Li JieNa, Pan Lei, Qin Xia, Chu HongYan, Mu HuiYing, Wan GuoXing
Department of Obstetrics and Gynecology, Heze Municipal Hospital, Heze, 274000, Shandong, China.
Department of Obstetrics and Gynecology, Dongming People's Hospital, Heze, 274500, Shandong, China.
Arch Gynecol Obstet. 2017 Sep;296(3):551-558. doi: 10.1007/s00404-017-4443-4. Epub 2017 Jul 4.
Genetic variants in the excision repair cross-complimentary group 2 (ERCC2) gene may affect individual susceptibility to cancer by modulating the capability of DNA damage repair. However, the current studies concerning the association of ERCC2 rs13181 polymorphism with ovarian cancer risk provided inconsistent evidence.
This study was to quantitatively summarize the evidence from the individual studies electronically retrieved by a meta-analysis.
Totally, nine eligible case-control studies with 1333 cases and 2691 controls were included for the concerned association. Overall, a significant association between ERCC2 gene rs13181 polymorphism and increased risk of ovarian cancer was revealed (CC+AC vs. AA: OR 1.44, 95% CI 1.11-1.86; CC vs. AA: OR 2.12, 95% CI 1.14-3.97). Similarly, in the subgroup analyses, such association was also evident in non-Caucasian population and hospital-based studies. Noteworthily, the recombined analysis with a significant decrease in between-heterogeneity represented a significant association of the variant with increased risk of ovarian cancer after excluding the individual study not in agreement with HWE.
The present study suggests that the ERCC2 gene rs13181 polymorphism might be associated with increased risk of ovarian cancer.
切除修复交叉互补基因2(ERCC2)中的基因变异可能通过调节DNA损伤修复能力影响个体患癌易感性。然而,目前关于ERCC2 rs13181多态性与卵巢癌风险关联的研究证据并不一致。
本研究旨在通过荟萃分析对电子检索到的个体研究证据进行定量总结。
总共纳入了9项符合条件的病例对照研究,包括1333例病例和2691例对照,用于相关关联分析。总体而言,揭示了ERCC2基因rs13181多态性与卵巢癌风险增加之间存在显著关联(CC + AC与AA相比:OR 1.44,95% CI 1.11 - 1.86;CC与AA相比:OR 2.12,95% CI 1.14 - 3.97)。同样,在亚组分析中,这种关联在非白种人群和基于医院的研究中也很明显。值得注意的是,在排除不符合哈迪 - 温伯格平衡(HWE)的个体研究后,异质性显著降低的合并分析表明该变异与卵巢癌风险增加存在显著关联。
本研究表明,ERCC2基因rs13181多态性可能与卵巢癌风险增加有关。