Liu Dabiao, Liu Xuesong
Department of Clinical Laboratory, Zhenjiang No.4 Hospital.
Department of Laboratory Medicine, Jiangsu Vocational College of Medicine, Zhenjiang, Jiangsu, China.
Medicine (Baltimore). 2018 Dec;97(49):e13358. doi: 10.1097/MD.0000000000013358.
To make an accurate estimation of the association of ERCC1 and ERCC2 polymorphisms with osteosarcoma (OS) prognosis in Chinese population.
Total 7 qualified studies with 1404 osteosarcoma patients were included. Odds ratios (OR) with 95% CIs were pooled for the survival rate in different osteosarcoma patients with ERCC1 and ERCC2 genetic polymorphisms. The heterogeneity was assessed by I test. Potential publication bias was assessed by Begg funnel plot and Egger linear regression test.
In rs11615, no significant association was found under dominant [TT+TC vs. CC: OR = 1.252, 95% CI:0.864-1.815, P = .235], recessive [TT vs. TC+CC: OR = 0.850, 95% CI: 0.695-1.030, P = .095] or allelic model [T vs. C Allele: OR = 1.219, 95% CI: 0.922-1.612, P = .165]. In rs13181, no significant association was found under dominant [AA+AC vs. CC: OR = 1.031, 95% CI: 0.800-1.329, P = .801], recessive [AA vs. AC+CC: OR = 1.005, 95% CI: 0.875, 1.154, P = .944] or allelic model [A vs. C Allele: OR = 1.009, 95% CI: 0.903-1.128, P = .870]. In rs1799793, no significant association was found under dominant [GG+GA vs. AA: OR = 1.134, 95% CI: 0.884-1.454, P = .322, recessive [GG vs. AG+AA: OR = 1.025, 95% CI: 0.881-1.192, P = .750], or allelic model [G vs. A Allele: OR = 1.046, 95% CI: 0.930-1.177, P = .450].
This study did not support rs11615, rs13181 or rs1799793 to be used as surrogate markers for clinical outcome of osteosarcoma with chemotherapy.
准确评估中国人群中ERCC1和ERCC2基因多态性与骨肉瘤(OS)预后的相关性。
纳入7项合格研究,共1404例骨肉瘤患者。对不同ERCC1和ERCC2基因多态性的骨肉瘤患者的生存率进行汇总分析,计算比值比(OR)及95%可信区间(CI)。采用I²检验评估异质性。通过Begg漏斗图和Egger线性回归检验评估潜在的发表偏倚。
在rs11615中,显性模型[TT + TC vs. CC:OR = 1.252,95%CI:0.864 - 1.815,P = 0.235]、隐性模型[TT vs. TC + CC:OR = 0.850,95%CI:0.695 - 1.030,P = 0.095]或等位基因模型[T vs. C等位基因:OR = 1.219,95%CI:0.922 - 1.612,P = 0.165]下均未发现显著相关性。在rs13181中,显性模型[AA + AC vs. CC:OR = 1.031,95%CI:0.800 - 1.329,P = 0.801]隐性模型[AA vs. AC + CC:OR = 1.005,95%CI:0.875,1.154,P = 0.944]或等位基因模型[A vs. C等位基因:OR = 1.009,95%CI:0.903 - 1.128,P = 0.870]下均未发现显著相关性。在rs1799793中,显性模型[GG + GA vs. AA:OR = 1.134,95%CI:0.884 - 1.454,P = 0.322]、隐性模型[GG vs. AG + AA:OR = 1.025,95%CI:0.881 - 1.192,P = 0.750]或等位基因模型[G vs. A等位基因:OR = 1.046,9%CI:0.930 - 1.177,P = 0.450]下均未发现显著相关性。
本研究不支持将rs11615、rs13181或rs1799793用作骨肉瘤化疗临床结局的替代标志物。