State Key Laboratory of Genetic Engineering, Institute of Genetics, School of Life Sciences, Fudan University, Shanghai, People's Republic of China.
Breast Cancer Res Treat. 2010 Sep;123(2):577-80. doi: 10.1007/s10549-010-0784-4. Epub 2010 Feb 12.
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.
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。