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ERCC4基因rs1800067多态性与癌症风险的关联:一项更新的荟萃分析。

Associations of ERCC4 rs1800067 polymorphism with cancer risk: an updated meta-analysis.

作者信息

Yuan Quan, Liu Jing-Wei, Xing Cheng-Zhong, Yuan Yuan

机构信息

Tumor Etiology and Screening Department of Cancer Institute and General Surgery, the First Affiliated Hospital of China Medical University, and Key Laboratory of Cancer Etiology and Prevention (China Medical University), Liaoning Provincial Education Department, Shenyang, China E-mail :

出版信息

Asian Pac J Cancer Prev. 2014;15(18):7639-44. doi: 10.7314/apjcp.2014.15.18.7639.

Abstract

BACKGROUND

RESULTS from previous studies concerning the association of ERCC4 rs1800067 polymorphism with risk of cancer were inconsistent. To explore the exact relation with susceptibility, we conducted the present meta-analysis.

MATERIALS AND METHODS

Literature of electronic databases including PubMed, Web of Science, EMBASE, Wanfang and Chinese National Knowledge Infrastructure (CNKI) were systematically searched. ORs and their 95%CIs were used to assess the strength of associations between ERCC4 polymorphism and cancer risk.

RESULTS

There was no significant association between ERCC4 rs1800067 AA or AG genotypes and overall risk of cancer (AA vs. GG: OR=0.998, 95%CI=0.670-1.486, P=0.992; AG vs. GG: OR=0.970, 95%CI=0.888- 1.061, P=0.508). A dominant genetic model also did not demonstrate significant association of (AA+AG) genotype carriers with altered risk of overall cancer (OR=0.985, 95%CI=0.909-1.068, P=0.719). In addition, no significant association was observed between A allele of ERCC4 rs1800067 A/G polymorphism and altered cancer risk compared with G allele (OR=0.952, 95%CI=0.851-1.063, P=0.381). Subgroup analysis suggested that AA genotype carriers were significantly associated with decreased risk of glioma compared with wild-type GG genotype individuals (OR=0.523, 95%CI=0.275-0.993, P=0.048). For subgroup of lung cancer, A allele of ERCC4 rs1800067 A/G polymorphism was significantly associated with decreased risk of lung cancer compared with G allele (OR=0.806, 95%CI=0.697-0.931, P=0.003).

CONCLUSIONS

This meta-analysis indicated that ERCC4 rs1800067 A/G polymorphism might not be associated with risk of overall cancer. However, individuals with the AA genotype were associated with significantly reduced risk of glioma compared with wild-type GG genotype; The A allele was associated with significantly reduced risk of lung cancer compared with G allele. Future large- scale studies performed in multiple populations are warranted to confirm our results.

摘要

背景

先前关于ERCC4基因rs1800067多态性与癌症风险关联的研究结果并不一致。为探究其与易感性的确切关系,我们进行了本次荟萃分析。

材料与方法

系统检索了包括PubMed、Web of Science、EMBASE、万方和中国知网(CNKI)在内的电子数据库文献。采用比值比(OR)及其95%置信区间(CI)来评估ERCC4基因多态性与癌症风险之间关联的强度。

结果

ERCC4基因rs1800067的AA或AG基因型与总体癌症风险之间无显著关联(AA与GG比较:OR = 0.998,95%CI = 0.670 - 1.486,P = 0.992;AG与GG比较:OR = 0.970,95%CI = 0.888 - 1.061,P = 0.508)。显性遗传模型也未显示(AA + AG)基因型携带者与总体癌症风险改变之间存在显著关联(OR = 0.985,95%CI = 0.909 - 1.068,P = 0.719)。此外,与G等位基因相比,ERCC4基因rs1800067 A/G多态性的A等位基因与癌症风险改变之间未观察到显著关联(OR = 0.952,95%CI = 0.851 - 1.063,P = 0.381)。亚组分析表明,与野生型GG基因型个体相比,AA基因型携带者患胶质瘤的风险显著降低(OR = 0.523,95%CI = 0.275 - 0.993,P = 0.048)。在肺癌亚组中,与G等位基因相比,ERCC4基因rs1800067 A/G多态性的A等位基因与肺癌风险降低显著相关(OR = 0.806,95%CI = 0.697 - 0.931,P = 0.003)。

结论

本次荟萃分析表明,ERCC4基因rs1800067 A/G多态性可能与总体癌症风险无关。然而,与野生型GG基因型相比,AA基因型个体患胶质瘤的风险显著降低;与G等位基因相比,A等位基因与肺癌风险显著降低相关。未来有必要在多个群体中开展大规模研究以证实我们的结果。

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