Dong Yuhao, Zhuang Le, Ma Weiyuan
Shandong University School of Medicine, Jinan, 250012, China.
Tumour Biol. 2013 Apr;34(2):1155-60. doi: 10.1007/s13277-013-0657-7. Epub 2013 Feb 3.
Previous studies evaluating the association between excision repair cross-complimentary group 2 (ERCC2) Lys751Gln polymorphism and susceptibility to cutaneous melanoma reported conflicting findings. We searched PubMed and Wangfang Medical databases up to October 16, 2012 to identify eligible studies. A total of 8 case-control studies including 3,492 cases and 5,381 controls were included in the meta-analysis. Statistical analysis was performed with Review Manage version 5.1. Odds ratios (ORs) with 95 % confidence intervals (95 %CIs) were used to assess the strength of the association. There was no obvious between-study heterogeneity among those eight studies under all four comparison models. Overall, there was a significant association between ERCC2 Lys751Gln polymorphism and susceptibility to cutaneous melanoma under three genetic models (for Gln versus Lys: OR = 1.08, 95 % CI = 1.01-1.15, P = 0.02; for GlnGln versus LysLys: OR = 1.16, 95 % CI = 1.01-1.33, P = 0.03; for GlnGln/LysGln versus LysLys: OR = 1.10, 95 % CI = 1.01-1.21, P = 0.04). Sensitivity analysis by omitting one study a time showed the significance of the pooled ORs was stable under all those three genetic models above. Therefore, the meta-analysis suggests that there is a significant association between ERCC2 Lys751Gln polymorphism and susceptibility to cutaneous melanoma.
先前评估切除修复交叉互补组2(ERCC2)Lys751Gln多态性与皮肤黑色素瘤易感性之间关联的研究报告了相互矛盾的结果。我们检索了截至2012年10月16日的PubMed和万方医学数据库,以确定符合条件的研究。荟萃分析共纳入8项病例对照研究,包括3492例病例和5381例对照。使用Review Manage 5.1版进行统计分析。采用比值比(OR)及其95%置信区间(95%CI)来评估关联强度。在所有四种比较模型下,这八项研究之间均无明显的研究间异质性。总体而言,在三种遗传模型下,ERCC2 Lys751Gln多态性与皮肤黑色素瘤易感性之间存在显著关联(Gln与Lys比较:OR = 1.08,95%CI = 1.01 - 1.15,P = 0.02;GlnGln与LysLys比较:OR = 1.16,95%CI = 1.01 - 1.33,P = 0.03;GlnGln/LysGln与LysLys比较:OR = 1.10,95%CI = 1.01 - 1.21,P = 0.04)。每次剔除一项研究进行的敏感性分析表明,在上述所有三种遗传模型下,合并OR的显著性均稳定。因此,荟萃分析表明ERCC2 Lys751Gln多态性与皮肤黑色素瘤易感性之间存在显著关联。