Zheng Hui, Zhao Yun
Nursing Department, Tai'an Tumor Hospital, Tai'an City, No. 262 Taidong Road, Shandong Province, 271000, China.
Pathology Department, Tai'an Tumor Hospital, Tai'an City, No. 262 Taidong Road, Shandong Province, 271000, China.
Eur J Med Res. 2015 Mar 30;20(1):46. doi: 10.1186/s40001-015-0135-3.
Although many epidemiologic studies have investigated the CYP1A1 MspI gene polymorphisms and their associations with esophageal cancer (EC), definite conclusions cannot be drawn. To clarify the effects of CYP1A1 MspI polymorphisms on the risk of EC, a meta-analysis was performed in Chinese population.
Related studies were identified from PubMed, Springer Link, Ovid, Chinese Wanfang Data Knowledge Service Platform, Chinese National Knowledge Infrastructure (CNKI), and Chinese Biology Medicine (CBM) till October 2014. Pooled ORs and 95% CIs were used to assess the strength of the associations.
A total of 13 studies including 1,519 EC cases and 1,962 controls were involved in this meta-analysis. Overall, significant association was found between CYP1A1 MspI polymorphism and EC risk when all studies in the Chinese population pooled into this meta-analysis (C vs. T: OR = 1.25, 95% CI = 1.04 to 1.51; CC + CT vs. TT: OR = 1.35, 95% CI = 1.06 to 1.72; CC vs. TT + CT: OR = 1.35, 95% CI = 1.03 to 1.76). When we performed stratified analyses by geographical locations, histopathology type, and source of control, significantly increased risks were found in North China (C vs. T: OR = 1.38, 95% CI = 1.12 to 1.70; CC vs. TT: OR = 1.72, 95% CI = 1.16 to 2.56; CC + CT vs. TT: OR = 1.52, 95% CI = 1.14 to 2.02; CC vs. TT + CT: OR = 1.55, 95% CI = 1.17 to 2.06), in the population-based studies (C vs. T: OR = 1.22, 95% CI = 1.05 to 1.42; CC vs. TT: OR = 1.38, 95% CI = 1.02 to 1.88; CC + CT vs. TT: OR = 1.36, 95% CI = 1.10 to 1.69; CC vs. TT + CT: OR = 1.43, 95% CI = 1.13 to 1.81) and ESCC (C vs. T: OR = 1.17, 95% CI = 1.04 to 1.32; CC + CT vs. TT: OR = 1.28, 95% CI = 1.08 to 1.52).
This meta-analysis provides the evidence that CYP1A1 MspI polymorphism may contribute to the EC development in the Chinese population.
尽管许多流行病学研究调查了CYP1A1 MspI基因多态性及其与食管癌(EC)的关联,但仍无法得出明确结论。为阐明CYP1A1 MspI基因多态性对EC风险的影响,在中国人群中进行了一项荟萃分析。
从PubMed、Springer Link、Ovid、中国万方数据知识服务平台、中国知网(CNKI)和中国生物医学文献数据库(CBM)中检索截至2014年10月的相关研究。采用合并比值比(OR)和95%可信区间(CI)评估关联强度。
本荟萃分析共纳入13项研究,包括1519例EC病例和1962例对照。总体而言,当将中国人群中的所有研究纳入该荟萃分析时,发现CYP1A1 MspI基因多态性与EC风险之间存在显著关联(C与T:OR = 1.25,95%CI = 1.04至1.51;CC + CT与TT:OR = 1.35,95%CI = 1.06至1.72;CC与TT + CT:OR = 1.35,95%CI = 1.03至1.76)。当按地理位置、组织病理学类型和对照来源进行分层分析时,发现中国北方(C与T:OR = 1.38,95%CI = 1.12至1.70;CC与TT:OR = 1.72,95%CI = 1.16至2.56;CC + CT与TT:OR = 1.52,95%CI = 1.14至2.02;CC与TT + CT:OR = 1.55,95%CI = 1.17至2.06)、基于人群的研究(C与T:OR = 1.22,95%CI = 1.