Association between survivin-31G>C promoter polymorphism and cancer risk: a meta-analysis

作者:Wang, Xiefeng; Huang, Lili; Xu, Yanjie; Shi, Zhumei; Wang, Yingyi; Zhang, Junxia; Wang, Xirui; Cao, Lei; Luo, Hui; Chen, Jiawei; Liu, Ning; Yin, Yongmei*; You, Yongping
来源:European Journal of Human Genetics, 2012, 20(7): 790-795.
DOI:10.1038/ejhg.2011.276

摘要

Survivin is an inhibitor of apoptosis protein and has a crucial role in the development of cancer. The survivin -31G>C (rs9904341) promoter polymorphism influences survivin expression and has been implicated in cancer risk. However, conflicting results have been published from studies on the association between survivin -31G>C polymorphism and the risk of cancer. To clarify the role of this polymorphism in cancer, we performed a meta-analysis of all available and relevant published studies, involving a total of 3485 cancer patients and 3964 control subjects. Odds ratios (ORs) and 95% confidence intervals (CIs) were used to assess the strength of the associations. The overall results indicated that the variant genotypes were associated with a significantly increased cancer risk (CC vs GG: OR=1.58, 95% CI=1.20-2.10; CC/GC vs GG: OR=1.23, 95% CI=1.00-1.51; CC vs GG/GC: OR=1.51, 95% CI=1.23-1.85). In the stratified analyses, significantly increased risk was associated with the Asian populations (CC vs GG: OR=1.67, 95% CI=1.16-2.40; CC vs GG/GC: OR=1.50, 95% CI=1.17-1.91). We also performed the analyses by cancer type, and no statistical association was observed. The results suggest that the survivin -31G>C promoter polymorphism might be associated with an increased risk of cancer, especially in the Asian populations. European Journal of Human Genetics (2012) 20, 790-795; doi: 10.1038/ejhg.2011.276; published online 25 January 2012