Khoram-Abadi Khadijeh Mirzaee, Forat-Yazdi Mohammad, Kheirandish Shahnaz, Saeidi Nasim, Zarezade Zeinab, Mehrabi Nahid, Neamatzadeh Hossein
Department of Anatomy, Shahid Sadoughi University of Medical Sciences, Yazd, Iran E-mail :
Asian Pac J Cancer Prev. 2016;17(6):3015-20.
Numerous studies have investigated associations of DNA methyltransferase (DNMT) -149 C>T and -579 G>T polymorphisms with gastric cancer (GC) and colorectal cancer (CRC) susceptibility; however, the findings are inconsistent prompting the present meta-analysis.
Related studies were identified from PubMed, Google scholar, and SID until 10 October 2015. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were used to assess the strength of the associations.
Eleven studies were included based on the search criteria for CRC and GC related to the DNMT3B 149 C>T (3,353 cases and 4,936 controls) and DNMT3B 579 G>T (1,387 cases and 2,064 controls) polymorphisms. There was no significant association overall between DNMT3B -149 and 579 polymorphisms and the risk of cancer. In the stratified analysis by cancer type, DNMT3B 579G>T polymorphism was associated with the risk of CRC and GC. While the DNMT3B -149C/T polymorphism was related with a significantly increased risk of CRC in two tested models, dominant (GG+GT vs. TT: OR 0.51, 95 % CI 0.38-0.69; P = 0.00, Pheterogeneity=0.69, I2= 0 %) and heterozygote (GT vs. TT: OR 0.50, 95 % CI 0.37-0.69; P=0.00, Pheterogeneity=0.41, I2= 0 %), no evidence of any association with GC risk was observed as in the pooled analyses.
More studies are needed to assess associations of DNMT3B -149C/T and DNMT3B 579G>T polymorphisms with cancer in different ethnicities with large population sizes to generate comprehensive conclusions.
众多研究调查了DNA甲基转移酶(DNMT)-149 C>T和-579 G>T多态性与胃癌(GC)及结直肠癌(CRC)易感性之间的关联;然而,研究结果并不一致,因此进行了本荟萃分析。
截至2015年10月10日,从PubMed、谷歌学术和SID中检索相关研究。采用合并比值比(OR)和95%置信区间(CI)来评估关联强度。
根据与DNMT3B 149 C>T(3353例病例和4936例对照)及DNMT3B 579 G>T(1387例病例和2064例对照)多态性相关的CRC和GC的检索标准,纳入了11项研究。DNMT3B -149和579多态性与癌症风险之间总体上无显著关联。在按癌症类型进行的分层分析中,DNMT3B 579G>T多态性与CRC和GC风险相关。而在两个测试模型中,DNMT3B -149C/T多态性与CRC风险显著增加相关,显性模型(GG+GT与TT相比:OR 0.51,95%CI 0.38 - 0.69;P = 0.00,P异质性 = 0.69,I² = 0%)和杂合子模型(GT与TT相比:OR 0.50,95%CI 0.37 - 0.69;P = 0.00,P异质性 = 0.41,I² = 0%),但在合并分析中未观察到与GC风险有任何关联的证据。
需要更多研究来评估DNMT3B -149C/T和DNMT3B 579G>T多态性在不同种族、大样本量人群中与癌症的关联,以得出全面结论。