Wang Ziliang, Liu Yang, Yang Lina, Yin Sheng, Zang Rongyu, Yang Gong
Cancer Institute, Fudan University Shanghai Cancer Center, Shanghai, China.
Tumour Biol. 2014 Jul;35(7):7115-23. doi: 10.1007/s13277-014-1881-5. Epub 2014 Apr 24.
Emerging evidences show that interleukin-8 (IL-8) has important regulatory functions in tumorigenesis. IL-8 -251A/T is a single nucleotide polymorphism in the promoter region of the IL-8 gene and affects IL-8 production. Analysis of previous studies on the association of -251A/T polymorphism with different cancer types remained to be illustrated. To further assess the effect of -251A/T polymorphism on cancer risks, we performed this meta-analysis, up to November 2013, of 12,917 cases with different cancer types and 17,689 controls from 47 published case-control designed studies. Statistical analyses were performed using STATA 11.0 software. Crude odds ratios (ORs) with 95 % confidence intervals (CIs) were used to assess the strength of associations. ORs with 95 % CIs for IL-8 -251A/T polymorphism and cancer were estimated using fixed- and random-effects models when appropriate. Significantly increased risks were found in overall under the models of A allele vs. T allele, AA vs. TT, and AA vs. AT/TT. Significantly elevated risks were observed in breast cancer under the models of A allele vs. T allele, AT vs. TT, AA/AT vs. TT, and AA vs. AT/TT, and in nasopharyngeal carcinoma under the models of AT vs. TT, AA/AT vs. TT, and AA vs. AT/TT. We found that significantly elevated risks were observed in the Asian population and hospital-based studies in all comparison models. Thus, this meta-analysis indicates that IL-8 -251A/T polymorphism is associated with a significantly increased risk of cancers and may provide evidence-based medical certificate to study the cancer susceptibility.
新出现的证据表明,白细胞介素-8(IL-8)在肿瘤发生过程中具有重要的调节功能。IL-8 -251A/T是IL-8基因启动子区域的单核苷酸多态性,影响IL-8的产生。以往关于-251A/T多态性与不同癌症类型关联的研究分析仍有待阐明。为了进一步评估-251A/T多态性对癌症风险的影响,我们进行了这项荟萃分析,截至2013年11月,纳入了来自47项已发表的病例对照设计研究中的12917例不同癌症类型的病例和17689例对照。使用STATA 11.0软件进行统计分析。采用粗比值比(OR)及95%置信区间(CI)评估关联强度。在合适的情况下,使用固定效应模型和随机效应模型估计IL-8 -251A/T多态性与癌症的OR及95%CI。在A等位基因与T等位基因、AA与TT以及AA与AT/TT模型下,总体癌症风险显著增加。在A等位基因与T等位基因、AT与TT、AA/AT与TT以及AA与AT/TT模型下,乳腺癌风险显著升高;在AT与TT、AA/AT与TT以及AA与AT/TT模型下,鼻咽癌风险显著升高。我们发现,在所有比较模型中,亚洲人群和基于医院的研究中癌症风险显著升高。因此,这项荟萃分析表明,IL-8 -251A/T多态性与癌症风险显著增加相关,可能为研究癌症易感性提供循证医学依据。