Lung

, Volume 191, Issue 4, pp 369–377 | Cite as

The Association Between TP53 Arg72Pro Polymorphism and Lung Cancer Susceptibility: Evidence from 30,038 Subjects

Article

Abstract

Background

The TP53 codon 72 polymorphism has been associated with the individual susceptibility to lung cancer. However, the association remains uncertain and varies with ethnicity, smoking status, cancer histology, and stage.

Methods

We performed a meta-analysis to evaluate the relationship between TP53 Arg72Pro polymorphism and lung cancer susceptibility basing on 15,647 lung cancer patients and 14,391 controls from 36 published literatures. We also performed stratified analysis in populations of different ethnicities, smoking statuses, lung cancer stages, and histological types.

Results

The analysis showed a significantly increased lung cancer susceptibility among Pro allele carriers (P < 0.001, odds ratio (OR) = 1.14, 95 % confidence interval (CI) = 1.1–1.19), especially for smokers (P < 0.001, OR = 1.29, 95 % CI = 1.12–1.47). Stratified analysis indicated that Pro72 elevates lung cancer susceptibility in Asians, while it has no effect on lung cancer risk of Caucasians. Moreover, Pro carriers present an increased risk of developing squamous cell carcinoma and adenocarcinoma, instead of large cell carcinoma and small cell carcinoma. Interestingly, patients with the Pro allele seemed to be diagnosed with lung cancer at the early stages (stage I–II, P = 0.008, OR = 1.2, 95 % CI = 1.05–1.37).

Conclusions

Our results suggest that the Pro allele acts as a risk factor for development of lung cancer, especially for smokers and Asians.

Keywords

TP53 Arg72Pro Lung cancer Meta-analysis 

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Cancer InstituteFudan University Shanghai Cancer CenterShanghaiPeople’s Republic of China
  2. 2.State Key Laboratory of Genetic EngineeringInstitute of Genetics, School of Life Science, Fudan UniversityShanghaiPeople’s Republic of China
  3. 3.Institutes of Biomedical Sciences, Fudan UniversityShanghaiPeople’s Republic of China

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