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不同人群中XRCC1基因多态性与乳腺癌风险的荟萃分析

XRCC1 gene polymorphisms and breast cancer risk in different populations: a meta-analysis.

作者信息

Li Huihua, Ha Tam Cam, Tai Bee Choo

机构信息

Clinical Trials and Epidemiological Sciences, National Cancer Centre, 11 Hospital Drive, Singapore 169610, Republic of Singapore.

出版信息

Breast. 2009 Jun;18(3):183-91. doi: 10.1016/j.breast.2009.03.008. Epub 2009 May 14.

Abstract

We performed a meta-analysis to investigate the role of XRCC1 polymorphisms Arg194Trp, Arg280His and Arg399Gln in breast cancer. The results were pooled in a manner that appropriately reflects a biological model of gene effect using a random effects logistic regression model without multiple comparisons. Forty studies from 31 reports were included with 10 465 cases and 10 888 controls at Arg194Trp, 6156 cases and 5806 controls at Arg280His, and 21 467 cases and 22 766 controls at Arg399Gln. Our analysis found a tendency towards a recessive effect of Arg280His variant in Asian population only (His/His vs. Arg/Arg+Arg/His: OR=2.27, 95% CI=0.82, 6.31). An increased breast cancer risk with a recessive effect was also suggested for Arg399Gln variant in Asian population (Gln/Gln vs. Arg/Arg+Arg/Gln: OR=1.59, 95% CI=1.22, 2.09) only. These findings suggest that polymorphisms Arg280His and Arg399Gln may modify breast cancer risk differently in Caucasian and Asian populations.

摘要

我们进行了一项荟萃分析,以研究XRCC1基因多态性位点Arg194Trp、Arg280His和Arg399Gln在乳腺癌中的作用。采用随机效应逻辑回归模型,以适当反映基因效应生物学模型的方式汇总结果,且不进行多重比较。纳入了来自31篇报告的40项研究,其中Arg194Trp位点有10465例病例和10888例对照,Arg280His位点有6156例病例和5806例对照,Arg399Gln位点有21467例病例和22766例对照。我们的分析发现,仅在亚洲人群中,Arg280His变异体存在隐性效应的趋势(His/His vs. Arg/Arg+Arg/His:比值比=2.27,95%置信区间=0.82,6.31)。同样仅在亚洲人群中,也提示Arg399Gln变异体存在隐性效应且乳腺癌风险增加(Gln/Gln vs. Arg/Arg+Arg/Gln:比值比=1.59,95%置信区间=1.22,2.09)。这些发现表明,Arg280His和Arg399Gln多态性在白种人和亚洲人群中对乳腺癌风险的影响可能不同。

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