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XPD Asp312Asn 多态性是前列腺癌的风险因素。

XPD Asp312Asn polymorphism is a risk factor for prostate cancer.

机构信息

Department of Oncology, Changhai Hospital, Second Military Medical University, 168 Changhai Road, Shanghai 200433, People's Republic of China.

出版信息

J Cancer Res Clin Oncol. 2012 Oct;138(10):1689-95. doi: 10.1007/s00432-012-1246-7. Epub 2012 May 29.

Abstract

PURPOSE

The association between Asp312Asn and Lys751Gln polymorphisms of Xeroderma pigmentosum Group D (XPD) and prostate cancer risk are still inconclusive. For better understanding of the effects of these two polymorphisms on prostate cancer risk, a meta-analysis was performed.

METHODS

An extensive search was performed to identify all case-control studies investigating such association. The strength of association between these two polymorphisms and prostate cancer risk was assessed by odds ratio (OR) with the corresponding 95 % confidence interval (95 % CI).

RESULTS

A total of seven case-control studies were identified, among which five studies (1,257 cases and 1,956 controls) were eligible for Asp312Asn polymorphism and six studies (1,451 cases and 2,375 controls) were eligible for Lys751Gln polymorphism. Asp312Asn polymorphism was associated with an increased risk of prostate cancer in additive and recessive genetic models (additive model: OR = 1.68, 95 % CI = 1.28-2.22, P = 0.00; recessive model: OR = 1.65, 95 % CI = 1.27-2.15, P = 0.00). In the subgroup analysis, Asp312Asn polymorphism was associated with an increased risk of prostate cancer among Asians in all three genetic models (additive model: OR = 2.09, 95 % CI = 1.39-3.14, P = 0.00; dominant model: OR = 1.49, 95 % CI = 1.12-1.98, P = 0.01; recessive model: OR = 1.93, 95 % CI = 1.31-2.83, P = 0.00). However, no significant associations were found between Lys751Gln polymorphism and prostate cancer risk in the overall analyses or the subgroup analyses by ethnicity.

CONCLUSIONS

The results of this meta-analysis indicate that the XPD Asp312Asn polymorphism is a risk factor for prostate cancer development.

摘要

目的

Xeroderma pigmentosum 组 D(XPD)的 Asp312Asn 和 Lys751Gln 多态性与前列腺癌风险之间的关联仍存在争议。为了更好地理解这两种多态性对前列腺癌风险的影响,进行了一项荟萃分析。

方法

进行了广泛的搜索,以确定所有研究这种关联的病例对照研究。使用比值比(OR)及其相应的 95%置信区间(95%CI)评估这两种多态性与前列腺癌风险之间的关联强度。

结果

共确定了 7 项病例对照研究,其中 5 项研究(1,257 例病例和 1,956 例对照)符合 Asp312Asn 多态性的条件,6 项研究(1,451 例病例和 2,375 例对照)符合 Lys751Gln 多态性的条件。Asp312Asn 多态性与前列腺癌的风险增加有关,在加性和隐性遗传模型中均如此(加性模型:OR=1.68,95%CI=1.28-2.22,P=0.00;隐性模型:OR=1.65,95%CI=1.27-2.15,P=0.00)。在亚组分析中,Asp312Asn 多态性与所有三种遗传模型中的亚洲人群前列腺癌风险增加有关(加性模型:OR=2.09,95%CI=1.39-3.14,P=0.00;显性模型:OR=1.49,95%CI=1.12-1.98,P=0.01;隐性模型:OR=1.93,95%CI=1.31-2.83,P=0.00)。然而,在总体分析或按种族进行的亚组分析中,均未发现 Lys751Gln 多态性与前列腺癌风险之间存在显著关联。

结论

这项荟萃分析的结果表明,XPD Asp312Asn 多态性是前列腺癌发展的一个危险因素。

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