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血管内皮生长因子+405G/C(rs2010963)多态性与消化系统癌症风险:一项荟萃分析。

VEGF +405G/C (rs2010963) polymorphisms and digestive system cancer risk: a meta-analysis.

作者信息

Guo Qing, Dai Sheng-Bin, Shen Feng, Yu Di, Shen Shu-Tong, Zhang Qu, Huang Jun-Xing, Wu Zheng-Dong

机构信息

Department of Radiotherapy, Taizhou People's Hospital, South Hailing Road 395, Taizhou, 225300, China.

出版信息

Tumour Biol. 2014 May;35(5):4977-82. doi: 10.1007/s13277-014-1655-0. Epub 2014 Jan 29.

Abstract

Vascular endothelial growth factor (VEGF) polymorphisms, specifically +405G/C (rs2010963), reportedly influence the risk for various digestive cancers. However, the consequences of these polymorphisms remain controversial and ambiguous. Therefore, we performed a meta-analysis of 11 studies with VEGF +405G/C genotyping on 2,862 patients and 3,028 controls using the random effects model. We obtained a pooled odds ratio (OR) of 1.04 (95% confidence interval (CI) = 0.86-1.26) for the recessive genetic model, 1.07 (95% CI = 0.81-1.42) for the dominant genetic model, 1.09 (95% CI = 0.81-1.47) for the homozygote comparison, and 1.03 (95% CI = 0.83-1.27) for the heterozygote comparison. In the subgroup analysis of the recessive model, the OR was 1.20 (95% CI = 1.02-1.40) in colorectal cancer. These results show that VEGF +405G/C polymorphisms are unlikely to be a major determinant of susceptibility to digestive cancer. Furthermore, the subgroup analysis of recessive model indicates that VEGF +405G/C polymorphisms increase the risk for colorectal cancer.

摘要

据报道,血管内皮生长因子(VEGF)基因多态性,特别是+405G/C(rs2010963),会影响各种消化系统癌症的发病风险。然而,这些基因多态性的影响仍存在争议且不明确。因此,我们采用随机效应模型,对11项研究进行了荟萃分析,这些研究对2862例患者和3028例对照进行了VEGF +405G/C基因分型。隐性遗传模型的合并比值比(OR)为1.04(95%置信区间(CI)=0.86-1.26),显性遗传模型为1.07(95%CI=0.81-1.42),纯合子比较为1.09(95%CI=0.81-1.47),杂合子比较为1.03(95%CI=0.83-1.27)。在隐性模型的亚组分析中,结直肠癌的OR为1.20(95%CI=1.02-1.40)。这些结果表明,VEGF +405G/C基因多态性不太可能是消化系统癌症易感性的主要决定因素。此外,隐性模型的亚组分析表明,VEGF +405G/C基因多态性会增加患结直肠癌的风险。

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