Skip to main content
Log in

GSTT1 null genotype contributes to increased risk of gastric cancer in Chinese population: evidence from a meta-analysis

  • Research Article
  • Published:
Tumor Biology

Abstract

Previous studies suggested glutathione S-transferase T1 (GSTT1) null genotype might be a candidate genetic polymorphism with a role in the susceptibility to gastric cancer, but studies form Chinese population reported controversial findings. Thus, a meta-analysis was performed to clarify the effect of GSTT1 null genotype on gastric cancer risk in Chinese population. Eligible studies were searched in Medline, Embase, and China National Knowledge Infrastructure databases. Between-study heterogeneity was assessed using the I 2 statistic. Odds ratios (OR) with the corresponding 95 % confidence intervals (95 % CI) were pooled to assess the association. Twenty case–control studies involving a total of 3,204 gastric cancer cases and 5,462 controls were finally included in the meta-analysis. Meta-analysis of all 20 studies showed that GSTT1 null genotype was associated with an elevated risk of gastric cancer in Chinese population (OR = 1.26, 95 % CI 1.09–1.46, P OR = 0.002). The cumulative meta-analysis showed a trend of a more obvious association between GSTT1 null genotype and risk of gastric cancer in Chinese population as information accumulated gradually. Sensitivity analysis by omitting individual study, in turns, did not materially alter the pooled ORs. This meta-analysis provides a strong evidence for the significant association between GSTT1 null genotype and gastric cancer risk in Chinese population, and GSTT1 null genotype contributes to increased risk of gastric cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Hohenberger P, Gretschel S. Gastric cancer. Lancet. 2003;362:305–15.

    Article  PubMed  Google Scholar 

  2. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61:69–90.

    Article  PubMed  Google Scholar 

  3. Paoletti X, Oba K, Burzykowski T, Michiels S, Ohashi Y, Pignon JP, et al. Benefit of adjuvant chemotherapy for resectable gastric cancer: a meta-analysis. JAMA. 2010;303:1729–37.

    Article  PubMed  CAS  Google Scholar 

  4. Wroblewski LE, Peek Jr RM, Wilson KT. Helicobacter pylori and gastric cancer: factors that modulate disease risk. Clin Microbiol Rev. 2010;23:713–39.

    Article  PubMed  CAS  Google Scholar 

  5. Polk DB, Peek Jr RM. Helicobacter pylori: gastric cancer and beyond. Nat Rev Cancer. 2010;10:403–14.

    Article  PubMed  CAS  Google Scholar 

  6. Oakley AJ. Glutathione transferases: new functions. Curr Opin Struct Biol. 2005;15:716–23.

    Article  PubMed  CAS  Google Scholar 

  7. Oakley A. Glutathione transferases: a structural perspective. Drug Metab Rev. 2011;43:138–51.

    Article  PubMed  CAS  Google Scholar 

  8. Hayes JD, Strange RC. Glutathione S-transferase polymorphisms and their biological consequences. Pharmacology. 2000;61:154–66.

    Article  PubMed  CAS  Google Scholar 

  9. Wang B, Huang G, Wang D, Li A, Xu Z, Dong R, et al. Null genotypes of GSTM1 and GSTT1 contribute to hepatocellular carcinoma risk: evidence from an updated meta-analysis. J Hepatol. 2010;53:508–18.

    Article  PubMed  Google Scholar 

  10. Jing C, Huang ZJ, Duan YQ, Wang PH, Zhang R, Luo KS, et al. Glutathione-S-transferases gene polymorphism in prediction of gastric cancer risk by smoking and Helicobacter pylori infection status. Asian Pac J Cancer Prev. 2012;13:3325–8.

    Article  PubMed  Google Scholar 

  11. Zhang AP, Liu BH, Wang L, Gao Y, Li F, Sun SX. Glutathione S-transferase gene polymorphisms and risk of gastric cancer in a Chinese population. Asian Pac J Cancer Prev. 2011;12:3421–5.

    PubMed  Google Scholar 

  12. Luo YP, Chen HC, Khan MA, Chen FZ, Wan XX, Tan B, et al. Genetic polymorphisms of metabolic enzymes-CYP1A1, CYP2D6, GSTM1, and GSTT1, and gastric carcinoma susceptibility. Tumour Biol. 2011;32:215–22.

    Article  PubMed  CAS  Google Scholar 

  13. Moy KA, Yuan JM, Chung FL, Wang XL, Van Den Berg D, Wang R, et al. Isothiocyanates, glutathione S-transferase M1 and T1 polymorphisms and gastric cancer risk: a prospective study of men in Shanghai, China. Int J Cancer. 2009;125:2652–9.

    Article  PubMed  CAS  Google Scholar 

  14. Shen X, Pu Y, Zhang J, Zhu L. The relationship between glutathione enzyme M1, T1 genetic type and wine and tobacco habit and gastric cancer susceptibility. J Environ Occup Med. 2005;22:325–9.

    CAS  Google Scholar 

  15. Mu LN, Lu QY, Yu SZ, Jiang QW, Cao W, You NC, et al. Green tea drinking and multigenetic index on the risk of stomach cancer in a Chinese population. Int J Cancer. 2005;116:972–83.

    Article  PubMed  CAS  Google Scholar 

  16. Shen XB, Zhang J, Zhu LJ, Pu YP. Relationship between glutathione S-transferase M1, T1 genetic polymorphisms, smoking and alcohol consumption and susceptibility to stomach cancer (article in Chinese). Huan Jing Yu Jian Kang Za Zhi. 2004;24:210–4.

    Google Scholar 

  17. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327:557–60.

    Article  PubMed  Google Scholar 

  18. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177–88.

    Article  PubMed  CAS  Google Scholar 

  19. Mantel N, Haenszel W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959;22:719–48.

    PubMed  CAS  Google Scholar 

  20. Muellerleile P, Mullen B. Sufficiency and stability of evidence for public health interventions using cumulative meta-analysis. Am J Public Health. 2006;96:515–22.

    Article  PubMed  Google Scholar 

  21. Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629–34.

    Article  PubMed  CAS  Google Scholar 

  22. Cai L, Yu SZ, Zhang ZF. Glutathione S-transferases M1, T1 genotypes and the risk of gastric cancer: a case–control study. World J Gastroenterol. 2001;7:506–9.

    PubMed  CAS  Google Scholar 

  23. Gao CM, Takezaki T, Wu JZ, Li ZY, Liu YT, Li SP, et al. Glutathione-S-transferases M1 (GSTM1) and GSTT1 genotype, smoking, consumption of alcohol and tea and risk of esophageal and stomach cancers: a case–control study of a high-incidence area in Jiangsu province, China. Cancer Lett. 2002;188:95–102.

    Article  PubMed  CAS  Google Scholar 

  24. Li P, Feng J, Yan Y, Fu G, Shen X. Screening of susceptibility genes and multi-gene risk analysis in gastric cancer. J Environ Occup Med. 2011;28:1217–9.

    Google Scholar 

  25. Qian Y, Xu Y, Shen H, Xu D. A molecular epidemiological study on the relationship between glutathione S-transferase M1, T1 genetic polymorphism and susceptibility to gastric cancer. China Public Health. 2001;17:101–3.

    CAS  Google Scholar 

  26. Qian Y, Xu YC, Shen HB, Zhou L, Yu R. The relationship between CYP2E1 and GSTT1 genetic polymorphism and gastric cancer susceptibility (article in Chinese). Chinese J Prev Control Chronic Non-Commun Dis. 2003;11:107–9.

    Google Scholar 

  27. Setiawan VW, Zhang ZF, Yu GP, Li YL, Lu ML, Tsai CJ, et al. GSTT1 and GSTM1 null genotypes and the risk of gastric cancer: a case–control study in a Chinese population. Cancer Epidemiol Biomarkers Prev. 2000;9:73–80.

    PubMed  CAS  Google Scholar 

  28. Setiawan VW, Zhang ZF, Yu GP, Lu QY, Li YL, Lu ML, et al. GSTP1 polymorphisms and gastric cancer in a high-risk Chinese population. Cancer Causes Control. 2001;12:673–81.

    Article  PubMed  CAS  Google Scholar 

  29. Shen J, Wang RT, Xing HX, Hao B. Case–control study of the polymorphisms of phase I and phase II metabolic genes and stomach cancer susceptibility (article in Chinese). Zhong Liu Za Zhi. 2002;22

  30. Wang KY, Lin JT, Chen CJ, Hsieh LL. The relationship between the genotypes of cancer susceptibility genes and the development of gastric cancer (article in Chinese). Zhong Hua Gong Gong Wei Sheng Za Zhi. 1998;17:226–41.

    Google Scholar 

  31. Wu MS, Chen CJ, Lin MT, Wang HP, Shun CT, Sheu JC, et al. Genetic polymorphisms of cytochrome p450 2E1, glutathione S-transferase M1 and T1, and susceptibility to gastric carcinoma in Taiwan. Int J Colorectal Dis. 2002;17:338–43.

    Article  PubMed  Google Scholar 

  32. Xie S, Huang X, Lu Y. Glutathione sulfur transferase T1, M1 gene deletion and wine and tobacco habit and gastric cancer susceptibility in the Guangxi people. Clinical Focus. 2008;23:1393–5.

    CAS  Google Scholar 

  33. Ye M, Liu J, Deng C. Relationship between xenobiotic-metabolizing enzyme gene polymorphisms and genetic susceptibility of gastric cancer. World Chin J Digestol. 2003;11:1314–7.

    CAS  Google Scholar 

  34. Zheng T, Zheng Q, Gong F, Xie Y, Wang X. Gene deletion polymorphisms of GSTT1 and GSTM1 and susceptibility to stomach neoplasm. Shi Yong Zhong Liu Za Zhi. 2002;17:155–7.

    Google Scholar 

  35. Hayes JD, Flanagan JU, Jowsey IR. Glutathione transferases. Annu Rev Pharmacol Toxicol. 2005;45:51–88.

    Article  PubMed  CAS  Google Scholar 

  36. Zhu Y, He Q, Wang J, Pan HF. The association between GSTM1 polymorphism and gastric cancer risk: a meta-analysis. Mol Biol Rep. 2012;39:685–91.

    Article  PubMed  CAS  Google Scholar 

  37. Chen B, Cao L, Zhou Y, Yang P, Wan HW, Jia GQ, et al. Glutathione S-transferase T1 (GSTT1) gene polymorphism and gastric cancer susceptibility: a meta-analysis of epidemiologic studies. Dig Dis Sci. 2010;55:1831–8.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This study was supported by grants from the Liaoning BaiQanWan Talents Project, no. 2010921037; Liaoning Provincial Science Foundation, no. 201102110; and Technology Foundation for Selected Overseas Chinese Scholar, Ministry of Personnel of China, no. 2011LX005.

Conflicts of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Zhichao Zheng.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zhao, Y., Luo, Y., Huang, B. et al. GSTT1 null genotype contributes to increased risk of gastric cancer in Chinese population: evidence from a meta-analysis. Tumor Biol. 34, 1691–1697 (2013). https://doi.org/10.1007/s13277-013-0706-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13277-013-0706-2

Keywords

Navigation