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Meta-analysis of the association between COX-2 polymorphisms and risk of colorectal cancer based on case-control studies.


ABSTRACT:

Objective

Cyclooxygenase-2 (COX-2) is an inducible enzyme converting arachidonic acid to prostaglandins and playing important roles in inflammatory diseases as well as tumor development. Previous studies investigating the association between COX-2 polymorphisms and colorectal cancer (CRC) risk reported conflicting results. We performed a meta-analysis of all available studies to explore this association.

Methods

All studies published up to October 2013 on the association between COX-2 polymorphisms and CRC risk were identified by searching electronic databases PubMed, EMBASE, and Cochrane library. The association between COX-2 polymorphisms and CRC risk was assessed by odds ratios (ORs) together with their 95% confidence intervals (CIs).

Results

Ten studies with 6,774 cases and 9,772 controls were included for -1195A>G polymorphism, 13 studies including 6,807 cases and 10,052 controls were available for -765G>C polymorphism, and 8 studies containing 5,121 cases and 7,487 controls were included for 8473T>C polymorphism. With respect to -765G>C polymorphism, we did not find a significant association with CRC risk when all eligible studies were pooled into the meta-analysis. However, in subgroup analyses by ethnicity and cancer location, with a Bonferroni corrected alpha of 0.05/2, statistical significant increased CRC risk was found in the Asian populations (dominant model CC+CG vs. GG: OR?=?1.399, 95%CI: 1.113-1.760, P?=?0.004) and rectum cancer patients (CC vs. GG: OR?=?2.270, 95%CI: 1.295-3.980, P?=?0.004; Recessive model CC vs. CG+GG: OR?=?2.269, 95%CI: 1.297-3.970, P?=?0.004). In subgroup analysis according to source of control, no significant association was detected. With respect to -1195A>G and 8473T>C polymorphisms, no significant association with CRC risk was demonstrated in the overall and subgroup analyses.

Conclusions

The present meta-analysis suggests that the COX-2 -765G>C polymorphism may be a risk factor for CRC in Asians and rectum cancer patients. Further large and well-designed studies are needed to confirm this association.

SUBMITTER: Peng Q 

PROVIDER: S-EPMC3986224 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature

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Publications

Meta-analysis of the association between COX-2 polymorphisms and risk of colorectal cancer based on case-control studies.

Peng Qiliu Q   Yang Shi S   Lao Xianjun X   Tang Weizhong W   Chen Zhiping Z   Lai Hao H   Wang Jian J   Sui Jingzhe J   Qin Xue X   Li Shan S  

PloS one 20140414 4


<h4>Objective</h4>Cyclooxygenase-2 (COX-2) is an inducible enzyme converting arachidonic acid to prostaglandins and playing important roles in inflammatory diseases as well as tumor development. Previous studies investigating the association between COX-2 polymorphisms and colorectal cancer (CRC) risk reported conflicting results. We performed a meta-analysis of all available studies to explore this association.<h4>Methods</h4>All studies published up to October 2013 on the association between C  ...[more]

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