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TP53 密码子 72 多态性与乳腺癌风险:来自 12226 例病例和 10782 例对照的证据。

Polymorphisms of TP53 codon 72 with breast carcinoma risk: evidence from 12226 cases and 10782 controls.

机构信息

Institute of Cancer, Xinqiao Hospital, Third Military Medical University, Chongqing, PR China.

出版信息

J Exp Clin Cancer Res. 2009 Aug 14;28(1):115. doi: 10.1186/1756-9966-28-115.

Abstract

BACKGROUND

Previously, TP53 codon 72 polymorphisms have been implicated as risk factors for various cancers. A number of studies have conducted on the association of TP53 codon 72 polymorphisms with susceptibility to breast carcinoma and have yielded inconclusive results. The aim of the present study was to derive a more precise estimation of the relationship.

METHODS

We conducted a search in the Medline, EMBASE, OVID, Sciencedirect, and Chinese National Knowledge Infrastructure (CNKI) without a language limitation, covering all papers published up to Jan 2009. The associated literature was acquired through deliberate searching and selected based on the established inclusion criteria for publications.

RESULTS

A total of seventeen case-control studies, including 12226 cases and 10782 controls, met the included criteria and thus were selected. Ultimately, the relevant data were extracted and further analyzed using systematic meta-analyses. Overall, no associations of TP53 codon 72 polymorphisms with breast carcinoma were observed (for Arg/Arg vs Pro/Pro: OR = 1.20; 95%CI = 0.96-1.50; for dominant model: OR = 1.12; 95%CI = 0.96-1.32; for recessive model: OR = 1.13; 95%CI = 0.98-1.31). In the subgroup analysis by ethnicity, statistically similar results were obtained when the data were stratified as Asians, Caucasians and Africans.

CONCLUSION

Collectively, the results of the present study suggest that TP53 codon 72 polymorphisms might not be a low-penetrant risk factor for developing breast carcinoma.

摘要

背景

先前,TP53 密码子 72 多态性已被认为是多种癌症的危险因素。已有多项研究探讨了 TP53 密码子 72 多态性与乳腺癌易感性之间的关系,但结果尚无定论。本研究旨在更准确地评估这种关系。

方法

我们在 Medline、EMBASE、OVID、Sciencedirect 和中国国家知识基础设施(CNKI)上进行了无语言限制的检索,涵盖了截至 2009 年 1 月发表的所有论文。通过有针对性的搜索获取相关文献,并根据已建立的出版物纳入标准进行选择。

结果

共有 17 项病例对照研究,包括 12226 例病例和 10782 例对照,符合纳入标准,因此被选择。最终,提取了相关数据,并使用系统荟萃分析进一步进行了分析。总体而言,TP53 密码子 72 多态性与乳腺癌之间无关联(Arg/Arg 与 Pro/Pro:OR = 1.20;95%CI = 0.96-1.50;显性模型:OR = 1.12;95%CI = 0.96-1.32;隐性模型:OR = 1.13;95%CI = 0.98-1.31)。按种族进行亚组分析时,当数据分层为亚洲人、白种人和非洲人时,得到了统计学上相似的结果。

结论

总体而言,本研究结果表明,TP53 密码子 72 多态性可能不是乳腺癌的低外显度危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8681/3225858/d2121a3b6667/1756-9966-28-115-1.jpg

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