Yang Shuyan, Jia Changru, Zhu Hong, Han Shiyu
Department of Gynecology and Obstetrics, Fourth Affiliated Hospital, Harbin Medical University, Harbin 150001, China.
Tumour Biol. 2012 Dec;33(6):2265-72. doi: 10.1007/s13277-012-0488-y. Epub 2012 Sep 5.
Many publications have evaluated the correlation between Cytochrome P450 1A1 (CYP1A1) Ile462Val polymorphism and cervical cancer risk, but the results remain inconclusive. To provide a more robust estimate of this effect, a meta-analysis was carried out. We systematically searched PubMed, Embase and CBM databases for studies published before May 2012. The association between CYP1A1 Ile462Val polymorphism and cervical cancer risk was assessed by calculating pooled odds ratios (OR) with its 95 % confidence intervals (95 % CI). On the basis of our inclusion criteria, ten studies with a total of 2,423 individuals were included in the meta-analysis. Overall, CYP1A1 Ile462Val polymorphism was associated with increased risk of cervical cancer (Val versus Ile, OR = 1.43; 95 % CI, 1.03-1.97; ValVal versus IleIle, OR = 2.43; 95 % CI, 1.19-4.95; ValVal+ValIle versus IleIle, OR = 1.59; 95 % CI, 1.00-2.53). Ethnic subgroup analyses showed a significant association was found in Caucasians (Val versus Ile, OR = 2.03; 95 % CI, 1.17-3.51; ValVal versus IleIle, OR = 2.74; 95 % CI, 1.30-5.75; ValVal+ValIle versus IleIle, OR = 2.50; 95 % CI, 1.33-4.70), but not in Asians. In conclusion, this meta-analysis suggests that CYP1A1 Ile462Val polymorphism plays an important role in susceptibility to cervical cancer. Further studies with large sample size and careful design need performing to identify this association more comprehensively.
许多出版物评估了细胞色素P450 1A1(CYP1A1)Ile462Val多态性与宫颈癌风险之间的相关性,但结果仍无定论。为了更可靠地估计这种效应,进行了一项荟萃分析。我们系统检索了PubMed、Embase和CBM数据库中2012年5月之前发表的研究。通过计算合并比值比(OR)及其95%置信区间(95%CI)来评估CYP1A1 Ile462Val多态性与宫颈癌风险之间的关联。根据我们的纳入标准,10项研究共2423名个体被纳入荟萃分析。总体而言,CYP1A1 Ile462Val多态性与宫颈癌风险增加相关(Val与Ile相比,OR = 1.43;95%CI,1.03 - 1.97;ValVal与IleIle相比,OR = 2.43;95%CI,1.19 - 4.95;ValVal + ValIle与IleIle相比,OR = 1.59;95%CI,1.00 - 2.53)。种族亚组分析显示,在白种人中发现了显著关联(Val与Ile相比,OR = 2.03;95%CI,1.17 - 3.51;ValVal与IleIle相比,OR = 2.74;95%CI,1.30 - 5.75;ValVal + ValIle与IleIle相比,OR = 2.50;95%CI,1.33 - 4.70),但在亚洲人中未发现。总之,这项荟萃分析表明CYP1A1 Ile462Val多态性在宫颈癌易感性中起重要作用。需要进行样本量更大且设计更严谨的进一步研究,以更全面地确定这种关联。