Ji Hong-Hai, Huang Guang-Lei, Yin Hai-Xin, Xu Ping, Luo Si-Yang, Song Ju-Kun
The Second People's Hospital in Guiyang, Guiyang 550002, PR China.
Gui Zhou Provincial People's Hospital, Guiyang 550002, PR China.
Meta Gene. 2015 Jan 5;3:14-25. doi: 10.1016/j.mgene.2014.12.001. eCollection 2015 Feb.
Many observational studies have found that microRNA-196a2 rs11614913, microRNA-146a rs2910164, and microRNA-423 rs6505162 are associated with esophageal cancer risk. However, the results were mixed and inconsistent among these studies. We conducted a meta-analysis to assess the relationship between the polymorphisms of three microRNAs and esophageal cancer susceptibility. We systematically searched the PubMed and EMBASE databases to screen relevant studies. Odds ratios (ORs) and 95% confidence intervals (95% CIs) were used to compute the risk of esophageal cancer. Because of the differences in ethnicities, sources of controls, and genotyping methods, the meta-analysis was conducted using a random-effect model regardless of heterogeneity. To further explore potential heterogeneity, we performed subgroup and sensitivity analyses, and publication bias was also evaluated. A total of 6 case-control studies on microRNA-196a2 rs11614913, 4 studies on microRNA-146a rs2910164, and 4 studies on microRNA-423 rs6505162 were considered eligible in the meta-analysis. No statistical association was found between microRNA-196a2 rs11614913, microRNA-146a rs2910164, and microRNA-423 rs6505162 polymorphisms and esophageal cancer susceptibility in any genetic model. Subgroup and sensitivity analyses showed similar results. In summary, based on the currently limited proof, no association exists between microRNA-196a2 rs11614913, microRNA-146a rs2910164, and microRNA-423 rs6505162 polymorphism and esophageal cancer risk. However, the result should be cautiously interpreted because of the heterogeneity among studies. Large, high quality clinical trials are required to verify our findings.
许多观察性研究发现,微小RNA-196a2 rs11614913、微小RNA-146a rs2910164和微小RNA-423 rs6505162与食管癌风险相关。然而,这些研究的结果参差不齐且不一致。我们进行了一项荟萃分析,以评估三种微小RNA的多态性与食管癌易感性之间的关系。我们系统地检索了PubMed和EMBASE数据库以筛选相关研究。比值比(OR)和95%置信区间(95%CI)用于计算患食管癌的风险。由于种族、对照来源和基因分型方法存在差异,无论是否存在异质性,均采用随机效应模型进行荟萃分析。为了进一步探讨潜在的异质性,我们进行了亚组分析和敏感性分析,并评估了发表偏倚。共有6项关于微小RNA-196a2 rs11614913的病例对照研究、4项关于微小RNA-146a rs2910164的研究和4项关于微小RNA-423 rs6505162的研究被认为符合荟萃分析的条件。在任何遗传模型中,均未发现微小RNA-196a2 rs11614913、微小RNA-146a rs2910164和微小RNA-423 rs6505162多态性与食管癌易感性之间存在统计学关联。亚组分析和敏感性分析显示了相似的结果。总之,基于目前有限的证据,微小RNA-196a2 rs11614913、微小RNA-146a rs2910164和微小RNA-423 rs6505162多态性与食管癌风险之间不存在关联。然而,由于研究之间存在异质性,该结果应谨慎解读。需要开展大规模、高质量的临床试验来验证我们的研究结果。