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白细胞介素-6基因rs1800795多态性在前列腺癌易感性中作用的荟萃分析:基于17项研究的证据

Meta-analysis of the role of IL-6 rs1800795 polymorphism in the susceptibility to prostate cancer: Evidence based on 17 studies.

作者信息

Liu Tong-Zu, Guo Zhong-Qiang, Wang Ting, Cao Yue, Huang Di, Wang Xing-Huan

机构信息

Department of Urology Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.

出版信息

Medicine (Baltimore). 2017 Mar;96(11):e6126. doi: 10.1097/MD.0000000000006126.

Abstract

Playing critical roles in immune responses, interleukin-6 (IL-6) has been proposed to be involved in the development of multiple cancers, including prostate cancer. The rs1800795 polymorphism in the promoter of the gene IL-6 can affect the transcription and expression of the gene, becoming a common target in association studies on tumors. We therefore carried out this meta-analysis to further discuss the relationship of this polymorphism with the risk of prostate cancer.Relevant publications were retrieved from the electronic databases. The strength of the correlation between IL-6 rs1800795 polymorphism and prostate cancer risk was evaluated using pooled odds ratios (ORs) with their 95% confidence intervals (95% CIs). Q test was adopted to examine between-study heterogeneity, with P < 0.05 as significant level. Subgroup and meta-regression analyses were conducted to explore potential source of heterogeneity. Sensitivity analysis was implemented to test the statistical stability of the final results. In addition, funnel plot and Egger test were employed to inspect publication bias among included studies.A total of 13 132 cases and 15 282 controls were ultimately incorporated into the present study. Overall estimates revealed no significant relationship between IL-6 rs1800795 polymorphism and prostate cancer risk in total analysis, but a risk-increasing effect of the polymorphism was detected in African-American subgroup under CC versus GG and CC versus GG + GC contrasts (OR 3.43, 95% CI 1.01-11.71; OR 3.51, 95% CI 1.04-11.82) after subgroup analysis by ethnicity.IL-6 rs1800795 polymorphism may enhance the susceptibility to prostate cancer in African-American men.

摘要

白细胞介素-6(IL-6)在免疫反应中发挥着关键作用,有人提出它参与了包括前列腺癌在内的多种癌症的发生发展。IL-6基因启动子中的rs1800795多态性可影响该基因的转录和表达,成为肿瘤关联研究中的一个常见靶点。因此,我们进行了这项荟萃分析,以进一步探讨这种多态性与前列腺癌风险之间的关系。

从电子数据库中检索相关出版物。使用合并比值比(OR)及其95%置信区间(95%CI)评估IL-6 rs1800795多态性与前列腺癌风险之间的相关性强度。采用Q检验来检验研究间的异质性,以P<0.05为显著水平。进行亚组和荟萃回归分析以探索潜在的异质性来源。实施敏感性分析以检验最终结果的统计稳定性。此外,采用漏斗图和Egger检验来检查纳入研究中的发表偏倚。

本研究最终纳入了总共13132例病例和15282例对照。总体估计显示,在总分析中,IL-6 rs1800795多态性与前列腺癌风险之间无显著关系,但按种族进行亚组分析后,在非裔美国人亚组中,CC与GG以及CC与GG+GC对比下检测到该多态性具有增加风险的效应(OR 3.43,95%CI 1.01-11.71;OR 3.51,95%CI 1.04-11.82)。

IL-6 rs1800795多态性可能会增加非裔美国男性患前列腺癌的易感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f057/5369879/d2fc440eeebb/medi-96-e6126-g001.jpg

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