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DOI:
10.1007/s00432-009-0742-x
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发表时间:
2010-07-01
影响因子:
3.6
通讯作者:
Chen, Qing
Chen, Qing
中科院分区:
医学3区
文献类型:
--
作者:
Mao, Chen;Qiu, Li-Xin;Chen, Qing

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关于锰超氧化物歧化酶(MnSOD)瓦尔(16)Ala多态性与前列腺癌(PCA)风险之间的关联,已发表的数据尚无定论。为了更精确地估计它们之间的关联,进行了荟萃分析,检索了PubMed和Embase。检索了所有合格的研究。与瓦尔/Ala对比瓦尔/瓦尔相关的PCA风险的合并比值比(OR)和95%置信区间(CI),Ala/Ala与瓦尔/瓦尔,优势模型(Ala/Ala +瓦尔/Ala vs.瓦尔/瓦尔)和隐性模型(Ala/Ala vs.瓦尔/Ala +瓦尔/瓦尔),共纳入12个研究,共8,962例受试者。总体而言,荟萃分析表明,当所有符合条件的研究合并到荟萃分析中时,显著升高的癌症风险与Ala变异基因型相关(对于瓦尔/Ala vs.瓦尔/瓦尔:OR = 1.11,95% CI = 1.00-1.24;对于Ala/Ala vs.瓦尔/瓦尔:OR = 1.22,95% CI = 1.00-1.49;对于显性模型:OR = 1.14,95%CI = 1.03-1.26)。在按种族进行的亚组分析中,发现具有Ala等位基因的高加索人的风险增加具有统计学意义(对于瓦尔/Ala vs.瓦尔/瓦尔:OR = 1.12,95% CI = 1.00-1.25;对于显性模型:OR = 1.14,95% CI = 1.02-1.26)。Meta分析结果提示,MnSOD基因的Ala等位基因是PCA发生的低风险易感基因,尤其是在白种人中。
Published data on the association between manganese superoxide dismutase (MnSOD) Val(16)Ala polymorphism and prostate cancer (PCA) risk are inconclusive. To derive a more precise estimate of the association between them, a meta-analysis was performed.PubMed and Embase were searched. All eligible studies were retrieved. The pooled odds ratio (OR) with 95% confidence interval (CI) for PCA risk associated with Val/Ala versus Val/Val, Ala/Ala versus Val/Val, dominant model (Ala/Ala + Val/Ala vs. Val/Val), and recessive model (Ala/Ala vs. Val/Ala + Val/Val) were estimated, respectively.A total of 12 studies including 8,962 subjects were involved in this meta-analysis. Overall, the meta-analysis indicated that significantly elevated cancer risk was associated with Ala variant genotype when all the eligible studies were pooled into the meta-analysis (for Val/Ala vs. Val/Val: OR = 1.11, 95% CI = 1.00-1.24; for Ala/Ala vs. Val/Val: OR = 1.22, 95% CI = 1.00-1.49; for dominant model: OR = 1.14, 95% CI = 1.03-1.26). In the subgroup analysis by ethnicity, statistically significant increased risks were found among Caucasians with Ala allele (for Val/Ala vs. Val/Val: OR = 1.12, 95% CI = 1.00-1.25; for dominant model: OR = 1.14, 95% CI = 1.02-1.26). However, no significant associations were found in Africans.This meta-analysis suggests that the Ala allele of the MnSOD gene was a low-penetrance susceptible gene in PCA development, especially in Caucasians.