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DNMT3B基因-149 C>T和-579 G>T多态性与胃癌和结直肠癌风险:一项荟萃分析。

DNMT3B -149 C>T and -579 G>T Polymorphisms and Risk of Gastric and Colorectal Cancer: a Meta-analysis.

作者信息

Khoram-Abadi Khadijeh Mirzaee, Forat-Yazdi Mohammad, Kheirandish Shahnaz, Saeidi Nasim, Zarezade Zeinab, Mehrabi Nahid, Neamatzadeh Hossein

机构信息

Department of Anatomy, Shahid Sadoughi University of Medical Sciences, Yazd, Iran E-mail :

出版信息

Asian Pac J Cancer Prev. 2016;17(6):3015-20.

Abstract

BACKGROUND

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.

MATERIALS AND METHODS

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.

RESULTS

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.

CONCLUSIONS

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.

摘要

背景

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。

材料与方法

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。

结果

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。

结论

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。

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