Wang Weiwei, Fan Xinyun, Zhang Yong, Yang Yi, Yang Siyuan, Li Gaofeng
Department of Thoracic Surgery, The Third Affiliated Hospital of Kunming Medical University, Yunnan Provincial Tumor Hospital, Kunming, Yunnan, China (mainland).
Department of Orthopedic Surgery, Kunming General Hospital, Kunming, Yunnan, China (mainland).
Med Sci Monit. 2015 Dec 1;21:3740-7. doi: 10.12659/msm.894839.
BACKGROUND Multiple relevant risk factors for lung cancer have been reported in different populations, but results of previous studies were not consistent. Therefore, a meta-analysis is necessary to summarize these outcomes and reach a relatively comprehensive conclusion. MATERIAL AND METHODS STATA 12.0 software was used for all statistical of the relationship between COX-2 polymorphisms and lung cancer risk. Inter-study heterogeneity was examined with the Q statistic (significance level at P<0.1). The publication bias among studies in the meta-analysis was analyzed with Begg's funnel plot and Egger's test. Hardy-Weinberg equilibrium was tested in all controls of the studies. RESULTS COX-2 rs20417 polymorphism had a significant association with reduced risk of lung cancer under homozygous and recessive models, and similar results were observed in white and population-based subgroups under 2 and 3 contrasts, respectively. Additionally, rs2066826 polymorphism manifested a strong correlation with increased risk of lung cancer under 5 genetic models. CONCLUSIONS In COX-2 gene, rs20417 may have a certain relationship with reduced risk of lung cancer, while rs2066826 may increase the risk of lung cancer.
在不同人群中已报道了多种与肺癌相关的危险因素,但以往研究结果并不一致。因此,有必要进行一项荟萃分析来总结这些结果并得出相对全面的结论。
使用STATA 12.0软件对COX-2基因多态性与肺癌风险之间的关系进行所有统计分析。采用Q统计量检验研究间异质性(显著性水平为P<0.1)。用Begg漏斗图和Egger检验分析荟萃分析中各研究的发表偏倚。在各研究的所有对照中检验哈迪-温伯格平衡。
在纯合子和隐性模型下,COX-2 rs20417多态性与肺癌风险降低显著相关,在白人群体和基于人群的亚组中,分别在2种和3种对比情况下观察到类似结果。此外,在5种遗传模型下,rs2066826多态性与肺癌风险增加显著相关。
在COX-2基因中,rs20417可能与肺癌风险降低有一定关系,而rs2066826可能增加肺癌风险。