Wang Ruotian, Zhang Yi, Zhang Jian, Zhi Xiuyi
Thoracic Department, Xuanwu Hospital of Capital Medical University (CMU), Beijing, 100053, China.
Tumour Biol. 2014 Mar;35(3):1739-43. doi: 10.1007/s13277-013-1435-2. Epub 2014 Jan 29.
X-ray repair cross-complementing group 1 (XRCC1) is a major DNA repair protein in the base excision repair pathway. XRCC1 rs3213245 is a functional polymorphism in the XRCC1 gene promoter region which results in decreased DNA repair capacity. Previous studies investigating the association of XRCC1 rs3213245 polymorphism with lung cancer risk reported conflicting results. A meta-analysis of published studies was performed to provide a comprehensive assessment of the association. The pooled odds ratio (OR) with its 95% confidence interval (95% CI) was calculated to assess the association. Subgroup analysis was performed by ethnicity. Finally, six studies with a total of 3,208 cases and 3,505 control studies were included into our meta-analysis. The pooled results showed that there was a significant association between XRCC1 rs3213245 polymorphism and lung cancer risk (allele model: OR =1.31, 95% CI 1.13-1.51, P < 0.001; homozygote model: OR = 1.42, 95% CI 1.13-1.79, P = 0.003; recessive model: OR = 1.39, 95% CI 1.13-1.71, P = 0.002; dominant model: OR = 1.31, 95% CI 1.17-1.47, P < 0.001). Subgroup analysis by ethnicity showed that the association was still significant in both Asians (all P values less than 0.05) and Caucasians (recessive model: OR = 1.26, 95 % CI 1.01-1.59, P = 0.045). Thus, there is a significant association of XRCC1 rs3213245 polymorphism with lung cancer risk.
X射线修复交叉互补基因1(XRCC1)是碱基切除修复途径中的一种主要DNA修复蛋白。XRCC1 rs3213245是XRCC1基因启动子区域的功能性多态性,会导致DNA修复能力下降。先前关于XRCC1 rs3213245多态性与肺癌风险关联的研究结果相互矛盾。进行了一项已发表研究的荟萃分析,以全面评估这种关联。计算合并比值比(OR)及其95%置信区间(95%CI)来评估关联。按种族进行亚组分析。最后,六项研究共纳入3208例病例和3505例对照研究进行荟萃分析。汇总结果显示,XRCC1 rs3213245多态性与肺癌风险之间存在显著关联(等位基因模型:OR = 1.31,95%CI 1.13 - 1.51,P < 0.001;纯合子模型:OR = 1.42,95%CI 1.13 - 1.79,P = 0.003;隐性模型:OR = 1.39,95%CI 1.13 - 1.71,P = 0.002;显性模型:OR = 1.31,95%CI 1.17 - 1.47,P < 0.001)。按种族进行的亚组分析表明,在亚洲人(所有P值均小于0.05)和高加索人(隐性模型:OR = 1.26,95%CI 1.01 - 1.59,P = 0.045)中这种关联仍然显著。因此,XRCC1 rs3213245多态性与肺癌风险之间存在显著关联。