Abstract

Numerous epidemiological studies have been conducted to evaluate the association between variants of the DNA repair gene XRCC3 and cancer risk. Here we focused on one XRCC3 polymorphism and development of cervical cancer, performing a meta-analysis. The pooled association between the XRCC3 Thr241Met polymorphism and cervical cancer risk was assessed by odds ratios (ORs) and their 95% confidence intervals (95%CIs). A total of 5 case-control studies met the inclusion criteria. The pooled ORs for the total included studies showed no association among homozygotes TT vs. CC: OR=1.93, 95%CI=0.68- 5.49, P=0.22; dominant model TT<TC vs. CC: OR=1.37, 95%CI=0.90-2.06, P=0.14; and recessive model TT vs. TC<CC: OR=1.76, 95%CI=0.68-4.55, P=0.25, but might be a slight risk factor for cervical cancer in heterozygote contrast TT vs. CT: OR= 1.33, 95%CI=1.04-1.71, P=0.02. In subgroup analysis, significant associations were found for Asians under all genetic models. Our meta-analysis suggested the XRCC3 Thr241Met polymorphism might not act as a cervical cancer risk factor overall. However, in subgroup analysis, a significant association was found in Asians under all genetic models. The association should be studied with a larger, stratified population, especially for Asians.

Highlights

  • The cancer type has been selected in our study because of its high incidence and mortality in women, ranking on the fifth place by incidence and on the seventh place by mortality [http://eco.iarc.fr/EUCAN/ Country.aspx?ISOCountryCd=968]

  • Our meta-analysis suggested the X-ray repair cross-complementing group 3 (XRCC3) Thr241Met polymorphism might not act as a cervical cancer risk factor overall

  • Manual search of references cited in 1 additional article, but it was excluded for lack of data about XRCC3 Thr241Met gene polymorphism of cervical cancer (Wang et al, 2009)

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Summary

Introduction

The cancer type has been selected in our study because of its high incidence and mortality in women, ranking on the fifth place by incidence and on the seventh place by mortality [http://eco.iarc.fr/EUCAN/ Country.aspx?ISOCountryCd=968]. The X-ray repair cross-complementing group 3 (XRCC3) belongs to a family of the DNA repair genes involved in repairing DNA double strand breaks (DSB). Numerous epidemiological studies have been conducted to evaluate the association between variants of the DNA repair gene XRCC3 and cancer risk. The pooled ORs for the total included studies showed no association among homozygotes TT vs CC: OR=1.93, 95%CI=0.685.49, P=0.22; dominant model TT+TC vs CC: OR=1.37, 95%CI=0.90-2.06, P=0.14; and recessive model TT vs TC+CC: OR=1.76, 95%CI=0.68-4.55, P=0.25, but might be a slight risk factor for cervical cancer in heterozygote contrast TT vs CT: OR= 1.33, 95%CI=1.04-1.71, P=0.02. The association should be studied with a larger, stratified population, especially for Asians

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