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细胞色素P450 17α-羟化酶/17,20-裂解酶(CYP17)T-34C rs743572与乳腺癌风险之间的关联。

Association between CYP17 T-34C rs743572 and breast cancer risk.

作者信息

Sun Jing, Zhang Hong, Gao Meiyan, Tang Zhishu, Guo Dongyan, Zhang Xiaofei, Wang Zhu, Li Ruiping, Liu Yan, Sun Wansen, Sun Xi

机构信息

Department of Shaanxi Collaborative Innovation Center of Chinese Medicinal Resources Industrialization, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, China.

Department of Neurology, Second Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, Shaanxi, China.

出版信息

Oncotarget. 2017 Dec 26;9(3):4200-4213. doi: 10.18632/oncotarget.23688. eCollection 2018 Jan 9.

Abstract

Association between CYP17 T-34C (rs743572) polymorphism and breast cancer (BC) risk was controversial. In order to derive a more definitive conclusion, we performed this meta-analysis. We searched in the databases of PubMed, EMBASE and Cochrane for eligible publications. Pooled odds ratios (ORs) with 95% confidence intervals (95% CIs) were used to assess the strength of association between CYP17 T-34C polymorphism and breast cancer risk. Forty-nine studies involving 2,7104 cases and 3,4218 control subjects were included in this meta-analysis. In overall, no significant association between CYP17 T-34C polymorphism and breast cancer susceptibility was found among general populations. In the stratified analysis by ethnicity and source, significant associations were still not detected in all genetic models; besides, limiting the analysis to studies with controls in agreement with HWE, we also observed no association between CYP17 T-34C polymorphism and breast cancer risk. For premenopausal women, we didn't detect an association between rs743572 and breast cancer risk; however, among postmenopausal women, we observed that the association was statistically significant under the allele contrast genetic model (OR = 1.10, 95% CI = 1.03-1.17, = 0.003), but not in other four models. In conclusion, rs743572 may increase breast cancer risk in postmenopausal individuals, but not in premenopausal folks and general populations.

摘要

细胞色素P450 17α-羟化酶(CYP17)T-34C(rs743572)基因多态性与乳腺癌(BC)风险之间的关联存在争议。为了得出更明确的结论,我们进行了这项荟萃分析。我们在PubMed、EMBASE和Cochrane数据库中搜索符合条件的出版物。采用合并比值比(OR)及95%置信区间(95%CI)来评估CYP17 T-34C基因多态性与乳腺癌风险之间的关联强度。本荟萃分析纳入了49项研究,涉及27104例病例和34218例对照。总体而言,在普通人群中未发现CYP17 T-34C基因多态性与乳腺癌易感性之间存在显著关联。在按种族和来源进行的分层分析中,在所有遗传模型中均未检测到显著关联;此外,将分析限于符合哈迪-温伯格平衡(HWE)的对照研究时,我们也未观察到CYP17 T-34C基因多态性与乳腺癌风险之间存在关联。对于绝经前女性,我们未检测到rs743572与乳腺癌风险之间存在关联;然而,在绝经后女性中,我们观察到在等位基因对比遗传模型下该关联具有统计学意义(OR = 1.10,95%CI = 1.03 - 1.17,P = 0.003),但在其他四种模型中并非如此。总之,rs743572可能会增加绝经后个体患乳腺癌的风险,但在绝经前个体和普通人群中并非如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3844/5790532/35c20c5fdc1d/oncotarget-09-4200-g001.jpg

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