Zhuo Wen-Lei, Wang Yan, Zhuo Xian-Lu, Zhu Bo, Zhu Yi, Chen Zheng-Tang
Institute of Cancer, Xinqiao Hospital, Third Military Medical University, 400038 Chongqing, China.
J Cancer Res Clin Oncol. 2009 Aug;135(8):1081-90. doi: 10.1007/s00432-009-0548-x. Epub 2009 Feb 28.
Previous evidence implicates CYP1A1 and GSTM1 polymorphisms as risk factors for various cancers. A number of studies have been devoted to the association of CYP1A1 or GSTM1 polymorphism with susceptibility to laryngeal carcinoma, with the results inconsistent and inconclusive. The aim of the present study was to assess the possible associations of laryngeal cancer risk with CYP1A1 genetic variation and GSTM1 null genotype respectively.
The associated literature was acquired through deliberate searching and selected based on the established inclusion criteria for publications, then the extracted data were further analyzed using systematic meta-analyses.
The results showed that the overall odds ratio (OR) was 1.32 (95% CI = 1.08-1.61) for CYP1A1 Mspl polymorphism. Using subgroup analysis, the pooled ORs were 1.38 (95% CI = 0.98-1.95) in Asians and 1.29 (95% CI = 1.01-1.65) in Caucasians. For CYP1A1 exon7 polymorphism, the overall OR was 1.38 (95% CI = 0.98-1.95). The overall OR was 1.24 (95% CI = 1.03-1.49) for GSTM1 polymorphism and the pooled ORs were 1.36 (95% CI = 0.75-2.48) in Asians, 1.16 (95% CI = 0.94-1.44) in Caucasians and 1.52 (95% CI = 1.05-2.19) in Turkey population.
The data suggest CPY1A1 MspI polymorphism as a risk factor for laryngeal cancer in Caucasians but not in Asians. However, the results suggest a marked correlation of GSTM1 polymorphism with laryngeal cancer risk in Turkey population but not Caucasians and Asians.
先前的证据表明细胞色素P450 1A1(CYP1A1)和谷胱甘肽S转移酶M1(GSTM1)基因多态性是多种癌症的危险因素。许多研究致力于探讨CYP1A1或GSTM1基因多态性与喉癌易感性的关系,但其结果并不一致且尚无定论。本研究的目的是分别评估CYP1A1基因变异和GSTM1基因缺失型与喉癌风险之间的可能关联。
通过精心检索获取相关文献,并根据既定的纳入标准进行筛选,然后使用系统的荟萃分析对提取的数据进行进一步分析。
结果显示,CYP1A1 Mspl基因多态性的总体比值比(OR)为1.32(95%可信区间[CI]=1.08 - 1.61)。采用亚组分析,亚洲人的合并OR为1.38(95%CI = 0.98 - 1.95),白种人为1.29(95%CI = 1.01 - 1.65)。对于CYP1A1外显子7基因多态性,总体OR为1.38(95%CI = 0.98 - 1.95)。GSTM1基因多态性的总体OR为1.24(95%CI = 1.03 - 1.49),亚洲人的合并OR为1.36(95%CI = 0.75 - 2.48),白种人为1.16(95%CI = 0.94 - 1.44),土耳其人群为1.52(95%CI = 1.05 - 2.19)。
数据表明,CYP1A1 MspI基因多态性是白种人喉癌的危险因素,但在亚洲人中并非如此。然而,结果表明GSTM1基因多态性与土耳其人群的喉癌风险显著相关,但与白种人和亚洲人无关。