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白细胞介素-6基因多态性与肝细胞癌风险的关联:一项荟萃分析的证据

Association of IL-6 polymorphisms with hepatocellular carcinoma risk: evidences from a meta-analysis.

作者信息

Liu Ying, Gao Su-jun, Du Bo-xiang, Wang Jie-jun

机构信息

Department of Oncology, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, People's Republic of China.

出版信息

Tumour Biol. 2014 Apr;35(4):3551-61. doi: 10.1007/s13277-013-1469-5. Epub 2013 Dec 8.

Abstract

The associations between IL-6 gene single nucleotide polymorphisms (SNPs) and risk of hepatocellular carcinoma (HCC) are controversial. We performed a meta-analysis to provide more credible evidence. We searched for relevant studies published up to 2013 by performing an efficient searching strategy. Odds ratios (OR) with 95% confidence interval (95% CI) was used to estimate the strength of the associations between IL-6 polymorphisms and HCC risk. We identified eight case-control studies involving 1,448 HCC cases and 3,160 controls. Our estimation specifically focused on two SNPs of the IL-6 gene, -174 G/C and -572 G/C. The combined results showed that association between IL-6-174 G/C polymorphism and risk of HCC was significant under additive model (CC vs. GG: OR 0.36; 95% CI, 0.16, 0.85) and recessive model (GG+CG vs. CC: OR 2.82; 95% CI 1.26, 6.28). However, the IL-6-572 G/C polymorphism was not associated with HCC risk. In conclusion, IL-6-174 G/C, but not -572 G/C polymorphism could be a candidate for susceptibility to HCC. However, the results should be cautiously interpreted due to the limited number of the included studies.

摘要

白细胞介素-6(IL-6)基因单核苷酸多态性(SNP)与肝细胞癌(HCC)风险之间的关联存在争议。我们进行了一项荟萃分析以提供更可靠的证据。我们通过高效的检索策略检索了截至2013年发表的相关研究。采用比值比(OR)及其95%置信区间(95%CI)来估计IL-6基因多态性与HCC风险之间关联的强度。我们纳入了八项病例对照研究,共涉及1448例HCC病例和3160例对照。我们的评估特别聚焦于IL-6基因的两个SNP,即-174 G/C和-572 G/C。合并结果显示,在加性模型下(CC与GG比较:OR 0.36;95%CI为0.16,0.85)以及隐性模型下(GG + CG与CC比较:OR 2.82;95%CI为1.26,6.28),IL-6 -174 G/C多态性与HCC风险之间的关联具有统计学意义。然而,IL-6 -572 G/C多态性与HCC风险无关。总之,IL-6 -174 G/C多态性而非-572 G/C多态性可能是HCC易感性的一个候选因素。然而,由于纳入研究数量有限,对结果应谨慎解读。

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