School of Medicine, University of Athens, Athens, Greece.
Int J Gynecol Cancer. 2011 Feb;21(2):323-31. doi: 10.1097/IGC.0b013e31820575c0.
This meta-analysis aims to examine whether the genotype status of Msp1, Ile462Val, and Thr461Asn polymorphisms in cytochrome P450 1A1 (CYP1A1) is associated with endometrial cancer risk.
Eligible case-control studies were identified through search in MEDLINE (end of search: August 2010). Pooled odds ratios (ORs) were appropriately derived from fixed-effects or random-effects models.
Concerning MspI polymorphism, 8 studies were eligible (1456 cases and 2371 controls); 9 studies were eligible (1889 cases and 3662 controls) for Ile462Val and 6 studies were eligible (1272 cases and 2122 controls) for Thr461Asn. MspI polymorphism was not associated with endometrial cancer risk (for heterozygous TC vs TT carriers: OR = 0.83, 95% confidence interval [CI], 0.59-1.15, random effects; for homozygous CC vs TT carriers: OR = 1.00, 95% CI, 0.55-1.82, fixed effects). Similarly, Ile462Val polymorphism was not associated with endometrial cancer risk (for heterozygous Ile/Val vs Ile/Ile carriers: OR = 1.27, 95% CI, 0.78-2.06, random effects; for homozygous Val/Val vs Ile/Ile carriers: OR = 1.16, 95% CI, 0.48-2.81, fixed effects). Accordingly, Thr461Asn status was not significantly associated with endometrial cancer risk. The same results were reproduced in Caucasians.
The 3 examined CYP1A1 genotype polymorphisms do not seem to confer any additional risk for endometrial cancer in Caucasians. Accumulation of further data seems mandatory for future race-specific analyses.
本荟萃分析旨在探讨细胞色素 P450 1A1(CYP1A1)中 Msp1、Ile462Val 和 Thr461Asn 多态性的基因型状态是否与子宫内膜癌风险相关。
通过在 MEDLINE 中搜索(搜索结束日期:2010 年 8 月)确定符合条件的病例对照研究。使用固定效应或随机效应模型适当得出合并优势比(OR)。
关于 MspI 多态性,有 8 项研究符合条件(1456 例病例和 2371 例对照);9 项研究符合条件(1889 例病例和 3662 例对照)用于 Ile462Val,6 项研究符合条件(1272 例病例和 2122 例对照)用于 Thr461Asn。MspI 多态性与子宫内膜癌风险无关(杂合性 TC 与 TT 携带者:OR=0.83,95%置信区间[CI]0.59-1.15,随机效应;纯合性 CC 与 TT 携带者:OR=1.00,95%CI0.55-1.82,固定效应)。同样,Ile462Val 多态性与子宫内膜癌风险无关(杂合性 Ile/Val 与 Ile/Ile 携带者:OR=1.27,95%CI0.78-2.06,随机效应;纯合性 Val/Val 与 Ile/Ile 携带者:OR=1.16,95%CI0.48-2.81,固定效应)。因此,Thr461Asn 状态与子宫内膜癌风险无显著相关性。在白种人中也得到了相同的结果。
在白种人中,这 3 种检测到的 CYP1A1 基因型多态性似乎不会增加子宫内膜癌的风险。为了进行未来的种族特异性分析,似乎需要进一步积累数据。