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白细胞介素-10 多态性与结直肠癌和胃癌易感性的关联:基于 106 项研究的更新荟萃分析。

Association of Interleukin-10 Polymorphisms with Susceptibility to Colorectal Cancer and Gastric Cancer: an Updated Meta-analysis Based on 106 Studies.

机构信息

Department of General Surgery, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran.

Department of Medical Genetics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Gastrointest Cancer. 2022 Dec;53(4):1066-1082. doi: 10.1007/s12029-021-00685-z. Epub 2021 Oct 25.

Abstract

BACKGROUND

The purpose of this study was to explore the association of IL-10 polymorphisms with susceptibility to colorectal cancer (CRC) and gastric cancer (GC).

METHODS

PubMed, Scopus, Embase, SciELO, medRxiv, China Biology Medicine Disc, DeepDyve, CNKI, and Web of Science were used to identify all relevant articles published up to 20th June 2021, without any restrictions on ethnicity. Summary odds ratios (ORs) with 95% confidence intervals (CIs) were used to determine the strength of the associations.

RESULTS

A total of 106 case-control studies were included. For CRC, 15 studies with 2772 cases and 3719 controls on -1082A/G, 11 studies with 3259 cases and 4992 controls on -592C/A, and 3 studies with 477 cases and 544 controls on -819 T/C were selected. For GC, 31 studies with 6229 cases and 8666 controls on -1082A/G, 27 studies with 5457 cases and 8381 controls on -592C/A, and 19 studies with 3556 cases and 6218 controls on -819 T/C were included. Pooled data showed a significant association between IL-10-819 T/C polymorphism and CRC susceptibility in overall population, but not for IL-10-1082A/G and -592C/A polymorphisms. However, IL-10-592C/A polymorphism was associated with CRC risk in Asians. A significant association of IL-10-1082A/G polymorphism with the GC risk was found. In the ethnicity subgroup analysis, a significant association was found between IL-10-1082A/G polymorphism and GC risk among Asians. The IL-10-819 T/C was not associated with GC risk in overall population and by ethnicity.

CONCLUSIONS

Our pooled data show a significant association of IL-10-819 T/C and IL-10-1082A/G polymorphisms with CRC and GC in overall population, respectively. However, other factors may influence these associations, and large-scale studies with adequate methodological quality are necessary to confirm the impact on CRC and GC risk.

摘要

背景

本研究旨在探讨白细胞介素 10(IL-10)多态性与结直肠癌(CRC)和胃癌(GC)易感性的关系。

方法

使用 PubMed、Scopus、Embase、SciELO、medRxiv、中国生物医学文献数据库、DeepDyve、中国知网和 Web of Science,检索截至 2021 年 6 月 20 日发表的所有相关文章,对种族不设任何限制。采用汇总优势比(OR)及其 95%置信区间(CI)来确定关联的强度。

结果

共纳入 106 项病例对照研究。对于 CRC,纳入了 15 项研究,共纳入 2772 例病例和 3719 例对照,对 -1082A/G 进行了分析;纳入了 11 项研究,共纳入 3259 例病例和 4992 例对照,对 -592C/A 进行了分析;纳入了 3 项研究,共纳入 477 例病例和 544 例对照,对 -819T/C 进行了分析。对于 GC,纳入了 31 项研究,共纳入 6229 例病例和 8666 例对照,对 -1082A/G 进行了分析;纳入了 27 项研究,共纳入 5457 例病例和 8381 例对照,对 -592C/A 进行了分析;纳入了 19 项研究,共纳入 3556 例病例和 6218 例对照,对 -819T/C 进行了分析。汇总数据显示,IL-10-819T/C 多态性与 CRC 易感性在总体人群中存在显著关联,但 IL-10-1082A/G 和 -592C/A 多态性则没有关联。然而,IL-10-592C/A 多态性与 CRC 风险在亚洲人群中有关联。IL-10-1082A/G 多态性与 GC 风险存在显著关联。在亚组分析中,IL-10-1082A/G 多态性与亚洲人群的 GC 风险有关联。IL-10-819T/C 与总体人群和不同种族的 GC 风险均无关。

结论

本汇总数据显示,IL-10-819T/C 和 IL-10-1082A/G 多态性分别与 CRC 和 GC 易感性在总体人群中存在显著关联。然而,其他因素可能会影响这些关联,需要进行更大规模、具有足够方法学质量的研究来证实其对 CRC 和 GC 风险的影响。

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