Yang Na-Na, Huang Ying-Fan, Sun Jian, Chen Ying, Tang Zhong-Min, Jiang Jin-Fang
Nursing Department, Affiliated Tumor Hospital of Guangxi Medical University, Nanning, China.
Department of Medical Affairs, ZiBo Hospital of Integrated Traditional Chinese and Western Medicine, Zibo, China.
Oncotarget. 2017 Apr 25;8(17):28455-28462. doi: 10.18632/oncotarget.16090.
Numerous epidemiological studies have evaluated the association between polymorphism in the gene encoding x-ray repair cross complementing 1 (XRCC1) protein and the risk of female reproductive system cancer, but results are inconclusive. To gain a comprehensive picture of available evidence, we searched for relevant studies in the PubMed, EMBASE, Scopus, and Chinese National Knowledge Infrastructure databases up to December 17, 2016. A total of 26 case-control studies were picked out. The pooled odds ratio (OR) with its 95% confidence interval (CI) was calculated to estimate the association. Based on data of all study participants, we did not find a positive association of rs25487 or rs1799782 polymorphism with risk of female reproductive cancer risk. Subgroup analysis, however, identified two alleles as being associated with an increased risk of female reproductive system cancer in Asians: the A allele of rs25487 (heterozygous genetic model, OR 1.16, 95%CI 1.00-1.36), and the T allele of rs1799782 (homozygous model, OR 2.30, 95%CI 1.39-3.82; dominant model, OR 1.28, 95%CI 1.10-1.50; recessive model, OR 2.11, 95%CI 1.33-3.34). Moreover, the AA genotype at rs25489 was determined to be a risk factor for cervical cancer etiology (homozygous model, OR 2.91, 95%CI, 1.17-7.26; recessive model, OR 3.16, 95%CI 1.91-5.24). This meta-analysis suggests that no association between rs25487 or rs1799782 gene polymorphism and risk of female reproductive cancer risk was found. These results should be validated in larger studies.
众多流行病学研究评估了编码X射线修复交叉互补蛋白1(XRCC1)的基因多态性与女性生殖系统癌症风险之间的关联,但结果尚无定论。为全面了解现有证据,我们在截至2016年12月17日的PubMed、EMBASE、Scopus和中国知网数据库中检索了相关研究。共筛选出26项病例对照研究。计算合并比值比(OR)及其95%置信区间(CI)以评估关联。基于所有研究参与者的数据,我们未发现rs25487或rs1799782基因多态性与女性生殖癌症风险存在正相关。然而,亚组分析确定在亚洲人群中两个等位基因与女性生殖系统癌症风险增加相关:rs25487的A等位基因(杂合遗传模型,OR 1.16,95%CI 1.00 - 1.36),以及rs179,9782的T等位基因(纯合模型,OR 2.30,95%CI 1.39 - 3.82;显性模型,OR 1.28,95%CI 1.10 - 1.50;隐性模型,OR 2.11,95%CI 1.33 - 3.34)。此外,rs25489的AA基因型被确定为宫颈癌病因的一个风险因素(纯合模型,OR 2.91,95%CI 1.17 - 7.26;隐性模型,OR 3.16,95%CI 1.91 - 5.24)。这项荟萃分析表明,未发现rs25487或rs1799782基因多态性与女性生殖癌症风险之间存在关联。这些结果应在更大规模的研究中得到验证。