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一项关于白细胞介素-10 -592 启动子多态性与胃癌风险关联的荟萃分析。

A meta-analysis of interleukin-10 -592 promoter polymorphism associated with gastric cancer risk.

机构信息

Division of Gastroenterology and Hepatology, Shanghai Jiao-Tong University School of Medicine Renji Hospital, Shanghai Institution of Digestive Disease and Key Laboratory of Gastroenterology & Hepatology, Ministry of Health Shanghai Jiao-Tong University, Shanghai, People's Republic of China.

出版信息

PLoS One. 2012;7(7):e39868. doi: 10.1371/journal.pone.0039868. Epub 2012 Jul 31.

Abstract

We aimed to explore the role of IL-10 -592 A/C SNP in the susceptibility to gastric cancer through a systematic review and meta-analysis. Each initially included article was scored for quality appraisal. 17 studies were eligible for the meta-analysis. We adopted the most probably appropriate genetic model (recessive model). Potential sources of heterogeneity were sought out via subgroup and sensitivity analyses, and publication biases were estimated. IL-10-592 AA genotype is associated with the reduced risk of developing gastric cancer among Asians and even apparently observed among Asians high quality subgroup, suggesting IL-10-592 AA genotype may seem to be more protective from overall gastric cancer in Asian populations. IL-10-592 AA genotype is also associated with the overall reduced gastric cancer susceptibility in persons with H. pylori infection compared with controls without H. pylori infection, suggesting IL-10-592 AA genotype may seem to be more protective from overall gastric cancer susceptibility in persons infected with H. pylori. IL-10-592 AA genotype is not associated with either pathologic subtypes (intestinal or diffuse) or anatomic subtypes (non-cardia or cardia) of gastric cancer susceptibility. Genotyping methods like direct sequencing should be highly advocated to be conducted in future well-designed high quality studies among different ethnicities or populations.

摘要

我们旨在通过系统评价和荟萃分析探讨 IL-10-592A/C SNP 与胃癌易感性的关系。每个最初纳入的文章都进行了质量评估评分。有 17 项研究符合荟萃分析的条件。我们采用了最可能合适的遗传模型(隐性模型)。通过亚组和敏感性分析寻找潜在的异质性来源,并估计发表偏倚。IL-10-592AA 基因型与亚洲人群患胃癌的风险降低相关,甚至在亚洲高质量亚组中也明显观察到,这表明 IL-10-592AA 基因型似乎对亚洲人群的总体胃癌更具保护作用。与无 H. pylori 感染的对照组相比,IL-10-592AA 基因型与 H. pylori 感染者的总体胃癌易感性降低相关,这表明 IL-10-592AA 基因型似乎对 H. pylori 感染者的总体胃癌易感性更具保护作用。IL-10-592AA 基因型与胃癌的病理亚型(肠型或弥漫型)或解剖亚型(非贲门或贲门)无关。未来应在不同种族或人群中开展设计良好的高质量研究,大力提倡使用直接测序等基因分型方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c54/3409223/d548b6b16b3b/pone.0039868.g001.jpg

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