Xiao Min, Chen Lei, Wu Xiaoling, Wen Fuqiang
1] Division of Pulmonary Diseases, State Key Laboratory of Biotherapy of China, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, China [2] Department of Respiratory Medicine, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, China.
Sci Rep. 2014 Oct 7;4:6372. doi: 10.1038/srep06372.
The association between the rs6495309 polymorphism in CHRNA3 gene and lung cancer risk has been studied in Chinese by several number case-control control studies with small number of cases and controls, and these studies might be underpowered to reveal the true association. Thus we sought to investigate the association with the risk of lung cancer by performing a comprehensive meta-analysis on the polymorphism. Five case-control studies were extracted from 3 articles on the polymorphism involving 4608 lung cancer cases and 4617 controls. The results of meta-analysis showed that significant increased risk were found for the polymorphism with the risk of lung cancer in Chinese: OR = 1.47, 95%CI = 1.33-1.63, P < 0.00001 for CC + TC vs. TT; OR = 1.24, 95%CI = 1.07-1.44, P = 0.005 for CC vs. TT + TC; OR = 1.62, 95%CI = 1.32-2.00, P < 0.00001 for CC vs. TT; OR = 1.42, 95%CI = 1.26-1.61, P < 0.00001 for CT vs. TT; OR = 1.42, 95%CI = 1.26-1.61, P < 0.00001. No significant publication bias was found for the five genetic models. Our findings demonstrated that CHRNA3 gene rs6495309 polymorphism might be a risk factor for the development of lung cancer in Chinese.
已有多项针对中国人群的病例对照研究对CHRNA3基因rs6495309多态性与肺癌风险之间的关联进行了研究,但这些研究的病例数和对照数较少,可能无法揭示两者之间的真实关联。因此,我们试图通过对该多态性进行全面的荟萃分析来研究其与肺癌风险的关联。从3篇关于该多态性的文章中提取了5项病例对照研究,共涉及4608例肺癌病例和4617例对照。荟萃分析结果显示,在中国人群中,该多态性与肺癌风险显著增加相关:CC + TC与TT相比,OR = 1.47,95%CI = 1.33 - 1.63,P < 0.00001;CC与TT + TC相比,OR = 1.24,95%CI = 1.07 - 1.44,P = 0.005;CC与TT相比,OR = 1.62,95%CI = 1.32 - 2.00,P < 0.00001;CT与TT相比,OR = 1.42,95%CI = 1.26 - 1.61,P < 0.00001;OR = 1.42,95%CI = 1.26 - 1.61,P < 0.00001。在这五种遗传模型中均未发现显著的发表偏倚。我们的研究结果表明,CHRNA3基因rs6495309多态性可能是中国人群肺癌发生的一个危险因素。