Wang Xin, Yue Kai, Hao Li-Ran
Department of Thoracic Surgery, Nanyang Central Hospital of Henan Province Nanyang 473000, Henan Province, China.
Tumor Three Wards, Nanyang Central Hospital of Henan Province Nanyang 473000, Henan Province, China.
Int J Clin Exp Med. 2015 Aug 15;8(8):11905-12. eCollection 2015.
Although many epidemiologic studies have investigated the CYP1A1 MspI gene polymorphisms and their associations with lung cancer (LC), definite conclusions cannot be drawn.
To clarify the effects of CYP1A1 MspI polymorphisms on the risk of LC, an update meta-analysis was performed in only 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 22 studies including 3016 LC cases and 3932 controls were involved in this meta-analysis. Overall, significant association was found between CYP1A1 MspI polymorphism and LC risk when all studies in the Chinese population pooled into this meta-analysis (CC vs. TT: OR = 1.42, 95% CI = 1.11-1.80; CT + CC vs. TT: OR = 1.26, 95% CI = 1.06-1.50; CC vs. CT + TT: OR = 1.30, 95% CI = 1.04-1.61; C vs. T: OR = 1.21, 95% CI = 1.07-1.37). In subgroup analyses stratified by ethnicity and source of controls, significantly increased risk was found in Chinese Han people and in population-based studies.
This meta-analysis provides the evidence that CYP1A1 MspI polymorphism may contribute to the LC development in the Chinese population and studies with large sample size and wider spectrum of population are warranted to verify this finding.
尽管许多流行病学研究调查了CYP1A1 MspI基因多态性及其与肺癌(LC)的关联,但仍无法得出明确结论。
为阐明CYP1A1 MspI基因多态性对肺癌风险的影响,仅在中国人群中进行了一项更新的荟萃分析。
从PubMed、Springer Link、Ovid、中国万方数据知识服务平台、中国知网(CNKI)和中国生物医学数据库(CBM)中检索截至2014年10月的相关研究。采用合并的比值比(OR)和95%可信区间(CI)评估关联强度。
本荟萃分析共纳入22项研究,包括3016例肺癌病例和3932例对照。总体而言,当将中国人群的所有研究纳入该荟萃分析时,发现CYP1A1 MspI基因多态性与肺癌风险之间存在显著关联(CC与TT:OR = 1.42,95%CI = 1.11 - 1.80;CT + CC与TT:OR = 1.26,95%CI = 1.06 - 1.50;CC与CT + TT:OR = 1.30,95%CI = 1.04 - 1.61;C与T:OR = 1.21,95%CI = 1.07 - 1.37)。在按种族和对照来源分层的亚组分析中,发现中国汉族人群和基于人群的研究中风险显著增加。
本荟萃分析提供了证据表明CYP1A1 MspI基因多态性可能在中国人群肺癌发生中起作用,需要进行大样本量和更广泛人群的研究来验证这一发现。