Tan Xiang, Chen Mingwu
Department of Cardiothoracic Surgery, First Affiliated Hospital, Guangxi Medical University, Nanning, Guangxi, China.
Diagn Pathol. 2014 Oct 4;9:192. doi: 10.1186/s13000-014-0192-x.
The association between the Val158Met polymorphism in the catechol-O-methyltransferase (COMT) gene and lung cancer risk remains controversial and inconclusive. Therefore, the meta-analysis was performed to provide a quality reevaluation of the association between the COMT Val158Met polymorphism and the risk of lung cancer.
Two major public databases (Pubmed and Embase) and several Chinese databases were searched for eligible studies. Pooled odds ratios (OR) and 95% confidence intervals (CI) were calculated to estimate the strength of the association.
Five publications, including six individual studies with a total of 4,043 subjects (1,796 cases and 2,247 controls) regarding the association of COMT Val158Met polymorphism with lung cancer susceptibility were included in this meta-analysis. Overall, pooled analysis indicated that there was no significant association between COMT Val158Met polymorphism and lung cancer susceptibility under all genetic models. Likewise, no association was observed in the stratified analysis by ethnicity and control source, either. However, Val158Met polymorphism was shown to increase lung cancer risk among women (AG vs. GG, OR=1.190, 95% CI=1.001-1.422, p=0.049).
These findings suggested that the COMT l58Val/Met polymorphism confer genetic susceptibility to lung cancer among women. However, no evidence was found for the association with lung cancer risk in ethnicity and smoking status.
The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/13000_2014_192.
儿茶酚-O-甲基转移酶(COMT)基因的Val158Met多态性与肺癌风险之间的关联仍存在争议且尚无定论。因此,进行了荟萃分析以对COMT Val158Met多态性与肺癌风险之间的关联进行高质量的重新评估。
检索了两个主要的公共数据库(PubMed和Embase)以及几个中文数据库以查找符合条件的研究。计算合并优势比(OR)和95%置信区间(CI)以估计关联强度。
本荟萃分析纳入了5篇出版物,包括6项关于COMT Val158Met多态性与肺癌易感性关联的个体研究,共4043名受试者(1796例病例和2247例对照)。总体而言,合并分析表明在所有遗传模型下,COMT Val158Met多态性与肺癌易感性之间均无显著关联。同样,在按种族和对照来源进行的分层分析中也未观察到关联。然而,Val158Met多态性显示会增加女性患肺癌的风险(AG与GG相比,OR=1.190,95%CI=1.001-1.422,p=0.049)。
这些发现表明,COMT 158Val/Met多态性使女性具有肺癌遗传易感性。然而,未发现与种族和吸烟状况的肺癌风险存在关联的证据。
本文的虚拟切片可在此处找到:http://www.diagnosticpathology.diagnomx.eu/vs/13000_2014_192 。