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基于病例对照研究的ERCC1基因多态性(rs3212986和rs11615)与头颈癌风险的关联

Association of ERCC1 polymorphisms (rs3212986 and rs11615) with the risk of head and neck carcinomas based on case-control studies.

作者信息

Ding Y W, Gao X, Ye D X, Liu W, Wu L, Sun H Y

机构信息

Department of Stomatology, Affiliated Cixi People's Hospital, Wenzhou Medical University, Wenzhou, China.

出版信息

Clin Transl Oncol. 2015 Sep;17(9):710-9. doi: 10.1007/s12094-015-1298-7. Epub 2015 May 29.

Abstract

PURPOSE

Current data regarding association between ERCC1 polymorphisms and the risk of head and neck squamous cell carcinomas (HNSCC) have shown controversial results. The current study aims to achieve a more accurate estimation of the association between two well-characterized ERCC1 polymorphisms (rs3212986 and rs11615) and HNSCC risk by a meta-analysis of all eligible studies.

METHODS

The meta-analysis was performed by reviewing seven studies on the ERCC1 C8092A (rs3212986) polymorphism including 2055 cases and 2635 controls and four studies on the T19007C (rs11615) polymorphism including 910 cases and 1337 controls.

RESULTS

For ERCC1 rs3212986 polymorphism, no significant association with HNSCC was found in overall analysis, but subgroup analysis revealed that a significant association of the rs3212986 polymorphism was found among Asians (A vs. C: OR 0.83; 95% CI 0.70-0.99) but not Caucasians. For ERCC1 rs11615 polymorphism, a significant association with HNSCC (TC + CC vs. TT: OR 1.23; 95% CI 1.03-1.47) was found in overall analysis. Consistently, subgroup analysis revealed that significant associations of the rs3212986 polymorphism were found among Asians (C vs. T: OR 1.32; 95% CI 1.04-1.69) and in laryngeal carcinoma (CC vs. TC + TT: OR 1.32; 95% CI 1.02-1.72).

CONCLUSION

The findings of the meta-analysis indicated that a decreased risk for the ERCC1 rs3212986 polymorphism was found among Asians, and an increased risk for the ERCC1 rs11615 polymorphism was found in overall HNSCC, especially in Asian subgroup and laryngeal site, suggesting that ERCC1 rs3212986 polymorphism in Asians may act as a protective factor and rs11615 polymorphism may be a risk factor for HNSCC.

摘要

目的

目前关于ERCC1基因多态性与头颈部鳞状细胞癌(HNSCC)风险之间关联的数据显示出相互矛盾的结果。本研究旨在通过对所有符合条件的研究进行荟萃分析,更准确地评估两种特征明确的ERCC1基因多态性(rs3212986和rs11615)与HNSCC风险之间的关联。

方法

通过回顾七项关于ERCC1 C8092A(rs3212986)基因多态性的研究(包括2055例病例和2635例对照)以及四项关于T19007C(rs11615)基因多态性的研究(包括910例病例和1337例对照)进行荟萃分析。

结果

对于ERCC1 rs3212986基因多态性,总体分析未发现与HNSCC有显著关联,但亚组分析显示,rs3212986基因多态性在亚洲人中存在显著关联(A与C比较:比值比0.83;95%可信区间0.70 - 0.99),而在白种人中未发现。对于ERCC1 rs11615基因多态性,总体分析发现与HNSCC有显著关联(TC + CC与TT比较:比值比1.23;95%可信区间1.03 - 1.47)。同样,亚组分析显示,rs3212986基因多态性在亚洲人(C与T比较:比值比1.32;95%可信区间1.04 - 1.69)以及喉癌患者中(CC与TC + TT比较:比值比1.32;95%可信区间1.02 - 1.72)存在显著关联。

结论

荟萃分析结果表明,ERCC1 rs3212986基因多态性在亚洲人中显示出降低的风险,而ERCC1 rs11615基因多态性在总体HNSCC中显示出增加的风险,尤其是在亚洲亚组和喉部,提示亚洲人中的ERCC1 rs3212986基因多态性可能是一种保护因素,而rs11615基因多态性可能是HNSCC的一个风险因素。

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