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揭示关联:通过荟萃分析评估亚甲基四氢叶酸还原酶(MTHFR)基因多态性与结直肠癌风险

Unveiling the link: Evaluating MTHFR gene polymorphisms and colorectal cancer risk through meta-analysis.

作者信息

Wang Yu-Wei, Huang Ze-Yi, Jin Chen-Xue, Shen Xiao-Hui, He Xiao-Feng, Yang Chang-Qing

机构信息

Department of Digestive internal medicine, Heping Hospital Affiliated to Changzhi Medical College, Changzhi, Shanxi, China.

Changzhi Medical College, Changzhi, Shanxi Province, China.

出版信息

PLoS One. 2025 Jul 16;20(7):e0305517. doi: 10.1371/journal.pone.0305517. eCollection 2025.

Abstract

Colorectal cancer pathogenesis is a multifactorial process, with genetic factors playing a significant role in cancer development. A review of published meta-analyses on MTHFR gene polymorphisms and colorectal cancer susceptibility showed inconsistent findings and failed to assess the reliability of statistically significant results. Case-control studies were manually searched in databases to investigate the association between MTHFR gene polymorphisms and colorectal cancer. The study assessed the strength of association for the five gene models by calculating odds ratios (ORs) and 95% confidence intervals (CIs). The study results were also analyzed for the source of heterogeneity, sensitivity, publication bias, and false-positive report probability (FPRP) test. Additionally, extensive subgroup analyses were conducted to investigate the impact of confounding factors on the associations. The study suggests that MTHFR C677T gene polymorphism reduces the risk of colorectal cancer in Asian and mixed-race populations, while increasing the risk of Colorectal cancer in the Indian ethnic group. MTHFR A1298C may play a protective role in the development of colorectal cancer. These findings provide valuable insights for the early diagnosis and prevention of Colorectal cancer. However, further studies are required to confirm the association, which may offer additional information for the early diagnosis and prevention of Colorectal cancer.

摘要

结直肠癌的发病机制是一个多因素过程,其中遗传因素在癌症发展中起着重要作用。一项对已发表的关于亚甲基四氢叶酸还原酶(MTHFR)基因多态性与结直肠癌易感性的荟萃分析综述显示,结果不一致,且未能评估具有统计学意义的结果的可靠性。通过在数据库中手动检索病例对照研究,以调查MTHFR基因多态性与结直肠癌之间的关联。该研究通过计算比值比(OR)和95%置信区间(CI)来评估五种基因模型的关联强度。还对研究结果进行了异质性来源、敏感性、发表偏倚和假阳性报告概率(FPRP)检验分析。此外,进行了广泛的亚组分析,以研究混杂因素对关联的影响。该研究表明,MTHFR C677T基因多态性降低了亚洲人和混血人群患结直肠癌的风险,而增加了印度族裔患结直肠癌的风险。MTHFR A1298C可能在结直肠癌的发生发展中起保护作用。这些发现为结直肠癌的早期诊断和预防提供了有价值的见解。然而,需要进一步的研究来证实这种关联,这可能为结直肠癌的早期诊断和预防提供更多信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc90/12266466/7b902ca85dc1/pone.0305517.g001.jpg

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