Irshad Mohammad, Mandal Raju Kumar, Al-Drees Abdulmajeed, Khalil Mahmoud Salah, Abdulghani Hamza Mohammad
Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia E-mail :
Asian Pac J Cancer Prev. 2015;16(14):5663-7. doi: 10.7314/apjcp.2015.16.14.5663.
Earlier studies on the association between p53 codon 72 Arg>Pro polymorphism and cancer risk were inconclusive and conflicting for the Saudi population. Therefore, we performed a meta-analysis to investigate the relationship between the codon 72 Arg>Pro polymorphism and overall cancer risk in Saudi Arabia.
We searched all eligible published studies and data were pooled together to perform the meta-analysis. Pooled odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated for homozygous, heterozygous, dominant and recessive genetic models.
A total of five eligible published studies covering 502 cancer cases and 784 healthy controls were included in the meta-analysis. No publication bias was detected in this study. The results suggested that the variant (Pro vs Arg: p=0.960; OR=1.004, 95% CI=0.852-1.183), homozygous (Pro.Pro vs Arg.Arg: p=0.970; OR=1.006, 95% CI=0.729-1.390), heterozygous (Arg.Pro vs Arg.Arg: p=0.473; OR=0.783, 95% CI=0.402-1.527) carriers were not associated with overall cancer risk. Similarly, dominant (Pro.Pro+Pro.Arg vs Arg.Arg: p=0.632; OR=0.886, 95% CI=0.540-1.454) and recessive (Pro.Pro vs Pro.Arg+Arg.Arg: p=0.269; OR=1.163, 95%CI=0.890-1.521) models also did not indicate increased risk of cancer.
The current meta-analysis suggests that the codon 72 Arg>Pro polymorphism of the p53 gene might not contribute to cancer susceptibility in Saudi population. Future well designed large case control studies are needed to validate our findings.
先前关于p53基因密码子72位点精氨酸(Arg)>脯氨酸(Pro)多态性与癌症风险之间关联的研究,对于沙特人群而言,结论尚无定论且相互矛盾。因此,我们进行了一项荟萃分析,以探究该密码子72位点Arg>Pro多态性与沙特人群总体癌症风险之间的关系。
我们检索了所有符合条件的已发表研究,并将数据汇总以进行荟萃分析。针对纯合子、杂合子、显性和隐性遗传模型,计算了合并比值比(OR)和95%置信区间(95%CI)。
共有五项符合条件的已发表研究纳入了荟萃分析,涵盖502例癌症病例和784例健康对照。本研究未检测到发表偏倚。结果表明,该变异体(Pro与Arg相比:p = 0.960;OR = 1.004,95%CI = 0.852 - 1.183)、纯合子(Pro.Pro与Arg.Arg相比:p = 0.970;OR = 1.006,95%CI = 0.729 - 1.390)、杂合子(Arg.Pro与Arg.Arg相比:p = 0.473;OR = 0.783,95%CI = 0.402 - 1.527)携带者与总体癌症风险无关。同样,显性模型(Pro.Pro + Pro.Arg与Arg.Arg相比:p = 0.632;OR = 0.886,95%CI = 0.540 - 1.454)和隐性模型(Pro.Pro与Pro.Arg + Arg.Arg相比:p = 0.269;OR = 1.163,95%CI = 0.890 - 1.521)也未表明癌症风险增加。
当前的荟萃分析表明,p53基因密码子72位点的Arg>Pro多态性可能与沙特人群的癌症易感性无关。未来需要设计良好的大型病例对照研究来验证我们的研究结果。