Teng Zan, Wang Lei, Zhang Jingdong, Cai Shuang, Liu Yunpeng
Department of Medical Oncology, The First Hospital of China Medical University, No. 155 North Nanjing Street, Heping District, Shenyang, 110001, China.
Tumour Biol. 2014 Mar;35(3):2117-21. doi: 10.1007/s13277-013-1281-2. Epub 2013 Nov 7.
Glutathione S-transferase M1 (GSTM1) polymorphism has been proven to be associated with risks of several cancers. However, previous studies on the association between GSTM1 polymorphism and colorectal cancer risk in Chinese population reported controversial results. We performed a meta-analysis of 13 studies which were identified through the literature search in PubMed and Wanfang databases. The strength of the association between GSTM1 polymorphism and colorectal cancer risk was measured by odds ratio (OR) with corresponding 95% confidence interval (95% CI). Overall, GSTM1 null mutation was significantly associated with a risk of colorectal cancer in Chinese population (OR = 1.37, 95% CI 1.12 to 1.68, P = 0.002). Sensitivity analyses by omitting those studies in turns did not materially alter the overall pooled ORs. The cumulative meta-analyses further showed a trend of an obvious association between GSTM1 null mutation and risk of colorectal cancer in Chinese population as information accumulated by year. The findings from our meta-analysis suggest that GSTM1 null mutation is significantly associated with a risk of colorectal cancer in Chinese population.
谷胱甘肽S-转移酶M1(GSTM1)基因多态性已被证明与多种癌症的风险相关。然而,先前关于中国人群中GSTM1基因多态性与结直肠癌风险之间关联的研究报告了相互矛盾的结果。我们对通过在PubMed和万方数据库中进行文献检索确定的13项研究进行了荟萃分析。GSTM1基因多态性与结直肠癌风险之间关联的强度通过比值比(OR)及相应的95%置信区间(95%CI)来衡量。总体而言,在中国人群中,GSTM1基因缺失突变与结直肠癌风险显著相关(OR = 1.37,95%CI为1.12至1.68,P = 0.002)。依次剔除这些研究的敏感性分析并未实质性改变总体合并后的OR值。累积荟萃分析进一步显示,随着逐年积累信息,在中国人群中,GSTM1基因缺失突变与结直肠癌风险之间存在明显关联的趋势。我们荟萃分析的结果表明,在中国人群中,GSTM1基因缺失突变与结直肠癌风险显著相关。