Li Kai, Li Wusheng, Zou Huawei
Department of Oncology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, 110004, China,
Tumour Biol. 2014 Mar;35(3):2343-50. doi: 10.1007/s13277-013-1310-1. Epub 2013 Oct 22.
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.
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。