Zhang Xiao-Jing, Xu Zhi, Gong Yong-Ling, Tang Cui-Ju, Chen Jin-Fei
Department of Oncology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Asian Pac J Cancer Prev. 2012;13(10):4943-6. doi: 10.7314/apjcp.2012.13.10.4943.
Studies have reported an association between the TERT rs2736098 single nucleotide polymorphism (SNP) and cancer susceptibility, but the results remain inconclusive. Toprovide a more precise estimation of the relationship, a meta-analysis of 8 published studies including 8,070 cases and 10,239 controls was performed. Stratification by sample size, genotyping method, source of controls and ethnicity were used to explore the source of heterogeneity. In the overall analysis, no significant association was found between the TERT rs2736098 polymorphism and cancer risk. However, the result showed the rs2736098 was significantly associated with an increased cancer risk and the heterogeneity was effectively decreased for homozygote comparison by removal of two studies: OR = 1.337 (95% CI = 1.183-1.511; Pheterogeneity = 0.087). In the subgroup analysis by ethnicity, a significantly increased risk of cancers was found among Asians (OR = 1.413, 95% CI = 1.187-1.683 for AA versus GG). Our meta-analysis did not show that the TERT rs2736098 plays an important role in cancer risk. More studies with larger sample size and well-matched controls are needed to confirm the findings.
研究报告了端粒酶逆转录酶(TERT)基因rs2736098单核苷酸多态性(SNP)与癌症易感性之间的关联,但结果仍无定论。为了更精确地估计两者之间的关系,我们对8项已发表的研究进行了荟萃分析,这些研究包括8070例病例和10239例对照。通过样本量、基因分型方法、对照来源和种族进行分层,以探讨异质性的来源。在总体分析中,未发现TERT rs2736098多态性与癌症风险之间存在显著关联。然而,结果显示rs2736098与癌症风险增加显著相关,通过剔除两项研究,纯合子比较的异质性有效降低:比值比(OR)=1.337(95%置信区间[CI]=1.183 - 1.511;异质性P值=0.087)。在按种族进行的亚组分析中,发现亚洲人患癌症的风险显著增加(AA与GG相比,OR = 1.413,95% CI = 1.187 - 1.683)。我们的荟萃分析未表明TERT rs2736098在癌症风险中起重要作用。需要更多样本量更大且对照匹配良好的研究来证实这些发现。