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Association between EGF +61 A>G polymorphism and gastric cancer risk: A meta-analysis

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Summary

Previous studies suggested an association between the EGF +61 A>G polymorphism and susceptibility to gastric cancer, but the results have been inconsistent. To draw a more precise risk estimation of the association, we performed a meta-analysis of published studies. PubMed, EMBASE, Google Scholar and the Chinese Wanfang databases were systematically searched to identify relevant studies. There were 7 studies involving 1992 cases of gastric cancer and 3202 controls in this meta-analysis. Our study showed that, overall, the EGF +61 A>G polymorphism was significantly associated with the increased risk of gastric cancer in allele model (G vs. A: OR=1.18, 95% CI=1.00–1.39), dominant model (GG + GA vs. AA: OR=1.28, 95% CI=1.05–1.55), homozygous model (GG vs. AA: OR=1.31, 95% CI=1.06–1.63) and heterozygous model (GA vs. AA: OR=1.25, 95% CI=1.01–1.53). The stratified analysis by ethnicity revealed a significant association between EGF +61 A>G polymorphism and gastric cancer risks in Asians. This meta-analysis indicates that EGF +61 A>G polymorphism may increase the risk of gastric cancer, especially in Asians. Large-sized, well-designed studies involving different ethnic groups should be conducted to confirm this association.

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References

  1. Ferlay J, Soerjomataram I, Dikshit R, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer, 2014,136(5):E359–E386

    Article  PubMed  Google Scholar 

  2. Bornschein J, Malfertheiner P. Helicobacter pylori and gastric cancer. Dig Dis, 2014,32(3):249–264

    Article  PubMed  Google Scholar 

  3. González CA, Pera G, Agudo A, et al. Smoking and the risk of gastric cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC). Int J Cancer, 2003,107(4):629–634

    Article  PubMed  Google Scholar 

  4. Duell EJ, Travier N, Lujan-Barroso L, et al. Alcohol consumption and gastric cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. Am J Clin Nutr, 2011,94(5):1266–1275

    Article  CAS  PubMed  Google Scholar 

  5. Zhu H, Yang X, Zhang C, et al. Red and processed meat intake is associated with higher gastric cancer risk: a meta-analysis of epidemiological observational studies. PLoS One, 2013,8(8): e70955

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  6. D’Elia L, Galletti F, Strazzullo P. Dietary salt intake and risk of gastric cancer. Cancer Treat Res, 2014,159:83–95

    PubMed  Google Scholar 

  7. Saeki N, Ono H, Sakamoto H, et al. Genetic factors related to gastric cancer susceptibility identified using a genome-wide association study. Cancer Sci, 2013,104(1):1–8

    Article  CAS  PubMed  Google Scholar 

  8. Dong LM, Potter JD, White E, et al. Genetic susceptibility to cancer: the role of polymorphisms in candidate genes. JAMA, 2008,299(20):2423–2436

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. McLean MH, El-Omar EM. Genetics of gastric cancer. Nat Rev Gastroenterol Hepatol, 2014,11(11):664–674

    Article  CAS  PubMed  Google Scholar 

  10. Zeng F, Harris RC. Epidermal growth factor, from gene organization to bedside. Semin Cell Dev Biol, 2014,28:2–11

    Article  CAS  PubMed  Google Scholar 

  11. Laurence DJ, Gusterson BA. The epidermal growth factor. A review of structural and functional relationships in the normal organism and in cancer cells. Tumour Biol, 1990,11(5):229–261

    Article  CAS  PubMed  Google Scholar 

  12. Carpenter G, Cohen S. Epidermal growth factor. J Biol Chem, 1990,265(14):7709–7712

    CAS  PubMed  Google Scholar 

  13. Yamada A, Saito N, Kameoka S, et al. Clinical significance of epidermal growth factor (EGF) expression in gastric cancer. Hepatogastroenterology, 2007,54(76):1049–1052

    CAS  PubMed  Google Scholar 

  14. Costa BM, Ferreira P, Costa S, et al. Association between functional EGF +61 polymorphism and glioma risk. Clin Cancer Res, 2007,13(9):2621–2626

    Article  CAS  PubMed  Google Scholar 

  15. Lin L, Li G, Zhang Z, et al. Association of epidermal growth factor +61 A/G polymorphism in Chinese patients with colon cancer. Genet Test Mol Biomarkers, 2012,16(9):1142–1145

    Article  CAS  PubMed  Google Scholar 

  16. Abu-Dayyeh BK, Yang M, Fuchs BC, et al. A functional polymorphism in the epidermal growth factor gene is associated with risk for hepatocellular carcinoma. Gastroenterology, 2011,141(1):141–149

    Article  CAS  PubMed  Google Scholar 

  17. Hamai Y, Matsumura S, Matsusaki K, et al. A single nucleotide polymorphism in the 5’ untranslated region of the EGF gene is associated with occurrence and malignant progression of gastric cancer. Pathobiology, 2005,72(3):133–138

    Article  CAS  PubMed  Google Scholar 

  18. Araújo AP, Costa BM, Pinto-Correia AL, et al. Association between EGF +61A/G polymorphism and gastric cancer in Caucasians. World J Gastroenterol, 2011,17(4):488–492

    Article  PubMed Central  PubMed  Google Scholar 

  19. Lin X. Wu G, Fu J. The relationship between EGF 61G/A Polymorphisms and gastric cancer risk. Med Front, 2012,(32):231–232

    Google Scholar 

  20. Zhan Z, Chen Y, Wu J, et al. Functional epidermal growth factor gene polymorphisms and risk of gastric cancer. Oncol Lett, 2013, 5(2):631–636

    CAS  PubMed Central  PubMed  Google Scholar 

  21. Goto Y, Ando T, Goto H, et al. No association between EGF gene polymorphism and gastric cancer. Cancer Epidemiol Biomarkers Prev, 2005,14(10):2454–2456

    Article  CAS  PubMed  Google Scholar 

  22. Yang G, Rao L, Tian L, et al. An association between EGF and EGFR gene polymorphisms with gastric cancer in a Chinese Han population. Hepatogastroenterology, 2012,59(120):2668–2671

    CAS  PubMed  Google Scholar 

  23. Jin G, Miao R, Deng Y, et al. Variant genotypes and haplotypes of the epidermal growth factor gene promoter are associated with a decreased risk of gastric cancer in a high-risk Chinese population. Cancer Sci, 2007,98(6):864–868

    Article  CAS  PubMed  Google Scholar 

  24. Piao Y, Liu Z, Ding Z, et al. EGF +61A>G polymorphism and gastrointestinal cancer risk: a HuGE review and meta-analysis. Gene, 2013,519(1):26–33

    Article  CAS  PubMed  Google Scholar 

  25. Wang J, Dong W, Guo X, et al. Association between polymorphisms of epidermal growth factor 61 and susceptibility of gastric cancer: A Meta-analysis. Chin J Cancer Prev Treat, 2014,21(2):150–153

    Google Scholar 

  26. Li TF, Ren KW, Liu PF. Meta-analysis of epidermal growth factor polymorphisms and cancer risk: involving 9,779 cases and 15,932 controls. DNA Cell Biol, 2012,31(4):568–574

    Article  CAS  PubMed  Google Scholar 

  27. Zhang YM, Cao C, Liang K. Genetic polymorphism of epidermal growth factor 61A>G and and cancer risk: a meta-analysis. Cancer Epidemiol, 2010,34(2):150–156

    Article  CAS  PubMed  Google Scholar 

  28. Xu W, Li Y, Wang X, et al. Association between EGF promoter polymorphisms and cancer risk: a meta-analysis. Med Oncol, 2010,27(4):1389–1397

    Article  CAS  PubMed  Google Scholar 

  29. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010,25(9):603–605

    Article  PubMed  Google Scholar 

  30. Higgins JP, Thompson SG, Deeks JJ, et al. Measuring inconsistency in meta-analyses. BMJ, 2003,327(7414):557–560

    Article  PubMed Central  PubMed  Google Scholar 

  31. Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med, 2002,21(11):1539–1558

    Article  PubMed  Google Scholar 

  32. Mantel N, Haenszel W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst, 1959,22(4):719–748

    CAS  PubMed  Google Scholar 

  33. Der Simonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials, 1986,7(3):177–188

    Article  Google Scholar 

  34. Egger M, Davey-Smith G, Schneider M, et al. Bias in meta-analysis detected by a simple, graphical test. BMJ, 1997,315(7109):629–634

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  35. Zhang J, Zhan Z, Wu J, et al. Relationship between EGF, TGFA, and EGFR gene polymorphisms and traditional Chinese medicine ZHENG in gastric cancer. Evid Based Complement Alternat Med, 2013,2013:1–13

    Google Scholar 

  36. Cacina C, Arikan S, Duzkoylu Y, et al. Investigation of EGF A61G gene variation and serum EGF level on gastric cancer susceptibility and clinicopathological parameters[ abstract]. FEBS J, 2014,281:75–75

    Google Scholar 

  37. Kobayashi D, Nomoto S, Kodera Y, et al. Suppressor of cytokine signaling 4 detected as a novel gastric cancer suppressor gene using double combination array analysis. World J Surg, 2012,36(2): 362–372

    Article  PubMed  Google Scholar 

  38. Kang C, Song JJ, Lee J, et al. Epigenetics: an emerging player in gastric cancer. World J Gastroenterol, 2014,20(21):6433–6447

    Article  PubMed Central  PubMed  Google Scholar 

  39. Okuda T, Onda M, Tokunaga A, et al. Stimulatory effect of EGF and inhibitory effect of sialoadenectomy on growth of an EGF receptor-hyperproducinghuman gastric cancer xenograft in nude mice. Surg Today, 1994,24(8):725–733

    Article  CAS  PubMed  Google Scholar 

  40. Yasui W, Takekura N, Kameda T, et al. Effect of epidermal growth factor on rat stomach carcinogenesis induced by N-methyl-N’-nitro-N-nitrosoguanidine. Acta Pathol Jpn, 1990,40(3):165–171

    CAS  PubMed  Google Scholar 

  41. Henson ES, Gibson SB. Surviving cell death through epidermal growth factor (EGF) signal transduction pathways: implications for cancer therapy. Cell Signal, 2006,18 (12):2089–2097

    Article  CAS  PubMed  Google Scholar 

Download references

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Correspondence to Guang-lian Xiong  (熊光练).

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The two authors contributed equally to this work.

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Wu, Sj., Jiang, Sy., Wu, J. et al. Association between EGF +61 A>G polymorphism and gastric cancer risk: A meta-analysis. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 35, 327–332 (2015). https://doi.org/10.1007/s11596-015-1432-3

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  • DOI: https://doi.org/10.1007/s11596-015-1432-3

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