Meng Dan, Wu Yin-Xiang, Heerah Vidhi, Peng Shuang, Chu Meng-di, Xu Yong-Jian, Xiong Wei-Ning, Xu Shu-Yun
Department of Respiratory and Critical Care Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
J Huazhong Univ Sci Technolog Med Sci. 2015 Jun;35(3):319-326. doi: 10.1007/s11596-015-1431-4. Epub 2015 Jun 14.
Many studies have reported the relationship between CXCL12 G801A polymorphism and cancer risk, with conflicting results. In this study, we tried to clarify the possibility that this polymorphism may increase cancer risk by conducting an updated meta-analysis. PubMed and EMbase were searched for case-control studies regarding the association of the gene polymorphism and cancer risk. Data were extracted and odds ratios (ORs) with 95% confidence intervals (95% CIs) were used to assess the strength of the association. Heterogeneity among articles and publication bias was also assessed. Significantly increased risk for cancer was found (A vs. G: OR=1.26, 95% CI=1.13-1.40, P<0.01; AA+AG vs. GG: OR=1.33, 95% CI=1.16-1.52, P<0.01). In subgroup analysis, statistically elevated cancer risk was found in both Asian and Caucasian populations (for Asian, AA+AG vs. GG: OR=1.74, 95% CI=1.22-2.47, P<0.01; for Caucasian, AA+AG vs. GG: OR=1.24, 95% CI=1.09-1.42, P<0.01). Our result indicated that CXCL12 G801A polymorphism is a risk factor for cancer. To validate the finding, further large-size case-control studies are warranted.
许多研究报告了CXCL12 G801A基因多态性与癌症风险之间的关系,但结果相互矛盾。在本研究中,我们试图通过进行一项更新的荟萃分析来阐明这种多态性可能增加癌症风险的可能性。在PubMed和EMbase数据库中检索了关于该基因多态性与癌症风险关联的病例对照研究。提取数据并使用比值比(OR)及其95%置信区间(95%CI)来评估关联强度。还评估了各文章之间的异质性和发表偏倚。结果发现癌症风险显著增加(A与G比较:OR=1.26,95%CI=1.13 - 1.40,P<0.01;AA + AG与GG比较:OR=1.33,95%CI=1.16 - 1.52,P<0.01)。在亚组分析中,亚洲和白种人群的癌症风险均有统计学意义的升高(亚洲人群中,AA + AG与GG比较:OR=1.74,95%CI=1.22 - 2.47,P<0.01;白种人群中,AA + AG与GG比较:OR=1.24,95%CI=1.09 - 1.42,P<0.01)。我们的结果表明,CXCL12 G801A基因多态性是癌症的一个风险因素。为验证这一发现,有必要进一步开展大规模病例对照研究。