Zhu Man, Wen Xue, Liu Xuefang, Wang Yingchao, Liang Chunzi, Tu Jiancheng
Department of Clinical Laboratory Medicine and Center for Gene Diagnosis, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Oncotarget. 2017 Jul 4;8(34):57421-57439. doi: 10.18632/oncotarget.18960. eCollection 2017 Aug 22.
Published data on the association between 8q24 rs6983267 polymorphism and cancer risk are inconsistent. Thus, we conducted a meta-analysis to evaluate the relationship between rs6983267 polymorphism and cancer risk. We searched on PubMed, EMBASE, Web of Science and China National Knowledge Infrastructure (CNKI) up to November 1, 2016 for relevant studies. Odds ratios (ORs) and 95% confidence intervals (CIs) were used to estimate the strength of this association. We included 78 case-control studies with a total of 73,996 cases and 96,741 controls in this meta-analysis. The pooled results showed that rs6983267 polymorphism was significantly associated with increased risk of overall cancer in all genetic models (dominant model: OR = 1.19, 95% CI = 1.13-1.26; recessive model: OR = 1.19, 95% CI = 1.14-1.25; homozygous model: OR= 1.31, 95% CI = 1.23-1.40; heterozygous model: OR = 1.14, 95% CI = 1.10-1.19; allelic model: OR = 1.14, 95% CI = 1.11-1.18). Stratified analyses indicated that rs6983267 significantly increased the risk of colorectal cancer in Caucasians, prostate cancer in Caucasians and Asians, thyroid cancer in Caucasians and lung cancer in Asians. When studies were stratified by study quality, source of controls and genotyping method, significant associations were especially found in the high quality studies, the publication-based studies, the hospital-based studies, and the PCR-RFLP studies. Additional well-designed studies with large samples should be performed to validate our results.
已发表的关于8号染色体长臂24区rs6983267多态性与癌症风险之间关联的数据并不一致。因此,我们进行了一项荟萃分析,以评估rs6983267多态性与癌症风险之间的关系。我们检索了截至2016年11月1日的PubMed、EMBASE、科学网和中国知网,以查找相关研究。采用优势比(OR)和95%置信区间(CI)来估计这种关联的强度。在这项荟萃分析中,我们纳入了78项病例对照研究,共计73996例病例和96741例对照。汇总结果显示,在所有遗传模型中,rs6983267多态性与总体癌症风险增加显著相关(显性模型:OR = 1.19,95% CI = 1.13 - 1.26;隐性模型:OR = 1.19,95% CI = 1.14 - 1.25;纯合子模型:OR = 1.31,95% CI = 1.23 - 1.40;杂合子模型:OR = 1.14,95% CI = 1.10 - 1.19;等位基因模型:OR = 1.14,95% CI = 1.11 - 1.18)。分层分析表明,rs6983267显著增加了白种人患结直肠癌、白种人和亚洲人患前列腺癌、白种人和亚洲人患甲状腺癌以及亚洲人患肺癌的风险。当按研究质量、对照来源和基因分型方法对研究进行分层时,在高质量研究、基于出版物的研究、基于医院的研究以及PCR-RFLP研究中尤其发现了显著关联。应进行更多设计良好的大样本研究以验证我们的结果。