Department of Medical Oncology, Cancer Hospital, Fudan University, Shanghai, China.
Breast Cancer Res Treat. 2010 Jul;122(2):489-93. doi: 10.1007/s10549-009-0726-1. Epub 2010 Jan 5.
Published data on the association between XRCC3 5'-UTR and IVS5-14 polymorphisms and breast cancer risk are inconclusive. In order to derive a more precise estimation of the relationship, a meta-analysis was performed. Crude ORs with 95% CIs were used to assess the strength of association between these polymorphisms and breast cancer risk. The pooled ORs were performed for codominant model, dominant model, and recessive model, respectively. A total of four studies were involved in the meta-analysis with 6,303 cases and 6,563 controls for XRCC3 5'-UTR polymorphism and with 6,270 cases and 6,682 controls for XRCC3 IVS5-14 polymorphism. For XRCC3 5'-UTR A/G polymorphism, significantly elevated breast cancer risk was associated with variant genotype when all studies were pooled into the meta-analysis (AG vs. AA: OR = 1.11, 95% CI = 1.03-1.19; dominant model: OR = 1.09, 95% CI = 1.01-1.17). For XRCC3 IVS5-14 A/G polymorphism, significantly decreased breast cancer risk was associated with variant genotype (GG vs. AA: OR = 0.86, 95% CI = 0.77-0.96). In conclusion, this meta-analysis suggests that the variant G allele of XRCC3 5'-UTR polymorphism is a low-penetrant risk factor for developing breast cancer, while the variant G allele of XRCC3 IVS5-14 polymorphism has a protective effect on breast cancer development.
发表的关于 XRCC3 5'-UTR 和 IVS5-14 多态性与乳腺癌风险之间关联的数据尚无定论。为了更精确地评估这种关系,进行了荟萃分析。使用粗 OR 和 95%CI 来评估这些多态性与乳腺癌风险之间的关联强度。分别进行了共显性模型、显性模型和隐性模型的合并 OR 分析。共有四项研究纳入了 XRCC3 5'-UTR 多态性的荟萃分析,其中包括 6303 例病例和 6563 例对照,以及 XRCC3 IVS5-14 多态性的 6270 例病例和 6682 例对照。对于 XRCC3 5'-UTR A/G 多态性,当所有研究合并进行荟萃分析时,与变异基因型相关的乳腺癌风险显著升高(AG 与 AA:OR = 1.11,95%CI = 1.03-1.19;显性模型:OR = 1.09,95%CI = 1.01-1.17)。对于 XRCC3 IVS5-14 A/G 多态性,与变异基因型相关的乳腺癌风险显著降低(GG 与 AA:OR = 0.86,95%CI = 0.77-0.96)。综上所述,本荟萃分析表明,XRCC3 5'-UTR 多态性的变异 G 等位基因是乳腺癌发生的低外显率风险因素,而 XRCC3 IVS5-14 多态性的变异 G 等位基因对乳腺癌的发生具有保护作用。