Zhang Fang, Li Bing, Wu Hong-Yan, Shang Li-Xin
Department of Gynecology and Obstetrics, Anhui Medical University Affiliated, PLA Army General Hospital, Beijing, PR China.
Gynecol Obstet Invest. 2017;82(4):382-387. doi: 10.1159/000448142. Epub 2016 Aug 4.
Many studies have examined the association of X-ray repair cross-complementing group 1 (XRCC1) Arg399Gln polymorphism with cervical cancer susceptibility. However, the results of these studies are inconsistent. To further assess the effects of XRCC1 Arg399Gln polymorphism on the risk of cervical cancer in the Chinese population, a meta-analysis was performed.
Relevant studies were identified using PubMed, Springer Link, Ovid, Chinese Wanfang Data Knowledge Service Platform, Chinese National Knowledge Infrastructure, and Chinese Biology Medicine through December 2015. Pooled ORs and 95% CIs were used to assess the strength of the associations.
This meta-analysis identified 7 studies, including 1,589 cases and 2,235 controls. In the total analyses, a significantly elevated risk of cervical cancer was associated with variants of XRCC1 Arg399Gln (GA vs. GG: OR 1.30, 95% CI 1.13-1.49; AA + GA vs. GG: OR 1.27, 95% CI 1.02-1.58). In the subgroup analyses stratified by geographic areas and histopathology type, it revealed the significant result in South China.
This meta-analysis showed that the XRCC1 Arg399Gln GA variant might be risk alleles for cervical cancer susceptibility in the Chinese population, and further studies in other ethnic groups are required to arrive at definite conclusions.
许多研究探讨了X射线修复交叉互补基因1(XRCC1)Arg399Gln多态性与宫颈癌易感性之间的关联。然而,这些研究结果并不一致。为进一步评估XRCC1 Arg399Gln多态性对中国人群宫颈癌风险的影响,我们进行了一项荟萃分析。
通过检索PubMed、Springer Link、Ovid、中国万方数据知识服务平台、中国知网和中国生物医学数据库,收集截至2015年12月的相关研究。采用合并的比值比(OR)和95%可信区间(CI)评估关联强度。
该荟萃分析纳入了7项研究,共1589例病例和2235例对照。在总体分析中,XRCC1 Arg399Gln变异与宫颈癌风险显著升高相关(GA与GG比较:OR 1.30,95%CI 1.13 - 1.49;AA + GA与GG比较:OR 1.27,95%CI 1.02 - 1.58)。在按地理区域和组织病理学类型分层的亚组分析中,华南地区呈现出显著结果。
这项荟萃分析表明,XRCC1 Arg399Gln GA变异可能是中国人群宫颈癌易感性的风险等位基因,需要在其他种族群体中进行进一步研究以得出明确结论。