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丝裂原活化蛋白激酶激酶激酶 1 rs889312 多态性与乳腺癌风险的关联:来自 59977 例受试者的证据。

Association between mitogen-activated protein kinase kinase kinase 1 rs889312 polymorphism and breast cancer risk: evidence from 59,977 subjects.

机构信息

Department of General Surgery, Wuxi People's Hospital of Nanjing Medical University, No. 299, Qingyang Road, Wuxi 214023, Jiangsu, China.

出版信息

Breast Cancer Res Treat. 2011 Apr;126(3):663-70. doi: 10.1007/s10549-010-1151-1. Epub 2010 Sep 1.

Abstract

Published data on the association between mitogen-activated protein kinase kinase kinase 1 (MAP3K1) gene rs889312 polymorphism and breast cancer risk are inconclusive. To derive a more precise estimation of the relationship, a meta-analysis was performed. Crude ORs with 95% CIs were used to assess the strength of association between them. A total of seven eligible articles including 26,015 cases and 33,962 controls based on the search criteria were involved in this meta-analysis. We observed that the MAP3K1 rs889312 polymorphism was significantly correlated with breast cancer risk from the fixed effects model when all studies were pooled into the meta-analysis (the allele contrast model: OR 1.09, 95% CI 1.07-1.12; the homozygote codominant: OR 1.22, 95% CI 1.15-1.29; the heterozygote codominant: OR 1.07, 95% CI 1.04-1.11; the dominant model: OR 1.10, 95% CI 1.06-1.13; the recessive model: OR 1.18, 95% CI 1.12-1.25). No significant association was found in the BRCA1 mutation carriers in all genetic models. When stratified by BRCA2 mutation carriers status, statistically significantly elevated risk was found in this meta-analysis (C vs. A: OR 1.12, 95% CI 1.01-1.23; CC vs. AA: OR 1.35, 95% CI 1.06-1.71; the recessive model: OR 1.31, 95% CI 1.05-1.65). There was no evidence for significant association between MAP3K1 rs889312 polymorphism and breast cancer risk in BRCA1 and BRCA2 positive cohort for all comparison models. In conclusion, this meta-analysis suggests that the MAP3K1 rs889312 C allele is a low-penetrant risk factor for developing breast cancer, and there is limited evidence to indicate that MAP3K1 rs889312 polymorphism is associated with increased risk of breast cancer in BRCA1 mutation carriers.

摘要

关于丝裂原活化蛋白激酶激酶激酶 1(MAP3K1)基因 rs889312 多态性与乳腺癌风险之间的关联,已发表的数据尚无定论。为了得出更精确的估计,我们进行了荟萃分析。使用粗比值比(OR)和 95%置信区间(CI)来评估两者之间的关联强度。根据搜索标准,共有 7 篇符合条件的文章纳入了本荟萃分析,包括 26015 例病例和 33962 例对照。我们观察到,当所有研究都纳入荟萃分析时,MAP3K1 rs889312 多态性与乳腺癌风险显著相关(等位基因对比模型:OR 1.09,95%CI 1.07-1.12;纯合子显性模型:OR 1.22,95%CI 1.15-1.29;杂合子显性模型:OR 1.07,95%CI 1.04-1.11;显性模型:OR 1.10,95%CI 1.06-1.13;隐性模型:OR 1.18,95%CI 1.12-1.25)。在所有遗传模型中,BRCA1 突变携带者之间没有发现显著关联。当按 BRCA2 突变携带者状态进行分层时,本荟萃分析发现存在统计学上显著的风险增加(C 与 A:OR 1.12,95%CI 1.01-1.23;CC 与 AA:OR 1.35,95%CI 1.06-1.71;隐性模型:OR 1.31,95%CI 1.05-1.65)。在所有比较模型中,BRCA1 和 BRCA2 阳性队列中,MAP3K1 rs889312 多态性与乳腺癌风险之间没有明显的关联。总之,本荟萃分析表明,MAP3K1 rs889312 C 等位基因是乳腺癌发生的低外显率风险因素,有有限的证据表明 MAP3K1 rs889312 多态性与 BRCA1 突变携带者乳腺癌风险增加有关。

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