association between cox-2 rs2745557 polymorphism and prostate cancer risk a systematic review and meta-analysiscox - 2 rs2745557多态性与前列腺癌风险系统回顾和荟萃分析.pdfVIP

Zhang et al. BMC Immunology 2012, 13:14 /1471-2172/13/14 RESEARCH ARTICLE Open Access Association between COX-2 rs2745557 polymorphism and prostate cancer risk: a systematic review and meta-analysis 1 1,2* 1 1 1 Hongtuan Zhang , Yong Xu , Zhihong Zhang , Ranlu Liu and Baojie Ma Abstract Background: Evidence is accumulating that chronic inflammation may have an important role in prostate cancer (PCa). The COX-2 polymorphism rs2745557 (+202 C/T) has been extensively investigated as a potential risk factor for PCa, but the results have thus far been inconclusive. This meta-analysis was performed to derive a more precise estimation of the association. Methods: A comprehensive search was conducted to identify all case-control studies of COX-2 rs2745557 polymorphism and PCa risk. We used odds ratios (ORs) to assess the strength of the association, and 95% confidence intervals (CIs) give a sense of the precision of the estimate. Statistical analyses were performed by Review Manage, version 5.0 and Stata 10.0. Results: A total of 8 available studies were considered in the present meta-analysis, with 11356 patients and 11641 controls for rs2745557. When all groups were pooled, there was no evidence that rs2745557 had significant association with PCa under co-dominant, recessive, over-dominant, and allelic models. However, our analysis suggested that rs2745557 was associated with a lower PCa risk under dominant model in overall population (OR = 0.85, 95%CI = 0.74-0.97, P = 0.02). When stratifying for race, there was a significant association between rs2745557 polymorphism and lower PCa risk in dominant model comparison in the subgroup of Caucasians (OR = 0.86, 95% CI = 0.75-0.99, P = 0.04), but not in co-dominant, recessi