Zhang Zhi-Hua, Yang Lin-Sheng, Huang Fen, Hao Jia-Hu, Su Pu-Yu, Sun Ye-Huan
Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
Asian Pac J Cancer Prev. 2012;13(11):5375-9. doi: 10.7314/apjcp.2012.13.11.5375.
Published studies on the association between Nijmegen breakage syndrome 1(NBS1) gene polymorphisms and breast cancer risk have been inconclusive, and a meta-analysis was therefore performed for clarification.
Eligible articles were identified by a search of MEDLINE and EMBASE bibliographic databases for the period up to March 2012. The presence of between-study heterogeneity was investigated using the chi-square-based Cochran's Q statistic test. When there was statistical heterogeneity, the random effects model was chosen; otherwise, fixed effects estimates were reported as an alternative approach.
A total of 11 eligible articles (14 case-control studies) were identified, nine case-control studies were for the 657del5 mutation (7,534 breast cancer cases, 14,034 controls) and five case-control studies were for the I171V mutation (3,273 breast cancer cases, 4,004 controls). Our analysis results indicated that the 657del5 mutation was associated with breast cancer risk (carriers vs. non- carriers: pooled OR=2.63, 95% CI: 1.76-3.93), whereas the I171V mutation was not (carriers vs. non-carriers: pooled OR=1.52, 95% CI: 0.70-3.28).
The present meta-analysis suggests that the 657del5 gene mutation in the NBS1 gene plays a role in breast cancer risk, while the I171V mutation does not exert a significant influence.
关于尼美根断裂综合征1(NBS1)基因多态性与乳腺癌风险之间关联的已发表研究尚无定论,因此进行了一项荟萃分析以阐明这一问题。
通过检索截至2012年3月的MEDLINE和EMBASE文献数据库来确定符合条件的文章。使用基于卡方的Cochran's Q统计检验来研究研究间异质性的存在。当存在统计学异质性时,选择随机效应模型;否则,报告固定效应估计值作为另一种方法。
共确定了11篇符合条件的文章(14项病例对照研究),9项病例对照研究针对657del5突变(7534例乳腺癌病例,14034例对照),5项病例对照研究针对I171V突变(3273例乳腺癌病例,4004例对照)。我们的分析结果表明,657del5突变与乳腺癌风险相关(携带者与非携带者:合并OR = 2.63,95%CI:1.76 - 3.93),而I171V突变则不然(携带者与非携带者:合并OR = 1.52,95%CI:0.70 - 3.28)。
本荟萃分析表明,NBS1基因中的657del5基因突变在乳腺癌风险中起作用,而I171V突变未产生显著影响。