College of Pharmacy, Jinan University, Guangzhou, 510632, China.
Int J Colorectal Dis. 2011 Oct;26(10):1257-64. doi: 10.1007/s00384-011-1222-8. Epub 2011 May 4.
The published data on the association between xeroderma pigmentosum group D (XPD) Lys751Gln and Asp312Asn polymorphisms and colorectal cancer remained controversial. The present meta-analysis of literatures was performed to derive a more precise estimation of the relationship.
A comprehensive literature search was conducted to identify all case-control studies of Lys751Gln and Asp312Asn polymorphisms on the susceptibility of different tumor site of colorectal cancer (colon, rectum, and colon/rectum cancer). A total of 22 eligible studies were selected for this meta-analysis, including 3,042 cases and 4,627 controls for Lys751Gln and 1,581 cases and 2,846 controls for Asp312Asn.
Overall, no significantly elevated colorectal cancer risk was found in all genetic models when all studies were pooled into the meta-analysis (for Lys751Gln polymorphism: Lys/Gln vs. Lys/Lys, OR = 1.01, 95% CI = 0.90-1.14; Gln/Gln vs. Lys/Lys, OR = 1.04, 95% CI = 0.85-1.26; dominant model, OR = 1.03, 95% CI = 0.93-1.15; recessive model, OR = 1.04, 95% CI = 0.87-1.25; and for Asp312Asn polymorphism: Asp/Asn vs. Asp/Asp, OR = 1.11, 95% CI = 0.91-1.35; Asn/Asn vs. Asp/Asp, OR = 1.13, 95% CI = 0.87-1.47; dominant model, OR = 1.09, 95% CI = 0.94-1.26; recessive model, OR = 1.11, 95% CI = 0.88-1.41). And for the additive model, individuals carrying the 751Gln or 312Asn allele were not significantly associated with increased risk to colorectal cancer (OR = 1.02, 95% CI = 0.94-1.11, OR = 1.07, 95% CI = 0.95-1.20).
This meta-analysis suggests that XPD Lys751Gln and Asp312Asn polymorphisms may not be associated with colorectal cancer development.
Xeroderma pigmentosum 组 D(XPD)Lys751Gln 和 Asp312Asn 多态性与结直肠癌之间的关联的已发表数据仍存在争议。本荟萃分析旨在对该关系进行更精确的评估。
对 Lys751Gln 和 Asp312Asn 多态性与不同结直肠肿瘤部位(结肠、直肠和结肠/直肠癌)易感性的病例对照研究进行了全面的文献检索。共纳入 22 项符合条件的研究进行荟萃分析,包括 3042 例病例和 4627 例对照用于 Lys751Gln 多态性,以及 1581 例病例和 2846 例对照用于 Asp312Asn 多态性。
总体而言,当所有研究纳入荟萃分析时,未发现 XPD Lys751Gln 多态性与结直肠癌风险显著升高(对于 Lys751Gln 多态性:Lys/Gln 与 Lys/Lys,OR=1.01,95%CI=0.90-1.14;Gln/Gln 与 Lys/Lys,OR=1.04,95%CI=0.85-1.26;显性模型,OR=1.03,95%CI=0.93-1.15;隐性模型,OR=1.04,95%CI=0.87-1.25),Asp312Asn 多态性(对于 Asp312Asn 多态性:Asp/Asn 与 Asp/Asp,OR=1.11,95%CI=0.91-1.35;Asn/Asn 与 Asp/Asp,OR=1.13,95%CI=0.87-1.47;显性模型,OR=1.09,95%CI=0.94-1.26;隐性模型,OR=1.11,95%CI=0.88-1.41)也没有显著增加结直肠癌风险。并且对于加性模型,携带 751Gln 或 312Asn 等位基因的个体与结直肠癌风险增加无关(OR=1.02,95%CI=0.94-1.11,OR=1.07,95%CI=0.95-1.20)。
本荟萃分析表明,XPD Lys751Gln 和 Asp312Asn 多态性可能与结直肠癌的发生无关。