Lu Hongwei, Yang Yuantao, Wang Jihui, Liu Yang, Huang Ming, Sun Xinlin, Ke Yiquan
The National Key Clinical Specialty, The Engineering Technology Research Center of Education Ministry of China, Guangdong Provincial Key Laboratory on Brain Function Repair and Regeneration, Department of Neurosurgery, Zhujiang Hospital, Southern Medical University Guangzhou 510282, China.
Int J Clin Exp Med. 2015 Oct 15;8(10):17480-8. eCollection 2015.
The association between the rs4977756 single nucleotide polymorphism (SNP) and glioma risk has been studied, but these studies have yielded conflicting results. In order to explore this association, we performed a meta-analysis. A comprehensive literature search was performed using PubMed and EMBASE database. Six articles including 12 case-control studies in English with 12022 controls and 6871 cases were eligible for the meta-analysis. Subgroup analyses were conducted by ethnicity and source of controls. Our meta-analysis found that rs4977756 polymorphism was associated with glioma risks in homozygote, heterozygote, dominant, recessive and additive genetic models (GG versus AA: OR=1.55, 95% CI=1.42-1.69, Ph=0.996, I(2)=0.0%; AG versus AA: OR=1.20, 95% CI=1.12-1.28, Ph=0.934, I(2)=0.0%; recessive model: OR=1.39, 95% CI=1.28-1.50, Ph=0.995, I(2)=0.0%; dominant model: OR=1.29, 95% CI=1.21-1.37, Ph=0.923, I(2)=0.0%; additive model: OR=1.24, 95% CI=1.19-1.30, Ph=0.966, I(2)=0.0%). Moreover, our results suggested that CDKN2A-CDKN2B rs4977756 polymorphism was associated with a notable increased risk of glioma in Europeans. However, in Asians, we could not come to a conclusion because of lack of studies. Sensitivity analysis showed the omission of any study made no significant difference. No evidence of publication bias was produced. Our meta-analysis suggested that rs4977756 polymorphism was associated with increased risk of glioma. Moreover, additional studies should be further investigated to draw a more accurate conclusion.
rs4977756单核苷酸多态性(SNP)与胶质瘤风险之间的关联已得到研究,但这些研究结果相互矛盾。为了探究这种关联,我们进行了一项荟萃分析。使用PubMed和EMBASE数据库进行了全面的文献检索。六篇文章,包括12项英文的病例对照研究,共12022名对照和6871例病例符合荟萃分析的条件。按种族和对照来源进行了亚组分析。我们的荟萃分析发现,rs4977756多态性在纯合子、杂合子、显性、隐性和加性遗传模型中与胶质瘤风险相关(GG与AA相比:OR = 1.55,95% CI = 1.42 - 1.69,Ph = 0.996,I(2)=0.0%;AG与AA相比:OR = 1.20,95% CI = 1.12 - 1.28,Ph = 0.934,I(2)=0.0%;隐性模型:OR = 1.39,95% CI = 1.28 - 1.50,Ph = 0.995,I(2)=0.0%;显性模型:OR = 1.29,95% CI = 1.21 - 1.37,Ph = 0.923,I(2)=0.0%;加性模型:OR = 1.24,95% CI = 1.19 - 1.30,Ph = 0.966,I(2)=0.0%)。此外,我们的结果表明,CDKN2A - CDKN2B rs4977756多态性与欧洲人患胶质瘤的风险显著增加相关。然而,在亚洲人中,由于缺乏研究,我们无法得出结论。敏感性分析表明,遗漏任何一项研究均无显著差异。未发现发表偏倚的证据。我们的荟萃分析表明,rs4977756多态性与胶质瘤风险增加相关。此外,应进一步开展更多研究以得出更准确的结论。