Huang Yan, Liu Xin, Kuang Xin, Liao Duanfang
University of South China, Hengyang, China.
Tumour Biol. 2013 Aug;34(4):2189-93. doi: 10.1007/s13277-013-0755-6. Epub 2013 Apr 5.
The CYP2D6 gene has been suggested to play an important role in the pathogenesis of lung cancer. However, the results have been inconsistent. In this study, we performed a meta-analysis to clarify the association of CYP2D6 T188C variant with lung cancer. Published literature from PubMed, Embase, Chinese National Knowledge Infrastructure and Wanfang data were retrieved. Pooled odds ratio (OR) with 95 % confidence interval (CI) was calculated using fixed- or random-effects model. A total of nine studies (1,516 lung cancer cases and 1,950 controls) for CYP2D6 T188C variant were included in the meta-analysis. The meta-analysis indicated that compared with CYP2D6 TT genotype, non-TT genotype (CC or CT) was significantly associated with lung cancer in the Chinese (OR = 1.61, 95 % CI = 1.38-1.87, p < 0.001), with no evidence of between-study heterogeneity (I (2) = 0.0 %, p = 0.991). The sensitivity analysis indicated that the association was stable and no publication bias was detected. The present meta-analysis supported the positive association of CYP2D6 T188C variant with lung cancer in the Chinese. Further large-scale studies with the consideration for gene-gene/gene-environment interactions should be conducted to investigate the association.
已有研究表明,CYP2D6基因在肺癌发病机制中发挥重要作用。然而,研究结果并不一致。在本研究中,我们进行了一项荟萃分析,以阐明CYP2D6基因T188C变异与肺癌的关联。检索了来自PubMed、Embase、中国知网和万方数据的已发表文献。使用固定效应模型或随机效应模型计算合并比值比(OR)及其95%置信区间(CI)。共有9项关于CYP2D6基因T188C变异的研究(1516例肺癌病例和1950例对照)纳入荟萃分析。荟萃分析表明,与CYP2D6基因TT基因型相比,非TT基因型(CC或CT)在中国人群中与肺癌显著相关(OR = 1.61,95%CI = 1.38 - 1.87,p < 0.001),且无研究间异质性证据(I² = 0.0%,p = 0.991)。敏感性分析表明该关联稳定,未检测到发表偏倚。本荟萃分析支持CYP2D6基因T188C变异与中国人群肺癌的正相关。应开展进一步的大规模研究,并考虑基因-基因/基因-环境相互作用来探究该关联。