Association of the MDM2 SNP285 Polymorphism with Cancer Susceptibility: A Meta-Analysis
Ping Wang1, Meilin Wang1, Sanqiang Li2
1The Key Laboratory of Pharmacology and Medical Molecular Biology, Medical College, Henan University of Science and Technology, Luoyang 471023, China.
Abstract:
The mouse double minute 2 (MDM2) gene encodes a negative regulator for p53, and the polymorphism SNP285 in the promoter region of MDM2 gene has been implicated in cancer risk, but individual published studies had inconclusive results. Therefore, we performed this meta-analysis to obtain a more precise estimation between MDM2 SNP285 polymorphism and risk of cancer. A systematic literature search was performed using the PubMed, Embase, and Chinese Biomedical (CBM) databases. Ultimately, 16 published studies comprising 14,573 cases and 9,115 controls were included. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to assess the strength of associations. Overall, MDM2 SNP285 polymorphism was significantly associated with a decreased overall cancer risk with the heterozygous model (OR = 0.89, 95% CI = 0.79-0.99), and reduced ORs were observed with other genetic models (dominant: OR = 0.90, 95% CI = 0.79-1.01 and allele comparison: OR = 0.91, 95% CI = 0.80-1.03) but not reaching statistical significance. Stratification analysis indicated a decreased risk for ovarian cancer, Caucasians, and studies with relatively large sample size. Despite some limitations, this meta-analysis indicated that the MDM2 SNP285 polymorphism was associated with a decreased cancer risk, which warrants further validation in large and well-designed studies.
Insights
The mouse double minute 2 (MDM2) gene SNP285 polymorphism is linked to reduced cancer risk. This meta-analysis found a significant association, particularly in ovarian cancer and Caucasians, warranting further research.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- The mouse double minute 2 (MDM2) gene regulates p53, a crucial tumor suppressor.
- The MDM2 SNP285 polymorphism in the promoter region has been investigated for its association with cancer risk.
- Previous studies on MDM2 SNP285 and cancer risk yielded inconclusive results.
Purpose of the Study:
- To conduct a meta-analysis to precisely estimate the association between MDM2 SNP285 polymorphism and cancer risk.
- To consolidate findings from individual studies to overcome limitations of statistical power.
Main Methods:
- A systematic literature search was performed across PubMed, Embase, and CBM databases.
- Included 16 studies with a total of 14,573 cases and 9,115 controls.
- Calculated pooled odds ratios (ORs) and 95% confidence intervals (CIs) to assess associations.
Main Results:
- The MDM2 SNP285 polymorphism was significantly associated with a decreased overall cancer risk under the heterozygous model (OR = 0.89, 95% CI = 0.79-0.99).
- Other genetic models showed reduced ORs, though not statistically significant.
- Stratification revealed decreased risk in ovarian cancer, Caucasians, and studies with larger sample sizes.
Conclusions:
- The MDM2 SNP285 polymorphism is associated with a reduced risk of developing cancer.
- This genetic variation may play a protective role, particularly in specific populations and cancer types.
- Further large-scale, well-designed studies are needed to validate these findings.
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