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rs700519 多态性与中国乳腺癌易感性:病例对照研究和更新的荟萃分析。

The rs700519 Polymorphism and Breast Cancer Susceptibility in China: A Case-Control Study and Updated Meta-Analysis.

机构信息

Department of Oncology and Shengjing Hospital of China Medical University, Shenyang, China.

Department of Pathology, Shengjing Hospital of China Medical University, Shenyang, China.

出版信息

Genet Test Mol Biomarkers. 2021 Jul;25(7):486-495. doi: 10.1089/gtmb.2021.0032.

Abstract

Breast cancer (BC), the most prevalent cancer in women, has been associated with several genetic factors, including the rs700519 polymorphism; however, the conclusions have not been consistent. This case-control study and meta-analysis aimed to further assess the relationship between the rs700519 polymorphism and BC susceptibility. We conducted a case-control study to assess the relationship of the rs700519 polymorphism with the risk and prognosis of BC. Subsequently, we performed a meta-analysis of the case-control studies. In the case-control study, we found a significant negative relationship between the rs700519 AA genotype and risk ( = 7.503,  < 0.01) and disease-free survival rates (hazard rate = 0.400, 95% confidence interval [CI] = 0.181-0.883,  < 0.01) of patients with BC, especially in postmenopausal hormone receptor-positive (HR) patients. Nine case-control studies were included in the meta-analysis. The rs700519 polymorphism was significantly associated with BC susceptibility in the dominant (odds ratio [OR] = 0.95, 95% CI = 0.90-1.00,  = 0.05) and allelic models (OR = 0.84, 95% CI = 0.75-0.93,  < 0.01), but not in the recessive model. Sensitivity analysis revealed that the study results were stable, whereas the funnel plot revealed some publication bias. The rs700519 polymorphism is related to breast tumorigenesis.

摘要

乳腺癌(BC)是女性最常见的癌症,与多个遗传因素有关,包括 rs700519 多态性;然而,结论并不一致。本病例对照研究和荟萃分析旨在进一步评估 rs700519 多态性与 BC 易感性的关系。我们进行了一项病例对照研究,以评估 rs700519 多态性与 BC 风险和预后的关系。随后,我们对病例对照研究进行了荟萃分析。在病例对照研究中,我们发现 rs700519 AA 基因型与风险( = 7.503,  < 0.01)和无病生存率(风险比 = 0.400,95%置信区间 [CI] = 0.181-0.883,  < 0.01)呈显著负相关,尤其是在绝经后激素受体阳性(HR)患者中。荟萃分析纳入了 9 项病例对照研究。rs700519 多态性与 BC 易感性在显性(比值比 [OR] = 0.95,95%CI = 0.90-1.00,  = 0.05)和等位基因模型(OR = 0.84,95%CI = 0.75-0.93,  < 0.01)中显著相关,但在隐性模型中不相关。敏感性分析表明研究结果稳定,而漏斗图显示存在一些发表偏倚。rs700519 多态性与乳腺癌的发生有关。

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