Abstract

Breast cancer risk assessment has developed during years and evaluation of genetic factor affecting risk of breast cancer is an important component of this risk assessment. The aim of this meta-analysis was to investigate the role of XRCC1 polymorphisms (Arg194Trp, Arg280His and Arg399Gln) for risk of breast cancer among different population and categories of menopausal status. PubMed, Medline, Web of Science, and PubMed Central were systematically searched to identify studies evaluating association between breast cancer and XRCC1 gene polymorphisms (Arg194Trp, Arg280His and Arg399Gln). Two authors independently extracted required information. Odds Ratios were pooled for four genetic inheritance models using both fixed and the DerSimonian and Laird random-effect models. Egger's test and contour-enhanced funnel plot were used to evaluate publication bias and small study effect. Additional subgroup analysis was performed for menopausal status, ethnicity, and source of controls. After evaluation and applying inclusion criteria on extracted studies, fifty three studies were included in this meta-analysis. For polymorphisms of Arg194Trp and Arg280His, no significant association was observed in all genetic models. Arg194Trp had a protective effect in post-menopausal status only in homozygote model (OR=0.57 [0.37-0.88]). Arg399Gln showed significant association with breast cancer in homozygote (OR=1.21 [1.10-1.34]), dominant (OR=1.09 [1.03-1.15]) and recessive (OR=1.21 [1.09-1.35]) models. Arg399Gln was associated with higher risk in post-menopausal status for homozygote and heterozygote models. Our findings suggest that XRCC1 gene polymorphisms modify breast cancer risk in different populations and different categories of menopausal status.

Highlights

  • Breast cancer accounts as the leading type of cancer among women and is the second most common cause of cancer related death (Siegel et al, 2014)

  • The aim of this meta-analysis was to investigate the role of XRCC1 polymorphisms (Arg194Trp, Arg280His and Arg399Gln) in risk of breast cancer among different population and categories of menopausal status.PubMed, Medline, Web of Science, and PubMed Central were systematically searched to identify studies evaluating association between breast cancer and XRCC1 gene polymorphisms (Arg194Trp, Arg280His and Arg399Gln)

  • Our findings suggest that XRCC1 gene polymorphisms modify breast cancer risk in different populations and different categories of menopausal status

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Summary

Introduction

Breast cancer accounts as the leading type of cancer among women and is the second most common cause of cancer related death (Siegel et al, 2014). Breast cancer incidence is less in developing countries, but it is increasing (Key et al, 2001). BRCA1 and BRCA2 with function of DNA repair are known as susceptibility genes for breast cancer (Bertwistle and Ashworth, 1998). Evaluation of breast cancer patients and their relatives demonstrated Defect in DNA repair (Patel et al, 1997). The gene XRCC1 (X-ray repair cross-complementing group 1) is a component involved in DNA BER. For clarifications and more information breast cancer and XRCC1 gene polymorphisms (or unavailable full texts), we contacted with first and In order to clear association of breast cancer with XRCC1 (contact author). Arg399Gln) we conducted this systematic review and Statistical analysis meta-analysis

Material and Methods
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