Abstract

Published data regarding the association between xeroderma pigmentosum group D (XPD) Lys751Gln and Asp312Asn polymorphisms and gastric cancer susceptibility havew been inconclusive. This meta-analysis was therefore performed toobtain a more precise estimation of any relationship. A comprehensive literature search was conducted to identify all case-control studies of Lys751Gln and Asp312Asn polymorphisms and susceptibility to gastric cancer. Summary odds ratios (ORs) and its 95% confidence intervals (95% CIs) were calculated using a random-effects model with the software STATA (version10.0). A total of 12 case-control studies including 3,147 cases and 4,736 controls were included. Overall, no significant associations were found in some models (for Lys751Gln: Lys/Gln vs Lys/Lys: OR=1.144, 95% CI=0.851-1.541, Gln/Gln vs Lys/Lys: OR=1.215, 95% CI = 0.740-1.955, dominant model: OR=1.137, 95% CI=0.818-1.582; recessive model: OR=1.123, 95% CI=0.765-1.650; for Asp312Asn: Asp/Asn vs Asp/Asp: OR=1.180, 95% CI=0.646-2.154, dominant model: OR=1.380, 95% CI = 0.812-2.346), but significantly elevated susceptibility was found for Asp312Asn polymorphism in some models (Asn/Asn vs Asp/Asp: OR=2.045, 95% CI=1.254-3.335, recessive model: OR=1.805, 95% CI =1.219-2.672 ), for the additive model, the XPD Lys751Gln and Asp312Asn polymorphisms were not significantly associated with gastric cancer susceptibility. In stratified analyses, significantly elevated susceptibility was found for some models in the Chinese population. This meta-analysis suggested the XPD Asp312Asn polymorphism might be a potential biomarker of gastric cancer susceptibility in overall population, while both XPD Lys751Gln and Asp312Asn polymorphisms might be risk factors of gastric cancer susceptibility in Chinese.

Highlights

  • Gastric cancer is one of the most common cancers, a total of 989,600 new stomach cancer cases and 738,000 deaths are estimated to have occurred in 2008, accounting for 8% of the total cases and 10% of total deaths (Bertuccio et al, 2009; Ahmedin et al, 2011)

  • No significant associations were found in some models, but significantly elevated susceptibility was found for Asp312Asn polymorphism in some models (Asn/Asn vs Asp/Asp: odds ratios (ORs)=2.045, 95% confidence intervals (95% CIs)=1.254–3.335, recessive model: OR=1.805, 95% CI =1.219–2.672 ), for the additive model, the xeroderma pigmentosum group D (XPD) Lys751Gln and Asp312Asn polymorphisms were not significantly associated with gastric cancer susceptibility

  • Inclusion criteria were defined as follows: (1) The articles evaluating the association between XPD Lys751Gln and Asp312Asn polymorphisms and the risk of gastric cancer; (2) The studies designed as case-control; (3) The sufficient data available to estimate an odds ratio (OR) with its 95% CI

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Summary

Introduction

Gastric cancer is one of the most common cancers, a total of 989,600 new stomach cancer cases and 738,000 deaths are estimated to have occurred in 2008, accounting for 8% of the total cases and 10% of total deaths (Bertuccio et al, 2009; Ahmedin et al, 2011). In addition to above exogenous factors, genetic polymorphism plays an important role in gastric cancer susceptibility. The studies evaluate the association between DNA repair genes and gastric cancer susceptibility has been highly emphasized (Berwick et al, 2000). Published data regarding the association between xeroderma pigmentosum group D (XPD) Lys751Gln and Asp312Asn polymorphisms and gastric cancer susceptibility havew been inconclusive. This meta-analysis was performed toobtain a more precise estimation of any relationship. Materials and Methods: A comprehensive literature search was conducted to identify all case–control studies of Lys751Gln and Asp312Asn polymorphisms and susceptibility to gastric cancer. Conclusion: This meta-analysis suggested the XPD Asp312Asn polymorphism might be a potential biomarker of gastric cancer susceptibility in overall population, while both XPD Lys751Gln and Asp312Asn polymorphisms might be risk factors of gastric cancer susceptibility in Chinese

Methods
Results
Conclusion
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