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ABCB1基因(3435C>T)多态性与结直肠癌易感性的关联:一项荟萃分析。

Association between ABCB1 (3435C>T) polymorphism and susceptibility of colorectal cancer: A meta-analysis.

作者信息

Han Li-Li, Zuo Bai-le, Cai Wei-Liang, Guo Zhen-Ni, Tong Bing-Hua, Wei Hui-Lian, Zhu Zheng, Li Guo-Yin

机构信息

College of Life Science and Agronomy, Zhoukou Normal University.

Department of Respiratory, Zhoukou Central Hospital, Zhoukou.

出版信息

Medicine (Baltimore). 2020 Feb;99(8):e19189. doi: 10.1097/MD.0000000000019189.

Abstract

Studies on the relationship between ABCB1 3435C>T polymorphism (rs1045642) and colorectal cancer (CRC)susceptibility have yielded inconclusive results. To clarify this issue, we undertook a meta-analysis to investigate the relationship between rs1045642 and CRC risk.Three electronic scientific publication databases (Cochrane Library, Pubmed, Embase) were screened using specific search terms. Relevant literature was identified using literature traceability methods. Selected publications were evaluated according to the inclusion and exclusion criteria. Effect size information (odds ratio and the corresponding 95% confidence interval [CI]) was obtained following quality assessment and data extraction from the included publications, and a meta-analysis conducted. Statistical analysis was performed with the Stata sofz (Version 13.0) software.Overall, 17 case-control studies involving 7129 CRC patients and 7710 healthy control subjects satisfied the criteria for inclusion in the meta-analysis. There was no significant association between ABCB1 3435C>T polymorphism and CRC risk in any of the genetic models. In the CC versus CT model (I = 20.9%, Pheterogeneity = .276), CC versus CT + TT model (I = 45.6%, Pheterogeneity = .102) and CT versus CC + TT model (I = 17.8%, Pheterogeneity = .298) analyses, between-study heterogeneities were detected as significant in Asian populations. In the CT versus TT model (I = 24%, Pheterogeneity = .254) and CC + CT versus TT model (I = 0, Pheterogeneity = .55), between-study heterogeneities were found to be significant in groups of different populations.The meta-analysis described here suggests that the ABCB1 3435C>T polymorphism is not related to CRC susceptibility.

摘要

关于ABCB1 3435C>T多态性(rs1045642)与结直肠癌(CRC)易感性之间关系的研究结果尚无定论。为阐明这一问题,我们进行了一项荟萃分析,以研究rs1045642与CRC风险之间的关系。使用特定检索词筛选了三个电子科学出版物数据库(Cochrane图书馆、Pubmed、Embase)。采用文献追溯法识别相关文献。根据纳入和排除标准对选定的出版物进行评估。在对纳入出版物进行质量评估和数据提取后,获得效应量信息(比值比及相应的95%置信区间[CI]),并进行荟萃分析。使用Stata sofz(版本13.0)软件进行统计分析。

总体而言,17项病例对照研究涉及7129例CRC患者和7710例健康对照者,符合纳入荟萃分析的标准。在任何遗传模型中,ABCB1 3435C>T多态性与CRC风险之间均无显著关联。在CC与CT模型(I = 20.9%,异质性P = 0.276)、CC与CT + TT模型(I = 45.6%,异质性P = 0.102)以及CT与CC + TT模型(I = 17.8%,异质性P = 0.298)分析中,在亚洲人群中检测到研究间异质性显著。在CT与TT模型(I = 24%,异质性P = 0.254)以及CC + CT与TT模型(I = 0,异质性P = 0.55)中,在不同人群组中发现研究间异质性显著。

此处描述的荟萃分析表明,ABCB1 3435C>T多态性与CRC易感性无关。

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