摘要

Previous studies have investigated the associations between polymorphisms of vascular growth factor (VEGF) gene and risk of renal cell carcinoma (RCC). However, the results were inconsistent. The present meta-analysis was therefore designed to clarify these controversies. The meta-analysis was performed by searching Pub Med, Web of Science and Embase databases. Odds ratio (OR) and corresponding 95% confidence interval (95% CI) as well as effect size were calculated by a fixed-effect model according to the I-2 value. A total of 6 studies including 1397 cases and 2094 controls for -2578C>A of VEGF and 1184 cases and 1862 controls for + 1612G>A of VEGF were combined. The pooled results showing evidence of association between VEGF gene -2578C>A polymorphism and RCC risk (for A/A vs. C/C: OR=1.69, 95% CI=1.37-2.07, P<0.00001; for C/A vs. C/C: OR=1.31, 95% CI=1.121.52, P=0.0006; for C/A+A/A vs. C/C: OR=1.39, 95% CI=1.21-1.61, P<0.00001; for A/A vs. C/A+C/C: OR=1.43, 95% CI=1.19-1.73, P=0.0002; for A allele vs. C allele: OR=1.31, 95% CI=1.19-1.45, P<0.00001). However, there was no significant association between VEGF + 1612G>A polymorphism and RCC except comparing additive model (for A/A vs. G/G: OR=1.33, 95% CI=1.02,1.74, P=0.03; for G/A vs. G/G: OR=1.09, 95% CI=0.93-1.27, P=0.30; for G/A+ A/A vs. G/G: OR=1.12, 95% CI=0.96-1.30, P=0.14; for A/A vs. G/A+ G/G: OR=1.27, 95% CI=0.99-1.64, P=0.06; for A allele vs. G allele: OR=1.12, 95% CI=1.00-1.25, P=0.05). In conclusion, our results indicated that VEGF -2578C> A polymorphism, but not VEGF + 1612G>A polymorphism was associated with the risk of RCC.