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No association between cytochrome P450 2D6 gene polymorphism and risk of acute leukemia: evidence based on a meta-analysis.pdfVIP

No association between cytochrome P450 2D6 gene polymorphism and risk of acute leukemia: evidence based on a meta-analysis.pdf

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No association between cytochrome P450 2D6 gene polymorphism and risk of acute leukemia: evidence based on a meta-analysis

375O ChinMedJ2013;126fj91 M etaanalysis NoassociationbetweencytochromeP4502D6genepolymorphism and riskofacuteleukemia:evidencebasedonameta..analysis RUAN Xiao—lan,LISheng,ZENG Xian—tao,XIA Ling—huiandHUYu Keywords:cytochromeP4502D6;CYP2D6;acuteleukemia,polymorphism Background ManystudiesindicatedthehumancytochromeP4502D6(CYP2D6)genepolymorphismwasassociated withacuteIeukemia(AL)susceptibility,however,theresultswereinconsistent.Soweperformedthismeta—analysisto evaluatetherelationshipbetweenCYP2D6 3orCYP2D64polymorphism andALsusceptibility. Methods W esearchedPubMeddatabaseuptoFebruary20.2013,andfinallyyielded9case—controIstudiesincluding 1343casesand 1843controlswhichtestedtheassociationbewteenCYP2D63or4polymorphism andAL.Afterdata extraction,weconductedameta—analysisusingtheComprehensiveMetaAnalysissoftware. Results Overal1.nosignificantassociationbewteenCYP2D6 3or 4polymorphism andALriskwasfoundinthismeta— analysis(+vs.一:O尺=1.13,95% C=/0.79-1.63;+,+vs.—_/:O尺:1.73,95% CI=0.99-3.02;一/+vs.——_/:0尺=1.03,95% CI=O.68-1.56;(-/+and+/+)vs.一-/:O尺=1.O8,95%CI=0.72—1.63;+,+vs.(-/+and—l-/):O尺=1.76,95%C=/0.98-3.17). Similarresultswerealsobeenfoundinstratifiedsubgroupanalysis.Therewasnopublicationbias. Conclusion CYP2D6 3Or polymorphism mightnotbeassociatedwithALsusceptibility.However,theresultsneedto befurtherconfirmedbywell—designedandhighqualityrandomizedcontrolledtrialswithlargersamplesizes. chinMedJ2013;126f191:375O-3753 八 cuteleukemia(AL),includingacutelymphoblastic studiesdetectingtheassociationbetweenCYP2D6gene ^ leukemiarALL)andacutemyelogenous1eukemia polymorphismsandAL SUSceptibj1itv.Thebooleall fAML),isacommonhematologicalmalignantdisease, operators “OR”and “AND’’wereusedtocombinethe which affectboth children andadults.W ith

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