Department of Otorhinolaryngology-Head & Neck Surgery, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, China.
PLoS One. 2012;7(11):e48132. doi: 10.1371/journal.pone.0048132. Epub 2012 Nov 7.
The Glutathione S-transferase P1 (GSTP1) polymorphism have been considered a risk modifier for developing head and neck cancer (HNC) in many studies; however, the results of such studies are inconsistent. The aim of this study was to evaluate the possible association between the GSTP1 Ile105Val polymorphism and risk of HNC.
We performed a search in the relevant electronic database and a meta-analysis based on 28 published case-control studies that included 6,404 cases and 6,523 controls. To take into account the possibility of heterogeneity across the studies, a Chi-square based I(2)-statistic test was performed. Crude pooled odds ratios (ORs) with 95% confidence intervals (CIs) were assessed using both fixed-effects and random-effects models.
The results of this meta-analysis showed that the GSTP1 Ile105Val polymorphism was not significantly associated with risk of HNC in the overall study population (pooled OR 1.00, 95% CI 0.92-1.09) or in subgroup analyses stratified by ethnicity, sample size, tumor site or publication year. Moreover, substantial evidence of heterogeneity among the studies was observed. Publication year was identified as the main cause of heterogeneity.
This meta-analysis does not support a significant association between the GSTP1 Ile105Val polymorphism and risk of HNC.
谷胱甘肽 S-转移酶 P1(GSTP1)多态性被认为是许多研究中发生头颈部癌症(HNC)的风险修饰因子;然而,这些研究的结果并不一致。本研究旨在评估 GSTP1 Ile105Val 多态性与 HNC 风险之间可能存在的关联。
我们在相关电子数据库中进行了检索,并基于包含 6404 例病例和 6523 例对照的 28 项已发表的病例对照研究进行了荟萃分析。为了考虑研究之间可能存在的异质性,进行了基于卡方的 I(2)-统计检验。使用固定效应和随机效应模型评估了未经调整的合并优势比(OR)及其 95%置信区间(CI)。
荟萃分析的结果表明,GSTP1 Ile105Val 多态性与总体研究人群的 HNC 风险无显著相关性(合并 OR 1.00,95%CI 0.92-1.09)或在按种族、样本量、肿瘤部位或发表年份分层的亚组分析中无显著相关性。此外,研究之间存在大量异质性。发表年份被确定为异质性的主要原因。
本荟萃分析不支持 GSTP1 Ile105Val 多态性与 HNC 风险之间存在显著关联。