The association between MTHFR 677C>T polymorphism and cervical cancer: evidence from a meta-analysis

<p>Abstract</p> <p>Background</p> <p>MTHFR 677C>T polymorphism is a genetic alteration in an enzyme involved in folate metabolism, but its effect on host susceptibility to cervical cancer is still uncertain. The aim of this study was to investigate the association be...

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Main Authors: Mei Qiang, Zhou Daijun, Gao Jinyu, Shen Shu, Wu Jinlin, Guo Linna, Liang Zhiqing
Format: Article
Language:English
Published: BMC 2012-10-01
Series:BMC Cancer
Subjects:
Online Access:http://www.biomedcentral.com/1471-2407/12/467
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author Mei Qiang
Zhou Daijun
Gao Jinyu
Shen Shu
Wu Jinlin
Guo Linna
Liang Zhiqing
author_facet Mei Qiang
Zhou Daijun
Gao Jinyu
Shen Shu
Wu Jinlin
Guo Linna
Liang Zhiqing
author_sort Mei Qiang
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>MTHFR 677C>T polymorphism is a genetic alteration in an enzyme involved in folate metabolism, but its effect on host susceptibility to cervical cancer is still uncertain. The aim of this study was to investigate the association between MTHFR 677C>T polymorphism and cervical cancer by performing a meta-analysis.</p> <p>Methods</p> <p>Pubmed, Embase, Web of Science, and the Chinese Biomedical Database (CBM) databases were searched for case–control studies investigating the association between MTHFR 677C>T polymorphism and cervical cancer. Odds ratios (OR) and 95% confidence intervals (95%CI) were used to assess this possible association.</p> <p>Results</p> <p>11 studies with a total of 1898 cervical cancer cases and 2678 controls were included. Meta-analyses of a total 11 studies showed no association between MTHFR 677C>T polymorphism and cervical cancer using all five genetic models (All P values > 0.05). However, subgroup analyses showed the odds of the homozygous TT genotype were much less in cervical cancer cases than in controls in Europeans, which implied an association between the homozygous TT genotype and cervical cancer in Europeans (For TT versus CC, fixed-effects OR = 0.65, 95%CI 0.45-0.93, P = 0.020, I<sup>2</sup> = 0.0%). The odds for the homozygous TT genotype were greater in cervical cancer cases than in controls in East Asians, which also implied an association between the homozygous TT genotype and cervical cancer in East Asians (For TT versus CC, random-effects OR = 1.66, 95%CI 1.05-2.62, P = 0.029, I<sup>2</sup> = 52.6%; For TT versus CT/CC, random-effects OR = 1.55, 95%CI 1.09-2.22, P = 0.016, I<sup>2</sup> = 42.4%). Both subgroup analyses and meta-regression analyses suggested ethnicity was the major source of heterogeneity. Publication bias was not evident.</p> <p>Conclusions</p> <p>This meta-analysis supports an association between MTHFR 677C>T polymorphism and cervical cancer, and the effect of this association may be race specific. Further studies with large sample sizes and careful design are needed to identify this association more comprehensively.</p>
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spelling doaj.art-4bfc884427814a8aa3aaf7104042c4082022-12-22T00:27:38ZengBMCBMC Cancer1471-24072012-10-0112146710.1186/1471-2407-12-467The association between MTHFR 677C>T polymorphism and cervical cancer: evidence from a meta-analysisMei QiangZhou DaijunGao JinyuShen ShuWu JinlinGuo LinnaLiang Zhiqing<p>Abstract</p> <p>Background</p> <p>MTHFR 677C>T polymorphism is a genetic alteration in an enzyme involved in folate metabolism, but its effect on host susceptibility to cervical cancer is still uncertain. The aim of this study was to investigate the association between MTHFR 677C>T polymorphism and cervical cancer by performing a meta-analysis.</p> <p>Methods</p> <p>Pubmed, Embase, Web of Science, and the Chinese Biomedical Database (CBM) databases were searched for case–control studies investigating the association between MTHFR 677C>T polymorphism and cervical cancer. Odds ratios (OR) and 95% confidence intervals (95%CI) were used to assess this possible association.</p> <p>Results</p> <p>11 studies with a total of 1898 cervical cancer cases and 2678 controls were included. Meta-analyses of a total 11 studies showed no association between MTHFR 677C>T polymorphism and cervical cancer using all five genetic models (All P values > 0.05). However, subgroup analyses showed the odds of the homozygous TT genotype were much less in cervical cancer cases than in controls in Europeans, which implied an association between the homozygous TT genotype and cervical cancer in Europeans (For TT versus CC, fixed-effects OR = 0.65, 95%CI 0.45-0.93, P = 0.020, I<sup>2</sup> = 0.0%). The odds for the homozygous TT genotype were greater in cervical cancer cases than in controls in East Asians, which also implied an association between the homozygous TT genotype and cervical cancer in East Asians (For TT versus CC, random-effects OR = 1.66, 95%CI 1.05-2.62, P = 0.029, I<sup>2</sup> = 52.6%; For TT versus CT/CC, random-effects OR = 1.55, 95%CI 1.09-2.22, P = 0.016, I<sup>2</sup> = 42.4%). Both subgroup analyses and meta-regression analyses suggested ethnicity was the major source of heterogeneity. Publication bias was not evident.</p> <p>Conclusions</p> <p>This meta-analysis supports an association between MTHFR 677C>T polymorphism and cervical cancer, and the effect of this association may be race specific. Further studies with large sample sizes and careful design are needed to identify this association more comprehensively.</p>http://www.biomedcentral.com/1471-2407/12/467MTHFRSingle nucleotide polymorphismCervical cancerMeta-analysis
spellingShingle Mei Qiang
Zhou Daijun
Gao Jinyu
Shen Shu
Wu Jinlin
Guo Linna
Liang Zhiqing
The association between MTHFR 677C>T polymorphism and cervical cancer: evidence from a meta-analysis
BMC Cancer
MTHFR
Single nucleotide polymorphism
Cervical cancer
Meta-analysis
title The association between MTHFR 677C>T polymorphism and cervical cancer: evidence from a meta-analysis
title_full The association between MTHFR 677C>T polymorphism and cervical cancer: evidence from a meta-analysis
title_fullStr The association between MTHFR 677C>T polymorphism and cervical cancer: evidence from a meta-analysis
title_full_unstemmed The association between MTHFR 677C>T polymorphism and cervical cancer: evidence from a meta-analysis
title_short The association between MTHFR 677C>T polymorphism and cervical cancer: evidence from a meta-analysis
title_sort association between mthfr 677c t polymorphism and cervical cancer evidence from a meta analysis
topic MTHFR
Single nucleotide polymorphism
Cervical cancer
Meta-analysis
url http://www.biomedcentral.com/1471-2407/12/467
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