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微粒体环氧化物水解酶1基因多态性与食管癌易感性的关联:一项荟萃分析。

Association between microsomal epoxide hydrolase 1 polymorphisms and susceptibility to esophageal cancer: a meta-analysis.

作者信息

Zhao Weixin, Luo Jianfeng, Cai Xuwei

机构信息

Department of Radiation Oncology, Fudan University Shanghai Cancer Center, 270 Dong An Road, Shanghai, 200032, China.

出版信息

Tumour Biol. 2013 Aug;34(4):2383-8. doi: 10.1007/s13277-013-0787-y. Epub 2013 May 17.

Abstract

Microsomal epoxide hydrolase 1 (EPHX1) plays an important role in the detoxification of carcinogenic polycyclic aromatic hydrocarbons. EPHX1 Tyr113His and His139Arg polymorphisms have been reported to have some impacts on the EPHX1 activity. Previous case-control studies assessing the associations between EPHX1 polymorphisms and esophageal cancer risk reported conflicting results. To quantitatively summarize the associations of EPHX1 Tyr113His and His139Arg polymorphisms with esophageal cancer risk, a systemic review and meta-analysis of published studies were performed. Published literatures from PubMed, Embase, and China National Knowledge Infrastructure databases were searched. The strength of the associations between EPHX1 polymorphisms and esophageal cancer risk was estimated by the pooled odds ratios (ORs) with its 95 % confidence interval (95 %CI). This meta-analysis yielded nine case-control studies, which included nine studies for Tyr113His polymorphism (1,291 cases and 2,120 controls) and seven studies for His139Arg polymorphism (899 cases and 1,615 controls). Overall, meta-analysis showed that EPHX1 Tyr113His polymorphism was not associated with esophageal cancer risk under all genetic models. Meta-analysis of these seven studies for EPHX1 His139Arg polymorphism showed that EPHX1 His139Arg polymorphism was also not associated with esophageal cancer risk under all genetic models. However, subgroup analysis by ethnicity further showed that there was an obvious association between EPHX1 His139Arg polymorphism and decreased risk of esophageal cancer in Caucasians (ArgArg versus HisArg/HisHis: OR = 0.52, 95 %CI 0.27-0.97, P = 0.041). This meta-analysis suggests that EPHX1 His139Arg polymorphism is associated with decreased risk of esophageal cancer in Caucasians. In addition, more studies with large samples are needed to get a more precise estimation on the associations mentioned above.

摘要

微粒体环氧化物水解酶1(EPHX1)在致癌多环芳烃的解毒过程中发挥着重要作用。据报道,EPHX1基因的Tyr113His和His139Arg多态性对EPHX1活性有一定影响。此前评估EPHX1多态性与食管癌风险之间关联的病例对照研究结果相互矛盾。为了定量总结EPHX1基因Tyr113His和His139Arg多态性与食管癌风险的关联,我们对已发表的研究进行了系统评价和荟萃分析。检索了PubMed、Embase和中国知网数据库中的相关文献。通过合并比值比(OR)及其95%置信区间(95%CI)来估计EPHX1多态性与食管癌风险之间关联的强度。这项荟萃分析纳入了9项病例对照研究,其中包括9项关于Tyr113His多态性的研究(1291例病例和2120例对照)以及7项关于His139Arg多态性的研究(899例病例和1615例对照)。总体而言,荟萃分析表明,在所有遗传模型下,EPHX1基因的Tyr113His多态性与食管癌风险均无关联。对这7项关于EPHX1基因His139Arg多态性的研究进行荟萃分析发现,在所有遗传模型下,EPHX1基因的His139Arg多态性与食管癌风险也无关联。然而,按种族进行的亚组分析进一步显示,在白种人中,EPHX1基因的His139Arg多态性与食管癌风险降低之间存在明显关联(ArgArg与HisArg/HisHis相比:OR = 0.52,95%CI 0.27 - 0.97,P = 0.041)。这项荟萃分析表明,EPHX1基因的His139Arg多态性与白种人食管癌风险降低有关。此外,还需要更多大样本研究以更精确地估计上述关联。

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