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儿茶酚-O-甲基转移酶Val158Met多态性与亚洲人群乳腺癌风险

Catechol-O-methyltransferase Val158Met polymorphism and breast cancer risk in Asian population.

作者信息

Li Kai, Li Wusheng, Zou Huawei

机构信息

Department of Oncology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, 110004, China,

出版信息

Tumour Biol. 2014 Mar;35(3):2343-50. doi: 10.1007/s13277-013-1310-1. Epub 2013 Oct 22.

Abstract

The association between the polymorphism of catechol-O-methyltransferase (COMT) Val158Met and breast cancer risk is still inconclusive. We performed a meta-analysis to derive a more precise estimation of the relationship. A total of 18 studies including 5,175 cases and 6,463 controls were involved in this meta-analysis. When all studies were pooled into the meta-analysis, no significantly elevated breast cancer risk was associated with all genetic models (for additive model: OR = 1.273, 95% CI = 0.947-1.711, P heterogeneity = 0.000; P = 0.110; for dominant model: OR = 1.080, 95% CI = 0.945-1.234, P heterogeneity = 0.001; P = 0.259; for recessive model: OR = 1.242, 95% CI = 0.941-1.641, P heterogeneity = 0.000; P = 0.126; for allele comparison model: OR = 1.096, 95% CI = 0.976-1.230, P heterogeneity = 0.000; P = 0.121). In the subgroup analysis by controls source, the same results were found in all genetic models. In summary, this meta-analysis suggests that the COMT Val158Met polymorphism is not a risk factor for breast cancer development. However, large sample and representative population-based studies with homogeneous breast cancer patients and well-matched controls are warranted to confirm this finding.

摘要

儿茶酚-O-甲基转移酶(COMT)Val158Met多态性与乳腺癌风险之间的关联仍无定论。我们进行了一项荟萃分析,以更精确地估计二者之间的关系。该荟萃分析共纳入18项研究,包括5175例病例和6463例对照。当将所有研究汇总进行荟萃分析时,所有遗传模型均未显示乳腺癌风险显著升高(加性模型:OR = 1.273,95%CI = 0.947 - 1.711,P异质性 = 0.000;P = 0.110;显性模型:OR = 1.080,95%CI = 0.945 - 1.234,P异质性 = 0.001;P = 0.259;隐性模型:OR = 1.242,95%CI = 0.941 - 1.641,P异质性 = 0.000;P = 0.126;等位基因比较模型:OR = 1.096,95%CI = 0.976 - 1.230,P异质性 = 0.000;P = 0.121)。在按对照来源进行的亚组分析中,所有遗传模型均得到相同结果。总之,这项荟萃分析表明,COMT Val158Met多态性不是乳腺癌发生的风险因素。然而,仍需要开展基于大样本且具有代表性人群的研究,纳入特征一致的乳腺癌患者和匹配良好的对照,以证实这一发现。

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