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The Polymorphisms in Methylenetetrahydrofolate Reductase, Methionine Synthase, Methionine Synthase Reductase, and the Risk of Colorectal Cancer
oleh: Daijun Zhou, Qiang Mei, Han Luo, Bo Tang, Peiwu Yu
Format: | Article |
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Diterbitkan: | Ivyspring International Publisher 2012-01-01 |
Deskripsi
<p>Polymorphisms in genes involved in folate metabolism may modulate the risk of colorectal cancer (CRC), but data from published studies are conflicting. The current meta-analysis was performed to address a more accurate estimation. A total of 41 (17,552 cases and 26,238 controls), 24(8,263 cases and 12,033 controls), 12(3,758 cases and 5,646 controls), and 13 (5,511 cases and 7,265 controls) studies were finally included for the association between <i>methylenetetrahydrofolate reductase </i>(<i>MTHFR</i>) C677T and A1289C, <i>methione synthase reductase </i>(<i>MTRR</i>) A66G, <i>methionine synthase </i>(<i>MTR</i>) A2756G polymorphisms and the risk of CRC, respectively. The data showed that the <i>MTHFR</i> 677T allele was significantly associated with reduced risk of CRC (OR = 0.93, 95%CI 0.90-0.96), while the <i>MTRR</i> 66G allele was significantly associated with increased risk of CRC (OR = 1.11, 95%CI 1.01-1.18). Sub-group analysis by ethnicity revealed that <i>MTHFR</i> C677T polymorphism was significantly associated with reduced risk of CRC in Asians (OR = 0.80, 95%CI 0.72-0.89) and Caucasians (OR = 0.84, 95%CI 0.76-0.93) in recessive genetic model, while the<i> MTRR</i> 66GG genotype was found to significantly increase the risk of CRC in Caucasians (GG vs. AA: OR = 1.18, 95%CI 1.03-1.36). No significant association was found between <i>MTHFR</i> A1298C and <i>MTR </i>A2756G polymorphisms and the risk of CRC. Cumulative meta-analysis showed no particular time trend existed in the summary estimate. Probability of publication bias was low across all comparisons illustrated by the funnel plots and Egger's test. Collectively, this meta-analysis suggested that <i>MTHFR</i> 677T allele might provide protection against CRC in worldwide populations, while <i>MTRR</i> 66G allele might increase the risk of CRC in Caucasians. Since potential confounders could not be ruled out completely, further studies were needed to confirm these results.</p>