中国人群GSTT1 基因多态性与胃癌易感性关系的Meta分析
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张成武, Email: zhangchengwu2014@163.com

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Association between GSTT1 gene polymorphism and gastric cancer susceptibility in Chinese population: A Meta-analysis
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    摘要:

    目的:系统评价中国人群谷胱甘肽转移酶T1(GSTT1)基因多态性与胃癌易感性的关系。 方法:检索多个国内外数据库,收集有关中国人群CSTT1基因多态性与胃癌易感性的病例对照研究,以病例组和对照组GSTT1基因型分布行Meta分析。 结果:最终纳入17篇病例对照研究,其中病例组胃癌患共者2?468例,对照组健康人群共4?745例。 Meta分析结果显示,CSTT1基因缺失型者胃癌的危险性较CSTT1基因存在型者明显增高,固定效应模型和随机效应模型的合并OR值分别为0.84(95% CI=0.76~0.93)与0.83(95% CI=0.71~0.96)。 按样本量进行亚组分析结果显示,样本量>100的研究合并OR值为0.87(95% CI=0.77~0.98),样本量≤100的研究合并OR值为0.77(95% CI=0.63~0.94)。 结论:中国人群GSTT1基因多态性与胃癌易感性密切相关,GSTT1基因缺失型者与胃癌的发生的风险增加。

    Abstract:

    Objective: To systematically assess the association between the gene polymorphism of glutathione S-transferases T1 (GSTT1) and gastric cancer susceptibility in Chinese population. Methods: The case-control studies on relationship between GSTT1 gene polymorphism and gastric cancer susceptibility in Chinese population were collected by searching several national and international databases. Meta-analysis was performed according to the GSTT1 genotype distributions in case group and control group. Results: Seventeen case-control studies were finally selected, with a total of 2 468 gastric cancer patients in case group and a total of 4 745 healthy subjects in control group. Results of the Meta-analysis indicated that the risk of gastric cancer was increased in subjects with GSTT1 null genotype compared with those with GSTT1 present genotype, and the pooled OR in fixed-effect model and random-effects model was 0.84 (95% CI=0.76–0.93) and 0.83 (95% CI=0.71–0.96), respectively. Results of subgroup analysis according to sample size showed that the pooled OR was 0.87 (95% CI=0.77–0.98) for studies with sample size larger than 100 and was 0.77 (95% CI=0.63–0.94) for studies with sample sized equal to or less than 100, respectively. Conclusion: GSTT1 gene polymorphism is closely associated with gastric cancer susceptibility in Chinese population, and those with GSTT1 null genotype face an increased risk of gastric cancer.

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刘宁,张成武,王晓龙.中国人群GSTT1 基因多态性与胃癌易感性关系的Meta分析[J].中国普通外科杂志,2014,23(12):1658-1663.
DOI:10.7659/j. issn.1005-6947.2014.12.011

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  • 收稿日期:2014-01-26
  • 最后修改日期:2014-09-02
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  • 在线发布日期: 2014-12-15