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CYP17 T-34C 多态性与乳腺癌风险之间无关联:一项涉及 58814 例受试者的荟萃分析。

No association between CYP17 T-34C polymorphism and breast cancer risk: a meta-analysis involving 58,814 subjects.

机构信息

State Key Laboratory of Genetic Engineering, Institute of Genetics, School of Life Sciences, Fudan University, 200433 Shanghai, People's Republic of China.

出版信息

Breast Cancer Res Treat. 2010 Jul;122(1):221-7. doi: 10.1007/s10549-009-0679-4. Epub 2009 Dec 15.

Abstract

Breast cancer is one of the most common malignant tumors worldwide. To date, many articles have evaluated the association between Cytochrome P450c17 (CYP17) T-34C polymorphism and breast cancer risk. However, the results remain inconclusive. In order to derive a more precise estimation of the association, a meta-analysis was performed in this study. By searching Medline, ISI Web of Knowledge, Cochrane, ScienceDirect, EBSCO, CNKI, and SinoMed databases, 43 studies including 26,008 cases and 32,806 controls were collected for CYP17 T-34C polymorphism. Crude ORs with 95% CIs were used to assess the strength of association between CYP17 T-34C polymorphism and breast cancer risk. The pooled ORs were performed for codominant model, dominant model, and recessive model, respectively. Overall, no significant associations between CYP17 T-34C polymorphism and breast cancer susceptibility were found for TT versus CC (OR = 0.96; 95% CI: 0.89-1.05), TC versus CC (OR = 0.97; 95% CI: 0.89-1.06), TT + TC versus CC (OR = 0.97; 95% CI: 0.89-1.05) and TT versus TC + CC (OR = 0.98; 95% CI: 0.93-1.03). In the stratified analysis by ethnicity, menopausal status, and sources of controls, significant associations were still not detected in all genetic models. In conclusion, this meta-analysis strongly suggests that CYP17 T-34C polymorphism is not associated with breast cancer risk.

摘要

乳腺癌是全球最常见的恶性肿瘤之一。迄今为止,已有许多文章评估了细胞色素 P450c17(CYP17)T-34C 多态性与乳腺癌风险之间的关系。然而,结果仍不确定。为了更准确地评估这种关联,本研究进行了荟萃分析。通过检索 Medline、ISI Web of Knowledge、Cochrane、ScienceDirect、EBSCO、CNKI 和 SinoMed 数据库,共收集了 43 项研究,包括 26008 例病例和 32806 例对照,用于 CYP17 T-34C 多态性分析。使用粗比值比(OR)及其 95%置信区间(CI)来评估 CYP17 T-34C 多态性与乳腺癌风险之间的关联强度。分别采用共显性模型、显性模型和隐性模型进行汇总 OR 分析。总体而言,未发现 CYP17 T-34C 多态性与乳腺癌易感性之间存在显著关联,TT 与 CC 相比(OR=0.96;95%CI:0.89-1.05),TC 与 CC 相比(OR=0.97;95%CI:0.89-1.06),TT+TC 与 CC 相比(OR=0.97;95%CI:0.89-1.05),TT 与 TC+CC 相比(OR=0.98;95%CI:0.93-1.03)。按种族、绝经状态和对照来源进行分层分析后,在所有遗传模型中仍未发现显著关联。总之,本荟萃分析强烈提示 CYP17 T-34C 多态性与乳腺癌风险无关。

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