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14q13.3上的常见基因变异与甲状腺癌易感性有关:基于12项研究的证据。

Common genetic variant on 14q13.3 contributes to thyroid cancer susceptibility: evidence based on 12 studies.

作者信息

Zheng JiaoJiao, Li Chen, Wang Cong, Ai Zhilong

机构信息

Department of General Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, People's Republic of China.

出版信息

Mol Genet Genomics. 2015 Jun;290(3):1125-33. doi: 10.1007/s00438-014-0981-7. Epub 2015 Jan 1.

Abstract

Several genome-wide association studies on thyroid cancer (TC) have reported similar findings of a new susceptibility locus, 14q13.3. After that, a number of studies reported that rs944289 polymorphism at chromosome 14q13.3 has been implicated in TC risk. However, these studies have yielded inconsistent results. To investigate this inconsistency, we performed a meta-analysis of 12 studies involving a total of 7,598 TC cases, 53,613 controls, and 239 nuclear families for 14q13.3-rs944289 polymorphism to evaluate its effect on genetic susceptibility for TC. An overall random-effect per-allele OR of 1.30 (95 % CI 1.21-1.40, P < 10(-5)) was found for the polymorphism. Significant results were also observed for under dominant and recessive genetic models. In the subgroup analysis by ethnicity, we found similar significant results for both Caucasians (T allele: OR 1.29, 95 % CI 1.17-1.42, P < 10(-5)) and East Asians (T allele: OR 1.33, 95 % CI 1.18-1.49, P < 10(-5)). Further in stratified analyses according to study design and sample size, evidence of gene-disease association was also obtained. In addition, we found that rs944289 confers its risk, for both papillary thyroid carcinoma and follicular thyroid carcinoma when stratified by histological types of TC. Furthermore, our results on stratified analysis according to radiation exposure status showed an increased sporadic TC risk, while no associations were detected among radiation-related TCs for rs944289 polymorphism. Our result demonstrated that rs944289 polymorphism on 14q13.3 is a low penetrant risk factor for developing TC.

摘要

几项关于甲状腺癌(TC)的全基因组关联研究报告了一个新的易感基因座14q13.3的类似研究结果。此后,多项研究报告称,14q13.3处的rs944289多态性与TC风险有关。然而,这些研究结果并不一致。为了探究这种不一致性,我们对12项研究进行了荟萃分析,这些研究共涉及7598例TC病例、53613例对照以及239个核心家庭,以评估14q13.3-rs944289多态性对TC遗传易感性的影响。发现该多态性的总体随机效应等位基因比值比为1.30(95%可信区间1.21-1.40,P<10⁻⁵)。在显性和隐性遗传模型下也观察到显著结果。在按种族进行的亚组分析中,我们发现白种人(T等位基因:比值比1.29,95%可信区间1.17-1.42,P<10⁻⁵)和东亚人(T等位基因:比值比1.33,95%可信区间1.18-1.49,P<10⁻⁵)均有类似的显著结果。在根据研究设计和样本量进行的分层分析中,也获得了基因与疾病关联的证据。此外,我们发现,当按TC的组织学类型分层时,rs944289对乳头状甲状腺癌和滤泡状甲状腺癌均具有风险作用。此外,我们根据辐射暴露状态进行分层分析的结果显示,散发性TC风险增加,而在与辐射相关的TC中未检测到rs944289多态性的关联。我们的结果表明,14q13.3上的rs944289多态性是TC发生的一个低外显率风险因素。

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