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癌症患者钙敏感受体多态性临床易感性的定量评估。

Quantitative assessment of the clinical susceptibility of calcium-sensing receptor polymorphisms in cancer patients.

作者信息

Huang Haohai, Li Tao, Liao Dan, Zhu Zhu, Dong Yong

机构信息

Department of Science and Education, Dongguan Third People's Hospital, Affiliated Dongguan Shilong People's Hospital of Southern Medical University, Dongguan, Guangdong, China.

Department of Medical Oncology, People's Hospital of Gaozhou, Gaozhou, Guangdong, China.

出版信息

Cancer Manag Res. 2018 Apr 12;10:755-763. doi: 10.2147/CMAR.S147751. eCollection 2018.

Abstract

BACKGROUND

Accumulating evidence has suggested a relationship between calcium-sensing receptor () polymorphisms and cancer risk in different types of cancer; however, the findings from epidemiologic studies have been conflicting. The purpose of this meta-analysis was to assess the clinical susceptibility of polymorphisms in cancer patients.

MATERIALS AND METHODS

This study systematically searched MEDLINE and EMBASE databases for eligible articles through March 2017. The strength of association was expressed as odds ratio and 95% CI. Publication bias, heterogeneity, sensitivity analysis, and subgroup analyses were also examined.

RESULTS

Fourteen related case-control studies were finally identified to be included in the present analysis. The pooled result showed that no significant associations were found among rs1801725, rs1042636, rs12485716, rs4678174, rs1801726, rs17251221, rs10934578, and rs2270916 polymorphisms and cancer risk under all genetic models (>0.05). The relationship between rs1801725 polymorphism and risk of cancer was consistent in the subgroup analyses, and robust in sensitivity analysis. No publication bias was presented in our pooled-analysis.

CONCLUSION

The current evidence for our pooled analysis suggests that the polymorphisms are not associated with an increased risk of cancer. Further larger studies are still necessary to warrant and validate the findings in the current meta-analysis.

摘要

背景

越来越多的证据表明,钙敏感受体(CaSR)基因多态性与不同类型癌症的发病风险之间存在关联;然而,流行病学研究的结果并不一致。本荟萃分析的目的是评估癌症患者中CaSR基因多态性的临床易感性。

材料与方法

本研究系统检索了MEDLINE和EMBASE数据库,纳入截至2017年3月的符合条件的文章。关联强度以比值比和95%置信区间表示。同时还检查了发表偏倚、异质性、敏感性分析和亚组分析。

结果

最终确定14项相关病例对照研究纳入本分析。汇总结果显示,在所有遗传模型下,CaSR基因的rs1801725、rs1042636、rs12485716、rs4678174、rs1801726、rs17251221、rs10934578和rs2270916多态性与癌症风险之间均无显著关联(P>0.05)。CaSR基因rs1801725多态性与癌症风险之间的关系在亚组分析中具有一致性,在敏感性分析中具有稳健性。我们的汇总分析未显示发表偏倚。

结论

目前汇总分析的证据表明,CaSR基因多态性与癌症风险增加无关。仍需要进一步的大规模研究来证实和验证当前荟萃分析的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a25/5903842/fa383705a59f/cmar-10-755Fig1.jpg

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