Cyclooxygenase-2 polymorphisms were associated with the risk of gastric cancer: evidence from a meta-analysis based on case-control studies

Autor: Chang Fu Nie, Wen Feng Yan, Pei Chun Sun, Gang Wu
Rok vydání: 2013
Předmět:
Zdroj: Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine. 34(6)
ISSN: 1423-0380
Popis: The associations between cyclooxygenase-2 (COX-2) polymorphisms (-765GC, -1195GA, and -587GA) and risk of gastric cancer have been investigated, but the results were inconsistent. The aim of this study was to explore the associations between COX-2 polymorphisms and risk of gastric cancer using a meta-analytic method. We searched the databases of PubMed, Embase, and Wanfang (Chinese database) to identify the eligible studies. Odds ratio and 95 % confidence interval (OR and 95% CI) were used as effect size, and combined analyses were conducted using fixed- or random-effects model. Overall, ten studies for COX-2-765GC, six studies for -1195GA, and three studies for -587GA were included in this study. The results for combined analysis for COX-2-765GC indicated that C allele was significantly associated with increased risk of gastric cancer compared with G allele, especially for Asians (OR and 95 % CI: 1.58 (1.06-2.35), P(z-test) = 0.03, and P heterogeneity0.01 for CC+GC vs. GG). In addition, the A allele of COX-2-1195GA was also significantly associated with risk of gastric cancer compared with G allele (OR and 95 % CI: 1.20 (1.09-1.32), P(z-test)0.001, and P(heterogeneity) = 0.82 for A carriers vs. G carriers). In contrast, the COX-2-587GA polymorphism was not associated with risks of gastric cancer. In summary, this meta-analysis indicated that the COX-2-765GC and -1195GA polymorphisms were significantly associated with risk of gastric cancer development.
Databáze: OpenAIRE