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TGFB1 L10P 多态性与乳腺癌易感性相关:一项包含 47817 例个体的荟萃分析证据。

TGFB1 L10P polymorphism is associated with breast cancer susceptibility: evidence from a meta-analysis involving 47,817 subjects.

机构信息

Department of Medical Oncology, Cancer Hospital, Fudan University, Shanghai, China.

出版信息

Breast Cancer Res Treat. 2010 Sep;123(2):563-7. doi: 10.1007/s10549-010-0781-7. Epub 2010 Feb 9.

Abstract

Published data on the association between TGFB1 L10P polymorphism 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 them. A total of 30 studies including 20,401 cases and 27,416 controls were involved in this meta-analysis. Overall, significantly elevated breast cancer risk was associated with TGFB1 10P allele when all studies were pooled into the meta-analysis (LP vs. LL: OR = 1.046, 95% CI = 1.003-1.090; dominant model: OR = 1.052, 95% CI = 1.012-1.095). In the subgroup analysis by ethnicity, statistically significantly elevated risk was found in Caucasians (dominant model: OR = 1.045, 95% CI = 1.001-1.091). When stratified by study design, statistically significantly elevated risk was found based on population-based studies (dominant model: OR = 1.076, 95% CI = 1.019-1.136). In conclusion, this meta-analysis suggests that the TGFB1 10P allele may be a low-penetrant risk factor for developing breast cancer. However, large sample and representative population-based studies with homogeneous breast cancer patients and well-matched controls are warranted to confirm this finding.

摘要

关于 TGFB1 L10P 多态性与乳腺癌风险之间的关联,已有发表的数据尚无定论。为了更准确地评估这种关系,进行了荟萃分析。使用粗 OR 值和 95%CI 来评估它们之间的关联强度。共有 30 项研究,包括 20401 例病例和 27416 例对照,纳入了这项荟萃分析。总的来说,当所有研究都纳入荟萃分析时,TGFB1 10P 等位基因与乳腺癌风险显著升高相关(LP 与 LL:OR=1.046,95%CI=1.003-1.090;显性模型:OR=1.052,95%CI=1.012-1.095)。按种族亚组分析,在白种人中发现风险显著升高(显性模型:OR=1.045,95%CI=1.001-1.091)。按研究设计分层分析,基于基于人群的研究发现风险显著升高(显性模型:OR=1.076,95%CI=1.019-1.136)。总之,这项荟萃分析表明,TGFB1 10P 等位基因可能是乳腺癌发生的低外显度风险因素。然而,需要进行大样本、具有代表性的基于人群的研究,纳入同质的乳腺癌患者和匹配良好的对照,以证实这一发现。

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