Jiang Honglei, Wu Dan, Ma Dongyan, Lin Guofu, Liang Jian, Jin Junzhe
Department of Hepatobiliary Surgery, The Fourth Affiliated Hospital of China Medical University, No.4 Chongshandong Street, Huanggu District, Shenyang, 110032, China.
Tumour Biol. 2013 Dec;34(6):3417-21. doi: 10.1007/s13277-013-0914-9. Epub 2013 Jun 27.
Previous published studies suggested that genetic polymorphisms in DNA repair genes could modify the DNA repair capacity and could be associated with pancreatic cancer risk. However, previous studies on the association between X-ray repair cross-complementation group 1 (XRCC1) rs25487 (Arg399Gln) polymorphism and pancreatic cancer risk reported inconsistent results. To obtain a more precise estimation of the association between XRCC1 rs25487 polymorphism and pancreatic cancer risk, we performed a meta-analysis of previous published studies by calculating the pooled odds ratio (OR) with a 95% confidence interval (95% CI). Eight individual studies with 5,542 subjects from six publications were finally included into this meta-analysis. The meta-analysis of total eight studies showed that there was no association between XRCC1 rs25487 polymorphism and pancreatic cancer risk in total population under all four genetic models (Gln versus Arg: OR = 1.10, 95% CI 0.95-1.28, P = 0.199; GlnGln versus ArgArg: OR = 1.15, 95% CI 0.93-1.41, P = 0.191; GlnGln/ArgGln versus ArgArg: OR = 1.10, 95% CI 0.97-1.25, P = 0.127; GlnGln versus ArgArg/ArgGln: OR = 1.12, 95% CI 0.92-1.36, P = 0.253). Subgroup analysis showed that there was no association between XRCC1 rs25487 polymorphism and pancreatic cancer risk in Caucasians, but XRCC1 rs25487 polymorphism was associated with pancreatic cancer risk in Asians (GlnGln/ArgGln versus ArgArg: OR = 1.24, 95% CI 1.01-1.53, P = 0.040). Therefore, the meta-analysis suggests that XRCC1 rs25487 polymorphism is associated with pancreatic cancer risk in Asians. Further studies with more participants are needed to provide a more precise estimation on the association above.
既往发表的研究表明,DNA修复基因中的遗传多态性可能会改变DNA修复能力,并可能与胰腺癌风险相关。然而,既往关于X射线修复交叉互补组1(XRCC1)rs25487(Arg399Gln)多态性与胰腺癌风险之间关联的研究报告结果并不一致。为了更精确地估计XRCC1 rs25487多态性与胰腺癌风险之间的关联,我们通过计算合并比值比(OR)及95%置信区间(95%CI),对既往发表的研究进行了荟萃分析。最终,来自6篇出版物的8项包含5542名受试者的个体研究被纳入该荟萃分析。对总共8项研究的荟萃分析表明,在所有4种遗传模型下,总体人群中XRCC1 rs25487多态性与胰腺癌风险之间均无关联(Gln与Arg相比:OR = 1.10,95%CI 0.95 - 1.28,P = 0.199;GlnGln与ArgArg相比:OR = 1.15,95%CI 0.93 - 1.41,P = 0.191;GlnGln/ArgGln与ArgArg相比:OR = 1.10,95%CI 0.97 - 1.25,P = 0.127;GlnGln与ArgArg/ArgGln相比:OR = 1.12,95%CI 0.92 - 1.36,P = 0.253)。亚组分析表明,在白种人中XRCC1 rs25487多态性与胰腺癌风险之间无关联,但在亚洲人中XRCC1 rs25487多态性与胰腺癌风险相关(GlnGln/ArgGln与ArgArg相比:OR = 1.24,95%CI 1.01 - 1.53,P = 0.040)。因此,该荟萃分析表明XRCC1 rs25487多态性与亚洲人的胰腺癌风险相关。需要更多参与者进行进一步研究,以更精确地估计上述关联。