Zhou Hongxing, Zhu Xuming
Department of Clinical Laboratory, Changzhou Second Hospital affiliated to Nanjing Medical University, Changzhou, Jiangsu Province, China.
Department of Clinical Laboratory, Wuxi People's Hospital affiliated to Nanjing Medical University, Wuxi, Jiangsu Province, China,
Cancer Manag Res. 2018 Nov 2;10:5247-5259. doi: 10.2147/CMAR.S177551. eCollection 2018.
Data from published articles on the relationship between MMP polymorphisms and prostate cancer risk are conflicted and inconclusive, so a meta-analysis and systematic review were performed to assess the relationship.
Relevant research articles were identified from databases using a search strategy. Studies with the same MMP polymorphisms that could be quantitatively synthesized were included in the meta-analysis. Five comparison models (homozygote, heterozygote, dominant, recessive, and additive) were applied, and a subgroup analysis by case-group sample type was performed. Studies with different polymorphisms that could not be quantitatively synthesized were included in the systematic review.
Eleven articles encompassing 22 studies involving 12 MMP polymorphisms were included in this paper. Among the studies included, 13 studies involving MMP1 rs1799750, MMP2 rs243865, and MMP7 rs11568818 were quantitatively synthesized for meta-analysis, and the other nine studies involving nine polymorphisms (MMP2 rs2285053, MMP2 rs1477017, MMP2 rs17301608, MMP2 rs11639960, MMP3 11715A/6A, MMP3 1161A/G, MMP3 5356A/G, MMP9 rs17576, and MMP13 rs2252070) were included in the systematic review. Meta-analysis showed no associations between MMP1 rs1799750, MMP2 rs243865, or MMP7 rs11568818 and prostate cancer risk overall. Subgroup analysis by case-group sample type confirmed that no associations existed. The systematic review suggested that MMP3 11715A/6A and MMP9 rs17576 were associated with prostate cancer risk.
MMP polymorphisms are not associated with prostate cancer risk, except for MMP3 11715A/6A and MMP9 rs17576. However, it is necessary to conduct larger-scale, high-quality studies in future.
已发表文章中关于基质金属蛋白酶(MMP)基因多态性与前列腺癌风险之间关系的数据相互矛盾且尚无定论,因此进行了一项荟萃分析和系统评价以评估二者关系。
采用检索策略从数据库中识别相关研究文章。将具有相同MMP基因多态性且可进行定量合成的研究纳入荟萃分析。应用了五种比较模型(纯合子、杂合子、显性、隐性和加性),并按病例组样本类型进行了亚组分析。具有不同多态性且无法进行定量合成的研究纳入系统评价。
本文纳入了11篇文章,涵盖22项涉及12种MMP基因多态性的研究。在所纳入的研究中,13项涉及MMP1 rs1799750、MMP2 rs243865和MMP7 rs11568818的研究进行了定量合成以用于荟萃分析,另外9项涉及9种多态性(MMP2 rs2285053、MMP2 rs1477017、MMP2 rs17301608、MMP2 rs11639960、MMP3 11715A/6A、MMP3 1161A/G、MMP3 5356A/G、MMP9 rs17576和MMP13 rs2252070)的研究纳入系统评价。荟萃分析表明,MMP1 rs1799750、MMP2 rs243865或MMP7 rs11568818与总体前列腺癌风险之间无关联。按病例组样本类型进行的亚组分析证实不存在关联。系统评价表明,MMP3 11715A/6A和MMP9 rs17576与前列腺癌风险相关。
除MMP3 11715A/6A和MMP9 rs17576外,MMP基因多态性与前列腺癌风险无关。然而,未来有必要开展更大规模、高质量的研究。