Sun Ningjie, Chen Jianfeng, Hu Gang, Chen Xiansheng, Jiang Jiansong, Zhang Lei, Wu Haiming
Department of General Surgery, The Affiliated Yiwu Hospital of Wenzhou Medical University, Yiwu 322000, China.
Crit Rev Eukaryot Gene Expr. 2017;27(4):347-354. doi: 10.1615/CritRevEukaryotGeneExpr.2017020525.
The aim of the present study was to assess the association between the epithelial cadherin (CDH1) -160C/A polymorphism and colorectal cancer (CRC) using a meta-analysis. A literature search of PubMed, Embase, and Web of Science databases was performed for relevant studies. Statistical analyses were carried out using Stata 12.0 to combine all of the relevant studies. Odds ratio (OR) with 95% confidence interval (CI) values were applied to evaluate the strength of the association. Eight studies with 7231 cases and 7080 controls were included. The meta-analysis results showed that the CDH1 -160C/A polymorphism was significantly associated with CRC risk (AA vs. CC: OR = 0.98, 95% CI = 0.71-1.36; CA vs. CC: OR = 0.92, 95% CI = 0.86-0.99; dominant model: OR = 1.01, 95% CI = 0.81-1.26; recessive model: OR = 0.91, 95% CI = 0.81-1.02). In the subgroup analysis based on ethnicity, significant association was found between the CDH1 -160C > A polymorphism and CRC risk in Caucasians. In conclusion, the CDH1 -160C/A polymorphism may be a susceptible predictor for the risk of CRC in Caucasians.
本研究旨在通过荟萃分析评估上皮钙黏蛋白(CDH1)-160C/A多态性与结直肠癌(CRC)之间的关联。对PubMed、Embase和Web of Science数据库进行文献检索以查找相关研究。使用Stata 12.0进行统计分析以合并所有相关研究。应用比值比(OR)及95%置信区间(CI)值来评估关联强度。纳入了8项研究,共7231例病例和7080例对照。荟萃分析结果显示,CDH1 -160C/A多态性与CRC风险显著相关(AA与CC比较:OR = 0.98,95% CI = 0.71 - 1.36;CA与CC比较:OR = 0.92,95% CI = 0.86 - 0.99;显性模型:OR = 1.01,95% CI = 0.81 - 1.26;隐性模型:OR = 0.91,95% CI = 0.81 - 1.02)。在基于种族的亚组分析中,发现CDH1 -160C>A多态性与白种人的CRC风险之间存在显著关联。总之,CDH1 -160C/A多态性可能是白种人CRC风险的一个易感预测指标。