Ye Jiaxiang, Jiang Li, Wu Changliang, Liu Aiqun, Mao Sufei, Ge Lianying
Department of Medical Oncology, the Cancer Institute, Affiliated Tumor Hospital of Guangxi Medical University, Nanning, Guangxi 530021, P.R. China.
Graduate School of Guangxi Medical University, Nanning, Guangxi 530021, P.R. China.
PLoS One. 2015 Jun 5;10(6):e0127253. doi: 10.1371/journal.pone.0127253. eCollection 2015.
Studies have come to conflicting conclusions about whether polymorphisms in the adiponectin receptor 1 gene (ADIPOR1) are associated with cancer risk. To help resolve this question, we meta-analyzed case-control studies in the literature.
PubMed, EMBASE, Cochrane Library, the Chinese Biological Medical Database and the Chinese National Knowledge Infrastructure Database were systematically searched to identify all case-control studies published through February 2015 examining any ADIPOR1 polymorphisms and risk of any type of cancer. Pooled odds ratios (ORs) and corresponding 95% confidence intervals (CIs) were calculated.
A total of 13 case-control studies involving 5,750 cases and 6,762 controls were analyzed. Analysis of the entire study population revealed a significant association between rs1342387(G/A) and overall cancer risk using a homozygous model (OR 0.82, 95%CI 0.72 to 0.94), heterozygous model (OR 0.84, 95%CI 0.76 to 0.93), dominant model (OR 0.85, 95%CI 0.75 to 0.97) and allele contrast model (OR 0.88, 95%CI 0.80 to 0.97). However, subgroup analysis showed that this association was significant only for Asians in the case of colorectal cancer. No significant associations were found between rs12733285(C/T) or rs7539542(C/G) and cancer risk, either in analyses of the entire study population or in analyses of subgroups.
Our meta-analysis suggests that the ADIPOR1 rs1342387(G/A) polymorphism, but not rs12733285(C/T) or rs7539542(C/G), may be associated with cancer risk, especially risk of colorectal cancer in Asians. Large, well-designed studies are needed to verify our findings.
关于脂联素受体1基因(ADIPOR1)多态性是否与癌症风险相关,研究得出了相互矛盾的结论。为帮助解决这一问题,我们对文献中的病例对照研究进行了荟萃分析。
系统检索PubMed、EMBASE、Cochrane图书馆、中国生物医学数据库和中国知网数据库,以识别截至2015年2月发表的所有研究任何ADIPOR1多态性与任何类型癌症风险的病例对照研究。计算合并比值比(OR)和相应的95%置信区间(CI)。
共分析了13项病例对照研究,涉及5750例病例和6762例对照。对整个研究人群的分析显示,使用纯合子模型(OR 0.82,95%CI 0.72至0.94)、杂合子模型(OR 0.84,95%CI 0.76至0.93)、显性模型(OR 0.85,95%CI 0.75至0.97)和等位基因对比模型(OR 0.88,95%CI 0.80至0.97)时,rs1342387(G/A)与总体癌症风险之间存在显著关联。然而,亚组分析表明,仅在亚洲人患结直肠癌的情况下,这种关联才具有统计学意义。在对整个研究人群或亚组的分析中,未发现rs12733285(C/T)或rs7539542(C/G)与癌症风险之间存在显著关联。
我们的荟萃分析表明,ADIPOR1 rs1342387(G/A)多态性而非rs12733285(C/T)或rs7539542(C/G)可能与癌症风险相关,尤其是亚洲人患结直肠癌的风险。需要开展大规模、设计良好的研究来验证我们的发现。