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转化生长因子-β1 多态性与乳腺癌风险:基于 27 项病例对照研究的荟萃分析。

Transforming growth factor-beta1 polymorphisms and breast cancer risk: a meta-analysis based on 27 case-control studies.

机构信息

Breast Disease Center, Southwest Hospital, Third Military Medical University, Gaotanyan Street 29, Chongqing 400038, China.

出版信息

Breast Cancer Res Treat. 2010 Jul;122(1):273-9. doi: 10.1007/s10549-010-0847-6. Epub 2010 Mar 23.

Abstract

The association between transforming growth factor-beta1 (TGF-beta1) gene polymorphisms and breast cancer risk has been widely reported, but results were somewhat controversial and underpowered. To derive a more precise estimation of the relationship between TGF-beta1 polymorphisms and breast cancer risk, we conducted a meta-analysis of all available case-control studies relating the T869C and/or C-509T polymorphisms of the TGF-beta1 gene to the risk of developing breast cancer. Eligible articles were identified by search of databases including MEDLINE, PubMed, Web of Science, EMBASE, and Chinese Biomedical Literature database (CBM) for the period up to March 2010. Finally, a total of 17 articles involving 27 case-control studies were identified, 25 with 20,022 cases and 24,423 controls for T869C polymorphism and eight with 10,633 cases and 13,648 controls for C-509T polymorphism. The pooled ORs were performed for the allele contrasts, additive genetic model, dominant genetic model and recessive genetic model, respectively. Subgroup analysis was also performed by ethnicity for T869C polymorphism. With respect to T869C polymorphism, no association was found in overall analysis (C vs. T: OR = 1.033, 95% CI = 0.996-1.072). In the subgroup analysis by ethnicity, significantly increased risk was found in Caucasian population (C vs. T: OR = 1.051, 95% CI = 1.018-1.085; CC vs. TT + TC: OR = 1.083, 95% CI = 1.019-1.151), but not in Asian population (C vs. T: OR = 1.054, 95% CI = 0.983-1.130). With respect to C-509T polymorphism, no significant association with breast cancer risk was demonstrated in overall analysis (T vs. C: OR = 0.986, 95% CI = 0.936-1.039). It can be concluded that potentially functional TGF-Beta1 T869C polymorphism may play a low penetrance role in breast cancer susceptibility in an ethnicity-specific manner.

摘要

转化生长因子-β1(TGF-β1)基因多态性与乳腺癌风险的关联已被广泛报道,但结果存在一定争议且统计效能不足。为了更精确地评估 TGF-β1 多态性与乳腺癌风险之间的关系,我们对所有相关的病例对照研究进行了荟萃分析,这些研究将 TGF-β1 基因的 T869C 和/或 C-509T 多态性与乳腺癌发病风险联系起来。通过检索 MEDLINE、PubMed、Web of Science、EMBASE 和中国生物医学文献数据库(CBM)等数据库,查找截至 2010 年 3 月的相关文献,确定符合条件的文章。最终,共确定了 17 篇文章,涉及 27 项病例对照研究,其中 25 项研究包含 20022 例病例和 24423 例对照,用于分析 T869C 多态性,8 项研究包含 10633 例病例和 13648 例对照,用于分析 C-509T 多态性。分别进行了等位基因对比、加性遗传模型、显性遗传模型和隐性遗传模型的汇总 OR 值分析。还按种族进行了 T869C 多态性的亚组分析。关于 T869C 多态性,总体分析未发现相关性(C 对 T:OR = 1.033,95%CI = 0.996-1.072)。按种族进行的亚组分析显示,在白种人群中风险显著增加(C 对 T:OR = 1.051,95%CI = 1.018-1.085;CC 对 TT+TC:OR = 1.083,95%CI = 1.019-1.151),但在亚洲人群中无相关性(C 对 T:OR = 1.054,95%CI = 0.983-1.130)。关于 C-509T 多态性,总体分析未显示与乳腺癌风险相关(T 对 C:OR = 0.986,95%CI = 0.936-1.039)。综上所述,TGF-β1 潜在功能的 T869C 多态性可能以特定种族的方式在乳腺癌易感性中发挥低穿透性作用。

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