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X 光修复交叉互补基因 1 多态性与脑胶质瘤风险关联的荟萃分析。

A meta-analysis of an association between the XRCC1 polymorphisms and gliomas risk.

机构信息

Department of Neurosurgery, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunnan, China.

出版信息

J Neurooncol. 2013 Feb;111(3):221-8. doi: 10.1007/s11060-012-1022-1. Epub 2012 Dec 13.

Abstract

The associations of the X-ray repair cross complementing group 1 (XRCC1) gene single nucleotide polymorphisms (SNPs) Arg194Trp, Arg280His, Arg399Gln with the risk of gliomas have been studied recently, but contradictions exist whether the XRCC1 SNPs were a risk factor. We examined these associations by performing a meta-analyse. Nine studies tested the associations between XRCC1 SNPs and gliomas were retrieved. Overall odds ratios (ORs) and corresponding 95 % confidence intervals were estimated using genetic models. Heterogeneity and publication bias were evaluated. The pooled OR for Arg194Trp TT versus CC were significant, which was 2.208 (95 % CI: 1.099, 4.435; P = 0.026), but it was non-significant after removal of the studies which deviated from the Hardy-Weinberg equilibrium (HWE). The pooled OR for Arg399Gln AA+GA versus GG of genotype methods subgroup and the low study appraisal score subgroup were significant in the stratification analysis, but the meta-regression results were non-significance. No significant associations were found between the Arg280His SNPs and gliomas' risk. There was no evidence of publication bias. We conclude that SNPs in XRCC1 are not associated with the risk of gliomas. We should do more work on the relevant variants like those in TERT, RTEL1, EGFR, CDKN2A, CCDC26, and PHLDB1 and their products rather than the XRCC1. More GWAS will also need to involve sufficiently larger study populations along with analysis of tumor or gender subtypes in order to assess these risks.

摘要

最近研究了 X 射线修复交叉互补基因 1(XRCC1)基因单核苷酸多态性(SNP)Arg194Trp、Arg280His、Arg399Gln 与脑胶质瘤风险的关联,但 XRCC1SNP 是否为危险因素存在争议。我们通过荟萃分析来检验这些关联。检索了 9 项研究来检验 XRCC1SNP 与脑胶质瘤之间的关联。使用遗传模型估计了总体比值比(OR)和相应的 95%置信区间。评估了异质性和发表偏倚。Arg194Trp TT 与 CC 的汇总 OR 有统计学意义,为 2.208(95%CI:1.099,4.435;P=0.026),但在去除不符合 Hardy-Weinberg 平衡(HWE)的研究后,该结果无统计学意义。在分层分析中,基因型方法亚组和低研究评估评分亚组中 Arg399Gln AA+GA 与 GG 的汇总 OR 有统计学意义,但荟萃回归结果无统计学意义。Arg280HisSNP 与脑胶质瘤风险之间无显著关联。没有发现发表偏倚的证据。我们的结论是,XRCC1 中的 SNP 与脑胶质瘤的风险无关。我们应该研究更多的相关变体,如 TERT、RTEL1、EGFR、CDKN2A、CCDC26 和 PHLDB1 及其产物,而不是 XRCC1。为了评估这些风险,还需要进行更多的 GWAS 研究,纳入足够大的研究人群,并对肿瘤或性别亚型进行分析。

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