目的:综合评价依赖还原型辅酶Ⅰ/Ⅱ醌氧化还原酶1( N QO1)基因C609 T多态性与肺癌易感性的关系。方法检索中国知网、万方、维普、Medline、Pubmed等数据库,收集有关 NQO1基因多态性与肺癌易感性关系的文献,并剔除不符合要求的文献,然后用 Stata12软件进行分析,计算合计的比值比(OR)及95%可信区间(CI),并评估发表偏倚。结果共有16项病例对照研究纳入分析,与野生纯合基因型(CC)相比,杂合基因型(CT)[OR(95% CI)=1.09(0.96~1.24)]以及突变纯合基因型(TT)[OR(95% CI)=1.14(0.94~1.39)]均与肺癌的发病风险无统计学意义。分层分析结果显示,在以人群为基础的病例对照研究中携带CT 基因型是肺癌的危险因素,其OR及95% CI为1.037(1.000~1.075),CT基因型同时也是黄种人患肺癌的危险因素,其 OR值及95%C I为1.039(1.001~1.078)。结论 N QO1 C609 T基因多态性与黄种人肺癌患病风险有关。
Objective To evaluate the effect of the genetic polymorphism of C609T [NAD(P)H , Quinone oxidoreductase1 ,NQO1 C609T ] on the risk of lung cancer . Methods A total of 16 studies (5 416 cases and 6 486 controls) regarding NQO1 C609T between 1995 and 2014 were identified through researching Medline ,Pubmed ,CNKI ,Wanfang Data ,VIP .A meta-analysis was performed to obtain sum-mary estimated odd ratios (ORs) and 95% confidence intervals(95% CI) of NQO1 C609T for lung cancer . Results There were no significant associations between NQO1 609 CT genotype [adjusted OR (95%CI)= 1 .09(0 .96 ~ 1 .24)] ,as well as NQO1 609 TT genotype [adjusted OR(95% CI)= 1 .14(0 .94~1 .39)] ,and the risk of lung cancer .The stratified analysis showed that the NQO1 609 CT [adjusted OR (95% CI)=1 .037(1 .000~1 .075)] genotype increased the risk of lung cancer in population based case-control study ,as well as in Asian race [adjusted OR(95% CI)=1 .039(1 .001~1 .078)] . Conclusion This meta-analysis failed to confirm the association of NQO1 gene C609T polymorphism with lung cancer risk .