Department of Respiratory Medicine, The Affiliated Hospital-School of Medicine, Ningbo University, Ningbo, China.
Arch Med Res. 2010 Oct;41(7):548-57. doi: 10.1016/j.arcmed.2010.09.006.
A number of investigators have studied the possible association between vascular endothelial growth factor (VEGF) polymorphisms and cancer risk, but the results have been conflicting. To examine the risk of cancer associated with the +936C/T and +405G/C polymorphisms of VEGF, all available studies were considered in the present meta-analysis.
We performed a computerized search of PubMed and Embase database for relevant studies. Articles meeting the inclusion criteria were reviewed systematically, and the reported data were aggregated using the statistical techniques of meta-analysis.
Overall, the 936C allele showed no significant effect on cancer risk compared with the 936T allele in all subjects (OR = 0.77, 95% CI = 0.53-1.14; random model). Similarly, no significant effect of 405G allele compared with 405C on cancer risk was found (OR = 1.08, 95% CI = 0.94-1.24; random model). It indicated that the VEGF +936C/T and +405G/C polymorphisms might not be risk factors for cancer, but the 936C allele was associated with a decreased risk of oral cancer (OR = 0.72, 95% CI = 0.53-0.97; fixed model).
The evidence from our meta-analysis supports that there was an association between 936C allele and decreased oral cancer risk, although no evidence of association between VEGF +936C/T or +405G/C polymorphism and cancer was observed in all examined patients. Further studies based on larger, stratified population are required to explore the role of VEGF polymorphisms on cancer risk.
许多研究人员已经研究了血管内皮生长因子 (VEGF) 多态性与癌症风险之间可能存在的关联,但结果存在冲突。为了研究 VEGF 的 +936C/T 和 +405G/C 多态性与癌症相关的风险,本荟萃分析考虑了所有可用的研究。
我们对 PubMed 和 Embase 数据库进行了计算机检索,以寻找相关研究。系统地审查了符合纳入标准的文章,并使用荟萃分析的统计技术汇总了报告的数据。
总体而言,在所有受试者中,936C 等位基因与癌症风险无关,与 936T 等位基因相比(OR = 0.77,95%CI = 0.53-1.14;随机模型)。同样,与癌症风险相比,405G 等位基因与 405C 无显著影响(OR = 1.08,95%CI = 0.94-1.24;随机模型)。这表明 VEGF +936C/T 和 +405G/C 多态性可能不是癌症的危险因素,但 936C 等位基因与口腔癌风险降低相关(OR = 0.72,95%CI = 0.53-0.97;固定模型)。
荟萃分析的证据表明,936C 等位基因与降低的口腔癌风险之间存在关联,尽管在所有检查的患者中没有发现 VEGF +936C/T 或 +405G/C 多态性与癌症之间存在关联的证据。需要进一步基于更大的分层人群的研究来探讨 VEGF 多态性对癌症风险的作用。