Association between glutathione S-transferase T1 null genotype and risk of myelodysplastic syndromes: a comprehensive meta-analysis
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文摘
Myelodysplastic syndromes (MDS) are a heterogeneous group of clonal hematologic neoplasms, and the pathophysiology of these disorders is still unclear. Previous studies investigating the association between glutathione S-transferase Tl (GSTT1) null genotype and risk of MDS reported controversial results. We performed a comprehensive meta-analysis to clarify the effect of GSTT1 null genotype on risk of MDS. The strength of the association was measured by odds ratio (OR) with 95% confidence interval (CI). Fifteen studies were finally included, involving a total of 1,796 cases and 2,502 controls. Subgroup analysis was performed by race. Meta-analysis of all 15 studies showed that the GSTT1 null genotype was significantly associated with an increased risk of MDS (OR=1.47, 95% CI 1.16.88, P OR=0.002; I 2=54.4%). Besides, an obvious association was also observed after adjusting the heterogeneity (OR=1.32, 95% CI 1.13.54, P OR=0.001; I 2=9.0%). Subgroup analysis by race suggested that this association existed in both Caucasians (OR=1.40, 95% CI 1.04.89, P OR=0.027) and Asians (OR=1.68, 95% CI 1.00.81, P OR=0.049). This meta-analysis suggests the GSTT1 null genotype is significantly associated with an increased risk of MDS in both Caucasians and Asians.

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