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XRCC1 Arg399Gln基因多态性与中国人群肝细胞癌易感性的Meta分析

王倩,谭诗云
  

  1. 430060 武汉 武汉大学人民医院消化内科
  • 收稿日期:2016-08-23 修回日期:2016-12-10 出版日期:2017-04-30 发布日期:2017-04-30

An updated meta-analysis of the association between XRCC1 Arg399Gln polymorphism and hepatocellular carcinoma risk in Chinese population

WANG Qian,TAN Shiyun   

  1. Department of Gastroenterology,Renmin Hospital of Wuhan University, Wuhan 430060,China
  • Received:2016-08-23 Revised:2016-12-10 Online:2017-04-30 Published:2017-04-30

摘要: 目的 探讨XRCC1 Arg399Gln基因多态性与肝细胞癌(HCC)易感性的关系。方法 计算机检索PubMed、中国生物医学文献(CBM)、中国知网、万方及维普等数据库,收集有关XRCC1 Arg399Gln基因多态性与HCC易感性关系的病例对照研究,提取纳入文献的相关数据进行Meta分析,以病例组与对照组XRCC1 Arg399Gln各种基因模型的比值比(OR)为效应指标,发表偏倚采用Eggers检验和Beggs检验。结果 共17篇文献符合纳入标准,累计病例数3301例,对照组4156例。XRCC1 Arg399Gln基因多态性与中国人群HCC易感性有明显关联性(G/G vs. A/A:OR=1.32,95%CI:1.13~1.54,P=0.000;A/G vs. A/A:OR=1.25,95%CI:1.10~1.41,P=0.000;A/G+G/G vs. A/A:OR=1.22,95%CI:1.09~1.36,P=0000;G/G vs. A/A+A/G:OR=1.20,95%CI:1.04~1.39,P=0.014)。根据健康对照组来源不同的亚组分析中,所有地区或者控制人口来源医院的研究结果均显示,XRCC1 Arg399Gln 基因多态性与HCC易感性有明显关联性,但控制人口非医院来源的研究结果显示XRCC1 Arg399Gln 基因多态性与HCC易感性无明显关联性;根据地区不同分组的亚组分析中,在广西地区,除隐性遗传模型外(G/G vs. A/A+A/G:OR=1.25,95%CI:0.95~1.65,P=0.115),其余遗传模型结果显示XRCC1 Arg399Gln基因多态性与广西地区HCC易感性有明显相关性(G/G vs. A/A:OR=1.47,95%CI:1.10~1.95,P=0.009;A/G vs. A/A:OR=1.35,95%CI:1.17~1.56,P=0.000;A/G+G/G vs.A/A:OR=133,95%CI:1.16~1.52,P=0.000)。结论 XRCC1 Arg399Gln 基因多态性可能增加中国人群HCC的易感性,尤其在广西地区。

Abstract: Objective To explore the correlation between XRCC1 Arg399Gln polymorphism and risks of hepatocellular carcinoma(HCC). Methods All eligible studies were extracted from PubMed,CBM,CNKI, Wanfang and VIP database. Statistical analyses were performed by Stata 11.0.The odds ratio(OR)with 95% confidence interval(CI)were estimated to evaluate XRCC1 Arg399Gln polymorphism and the risk of HCC. Publication bias was assessed with Eggers test and Begg's test. Results A total of seventeen available studies were included in our present meta-analysis,with 3301 cases and 4156 controls. When all studies were pooled,significant association was found between XRCC1 Arg399Gln polymorphisms and the risk of HCC under all genetic models in Chinese population(G/G vs. A/A:OR=1.32,95%CI:1.13-1.54,P=0.000;A/G vs. A/A:OR=1.25,95%CI:1.10-1.41,P=0.000;A/G+G/G vs. A/A:OR=1.22,95%CI:1.09-1.36,P=0.000;G/G vs. A/A+A/G:OR=1.20,95%CI:1.04-1.39,P=0.014). In the subgroup analysis,similar results were also observed in all region or when source of controls was hospital-based.However,no potential association between XRCC1 Arg399Gln polymorphism and the risk of HCC was found when source of controls were population-based. In Guangxi region,except the recessive genetic model(G/G vs. AA:OR=1.25,95%CI:0.95-1.65,P=0.115),in other genetic model,significant association was found between XRCC1 Alg399Gln polymorphisms and the risk of HCC in Guangxi population(G/G vs. AA:OR=1.47,95%CI:1.10-1.95,P=0.009;A/G vs. A/A:OR=1.35,95%CI:1.17-1.56,P=0.000;A/G+G/G vs. A/A:OR=1.33,95%CI:1.16-1.52,P=0.000). Conclusion XRCC1 Arg399Gln polymorphism might increase the risk of HCC in Chinese population,especially in Guangxi region.

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