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前列腺干细胞抗原变异rs2294008对膀胱癌风险的影响。

Contribution of prostate stem cell antigen variation rs2294008 to the risk of bladder cancer.

作者信息

Deng Shi, Ren Zheng Ju, Jin Tao, Yang Bo, Dong Qiang

机构信息

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, P.R. China.

出版信息

Medicine (Baltimore). 2019 Apr;98(16):e15179. doi: 10.1097/MD.0000000000015179.

Abstract

OBJECTIVE

Number of studies have been performed to evaluate the relationship between prostate stem cell antigen (PSCA) variation rs2294008 and bladder cancer risk, but the sample size was small and the results were conflicting. This meta-analysis was conducted to comprehensively evaluate the overall association.

METHODS

Pubmed, Web of science, Embase, China biology medical literature database (CBM), China National Knowledge Infrastructure (CNKI), Wan Fang and Weipu databases were searched before June 30, 2018. The strength of associations was assessed using odds ratios (ORs) and 95% confidence intervals (CIs). All of the statistical analyses were conducted using Review Manager 5.3 and Stata 14.0.

RESULTS

Ten studies involved 14,021 cases and 26,871 controls. Overall, significant association was observed between the PSCA gene variant rs2294008 polymorphism and bladder cancer (T vs C: OR = 1.16, 95%CI = 1.12-1.20; TT vs CC: OR = 1.32, 95%CI = 1.24-1.41; TT vs CT+CC: OR = 1.15, 95%CI = 1.09-1.22; TT+CT vs CC: OR = 1.27, 95%CI = 1.21-1.34). In subgroup analysis by ethnic group, a statistically significant association was observed in Asians (T vs C: OR = 1.23, 95%CI = 1.15-1.31) and Caucasians (T vs C: OR = 1.14, 95%CI = 1.10-1.18). The sensitivity analysis confirmed the reliability and stability of the meta-analysis.

CONCLUSION

Our meta-analysis supports that the PSCA gene variant rs2294008 polymorphism might contribute to individual susceptibility to bladder cancer.

摘要

目的

已有多项研究评估前列腺干细胞抗原(PSCA)基因变异rs2294008与膀胱癌风险之间的关系,但样本量较小且结果相互矛盾。本荟萃分析旨在全面评估总体关联。

方法

检索了截至2018年6月30日的PubMed、Web of science、Embase、中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方和维普数据库。采用比值比(OR)和95%置信区间(CI)评估关联强度。所有统计分析均使用Review Manager 5.3和Stata 14.0进行。

结果

10项研究纳入了14021例病例和26871例对照。总体而言,观察到PSCA基因变异rs2294008多态性与膀胱癌之间存在显著关联(T与C相比:OR = 1.16,95%CI = 1.12 - 1.20;TT与CC相比:OR = 1.32,95%CI = 1.24 - 1.41;TT与CT + CC相比:OR = 1.15,95%CI = 1.09 - 1.22;TT + CT与CC相比:OR = 1.27,95%CI = 1.21 - 1.34)。在按种族分组的亚组分析中,在亚洲人(T与C相比:OR = 1.23,95%CI = 1.15 - 1.31)和高加索人(T与C相比:OR = 1.14,95%CI = 1.10 - 1.18)中观察到统计学显著关联。敏感性分析证实了荟萃分析的可靠性和稳定性。

结论

我们的荟萃分析支持PSCA基因变异rs2294008多态性可能导致个体对膀胱癌的易感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb7a/6494373/1e98de7b5595/medi-98-e15179-g001.jpg

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