Department of Oncology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
PLoS One. 2012;7(6):e39623. doi: 10.1371/journal.pone.0039623. Epub 2012 Jun 27.
Recent studies on the association between miR-146a rs2910164 polymorphism and risk of gastrointestinal (GI) cancers showed inconclusive results. Accordingly, we conducted a comprehensive literature search and a meta-analysis to clarify the association.
METHODOLOGY/PRINCIPAL FINDINGS: Data were collected from the following electronic databases: Pubmed, Excerpta Medica Database (Embase), and Chinese Biomedical Literature Database (CBM), with the last report up to February 24, 2012. The odds ratio (OR) and its 95% confidence interval (95%CI) were used to assess the strength of association. Ultimately, a total of 12 studies (4,817 cases and 5,389 controls) were found to be eligible for meta-analysis. We summarized the data on the association between miR-146a rs2910164 polymorphism and risk of GI cancers in the overall population, and performed subgroup analyses by ethnicity, cancer types, and quality of studies. In the overall analysis, there was no evidence of association between miR-146a rs2910164 polymorphism and the risk of GI cancers (G versus C: OR = 1.07, 95%CI 0.98-1.16, P = 0.14; GG+GC versus CC: OR = 1.14, 95%CI 1.00-1.31, P = 0.05; GG versus GC+CC: OR = 1.06, 95%CI 0.91-1.23, P = 0.47; GG versus CC: OR = 1.17, 95%CI 0.95-1.44, P = 0.13; GC versus CC: OR = 1.14, 95%CI 1.00-1.31, P = 0.05). Similar results were found in the subgroup analyses by ethnicity, cancer types, and quality of studies.
CONCLUSIONS/SIGNIFICANCE: This meta-analysis demonstrates that miR-146a rs2910164 polymorphism is not associated with GI cancers susceptibility. More well-designed studies based on larger sample sizes and homogeneous cancer patients are needed.
最近关于 miR-146a rs2910164 多态性与胃肠道(GI)癌症风险之间的关联的研究结果并不一致。因此,我们进行了全面的文献检索和荟萃分析以阐明这种关联。
方法/主要发现:数据来自以下电子数据库:Pubmed、Excerpta Medica Database(Embase)和中国生物医学文献数据库(CBM),最后报告截止日期为 2012 年 2 月 24 日。比值比(OR)及其 95%置信区间(95%CI)用于评估关联的强度。最终,共有 12 项研究(4817 例病例和 5389 例对照)符合荟萃分析的纳入标准。我们总结了 miR-146a rs2910164 多态性与 GI 癌症风险之间的关联的数据,按种族、癌症类型和研究质量进行了亚组分析。在总体分析中,miR-146a rs2910164 多态性与 GI 癌症的风险之间没有关联(G 对 C:OR = 1.07,95%CI 0.98-1.16,P = 0.14;GG+GC 对 CC:OR = 1.14,95%CI 1.00-1.31,P = 0.05;GG 对 GC+CC:OR = 1.06,95%CI 0.91-1.23,P = 0.47;GG 对 CC:OR = 1.17,95%CI 0.95-1.44,P = 0.13;GC 对 CC:OR = 1.14,95%CI 1.00-1.31,P = 0.05)。在按种族、癌症类型和研究质量进行的亚组分析中也得到了类似的结果。
结论/意义:这项荟萃分析表明,miR-146a rs2910164 多态性与 GI 癌症易感性无关。需要更多基于更大样本量和同质癌症患者的精心设计的研究。