Qi Yong, Zeng Taofei, Fan Song, Zhang Li, Liang Chaozhao
Department of Emergency Surgery, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui, China.
Department of Urology, The First Affiliated Hospital of Anhui Medical University; Institute of Urology, Anhui Medical University; Anhui Province Key Laboratory of Genitourinary Diseases, Anhui Medical University, Hefei, Anhui, China.
J Cancer. 2019 Feb 26;10(6):1538-1549. doi: 10.7150/jca.28137. eCollection 2019.
Polymorphisms in interleukin-4 receptor (IL-4R) gene have been reported susceptible to a variety of cancer types, nevertheless, data from these publications remained inconsistent and controversial. We further performed a comprehensive meta-analysis to present a precise estimation of its relationship. Extensive retrieve was performed in PubMed, Google Scholar and Web of Science up to May 25, 2018. Odds ratios (ORs) and 95% confidence intervals (CIs) were conducted to evaluate the overall strength of the associations in five genetic models, as well as in subgroup analyses, stratified by ethnicity, cancer type or source of control. Q-test, Egger's test and Begg's funnel plot were applied to evaluate the heterogeneity and publication bias. analysis was managed to demonstrate the relationship of IL-4R expression correlated with cancer tissues. Finally, 31 publications including 53 case-control studies were enrolled, with 24,452 cases and 24,971 controls. After a comprehensive analysis, no significant evidence was revealed for the association between four IL-4R polymorphisms (rs1801275, rs1805010, rs1805015, rs2057768) and cancer susceptibility in the overall population, as well as the subgroup analysis stratified by ethnicity, cancer type, the genotyping method or the source of control. To sum up, no evidence was identified between IL-4R polymorphisms and overall cancer susceptibility. Further well-designed studies with large sample sizes will be continued on this issue of interest.
白细胞介素-4受体(IL-4R)基因多态性已被报道与多种癌症类型易感性相关,然而,这些出版物中的数据仍然不一致且存在争议。我们进一步进行了全面的荟萃分析,以精确估计其关系。截至2018年5月25日,在PubMed、谷歌学术和科学网进行了广泛检索。采用比值比(OR)和95%置信区间(CI)来评估五种遗传模型以及按种族、癌症类型或对照来源分层的亚组分析中关联的总体强度。应用Q检验、Egger检验和Begg漏斗图来评估异质性和发表偏倚。分析旨在证明IL-4R表达与癌组织的关系。最后,纳入了31篇出版物,包括53项病例对照研究,涉及24452例病例和24971例对照。经过全面分析,未发现四种IL-4R多态性(rs1801275、rs1805010、rs1805015、rs2057768)与总体人群癌症易感性之间存在显著关联,在按种族、癌症类型、基因分型方法或对照来源分层的亚组分析中也未发现。综上所述,未发现IL-4R多态性与总体癌症易感性之间存在关联。关于这个感兴趣的问题,将继续开展进一步设计良好的大样本研究。