Liu Xiaolei, Zheng Dejie, Lu Guowei, Yang Baohong
Respiratory Department, Weifang Medical University.
Department of Oncology, Weifang People's Hospital, Weifang.
Onco Targets Ther. 2017 Dec 22;11:97-102. doi: 10.2147/OTT.S151398. eCollection 2018.
The RNASEL -1385G/A (rs486907) variant has been reported to be associated with increased risk of prostate cancer. However, these associations are not consistent among studies. To address this issue, we performed a meta-analysis to evaluate the association between RNASEL -1385G/A polymorphism and prostate cancer risk. The PubMed, Embase, and Web of Science databases were searched for relevant papers published in the past 20 years from 1997 to 2017. Odds ratios (ORs) and 95% confidence intervals (CIs) were used to assess the strength of associations. Based on our search for manuscripts reporting prostate cancer susceptibility related to the rs486907 polymorphism, 16 case-control studies from 13 different publications were retrieved. No significantly positive associations were found for the polymorphism and prostate cancer susceptibility in the total population. When stratified by ethnicity, the results demonstrated that the -1385G/A polymorphism was associated with a decreased cancer risk in Africans (GG vs AA: OR =0.371, 95% CI =0.176-0.783; GG/GA vs AA: OR =0.368, 95% CI =0.175-0.776). We also found that the rs486907 polymorphism was associated with a decreased cancer risk in hospital-based controls (GG vs AA: OR =0.697, 95% CI =0.488-0.996; GG + GA vs AA: OR =0.701, 95% CI =0.502-0.978). Our meta-analysis suggests that polymorphism in the RNASEL gene is a protective factor against prostate cancer in Africans. Further studies using larger sample sizes should be conducted to elucidate the role of gene polymorphism in prostate cancer risk.
据报道,RNASEL -1385G/A(rs486907)变异与前列腺癌风险增加有关。然而,这些关联在各研究中并不一致。为解决这一问题,我们进行了一项荟萃分析,以评估RNASEL -1385G/A多态性与前列腺癌风险之间的关联。我们检索了PubMed、Embase和Web of Science数据库中1997年至2017年这20年间发表的相关论文。采用比值比(OR)和95%置信区间(CI)来评估关联强度。基于我们对报告rs486907多态性与前列腺癌易感性相关的手稿的检索,从13种不同出版物中检索到16项病例对照研究。在总人群中,未发现该多态性与前列腺癌易感性之间存在显著的正相关。按种族分层时,结果表明,-1385G/A多态性与非洲人患癌风险降低有关(GG与AA相比:OR =0.371,95% CI =0.176 - 0.783;GG/GA与AA相比:OR =0.368,95% CI =0.175 - 0.776)。我们还发现,rs486907多态性与基于医院的对照组患癌风险降低有关(GG与AA相比:OR =0.697,95% CI =0.488 - 0.996;GG + GA与AA相比:OR =0.701,95% CI =0.502 - 0.978)。我们的荟萃分析表明,RNASEL基因多态性是非洲人预防前列腺癌的一个保护因素。应开展更大样本量的进一步研究,以阐明基因多态性在前列腺癌风险中的作用。