School of Medicine, National University of Athens, Greece.
Eur J Cancer. 2010 Jun;46(9):1617-31. doi: 10.1016/j.ejca.2010.02.009. Epub 2010 Mar 6.
Glutathione S-transferases (GSTs) catalyse reactions between glutathione and lipophilic compounds with electrophilic centres, leading to neutralisation of toxic compounds, xenobiotics and products of oxidative stress. Controversy exists about whether GST polymorphisms (GSTM1 null/present genotype, GSTT1 null/present genotype, GSTP1 Ile105Val and GSTA1 *A/*B) represent risk factors for colorectal cancer. This meta-analysis aims to examine the associations between the above-mentioned polymorphisms and colorectal cancer risk. Forty-four studies were eligible for GSTM1 (11,998 colorectal cancer cases, 17,552 controls), 34 studies for GSTT1 (8596 cases, 13,589 controls), 19 studies for GSTP1 (5421 cases, 7671 controls) and four studies for GSTA1 polymorphism (1648 cases, 2039 controls). Pooled odds ratios (ORs) were appropriately derived from fixed-effects or random-effects models. Separate analyses were conducted on Caucasian and Chinese populations. Where appropriate, sensitivity analysis concerning the deviation of genotype frequencies in controls from the Hardy-Weinberg equilibrium was performed. GSTM1 null allele carriers exhibited increased colorectal cancer risk in Caucasian populations (pooled OR=1.150, 95% confidence interval (CI): 1.060-1.248, random effects); no significant association was detected for Chinese subjects (pooled OR=1.025, 95% CI: 0.903-1.163, fixed effects). Similarly, GSTT1 null allele carriers exhibited increased colorectal cancer risk in Caucasian populations (pooled OR=1.312, 95% CI: 1.119-1.538, random effects); the association in Chinese subjects was not significant (pooled OR=1.068, 95% CI: 0.788-1.449, random effects). Concerning GSTP1 Ile105Val no significant associations were demonstrated in either race. GSTA1 *A/*B polymorphism was not associated with colorectal cancer risk. GSTM1 and GSTT1 null genotypes confer additional risk for colorectal cancer in Caucasian populations.
谷胱甘肽 S-转移酶 (GSTs) 催化谷胱甘肽与具有亲电中心的亲脂化合物之间的反应,导致有毒化合物、外源性化学物质和氧化应激产物中性化。GST 多态性(GSTM1 缺失/存在基因型、GSTT1 缺失/存在基因型、GSTP1 Ile105Val 和 GSTA1 *A/*B)是否代表结直肠癌的危险因素存在争议。本荟萃分析旨在研究上述多态性与结直肠癌风险之间的关系。有 44 项研究符合 GSTM1 纳入标准(11998 例结直肠癌病例,17552 例对照),34 项研究符合 GSTT1 纳入标准(8596 例病例,13589 例对照),19 项研究符合 GSTP1 纳入标准(5421 例病例,7671 例对照),4 项研究符合 GSTA1 多态性纳入标准(1648 例病例,2039 例对照)。使用固定效应或随机效应模型适当推导了汇总比值比 (OR)。在白人和中国人中分别进行了分析。在适当的情况下,针对对照人群基因型频率偏离哈迪-温伯格平衡进行了敏感性分析。GSTM1 缺失等位基因携带者在白人群体中结直肠癌风险增加(汇总 OR=1.150,95%置信区间 (CI):1.060-1.248,随机效应);中国人群中未检测到显著相关性(汇总 OR=1.025,95%CI:0.903-1.163,固定效应)。同样,GSTT1 缺失等位基因携带者在白人群体中结直肠癌风险增加(汇总 OR=1.312,95%CI:1.119-1.538,随机效应);中国人群中的相关性不显著(汇总 OR=1.068,95%CI:0.788-1.449,随机效应)。关于 GSTP1 Ile105Val,两种人群均未显示出显著相关性。GSTA1 *A/*B 多态性与结直肠癌风险无关。GSTM1 和 GSTT1 缺失基因型在白人群体中增加了结直肠癌的风险。