He Shengke, Zhao Xiujuan, Mu Ruifang, Pan Zhongjun, Mai Jinglan
Department of Pathology, Danzhou People's Hospital, Nada Town, Danzhou, Hainan, 571799, China.
Department of Gynaecology and Obstetrics, Danzhou People's Hospital, Nada Town, Danzhou, Hainan, 571799, China.
Open Med (Wars). 2024 Mar 4;19(1):20240913. doi: 10.1515/med-2024-0913. eCollection 2024.
Endometrial carcinoma's (EC) etiology is complex and involves DNA repair gene polymorphisms like XRCC1-Arg399Gln and hOGG1-Ser326Cys, but their association with the disease is unclear. Following PRISMA, we conducted a systematic review and meta-analysis, collecting data from four databases. The studies needed to be population-based case-control studies examining the association between the named polymorphisms and EC. Quality was assessed with the Newcastle-Ottawa Scale. Pooled odds ratios (OR) and 95% confidence intervals (CI) were calculated, and subgroup analyses were conducted based on ethnicity. Seven studies were included. Both polymorphisms were found to significantly increase EC risk, particularly in Caucasians. XRCC1-Arg399Gln showed a dominant model OR of 1.14 (95% CI: 1.01-1.29) and a homozygous model OR of 1.59 (95% CI: 1.12-2.25). The heterozygote model OR for hOGG1-Ser326Cys was 1.29 (95% CI: 1.02-1.63), and the allele OR was 1.31 (95% CI: 1.07-1.60). XRCC1-Arg399Gln and hOGG1-Ser326Cys may increase EC risk, primarily in Caucasian women, emphasizing the role of DNA repair in disease susceptibility. More extensive studies are needed to validate these findings in diverse ethnicities and investigate other DNA repair gene polymorphisms.
子宫内膜癌(EC)的病因复杂,涉及DNA修复基因多态性,如XRCC1-Arg399Gln和hOGG1-Ser326Cys,但它们与该疾病的关联尚不清楚。按照PRISMA标准,我们进行了一项系统评价和荟萃分析,从四个数据库收集数据。纳入的研究需为基于人群的病例对照研究,以检验上述多态性与子宫内膜癌之间的关联。采用纽卡斯尔-渥太华量表评估质量。计算合并比值比(OR)和95%置信区间(CI),并根据种族进行亚组分析。共纳入七项研究。发现这两种多态性均显著增加子宫内膜癌风险,尤其是在白种人中。XRCC1-Arg399Gln在显性模型中的OR为1.14(95%CI:1.01-1.29),在纯合子模型中的OR为1.59(95%CI:1.12-2.25)。hOGG1-Ser326Cys杂合子模型的OR为1.29(95%CI:1.02-1.63),等位基因OR为1.31(95%CI:1.07-1.60)。XRCC1-Arg399Gln和hOGG1-Ser326Cys可能增加子宫内膜癌风险,主要是在白人女性中,这凸显了DNA修复在疾病易感性中的作用。需要更广泛的研究来在不同种族中验证这些发现,并研究其他DNA修复基因多态性。