The Association between GSTM1, GSTT1 Genetic Variants and Gastric Carcinoma Susceptibility in Chinese: A Systematic Review Article
Abstract
Background: Glutathione S-transferases (GSTs) have been investigated as potential carcinoma susceptible genes. However, the relationship between GSTs (GSTM1, GSTT1) variants and gastric carcinoma (GC) risk has been controversial in Chinese population.
Methods: A comprehensive literature search strategy (PubMed, Chinese Biomedical Database, Chinese National Knowledge Infrastructure, Wan fang Database, etc.) was launched. Crude odds ratios (ORs) and confidence intervals (95% CI) were applied to estimate the strength of the association.
Results: Significant associations between GSTs genetic polymorphisms and GC were evidenced under random-effects model (ORGSTM1=1.56, 95% CI: 1.39 to 1.76, I2=50.7%, P<0.0001; ORGSTT1=1.24, 95% CI: 1.10 to 1.39, I2=43.6%, P=0.014; ORGSTM1-GSTT1=1.51, 95% CI: 1.26 to 1.81, I2=59.7%, P=0.004). The pooled ORs were not qualitatively changed when any single study was omitted by sensitivity analysis.
Conclusion: Our results indicated an increased GC risk in Chinese population with GSTM1 and GSTT1 null genotype and GSTM1-GSTT1 dual null genotype. Further multi-center studies are needed to investigate the gene-gene and gene-environment interactions on the susceptibility of GC.
Jemal A, Center MM, DeSantis C, Ward EM (2010). Global patterns of cancer inci-dence and mortality rates and trends. Cancer Epidemiol Biomarkers Prev, 19(8): 1893-907.
Zhang XM, Wang Z, Liang JW, Zhou ZX (2014). Analysis of laparoscopy-assisted gastric cancer operations performed by inexperienced junior surgeons. Asian Pac J Cancer Prev, 15(12): 5077-81.
Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. (2015). Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer, 136(5): E359-86.
Malaty HM, Engstrand L, Pedersen NL, Gra¬ham DY (1994). Helicobacter pylori infection: genetic and environmental in-fluences. A study of twins. Ann Intern Med, 120(12): 982-6.
Oakley A (2011). Glutathione transferases: a structural perspective. Drug Metab Rev, 43(2): 138-51.
Strange RC, Spiteri MA, Ramachandran S, Frver AA (2001). Glutathione-S-transfer-ase family of enzymes. Mutat Res, 482(1-2): 21-6.
Bhardwaj R, Sharma PK, Jadon SP, Varsh-nev R (2012). A combination of 2-deoxy-D-glucose and 6-aminonicotinamide in-duces cell cycle arrest and apoptosis se-lectively in irradiated human malignant cells. Tumour Biol, 33(4): 1021-30.
Strange RC, Fryer AA (1999). The glutathione S-transferases: influence of polymorphism on cancer susceptibility. IARC Sci Publ, (148):231-49.
Thakur H, Gupta L, Sobti RC, Janmeia AK, Seth A, Singh SK (2011). Association of GSTM1T1 genes with COPD and pros-tate cancer in north Indian population. Mol Biol Rep, 38(3): 1733-9.
Ye Z, Song H, Higgins JP, Pharoah P, Danesh J (2006). Five glutathione s-trans-ferase gene variants in 23,452 cases of lung cancer and 30,397 controls: meta-analysis of 130 studies. PLoS Med, 3(4): e91.
Yu KD, Di GH, Fan L, Wu J, Hu Z, Shen ZZ (2009). A functional polymorphism in the promoter region of GSTM1 im-plies a complex role for GSTM1 in breast cancer. FASEB J, 23(7): 2274-87.
Hayes JDetalStrange RC (2000). Glutathione S-transferase polymorphisms and their biological consequences. Pharmacology, 61(3): 154-66.
Dong LM, Potter JD, White E, Ulrich CM, Cardon LR, Peters U (2008). Genetic susceptibility to cancer: the role of poly-morphisms in candidate genes. JAMA, 299(20): 2423-36.
Soya SS, Vinod T, Reddy KS, Gopalakrish-nan S, Adithan C (2007). Genetic poly-morphisms of glutathione transferase genes (GSTM1, GSTT1 and GSTP1) and upper aerodigestive tract cancer risk among smokers, tobacco chewers and al-coholics in an Indian population. Eur J Cancer, 43(18): 2698-706.
15.Wang Q, Chen Y, Zhang Y, Xu W, He H, Li X, et al (2014). Quantitative assess-ment of the influence of glutathione S-transferase T1 null variant on gastric can-cer risk. Tumour Biol, 35(1): 849-58.
Sun W, Yao L, Jiang B (2014). Meta-analysis: glutathione S-transferase T1 null allele is associated with gastric cancer risk. Tumour Biol, 35(1): 239-45.
Wu MS, Chen CJ, Lin MT, Wang HP, Shun CT, Sheu JC, et al. (2002). Genetic poly-morphisms of cytochrome p450 2E1, glutathione S-transferase M1 and T1, and susceptibility to gastric carcinoma in Tai-wan. Int J Colorectal Dis, 17(5): 338-43.
Higgins JP, Thompson SG (2002). Quantify¬ing heterogeneity in a meta-analysis. Stat Med, 21(11): 1539-58.
Huedo-Medina TB, Sanchez-Meca J, Marin-Martinez F, Botella J (2006). Assessing heterogeneity in meta-analysis: Q statistic or I2 index. Psychol Methods, 11(2): 193-206.
Hedges LV, Vevea JL (1998). Fixed-and ran-dom-effects models in meta-analysis. Psy-chol Methods, 3: 486.
Begg CB, Mazumdar M (1994). Operating characteristics of a rank correlation test for publication bias. Biometrics, 50(4): 1088-101.
Egger M, Davey Smith G, Schneider M, Minder C (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315(7109): 629-34.
Cai L, Yu SZ (1999). The Effects of the Risk Factors for Stomach Cancer Were Ana-lyzed Employing the General Relative Risk Model. Chin J Prevent Control Chronic Dis, 7(2).
Jiang YH, Ju ZY, Ren CS, Lv QJ, Wei W (2000). Study On the Relationship be-tween the Glutathion S-transferase Gene Deletion, Environmental Factors and Susceptibility to Gastric Carcinoma. Chin Public Health, 16(10): 877-879.
Liu Y, Xu RT, Sun GF, Shang XL, Wang Q (2000). The Relationship of GSTM1Cene Homozygous Deletion Polymorphism and occurrence of Gastric Cancer. J Chin Med Univ, 29(4): 287-289.
Setiawan VW, Zhang ZF, Yu GP, Li YL, Lu ML, Tsai CJ, et al (2000). GSTT1 and GSTM1 Null Genotypes and the Risk of Gastric Cancer: A Case-Control Study in a Chinese Population. Cancer Epidemiol Bi-omarkers Prev, 9(1): 73-80.
Ju ZY, Jang YH, Xiao F (2001). A Molecular Epidemiology study on the relationship between Glutathione S-transferase ge¬netic polymorphisms, environment fac¬tors and susceptibility to Gastric Cancer. Chin J Epidemiol, 22(6): 469-470.
Qian Y, Xu YC, Shen HB, Tan Y, Zhou L, Yu RB (2001). A Molecular Epidemiol¬ogy study on the relationship between Glutathione S-transferase M1, T1 genetic polymorphisms and susceptibility to Gastric Cancer. Chin Public Health, 17(1): 101-103.
Gao CM, Takezaki T, Wu JZ, Li ZY, Liu YT, Li SP (2002). Glutathione-S-transfer-ases M1 (GSTM1) and GSTT1 genotype, smoking, consumption of alcohol and tea and risk of esophageal and stomach can¬cers: a case-control study of a high-inci¬dence area in Jiangsu Province, China. Cancer Lett, 188(1): 95-102.
Gong L, Sun HL, Xu YQ (2002). The study of correlation between the deletion of GSTM1 gene and gastric cancer. Med J Wannan Univ, 21(3): 181-182.
Li HQ, Zhou T, Wen PE, Yang QS, Jing SK (2002). A study of CYP1A1 and GSTM1 Genotypes Associated with Susceptibility to Gastric Cancer, Chronic Atrophic Gastritis and Gastric Ulcer Disease. J On-col, 11(1): 25-28.
Mu LN. Risk factors, protective factors and molecular epidemiological study on three upper GI cancers in Taixing area [PhD thesis]. School of Public Health, Fudan University, China; 2002.
Shen J, Wang RT, Xing HX, Wang LW, Wang CX, Wang BY, et al (2002). Case-control study of the polymorphisms of phaseⅠandphaseⅡmetabolic genes and stomach cancer susceptibility. Tumor Jan, 22(1): 9-13.
Wu MS, Chen CJ, Lin MT, Wang HP, et al. (2002). Genetic polymor¬phisms of cytochrome P450 2E1, gluta¬thione S-transferase M1 and T1, and sus¬ceptibility to gastric carcinoma in Taiwan. Int J Colorectal Dis, 17(5): 338-43.
Zheng TR, Zheng QH, Gong FS, Xie YQ, Wang XR (2002). Gene deletion poly-morphisms of GSTM1 and GSTT1 and susceptibility to stomach neoplasm. J Practical Oncol, 17(3): 155-157.
Ye M, Liu JY, Deng CS (2003). ReIationship between xenobiotic-metabolizing enzyme gene polymorphisms and genetic suscep-tibility of gastric cancer. World Chin J Di-gestol, 11(9): 1314-1317.
Liu J, Zhang WY, Wei Y, Gao P, Zhang YC, Deng CS, et al. (2003). The correlation of Glutathione S-transferase M1,T1 poly¬morphisms and Helicobacter pylori in¬fection and gastric adenocarcinoma. J Mathemat Med, 16(1): 26-28.
Qian Y, Xu YC, Shen HB, Zhou L, Yu RB, Niu JY, et al. (2003). Relationship Be-tween CYP2E1, GSTT1 Genetic Poly-morphisms and susceptibility to Gastric Cancer. Chin J PrevContrChron Non-commun Dis, 11(3): 107-109.
Shen Xb, Zhang J, Zhu LJ, Pu YP (2004). Relationship Between Glutathione S-Transferase M1,T1 Genetic Polymor-phism, Smoking and Alcohol Consump-tion and Susceptibility to Stomach Can-cer. J Environ Health , 21(4): 210-214.
Zhang YC, Deng CS, Zhu YQ (2004). Rela-tionship between Glutathione S-transfer-ase M1 Genetic Polymorphisms and Cig-arette Smoking and Susceptibility of Car-dial Carcinoma. Cancer Research on Preven¬tion and Treatment , 31(7): 441-3.
Zhang J. Study on Genetic Polymorphisms of Metabolic Enzymes and Environ-mental Exposure Associated with Gastric Cancer [Master's thesis]. School of Public Health, Southeast Univ, China; 2004.
Li H, Chen XL, Li HQ (2005). Polymor-phism of CYPIA1 and GSTM1 genes as-sociated with susceptibility of gastric can-cer in Shandong Province of China. World J Gastroenterol, 11(37): 5757-62.
Shen J, Wang RT, Xu YC, Wang LW, Wang XR (2005). Interaction models of CYP1A1, GSTM1 polymorphisms and tobacco smoking in intestinal gastric can-cer. World J Gastroenterol, 11(38): 6056-60.
Lai KC, Chen WC, Tsai FJ, Li SY, Chou MC, Jeng LB (2005). Glutathione S-trans-ferase M1 Gene Null Genotype and Gastric Cancer Risk in Taiwan. Hepato-gastroenterology, 52(66): 1916-9.
Yang YF. Study on The Interaction of Envi-ronment and Genetic Risk Factors in Gastric Cancer [Master's thesis]. School of Public Health, Southeast Univ, China; 2006.
Zhou T, Fan W, Han W, Gao YJ, Yuan MB, Li JM, et al. (2006). The study of the as-sociation of GSTM1 gene polymorphism with susceptibility to gastric cancer. Chin J CurrAdv Gen Surg, 9(6): 355-358.
Huang X. A case-control study on the associ¬ation between genetic polymor-phisms of CYP 1A1, GSTM1 and gastric cancer susceptibility in GuangXi Prov-ince[PhD thesis]. Med J Guangxi Univ, China; 2007.
Yu SZ, Mu LN, Cai L (2007). Using case-control study and molecular epidemio-logical methods to detect risk and protec-tive factors on upper GI cancers in two districts, Southern China. Chin J Clinicians (Electronic Version), 1(2): 86-90.
Li ZT, Xu LD, Liu XD (2008). The relation-ship between GSTM1 genetic Polymor-phisms and susceptibility of Gastric can-cer. Chin J Misdiagn, 8(6): 1312-13.
Shen XB. Analysis and Risk Assessment of Environmental and Genetic Risk Factors on Primary Gastric Cancer [PhD thesis]. Southeast Univ, China; 2008.
Xie SQ, Huang X, Lu YF (2008). Relation-ship Between Glutathione S-Transferase M1,T1 gene null genotype, Smoking and Alcohol Consumption and Susceptibility to Stomach Cancer in the Guangxi Zhuang Chinese population. Clinical Focus, 23(19): 1393-95.
Feng JY, Yan YY, Shen XB (2009). Multi-gene Risk Analysis of Susceptibility Genes On Primary Gastric Cancer. Pro-ceedings of the 8th National Postgraduate Symposium on Environmental and Oc-cupational Medicine. 78-80.
Moy KA, Yuan JM, Chung FL,Wang XL, Berg DVD, Wang RW, et al. (2009). Isothiocyanates, glutathione S-transferase M1 and T1 polymorphisms and gastric cancer risk: a prospective study of men in Shanghai, China. Int J Cancer, 125(11): 2652-9.
Luo YP. GenetiePolymorPhisms of meta-bolic enzymes and gastric carcinoma sus-ceptibility[master's thesis]. Central South Univ, China. 2009.
Zhang AP, Liu BH, Wang L, Gao Y, Li F, Sun SX (2011). Glutathione S-transferase Gene Polymorphisms and Risk of Gastric Cancer in a Chinese Population. Asian Pac J Cancer Prev, 12(12): 3421-5.
Jing C, Huang ZJ, Duan YQ, Wang PH, Zhang R, Luo KS, et al (2012). Glulathi-one-S-transferases Gene Polymorphism in Prediction of Gastric Cancer Risk by Smoking and Helicobacter Pylori Infec-tion Status. Asian Pac J Cancer Prev, 13(7): 3325-
Zhang D. The relationship between CYP1A1, GSTT1, GSTM1 and GSTP1 genetic Polymorphisms and susceptibility of Ningxia Hui People cardia can-cer[Master's thesis]. School of Clinical Medicine , Med J Ningxia Univ, China; 2012.
Liu L, Zhang D, Fan H, Gao P (2013). Rela-tionship between GSTT1, GSTP1 Gene Polymorphism and Cardia Cancer Ge-netic Susceptibility in Ningxia Hui Eth-nicity. Med J Ningxia Univ, 35(2): 168-171.
Wang WW, Yang WM, Zhang YX (2013). Correlation between GSTM1 gene poly-morphism and the smceptibillty to gastric in the mlddle-aged and elderly in Hainan province. Hainan Med J, 24(4): 474-475.
Lao X, Peng Q, Lu Y, Li S, Qin X, Chen Z, et al (2014). Glutathione S-transferase gene GSTM1, gene-gene interaction, and gastric cancer susceptibility: evidence from an updated meta-analysis. Cancer Cell Int, 14(1): 127.
Lin C (2002). The molecular epidemiology research of Gastric carcinoma in fujian province. Higher Education Press. Beijing.
Shikata K, Kiyohara Y, Kubo M, Yonemoto K, Ninomiya T, Shirota T, et al. (2006). A prospective study of dietary salt intake and gastric cancer incidence in a defined Japanese population: the Hisayama study. Int J Cancer, 119(1): 196-201.
Zhao DL, Chen WQ, Yu TT, He YT, Chen ZF, Wen DG, et al (2011). A population-based matched case-control study on the risk factors of gastric cardia cancer. Chi-nese Journal of Oncology, 33(10): 775-8.
Zhang XW, Pan SD, Feng YL, Liu JB, Dong J, Zhang YX, et al. (2011). Rela-tionship between genetic polymorphism in microRNAs precursor and genetic prediposition of hepatocellular carci-noma. Chinese Journal of Preventive Medicine, 45(3): 239-43.
Qiu JL, Chen K, Wang JY, Zhang LJ, Shui LM (2003). Relationship between nutrient intake and gastric cancer in island resi-dents. J Nutr, 25(1): 23-8.
Lilienfeld DE, Garagliano CF (1979). Gas-tric cancer etiology: a biochemical hy-pothesis. Med Hypotheses, 5(1): 145-51.
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Issue | Vol 45 No 9 (2016) | |
Section | Review Article(s) | |
Keywords | ||
Gastric carcinoma Glutathione S-transferase GSTs Meta-analysis |
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