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XRCC3基因Thr241Met多态性与白血病风险的关联:一项荟萃分析的证据

Association of XRCC3 Thr241Met polymorphism and leukemia risk: evidence from a meta-analysis.

作者信息

Yan Yulan, Liang Hongjie, Li Taijie, Guo Shihui, Li Meng, Qin Xue, Li Shan

机构信息

Department of Clinical Laboratory, First Affiliated Hospital of Guangxi Medical University , Nanning 530021, Guangxi , People's Republic of China.

出版信息

Leuk Lymphoma. 2014 Sep;55(9):2130-4. doi: 10.3109/10428194.2013.853303. Epub 2014 Feb 4.

Abstract

UNLABELLED

The relationship between the X-ray repair cross-complementing group 3 (XRCC3) Thr241Met (rs861539) polymorphism and the risk of leukemia remains inclusive or controversial. For a better understanding of the effect of XRCC3 Thr241Met (rs861539) polymorphism on leukemia risk, we performed a meta-analysis. All eligible studies were identified through a search of PubMed, Excerpta Medica Database (Embase) and the Chinese Biomedical Literature Database (CBM) up to August 2013. The association between the XRCC3 Thr241Met (rs861539) polymorphism and leukemia risk was analyzed by means of odds ratios (ORs) and 95% confidence intervals (CI). Ultimately, seven studies with 1070 cases and 1850 controls were included in the meta-analysis. There was no association between Thr241Met polymorphism and leukemia risk in any of the five models in the overall populations (T vs. C: OR = 1.43, 95% CI = 0.95-2.13, p = 0.086; TT vs. CC: OR = 1.71, 95% CI = 0.88-3.33, p = 0.112; TC vs. CC: OR = 1.35, 95% CI = 0.96-1.91, p = 0.089; TT vs.

TC/CC: OR = 1.59, 95% CI = 0.87-2.89, p = 0.132; TT/TC vs. CC: OR = 1.37, 95% CI = 0.98-1.94, p = 0.070). In subgroup analysis according to ethnicity, a significant association was found between XRCC3 Thr241Met (rs861539) polymorphism and leukemia risk in Asian but not in Caucasian or mixed populations. In conclusion, the results suggest no association between XRCC3 Thr241Met (rs861539) polymorphism and leukemia risk in the overall populations but a significant association between XRCC3 Thr241Met (rs861539) polymorphism and leukemia risk in the Asian population. Considering the limited sample size and ethnicities included in the meta-analysis, further large-scale, well-designed studies are needed to confirm our results.

摘要

未标记

X射线修复交叉互补基因3(XRCC3)苏氨酸241甲硫氨酸(rs861539)多态性与白血病风险之间的关系尚无定论或存在争议。为了更好地理解XRCC3苏氨酸241甲硫氨酸(rs861539)多态性对白血病风险的影响,我们进行了一项荟萃分析。通过检索截至2013年8月的PubMed、医学文摘数据库(Embase)和中国生物医学文献数据库(CBM),确定了所有符合条件的研究。采用比值比(OR)和95%置信区间(CI)分析XRCC3苏氨酸241甲硫氨酸(rs861539)多态性与白血病风险之间的关联。最终,七项研究(1070例病例和1850例对照)纳入了荟萃分析。在总体人群的五种模型中,苏氨酸241甲硫氨酸多态性与白血病风险均无关联(T与C:OR = 1.43,95%CI = 0.95 - 2.13,p = 0.086;TT与CC:OR = 1.71,95%CI = 0.88 - 3.33,p = 0.112;TC与CC:OR = 1.35,95%CI = 0.96 - 1.91,p = 0.089;TT与TC/CC:OR = 1.59,95%CI = 0.87 - 2.89,p = 0.132;TT/TC与CC:OR = 1.37,95%CI = 0.98 - 1.94,p = 0.070)。在按种族进行的亚组分析中,发现XRCC3苏氨酸241甲硫氨酸(rs861539)多态性与亚洲人群的白血病风险存在显著关联,而在白种人或混合人群中则无此关联。总之,结果表明在总体人群中XRCC3苏氨酸241甲硫氨酸(rs861539)多态性与白血病风险无关联,但在亚洲人群中XRCC3苏氨酸241甲硫氨酸(rs861539)多态性与白血病风险存在显著关联。鉴于荟萃分析中纳入的样本量和种族有限,需要进一步开展大规模、精心设计的研究来证实我们的结果。

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