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HSD17B1 Ser312Gly 多态性与乳腺癌风险的关联:一项包含 31053 例受试者的荟萃分析。

The association between HSD17B1 Ser312Gly polymorphism and breast cancer risk: a meta-analysis including 31,053 subjects.

机构信息

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

出版信息

Breast Cancer Res Treat. 2010 Sep;123(2):577-80. doi: 10.1007/s10549-010-0784-4. Epub 2010 Feb 12.

Abstract

There are increasing evidences that HSD17B1 plays a significant role in the development of breast cancer. However, published data on the association between HSD17B1 Ser312Gly polymorphism and breast cancer risk are inconclusive. In order to derive a more precise estimation of this relationship, a meta-analysis including 9 studies with 31,053 subjects was performed in this study. Crude ORs with 95% CIs were used to assess the strength of association between HSD17B1 Ser312Gly polymorphism and breast cancer risk. The pooled ORs were performed for codominant model (Gly/Gly versus Ser/Ser, Gly/Ser versus Ser/Ser), dominant model (Gly/Gly + Gly/Ser versus Ser/Ser), and recessive model (Gly/Gly versus Gly/Ser + Ser/Ser), respectively. Overall, no significant associations were detected between HSD17B1 Ser312Gly polymorphism and breast cancer susceptibility. However, in the stratified analysis by ethnicity, significant associations were observed in Caucasians for Gly/Gly versus Ser/Ser (OR = 0.91; 95% CI 0.83-1.00), Gly/Ser versus Ser/Ser (OR = 0.92; 95% CI 0.85-0.99), and Gly/Gly + Gly/Ser versus Ser/Ser (OR = 0.92; 95% CI 0.86-0.98). In conclusion, this study suggests that HSD17B1 312Gly allele may be a protective factor for breast cancer development in Caucasians. 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

越来越多的证据表明 HSD17B1 在乳腺癌的发展中起着重要作用。然而,关于 HSD17B1 Ser312Gly 多态性与乳腺癌风险之间的关联的已发表数据尚无定论。为了更准确地评估这种关系,本研究对 9 项研究进行了荟萃分析,共纳入 31053 例受试者。使用未经调整的 OR 和 95%CI 来评估 HSD17B1 Ser312Gly 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(Gly/Gly 与 Ser/Ser、Gly/Ser 与 Ser/Ser)、显性模型(Gly/Gly+Gly/Ser 与 Ser/Ser)和隐性模型(Gly/Gly 与 Gly/Ser+Ser/Ser)进行汇总 OR 分析。总体而言,HSD17B1 Ser312Gly 多态性与乳腺癌易感性之间没有显著关联。然而,在按种族分层的分析中,在白种人中观察到 Gly/Gly 与 Ser/Ser(OR=0.91;95%CI 0.83-1.00)、Gly/Ser 与 Ser/Ser(OR=0.92;95%CI 0.85-0.99)和 Gly/Gly+Gly/Ser 与 Ser/Ser(OR=0.92;95%CI 0.86-0.98)之间存在显著关联。总之,本研究表明 HSD17B1 312Gly 等位基因可能是白种人乳腺癌发展的保护因素。然而,需要进行大样本、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组,以证实这一发现。

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