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中国人群中的XRCC1多态性与肺癌风险:一项荟萃分析
XRCC1 polymorphisms and lung cancer risk in Chinese populations: A meta-analysis
Zheng H, Wang Z, Shi X, Wang Z  2009/8/11 13:13:00 
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Lung Cancer, 2009, Volume 65, Issue 3 
 

X-ray repair cross-complementing group 1 (XRCC1), one of the >20 genes that participate in the base excision repair (BER) pathway, is thought to account for differences in lung cancer susceptibility. Our meta-analysis on 2861 cases (lung cancer patients) and 2783 controls from eight eligible studies in Chinese populations showed that for the XRCC1 Arg194Trp polymorphism, compared with the Arg/Arg homozygous genotype, the variant Arg/Trp and Trp/Trp genotypes combined was not associated with lung cancer risk (OR = 1.06, 95% confidence interval [CI] = 0.89-1.27) (Z = 0.70, P = 0.48), nor was Arg280His (OR = 0.63, 95% CI = 0.28-1.41) (Z = 1.12, P = 0.26); however, for the XRCC1 Arg399Gln polymorphism, the combination of variant Arg/Gln and Gln/Gln genotypes was borderline significantly associated with lung cancer risk (OR = 1.16, 95% CI = 1.00-1.36) (Z = 1.90, P = 0.06), compared with the Arg/Arg homozygous genotype. Therefore, in the eight published studies in Chinese populations, we found little evidence of an association between the combined variant genotypes of the XRCC1 Arg399Gln polymorphism and the increased risk of lung cancer. © 2009 Elsevier Ireland Ltd. All rights reserved.

Correspondence Address: Wang, Z.; Department of Epidemiology and Statistics, School of Public Health, Tongji Medical College, Wuhan, China; email:wzzh@mails.tjmu.edu.cn 
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患者,女,69岁。2009年1月无明显诱因下出现乏力,当时程度较轻,未予以重视。2009年3月患者乏力症状加重,尿色逐渐加深,大便习惯改变,颜色变淡。4月18日入我院感染科治疗,诉轻度头晕、心慌,体重减轻10kg。无肝区疼痛,无发热,无腹痛、腹泻、腹胀、里急后重,无恶性、呕吐等。入院半月前于外院就诊,查肝功能:ALT 601IU/L,AST 785IU/L,TBIL 97.7umol/L,白蛋白 41g/L,甲状腺功能:游离T3 30.6pmol/L,游离T4 51.9pmol/L,心电图示快速房颤。
 

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