Lu Jun, Zhao Qian, Zhai Ya-Jing, He Hai-Rong, Yang Li-Hong, Gao Fan, Zhou Rong-Sheng, Zheng Jie, Ma Xian-Cang
Clinical Research Center, The First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, People's Republic of China.
Clinical Research Center, The First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, People's Republic of China ; College of Pharmacy, Xi'an Medical University, Xi'an, Shaanxi, People's Republic of China.
Onco Targets Ther. 2015 Oct 12;8:2883-902. doi: 10.2147/OTT.S92259. eCollection 2015.
The associations between CYP1A1 polymorphisms and risk of leukemia have been studied extensively, but the results have been inconsistent. Therefore, in this study, we performed a meta-analysis to clarify associations of three CYP1A1 polymorphisms (T3801C, A2455G, and C4887A) with the risks of acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), and chronic myeloid leukemia (CML). Medline, EMBASE, and China National Knowledge Infrastructure databases were searched to collect relevant studies published up to April 20, 2015. The extracted data were analyzed statistically, and pooled odds ratios with 95% confidence intervals were calculated to quantify the associations. Overall, 26 publications were included. Finally, T3801C was associated with an increased risk of AML in Asians under the dominant model. For A2455G, the risk of ALL was increased among Caucasians in the recessive model and the allele-contrast model; A2455G was also associated with an increased risk of CML among Caucasians under the recessive model, dominant model, and allele-contrast model. For C4887A, few of the included studies produced data. In conclusion, the results suggest that Asians carrying the T3801C C allele might have an increased risk of AML and that Caucasians with the A2455G GG genotype might have an increased risk of ALL. Further investigations are needed to confirm these associations.
CYP1A1基因多态性与白血病风险之间的关联已得到广泛研究,但结果并不一致。因此,在本研究中,我们进行了一项荟萃分析,以阐明CYP1A1基因的三种多态性(T3801C、A2455G和C4887A)与急性淋巴细胞白血病(ALL)、急性髓细胞白血病(AML)和慢性髓细胞白血病(CML)风险之间的关联。检索了Medline、EMBASE和中国知网数据库,以收集截至2015年4月20日发表的相关研究。对提取的数据进行统计学分析,并计算合并比值比及95%置信区间以量化关联。总体而言,纳入了26篇文献。最后,在显性模型下,T3801C与亚洲人AML风险增加相关。对于A2455G,在隐性模型和等位基因对比模型中,白种人ALL风险增加;在隐性模型、显性模型和等位基因对比模型下,A2455G也与白种人CML风险增加相关。对于C4887A,纳入的研究中很少有产生数据的。总之,结果表明携带T3801C C等位基因的亚洲人可能有更高的AML风险,而具有A2455G GG基因型的白种人可能有更高的ALL风险。需要进一步研究来证实这些关联。