Yin Qing-Hua, Liu Chuan, Hu Jian-Bing, Meng Rong-Rong, Li Lian, Wang Ya-Jie
Department of Oncology, the First People's Hospital of Yueyang, Yueyang, China.
Asian Pac J Cancer Prev. 2013;14(1):231-6. doi: 10.7314/apjcp.2013.14.1.231.
Published data regarding the association between xeroderma pigmentosum group D (XPD) Lys751Gln and Asp312Asn polymorphisms and gastric cancer susceptibility havew been inconclusive. This meta-analysis was therefore performed toobtain a more precise estimation of any relationship.
A comprehensive literature search was conducted to identify all case-control studies of Lys751Gln and Asp312Asn polymorphisms and susceptibility to gastric cancer. Summary odds ratios (ORs) and its 95% confidence intervals (95% CIs) were calculated using a random-effects model with the software STATA (version10.0).
A total of 12 case-control studies including 3,147 cases and 4,736 controls were included. Overall, no significant associations were found in some models (for Lys751Gln: Lys/Gln vs Lys/Lys: OR=1.144, 95% CI=0.851-1.541, Gln/Gln vs Lys/Lys: OR=1.215, 95% CI = 0.740-1.955, dominant model: OR=1.137, 95% CI=0.818-1.582; recessive model: OR=1.123, 95% CI=0.765-1.650; for Asp312Asn: Asp/Asn vs Asp/Asp: OR=1.180, 95% CI=0.646-2.154, dominant model: OR=1.380, 95% CI = 0.812-2.346), but significantly elevated susceptibility was found for Asp312Asn polymorphism in some models (Asn/Asn vs Asp/Asp: OR=2.045, 95% CI=1.254-3.335, recessive model: OR=1.805, 95% CI =1.219-2.672 ), for the additive model, the XPD Lys751Gln and Asp312Asn polymorphisms were not significantly associated with gastric cancer susceptibility. In stratified analyses, significantly elevated susceptibility was found for some models in the Chinese population.
This meta-analysis suggested the XPD Asp312Asn polymorphism might be a potential biomarker of gastric cancer susceptibility in overall population, while both XPD Lys751Gln and Asp312Asn polymorphisms might be risk factors of gastric cancer susceptibility in Chinese.
关于着色性干皮病D组(XPD)Lys751Gln和Asp312Asn多态性与胃癌易感性之间关联的已发表数据尚无定论。因此,进行了这项荟萃分析以更精确地评估二者之间的关系。
进行全面的文献检索,以确定所有关于Lys751Gln和Asp312Asn多态性与胃癌易感性的病例对照研究。使用STATA软件(版本10.0)的随机效应模型计算汇总比值比(OR)及其95%置信区间(95%CI)。
共纳入12项病例对照研究,包括3147例病例和4736例对照。总体而言,在某些模型中未发现显著关联(对于Lys751Gln:Lys/Gln与Lys/Lys相比:OR = 1.144,95%CI = 0.851 - 1.541;Gln/Gln与Lys/Lys相比:OR = 1.215,95%CI = 0.740 - 1.955;显性模型:OR = 1.137,95%CI = 0.818 - 1.582;隐性模型:OR = 1.123,95%CI = 0.765 - 1.650;对于Asp312Asn:Asp/Asn与Asp/Asp相比:OR = 1.180,95%CI = 0.646 - 2.154;显性模型:OR = 1.380,95%CI = 0.812 - 2.346),但在某些模型中发现Asp312Asn多态性的易感性显著升高(Asn/Asn与Asp/Asp相比:OR = 2.045,95%CI = 1.254 - 3.335;隐性模型:OR = 1.805,95%CI = 1.219 - 2.672)。对于加性模型,XPD Lys751Gln和Asp312Asn多态性与胃癌易感性无显著关联。在分层分析中,在中国人群的某些模型中发现易感性显著升高。
这项荟萃分析表明,XPD Asp312Asn多态性可能是总体人群中胃癌易感性的潜在生物标志物,而XPD Lys751Gln和Asp312Asn多态性可能是中国人胃癌易感性的危险因素。