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TP53 密码子 72 多态性与结直肠癌易感性的关系:荟萃分析。

TP53 codon 72 polymorphism and colorectal cancer susceptibility: a meta-analysis.

机构信息

Department of Center for Disease Control and Prevention of Shaanxi Province, 3 Jiandong Road, 710043 Xi'an, Shaanxi, People's Republic of China.

出版信息

Mol Biol Rep. 2011 Nov;38(8):4847-53. doi: 10.1007/s11033-010-0619-8. Epub 2010 Dec 8.

Abstract

Colorectal cancer constitutes a significant proportion of the global burden of cancer morbidity and mortality. A number of studies have been conducted to explore whether TP53 codon 72 polymorphism is associated with colorectal cancer susceptibility. However, controversial results were obtained. In order to derive a more precise estimation of the relationship, we systematically searched Medline, Google scholar, and Ovid database for studies reported before May 2010. A total of 3603 colorectal cancer cases and 5524 controls were included. TP53 codon 72 polymorphism was not associated with colorectal cancer risk in all genetic models (for dominant model: OR = 0.99, 95% CI: 0.86-1.15; for recessive model: OR = 1.00, 95% CI: 0.81-1.23; for Arg/Pro vs. Arg/Arg: OR = 1.00, 95% CI: 0.87-1.15; for Pro/Pro vs. Arg/Arg: OR = 0.97, 95% CI: 0.76-1.25). In the subgroup analyses by ethnic groups and sources of controls, no significant associations were found in all models. Taken together, this meta-analysis suggested that the biologically usefulness of TP53 codon 72 polymorphism as a selection marker in colorectal cancer susceptibility may be very limited.

摘要

结直肠癌在全球癌症发病率和死亡率中占很大比例。许多研究已经探讨了 TP53 密码子 72 多态性是否与结直肠癌易感性有关。然而,得到的结果存在争议。为了更准确地评估这种关系,我们系统地检索了 Medline、Google scholar 和 Ovid 数据库中截至 2010 年 5 月以前发表的研究。共纳入 3603 例结直肠癌病例和 5524 例对照。TP53 密码子 72 多态性与所有遗传模型的结直肠癌风险无关(对于显性模型:OR=0.99,95%CI:0.86-1.15;对于隐性模型:OR=1.00,95%CI:0.81-1.23;对于 Arg/Pro 与 Arg/Arg 比较:OR=1.00,95%CI:0.87-1.15;对于 Pro/Pro 与 Arg/Arg 比较:OR=0.97,95%CI:0.76-1.25)。在按种族和对照来源进行的亚组分析中,所有模型均未发现显著相关性。综上所述,本荟萃分析提示 TP53 密码子 72 多态性作为结直肠癌易感性的选择标记的生物学作用可能非常有限。

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