Nie Wei, Zang Yuansheng, Chen Jiquan, Xiu Qingyu
Department of Respiratory Medicine, Shanghai Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Tumour Biol. 2014 Jun;35(6):5569-74. doi: 10.1007/s13277-014-1734-2. Epub 2014 Feb 18.
Some studies investigated the association of TERT rs2736100 polymorphism with lung cancer (LC). But the results were not consistent. We performed a meta-analysis to examine the association between rs2736100 and LC. Databases including PubMed, EMBASE, Wanfang, and China National Knowledge Infrastructure (CNKI) were searched. Data were extracted, and pooled odds ratios (ORs) with 95 % confidence intervals (CIs) were calculated. A total of 19 studies including 49,869 cases and 73,464 controls were involved in this meta-analysis. Overall, a significant association between TERT rs2736100 polymorphism and LC risk was observed (OR=1.23, 95 % CI 1.18-1.28, P<0.00001). This polymorphism was also significantly associated with LC risk in Asians (OR=1.27, 95 % CI 1.22-1.33, P<0.00001), Caucasians (OR=1.14, 95 % CI 1.10-1.18, P<0.00001), female patients (OR=1.37, 95 % CI 1.24-1.51, P<0.00001), male patients (OR=1.23, 95 % CI 1.15-1.31, P<0.00001), adenocarcinoma patients (OR=1.35, 95 % CI 1.28-1.41, P<0.00001), squamous cell carcinoma patients (OR=1.13, 95 % CI 1.04-1.21, P=0.002), small cell lung cancer patients (OR=1.09, 95 % CI 1.03-1.16, P=0.004), current smokers (OR=1.22, 95 % CI 1.17-1.27, P<0.00001), former smokers (OR=1.14, 95 % CI 1.08-1.21, P<0.0001), and never smokers (OR=1.37, 95 % CI 1.31-1.43, P<0.00001), respectively. This meta-analysis suggested that TERT rs2736100 polymorphism was a risk factor for LC.
一些研究调查了端粒酶逆转录酶(TERT)基因rs2736100多态性与肺癌(LC)的关联。但结果并不一致。我们进行了一项荟萃分析,以检验rs2736100与肺癌之间的关联。检索了包括PubMed、EMBASE、万方和中国知网(CNKI)在内的数据库。提取数据,并计算合并比值比(OR)及95%置信区间(CI)。本荟萃分析共纳入19项研究,涉及49869例病例和73464例对照。总体而言,观察到TERT基因rs2736100多态性与肺癌风险之间存在显著关联(OR = 1.23,95%CI 1.18 - 1.28,P < 0.00001)。该多态性在亚洲人(OR = 1.27,95%CI 1.22 - 1.33,P < 0.00001)、高加索人(OR = 1.14,95%CI 1.10 - 1.18,P < 0.00001)、女性患者(OR = 1.37,95%CI 1.24 - 1.51,P < 0.00001)、男性患者(OR = 1.23,95%CI 1.15 - 1.31,P < 0.00001)、腺癌患者(OR = 1.35,95%CI 1.28 - 1.41,P < 0.00001)、鳞状细胞癌患者(OR = 1.13,95%CI 1.04 - 1.21,P = 0.002)、小细胞肺癌患者(OR = 1.09,95%CI 1.03 - 1.16,P = 0.004)、当前吸烟者(OR = 1.22,95%CI 1.17 - 1.27,P < 0.00001)、既往吸烟者(OR = 1.14,95%CI 1.08 - 1.21,P < 0.0001)和从不吸烟者(OR = 1.37,95%CI 1.31 - 1.43,P < 0.00001)中也分别与肺癌风险显著相关。这项荟萃分析表明,TERT基因rs2736100多态性是肺癌的一个风险因素。