Chen Wei, Tang Wen-Ru, Zhang Ming, Chang Kwenjen, Wei Yun-Lin
Faculty of Medicine, Kunming University of Science and Technology, Kunming, China E-mail :
Asian Pac J Cancer Prev. 2014;15(6):2889-92. doi: 10.7314/apjcp.2014.15.6.2889.
Death receptor 4 (TRAIL-R1 or DR4) polymorphisms have been associated with cancer risk, but findings have been inconsistent. To estimate the relationship in detail, a meta-analysis was here performed. A search of PubMed was conducted to investigate the association between DR4 C626G, A683C and A1322G polymorphisms and cancer risk, using odds ratios (ORs) with 95% confidence intervals. The results suggested that DR4 C626G and A683C polymorphisms were indeed associated with cancer risk (for C626G, dominant model, OR 0.991, 95%CI 0.866-1.133, p=0.015; for A683C, additive model, OR=1.140, 95%CI: 0.948-1.370, p=0.028; dominant model, OR=1.156, 95%CI: 0.950-1.406, p=0.080) in the Caucasian subgroup. However, the association was not significant between DR4 polymorphism A1322G with cancer risk in Caucasians (For A1322G, additive model: OR 1.085, 95%CI 0.931-1.289, p=0.217; dominant model: OR 1.379, 95%CI 0.934-2.035, p=0.311; recessive model: OR 1.026, 95%CI 0.831-1.268 p=0.429.). In summary, our finding suggests that DR4 polymorphism C626G and A683 rather than A1322G are associated with cancer risk in Caucasians.
死亡受体4(TRAIL-R1或DR4)基因多态性与癌症风险相关,但研究结果并不一致。为详细评估二者之间的关系,我们进行了一项荟萃分析。通过检索PubMed数据库,以比值比(OR)及其95%置信区间来研究DR4基因C626G、A683C和A1322G多态性与癌症风险之间的关联。结果表明,在高加索人群亚组中,DR4基因C626G和A683C多态性确实与癌症风险相关(对于C626G,显性模型,OR = 0.991,95%CI:0.866 - 1.133,p = 0.015;对于A683C,加性模型,OR = 1.140,95%CI:0.948 - 1.370,p = 0.028;显性模型,OR = 1.156,95%CI:0.950 - 1.406,p = 0.080)。然而,在高加索人群中,DR4基因A1322G多态性与癌症风险之间的关联并不显著(对于A1322G,加性模型:OR = 1.085,95%CI:0.931 - 1.289,p = 0.217;显性模型:OR = 1.379,95%CI:0.934 - 2.035,p = 0.311;隐性模型:OR = 1.026,95%CI:0.831 - 1.268,p = 0.429)。总之,我们的研究结果表明,在高加索人群中,与癌症风险相关的是DR4基因多态性C626G和A683,而非A1322G。