Sun Hongzhi, Li Qing, Yang Tao, Wang Wei
Department of General Surgery, the First Affiliated Hospital, Liaoning Medical University, Jinzhou, 121001, China,
Tumour Biol. 2014 Mar;35(3):2351-8. doi: 10.1007/s13277-013-1407-6. Epub 2013 Nov 21.
Many epidemiological studies have evaluated the association between microRNA-499 rs3746444 A/G polymorphism and cancer risk, but published data are still inconclusive. Therefore, we performed a meta-analysis to evaluate the association between microRNA-499 rs3746444 A/G polymorphism and cancer susceptibility. The summary odds ratio (OR) with its 95% confidence interval (CI) was calculated to evaluate the association. Seventeen case-control studies with a total of 7,974 cancer cases and 9,404 controls were finally included into this meta-analysis. Overall, microRNA-499 rs3746444 A/G polymorphism was significantly associated with increased risk in both the domain model (GG/AG versus AA: OR = 1.17, 95% CI, 1.03-1.33, P = 0.02) and the heterozygote comparison model (AG versus AA: OR = 1.15, 95% CI, 1.01-1.32, P = 0.03) when all studies were pooled into the meta-analysis. Subgroup analysis by ethnicity showed that association between microRNA-499 rs3746444 A/G polymorphism and cancer susceptibility was significant in Asians, but not in Caucasians. In the subgroup analysis by cancer types, no risk of breast, liver, or lung cancers were found significantly associated with microRNA-499 rs3746444 A/G polymorphism in any of the genetic models. In summary, this meta-analysis suggests that microRNA-499 rs3746444 A/G polymorphism is associated with increased susceptibility to cancer in Asians. However, more well-designed studies with large sample size are needed to validate this association among different kinds of cancers.
许多流行病学研究评估了微小RNA-499 rs3746444 A/G多态性与癌症风险之间的关联,但已发表的数据仍无定论。因此,我们进行了一项荟萃分析,以评估微小RNA-499 rs3746444 A/G多态性与癌症易感性之间的关联。计算汇总比值比(OR)及其95%置信区间(CI)以评估这种关联。最终,17项病例对照研究(共7974例癌症病例和9404例对照)被纳入该荟萃分析。总体而言,当所有研究汇总进行荟萃分析时,微小RNA-499 rs3746444 A/G多态性在显性模型(GG/AG与AA相比:OR = 1.17,95%CI,1.03 - 1.33,P = 0.02)和杂合子比较模型(AG与AA相比:OR = 1.15,95%CI,1.01 - 1.32,P = 0.03)中均与风险增加显著相关。按种族进行的亚组分析表明,微小RNA-499 rs3746444 A/G多态性与癌症易感性之间的关联在亚洲人中显著,但在白种人中不显著。在按癌症类型进行的亚组分析中,在任何遗传模型中均未发现微小RNA-499 rs3746444 A/G多态性与乳腺癌、肝癌或肺癌风险显著相关。总之,这项荟萃分析表明,微小RNA-499 rs3746444 A/G多态性与亚洲人患癌易感性增加有关。然而,需要更多设计良好、样本量大的研究来验证不同类型癌症之间的这种关联。