Department of Obstetrics and Gynecology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China.
Cytokine. 2012 Apr;58(1):73-8. doi: 10.1016/j.cyto.2011.12.025. Epub 2012 Jan 25.
Published data on the association between CYP1A1 gene polymorphism and ovarian cancer risk are conflicting and heterogeneous. To derive a more precise estimation of the relationship, a meta-analysis was performed. The pooled odds ratios (ORs) with 95% confidence intervals (CIs) were performed for heterozygous, homozygous, dominant model, recessive model and allele, respectively. A total of 15 case-control studies were identified, among which, 13 studies (1815 cases and 3501 controls) were eligible for CYP1A1 Ile(462)Val and nine studies (2495 cases and 3553 controls) were eligible for CYP1A1 Msp1. Overall, Ile(462)Val was significantly associated with ovarian cancer, with homozygous carriers (Val/Val vs. Ile/Ile: OR=2.64; 95% CI: 1.63-4.28) and recessive model (Val/Val vs. Ile/Ile and Ile/Val: OR=2.30; 95% CI: 1.45-3.65) being risk factors for ovarian cancer development. In the subgroup analysis by ethnicity, significantly increased risks were found for Caucasians (homozygous carriers: OR=4.91; 95% CI: 2.07-11.66; recessive model: OR=3.26; 95% CI: 1.41-7.50) and Asians (homozygous carriers: OR=3.06; 95% CI: 1.48-6.33; recessive model: OR=2.75; 95% CI: 1.40-5.41; Val allele: OR=1.67; 95% CI: 1.19-2.35). However, no significant associations were found between Msp1 and ovarian cancer in the overall analyses or the subgroup analyses by ethnicity. This meta-analysis denotes the importance for in-depth research regarding of gene-gene, gene-environment interactions, race-specific and histological subtypes specific to obtain a more conclusive response about the function of CYP1A1 in ovarian cancer.
已发表的关于 CYP1A1 基因多态性与卵巢癌风险之间关联的资料存在矛盾和异质性。为了更准确地评估这种关系,进行了荟萃分析。分别对杂合子、纯合子、显性模型、隐性模型和等位基因进行了合并优势比(OR)和 95%置信区间(CI)。共确定了 15 项病例对照研究,其中 13 项研究(1815 例病例和 3501 例对照)符合 CYP1A1 Ile(462)Val 标准,9 项研究(2495 例病例和 3553 例对照)符合 CYP1A1 Msp1 标准。总体而言,Ile(462)Val 与卵巢癌显著相关,纯合子携带者(Val/Val 与 Ile/Ile:OR=2.64;95%CI:1.63-4.28)和隐性模型(Val/Val 与 Ile/Ile 和 Ile/Val:OR=2.30;95%CI:1.45-3.65)是卵巢癌发展的危险因素。按种族亚组分析,发现高加索人(纯合子携带者:OR=4.91;95%CI:2.07-11.66;隐性模型:OR=3.26;95%CI:1.41-7.50)和亚洲人(纯合子携带者:OR=3.06;95%CI:1.48-6.33;隐性模型:OR=2.75;95%CI:1.40-5.41;Val 等位基因:OR=1.67;95%CI:1.19-2.35)的风险显著增加。然而,在总体分析或按种族的亚组分析中,Msp1 与卵巢癌之间均未发现显著关联。这项荟萃分析表明,需要深入研究基因-基因、基因-环境相互作用、特定种族和特定组织学亚型,以更明确地了解 CYP1A1 在卵巢癌中的作用。