Liu Chuan, Yin Qinghua, Hu Jianbing, Li Lian, Zhang Yingyi, Wang Yajie
Department of Oncology, Changhai Hospital, The Second Military Medical University, 168 Changhai Road, Shanghai, 200433, People's Republic of China.
Tumour Biol. 2013 Apr;34(2):1205-13. doi: 10.1007/s13277-013-0663-9. Epub 2013 Feb 6.
Published data regarding the association between the XPC polymorphisms and lung cancer susceptibility remained controversial. This meta-analysis was performed to draw a precise estimation of the relationship. We systematically searched PubMed, Embase, Elsevier, and Web of Science with a time limit of September 10, 2012. Summary odds ratios (ORs) with 95 % CIs were used to assess the strength of association between these polymorphisms and lung cancer susceptibility using random-effects model. This meta-analysis including 13 case-control studies evaluated the associations between three commonly XPC polymorphisms (Lys939Gln, Ala499Val, and PAT(-/+)) and lung cancer susceptibility. No significant associations were found between the three XPC polymorphisms and lung cancer susceptibility (for Lys939Gln polymorphism: CC vs AA, OR = 1.191, p = 0.033; AC vs AA, OR = 0.992, p = 0.762, the dominant model, OR = 1.028, p = 0.521; the recessive model, OR = 1.205, p = 0.022). For Ala499Val polymorphism: TT vs CC, OR = 1.195, p = 0.071; TC vs CC, OR = 1.146, p = 0.133; the dominant model, OR = 1.161, p = 0.086; the recessive model, OR = 1.123, p = 0.156. For PAT(-/+) polymorphism: +/+ vs -/-, OR = 1.094, p = 0.539; +/- vs -/-, OR = 0.925, p = 0.313; the dominant model, OR = 0.969, p = 0.725; the recessive model, OR = 1.135, p = 0.290. p = 0.004 for Bonferroni testing). Significant associations were also not found in the subgroup analysis for the three XPC polymorphisms. This meta-analysis suggested that the three XPC polymorphisms might not be risk factors for developing lung cancer.
关于XPC基因多态性与肺癌易感性之间关联的已发表数据仍存在争议。进行这项荟萃分析是为了对二者关系作出精确估计。我们在PubMed、Embase、爱思唯尔和科学网进行了系统检索,时间限制为2012年9月10日。采用随机效应模型,用95%置信区间的汇总比值比(OR)来评估这些多态性与肺癌易感性之间关联的强度。这项荟萃分析纳入了13项病例对照研究,评估了三种常见的XPC基因多态性(Lys939Gln、Ala499Val和PAT(-/+))与肺癌易感性之间的关联。未发现这三种XPC基因多态性与肺癌易感性之间存在显著关联(对于Lys939Gln多态性:CC与AA相比,OR = 1.191,p = 0.033;AC与AA相比,OR = 0.992,p = 0.762,显性模型,OR = 1.028,p = 0.521;隐性模型,OR = 1.205,p = 0.022)。对于Ala499Val多态性:TT与CC相比,OR = 1.195,p = 0.071;TC与CC相比,OR = 1.146,p = 0.133;显性模型,OR = 1.161,p = 0.086;隐性模型,OR = 1.123,p = 0.156。对于PAT(-/+)多态性:+/+与-/-相比,OR = 1.094,p = 0.539;+/-与-/-相比,OR = 0.925,p = 0.313;显性模型,OR = 0.969,p = 0.725;隐性模型,OR = 1.135,p = 0.290。(Bonferroni检验p = 0.004)。在对这三种XPC基因多态性的亚组分析中也未发现显著关联。这项荟萃分析表明,这三种XPC基因多态性可能不是肺癌发生的危险因素。