Evidence-Based Medicine Group, Department of Surgery, The Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, China.
Breast Cancer Res Treat. 2011 Jan;125(1):201-5. doi: 10.1007/s10549-010-0920-1. Epub 2010 May 23.
Conflicting data have been published as to the possible association between polymorphism in codon 72 of the TP53 tumor suppressor gene and the risk of developing breast cancer. In order to address this question, we carried out a meta-analysis of 21 studies of and this polymorphism and breast cancer risk, which collectively included 12,601 cases and 11,462 controls. Studies were identified by searching the Medline, PubMed, Embase, and ISI Web of Knowledge databases. The strength of association between the TP53 codon 72 polymorphism and breast cancer risk was assessed by calculating crude OR values with 95% CIs, with pooled OR values calculated separately for three genetic inheritance models. We found no significant association between TP53 codon 72 polymorphism and breast cancer risk for either the codominant inheritance model (Pro/Arg vs. Pro/Pro: OR = 1.063, 95% CI = 0.967-1.169; Arg/Arg vs. Pro/Pro: OR = 1.245, 95% CI = 0.997-1.554), the dominant model (OR = 1.146, 95% CI = 0.979-1.340), or the recessive model (OR = 1.179, 95% CI = 1.020-1.362). Stratified analysis by ethnicity and source of controls similarly revealed no significant association for any of the genetic models. In summary, this meta-analysis provides strong evidence that the TP53 codon 72 polymorphism is not associated with the risk of developing breast cancer.
关于 TP53 肿瘤抑制基因密码子 72 多态性与乳腺癌发生风险之间可能存在关联,已有相互矛盾的数据发表。为了探讨这个问题,我们对该多态性与乳腺癌风险的 21 项研究进行了荟萃分析,这些研究共包括 12601 例病例和 11462 例对照。通过检索 Medline、PubMed、Embase 和 ISI Web of Knowledge 数据库来确定研究。使用计算粗比值比(OR)值及其 95%置信区间(CI),评估 TP53 密码子 72 多态性与乳腺癌风险之间的关联强度,对于三种遗传遗传模型,分别计算合并 OR 值。我们没有发现 TP53 密码子 72 多态性与乳腺癌风险之间存在显著关联,无论是共显性遗传模型(Pro/Arg 与 Pro/Pro:OR = 1.063,95%CI = 0.967-1.169;Arg/Arg 与 Pro/Pro:OR = 1.245,95%CI = 0.997-1.554)、显性遗传模型(OR = 1.146,95%CI = 0.979-1.340)还是隐性遗传模型(OR = 1.179,95%CI = 1.020-1.362)。按种族和对照来源进行分层分析,对于任何遗传模型均未发现显著关联。总之,这项荟萃分析提供了强有力的证据表明,TP53 密码子 72 多态性与乳腺癌发生风险无关。