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CYP1B1 Leu432Val的多态性会增加肺癌的发病风险:来自6501例受试者的证据 |
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The CYP1B1 Leu432Val polymorphism contributes to lung cancer risk: Evidence from 6501 subjects |
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Chen B, Qiu L-X, Li Y, Xu W, Wang X-L, Zhao W-H, Wu J-Q 2010/11/22 13:45:00 |
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Lung Cancer, 2010, Volume 70, Issue 3
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The polymorphism of cytochrome P4501B1 (CYP1B1) codon 432 (rs1056836, CYP1B1*3, or Leu432Val) is thought to have a significant effect on lung cancer risk, but the results are inconsistent. In this meta-analysis, we assessed 9 published studies involving 6501 subjects that investigated the association between the CYP1B1 codon 432 polymorphism and risk of lung cancer. Overall, the CYP1B1 Leu/Val and Val/Val-variant genotypes were associated with a significantly increased risk of lung cancer in different genetic models (heterozygote comparison: OR=1.22; 95% CI=1.02-1.45, Pheterogeneity=0.068; homozygote comparison: OR=1.41; 95% CI=1.08-1.85, Pheterogeneity=0.071; dominant model comparison: OR=1.26; 95% CI=1.04-1.51, Pheterogeneity=0.019; and recessive model comparison: OR=1.17; 95% CI=1.02-1.34, Pheterogeneity=0.429). In the stratified analysis by ethnicity, significantly increased risks were found among Caucasians for Leu/Val vs Leu/Leu (OR=1.30; 95% CI=1.03-1.64; Pheterogeneity=0.092), and dominant model (OR=1.35; 95% CI=1.03-1.77; Pheterogeneity=0.015). However, no significant associations were found in both Europeans and African-Americans for all genetic models. In the subgroup analyses by smoking status, a significantly increased risk of lung cancer was found among smokers (dominant model: OR=1.46; 95% CI=1.08-1.83; Pheterogeneity=0.175). However, we did not find any statistically significant association by subgroup analyses of pathological type. This meta-analysis suggests that the CYP1B1 Val allele is a low-penetrant risk factor for developing lung cancer. © 2010 Elsevier Ireland Ltd.
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Correspondence Address: Wu, J.-Q.; Department of Geriatrics, First Affiliated Hospital, Nanjing Medical University, 300 Guangzhou Road, Nanjing 210029, Jiangsu, China; email:jwuny@njmu.edu.cn |
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疾病资源中心
王燕燕 王曙
上海交通大学附属瑞金医院内分泌科
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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