Abstract
Accumulating epidemiological evidence indicates that the quantitative changes in human mitochondrial DNA (mtDNA) copy number could affect the genetic susceptibility of malignancies in a tumor-specific manner, but the results are still elusive. To provide a more precise estimation on the association between mtDNA copy number and risk of diverse malignancies, a meta-analysis was conducted by calculating the pooled odds ratios (OR) and the 95% confidence intervals (95% CI). A total of 36 case-control studies involving 11,847 cases and 15,438 controls were finally included in the meta-analysis. Overall analysis of all studies suggested no significant association between mtDNA content and cancer risk (OR = 1.044, 95% CI = 0.866–1.260, P = 0.651). Subgroup analyses by cancer types showed an obvious positive association between mtDNA content and lymphoma and breast cancer (OR = 1.645, 95% CI = 1.117–2.421, P = 0.012; OR = 1.721, 95% CI = 1.130–2.622, P = 0.011, respectively), and a negative association for hepatic carcinoma. Stratified analyses by other confounding factors also found increased cancer risk in people with drinking addiction. Further analysis using studies of quartiles found that populations with the highest mtDNA content may be under more obvious risk of melanoma and that Western populations were more susceptible than Asians.
Highlights
Adenocarcinoma[8,9], and a decrease in colorectal cancer, cervical cancer, osteosarcoma and Ewing’s sarcoma[10,11,12,13]
Studies were considered eligible for the current meta-analysis if they met the following criteria: (1) they assessed the relationship between Mitochondria possess separate copies of DNA (mtDNA) copy number and risk of diverse cancer types; (2) used a cohort or case–control studies design; (3) had an appropriate description of mtDNA copy number in cases and controls; and (4) reported an odds ratio (OR) with a 95% confidence interval (CI) or other available data for calculating the OR
There were five studies with hospital-based controls and the others included population-based controls. Among these 36 studies, five each focused on breast cancer, four each on renal clear cell carcinoma, three each on lung cancer, colorectal cancer, lymphoma and hepatic carcinoma /cirrhosis, two each on glioma, melanoma, oral and gastric cancer, and one each on nasopharyngeal cancer, endometrial cancer, prostate cancer, esophageal carcinoma, pancreatic carcinoma, soft tissue sarcoma and bladder cancer
Summary
Adenocarcinoma[8,9], and a decrease in colorectal cancer, cervical cancer, osteosarcoma and Ewing’s sarcoma[10,11,12,13]. The alteration of peripheral blood mtDNA content has been found to be associated with tumor progression and patient prognosis. High mtDNA copy number in peripheral blood may predict a poor prognosis for hepatocellular carcinoma[15], glioma[16], colorectal cancer[17], and head and neck cancer[18]. Taken together, these results suggested that the alteration of mtDNA content might play complicated roles in tumorigenesis and progression in a cancer-specific manner. In this study we carried out a meta-analysis to summarize the existing evidence and to make a more precise evaluation about the relationship between mtDNA copy number and cancer risk among different populations
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