Two DNA repair gene polymorphisms on the risk of gastrointestinal cancers: a meta-analysis

Two DNA repair gene polymorphisms on the risk of gastrointestinal cancers: a meta-analysis
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两种 DNA 修复基因多态性与胃肠道癌症风险的荟萃分析

DOI:
10.1007/s13277-013-1320-z
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发表时间:
2014-03
期刊:
影响因子:
--
通讯作者:
Li Liu
Li Liu
中科院分区:
--
文献类型:
--
作者:
Xiangquan Kong;Yamei Zheng;Jianxu Li;Li Liu

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PARP-1和MGMT在DNA修复系统中起重要作用,因此与人类肿瘤发生有关。然而,研究最多的PARP-1 rs 1136410:T > C和MGMTrs 12917:C > T多态性与胃肠道(GI)癌风险之间的相关性报道结果不确定。因此,对23项已发表的病例对照研究进行了荟萃分析,以使用粗比值比(OR)和95%置信区间(CI)评估关联强度。总体而言,PARP-1 rs 1136410:T > C多态性的C等位基因与GI癌易感性增加显著相关(纯合子比较:OR = 1.43,95% CI 1.14-1.81;杂合子比较:OR = 1.18,95% CI 1.07-1.29;显性模型:OR = 1.23,95% CI 1.12-1.35;隐性模式:OR = 1.30,95% CI 1.04-1.62;等位基因比较:OR = 1.19,95% CI 1.07-1.32)。在亚组分析中,在亚洲人群、胃癌和高质量研究中发现了明显的相关性。对于MGMTrs 12917:C > T多态性,所有遗传模型总体上没有发现明显的关联。然而,在亚组分析中,我们发现T等位基因与杂合子(OR = 0.83,95% CI 0.70-0.97)和显性模型(OR = 0.84,95% CI 0.72-0.98)的结直肠癌风险降低显着相关。综上所述,PARP-1 rs 1136410:T > C多态性是GI癌的易感因素,而MGMTrs 12917:C > T多态性是结直肠癌的保护因素。大规模和精心设计的病例对照研究是必要的,以验证本荟萃分析中确定的风险。
PARP-1andMGMTplay an important role in the DNA repair system and therefore have been implicated in human carcinogenesis. However, the association between the most studiedPARP-1rs1136410: T > C andMGMTrs12917: C > T polymorphism and risk of gastrointestinal (GI) cancers was reported with inconclusive results. Accordingly, a meta-analysis of 23 published case–control studies was conducted to assess the strength of association using crude odds ratios (ORs) with 95 % confidence intervals (CIs). Overall, the C allele ofPARP-1rs1136410: T > C polymorphism was significantly associated with increased susceptibility of GI cancers (homozygote comparison: OR = 1.43, 95 % CI 1.14–1.81; heterozygote comparison: OR = 1.18, 95 % CI 1.07–1.29; dominant model: OR = 1.23, 95 % CI 1.12–1.35; recessive model: OR = 1.30, 95 % CI 1.04–1.62; allelic comparison: OR = 1.19, 95 % CI 1.07–1.32). In the subgroup analysis, still obvious associations were found in the Asian population, gastric cancer, and high-quality studies. ForMGMTrs12917: C > T polymorphism, no obvious associations were found for all genetic models overall. However, in the subgroup analysis, we found that the T allele was significantly associated with reduced colorectal cancer risk for heterozygote (OR = 0.83, 95 % CI 0.70–0.97) and dominant model (OR = 0.84, 95 % CI 0.72–0.98). In conclusion, this meta-analysis suggests that thePARP-1rs1136410: T > C polymorphism is a susceptibility factor for GI cancers, but the variant allele ofMGMTrs12917: C > T polymorphism appears to be a protective factor for colorectal cancer. Large-scale and well-designed case–control studies are necessary to validate the risk identified in the present meta-analysis.
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