Department of Epidemiology, Faculty of Preventive Medicine, Third Military Medical University, Gaotanyan Street 30, Chongqing, 400038, China.
Breast Cancer Res Treat. 2010 Jul;122(2):509-14. doi: 10.1007/s10549-009-0725-2. Epub 2010 Jan 6.
Breast cancer is the most common cancer in women worldwide, but its etiology is still unclear. It is believed that oxidative stress plays an essential role in the development of breast cancer, while SOD2 is one of the primary enzymes that directly convert potential harmful oxidizing species to harmless metabolites. The association of SOD2 Val16Ala polymorphism and breast cancer risk has been widely reported, but results of previous studies were somewhat contradictory and underpowered. To overcome the limitations of individual study and to understand the real situation, we conducted a systematic review and meta-analysis toward the association between SOD2 Val16Ala polymorphism and breast cancer. Through retrieving MEDLINE, PubMed, Embase, and Web of Science, a total of 17 studies with 9,710 cases and 11,041 controls were identified. The results showed that no significant associations were found for the allele contrast (allele Ala vs. allele Val: OR = 1.020, 95% CI = 0.979-1.062), additive genetic model (Ala/Ala vs. Val/Val: OR = 1.091, 95% CI = 0.969-1.229), dominant genetic model (Ala/Ala +Ala/Val vs. Val/Val: OR = 1.045, 95% CI = 0.961-1.136), and recessive genetic model (Ala/Ala vs. Val/Val +Ala/Val: OR = 1.027, 95% CI = 0.956-1.102). In the stratified analysis by ethnicity and menopausal status, significant associations were also not detected in all genetic models. Conclusively, this meta-analysis strongly suggests that SOD2 Val16Ala polymorphism is not associated with breast cancer susceptibility.
乳腺癌是全世界女性最常见的癌症,但其病因仍不清楚。据信,氧化应激在乳腺癌的发展中起着至关重要的作用,而 SOD2 是将潜在有害的氧化物质直接转化为无害代谢物的主要酶之一。SOD2 Val16Ala 多态性与乳腺癌风险的关联已被广泛报道,但先前研究的结果有些矛盾且效力不足。为了克服单个研究的局限性并了解真实情况,我们对 SOD2 Val16Ala 多态性与乳腺癌之间的关联进行了系统评价和荟萃分析。通过检索 MEDLINE、PubMed、Embase 和 Web of Science,共确定了 17 项研究,包括 9710 例病例和 11041 例对照。结果表明,等位基因对比(等位基因 Ala 对等位基因 Val:OR = 1.020,95%CI = 0.979-1.062)、加性遗传模型(Ala/Ala 对 Val/Val:OR = 1.091,95%CI = 0.969-1.229)、显性遗传模型(Ala/Ala +Ala/Val 对 Val/Val:OR = 1.045,95%CI = 0.961-1.136)和隐性遗传模型(Ala/Ala 对 Val/Val +Ala/Val:OR = 1.027,95%CI = 0.956-1.102)均无显著相关性。按种族和绝经状态进行分层分析,所有遗传模型也未检测到显著相关性。综上所述,本荟萃分析强烈表明 SOD2 Val16Ala 多态性与乳腺癌易感性无关。