SRD5A2 V89L polymorphism and prostate cancer risk: A meta-analysis

BACKGROUND Increasing studies investigating the association between steroid 5‐alpha reductase type II gene polymorphism at codon 89 (SRD5A2 V89L) and susceptibility to prostate cancer (PCa) confer inconsistent results. To precisely estimate the relationship with more statistical power, a meta‐analys...

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Veröffentlicht in:The Prostate 2010-02, Vol.70 (2), p.170-178
Hauptverfasser: Wang, Chunyang, Tao, Weiyang, Chen, Qiyin, Hu, Hailong, Wen, Xiao-Yan, Han, Ruifa
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container_issue 2
container_start_page 170
container_title The Prostate
container_volume 70
creator Wang, Chunyang
Tao, Weiyang
Chen, Qiyin
Hu, Hailong
Wen, Xiao-Yan
Han, Ruifa
description BACKGROUND Increasing studies investigating the association between steroid 5‐alpha reductase type II gene polymorphism at codon 89 (SRD5A2 V89L) and susceptibility to prostate cancer (PCa) confer inconsistent results. To precisely estimate the relationship with more statistical power, a meta‐analysis was performed. METHODS A comprehensive search was conducted to identify all case–control studies investigating such an association. Odds ratio (OR) and its 95% confidence interval (CI) were used to evaluate the size effect. RESULTS Twenty‐five eligible reports were identified including 8,615 cases/9,089 controls in 33 comparisons. In overall analysis, no significant associations were found in all genetic models. Subgroup analyses by ethnicity revealed that small excess PCa risks were observed in dominant model (OR, 1.11; 95% CI, 1.03–1.19 for (LL + VL) vs. VV; P 
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To precisely estimate the relationship with more statistical power, a meta‐analysis was performed. METHODS A comprehensive search was conducted to identify all case–control studies investigating such an association. Odds ratio (OR) and its 95% confidence interval (CI) were used to evaluate the size effect. RESULTS Twenty‐five eligible reports were identified including 8,615 cases/9,089 controls in 33 comparisons. In overall analysis, no significant associations were found in all genetic models. Subgroup analyses by ethnicity revealed that small excess PCa risks were observed in dominant model (OR, 1.11; 95% CI, 1.03–1.19 for (LL + VL) vs. VV; P &lt; 0.01; Pheterogeneity = 0.49) and L allele frequency comparison (OR, 1.09; 1.03–1.15 for L allele frequency; P &lt; 0.01; Pheterogeneity = 0.07) in Europeans. Meanwhile, SRD5A2 V89L polymorphism was significantly associated with an increased PCa risk in men aged ≤65 under the co‐dominant (OR, 1.70; 95% CI, 1.09–2.66 for LL vs. VV; P = 0.02; Pheterogeneity = 0.31) and recessive (OR, 1.75; 95% CI, 1.14–2.68 for LL vs. (VV + VL); P = 0.01; Pheterogeneity = 0.12) models. However, no significant associations were found in Asians and Africans. CONCLUSIONS Our study suggests SRD5A2 V89L polymorphism could play a low‐penetrant role in PCa risk among Europeans and individuals younger than 65 years. Additional well‐designed studies are warranted to validate these findings. Prostate 70: 170–178, 2010. ©2009 Wiley‐Liss, Inc.</description><identifier>ISSN: 0270-4137</identifier><identifier>EISSN: 1097-0045</identifier><identifier>DOI: 10.1002/pros.21050</identifier><identifier>PMID: 19760631</identifier><identifier>CODEN: PRSTDS</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>3-Oxo-5-alpha-Steroid 4-Dehydrogenase - genetics ; Biological and medical sciences ; Case-Control Studies ; Cyclophosphamide - analogs &amp; derivatives ; Genetic Predisposition to Disease ; Gynecology. Andrology. Obstetrics ; Humans ; Male ; Male genital diseases ; Medical sciences ; meta-analysis ; Middle Aged ; Nephrology. Urinary tract diseases ; Polymorphism, Genetic ; prostatic neoplasms ; Prostatic Neoplasms - ethnology ; Prostatic Neoplasms - genetics ; single nucleotide polymorphism ; SRD5A2 ; susceptibility ; Tumors ; Tumors of the urinary system ; Urinary tract. 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To precisely estimate the relationship with more statistical power, a meta‐analysis was performed. METHODS A comprehensive search was conducted to identify all case–control studies investigating such an association. Odds ratio (OR) and its 95% confidence interval (CI) were used to evaluate the size effect. RESULTS Twenty‐five eligible reports were identified including 8,615 cases/9,089 controls in 33 comparisons. In overall analysis, no significant associations were found in all genetic models. Subgroup analyses by ethnicity revealed that small excess PCa risks were observed in dominant model (OR, 1.11; 95% CI, 1.03–1.19 for (LL + VL) vs. VV; P &lt; 0.01; Pheterogeneity = 0.49) and L allele frequency comparison (OR, 1.09; 1.03–1.15 for L allele frequency; P &lt; 0.01; Pheterogeneity = 0.07) in Europeans. Meanwhile, SRD5A2 V89L polymorphism was significantly associated with an increased PCa risk in men aged ≤65 under the co‐dominant (OR, 1.70; 95% CI, 1.09–2.66 for LL vs. VV; P = 0.02; Pheterogeneity = 0.31) and recessive (OR, 1.75; 95% CI, 1.14–2.68 for LL vs. (VV + VL); P = 0.01; Pheterogeneity = 0.12) models. However, no significant associations were found in Asians and Africans. CONCLUSIONS Our study suggests SRD5A2 V89L polymorphism could play a low‐penetrant role in PCa risk among Europeans and individuals younger than 65 years. Additional well‐designed studies are warranted to validate these findings. Prostate 70: 170–178, 2010. ©2009 Wiley‐Liss, Inc.</description><subject>3-Oxo-5-alpha-Steroid 4-Dehydrogenase - genetics</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Cyclophosphamide - analogs &amp; derivatives</subject><subject>Genetic Predisposition to Disease</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>meta-analysis</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Polymorphism, Genetic</subject><subject>prostatic neoplasms</subject><subject>Prostatic Neoplasms - ethnology</subject><subject>Prostatic Neoplasms - genetics</subject><subject>single nucleotide polymorphism</subject><subject>SRD5A2</subject><subject>susceptibility</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>meta-analysis</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Polymorphism, Genetic</topic><topic>prostatic neoplasms</topic><topic>Prostatic Neoplasms - ethnology</topic><topic>Prostatic Neoplasms - genetics</topic><topic>single nucleotide polymorphism</topic><topic>SRD5A2</topic><topic>susceptibility</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Chunyang</creatorcontrib><creatorcontrib>Tao, Weiyang</creatorcontrib><creatorcontrib>Chen, Qiyin</creatorcontrib><creatorcontrib>Hu, Hailong</creatorcontrib><creatorcontrib>Wen, Xiao-Yan</creatorcontrib><creatorcontrib>Han, Ruifa</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>The Prostate</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Chunyang</au><au>Tao, Weiyang</au><au>Chen, Qiyin</au><au>Hu, Hailong</au><au>Wen, Xiao-Yan</au><au>Han, Ruifa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>SRD5A2 V89L polymorphism and prostate cancer risk: A meta-analysis</atitle><jtitle>The Prostate</jtitle><addtitle>Prostate</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>70</volume><issue>2</issue><spage>170</spage><epage>178</epage><pages>170-178</pages><issn>0270-4137</issn><eissn>1097-0045</eissn><coden>PRSTDS</coden><abstract>BACKGROUND Increasing studies investigating the association between steroid 5‐alpha reductase type II gene polymorphism at codon 89 (SRD5A2 V89L) and susceptibility to prostate cancer (PCa) confer inconsistent results. To precisely estimate the relationship with more statistical power, a meta‐analysis was performed. METHODS A comprehensive search was conducted to identify all case–control studies investigating such an association. Odds ratio (OR) and its 95% confidence interval (CI) were used to evaluate the size effect. RESULTS Twenty‐five eligible reports were identified including 8,615 cases/9,089 controls in 33 comparisons. In overall analysis, no significant associations were found in all genetic models. Subgroup analyses by ethnicity revealed that small excess PCa risks were observed in dominant model (OR, 1.11; 95% CI, 1.03–1.19 for (LL + VL) vs. VV; P &lt; 0.01; Pheterogeneity = 0.49) and L allele frequency comparison (OR, 1.09; 1.03–1.15 for L allele frequency; P &lt; 0.01; Pheterogeneity = 0.07) in Europeans. Meanwhile, SRD5A2 V89L polymorphism was significantly associated with an increased PCa risk in men aged ≤65 under the co‐dominant (OR, 1.70; 95% CI, 1.09–2.66 for LL vs. VV; P = 0.02; Pheterogeneity = 0.31) and recessive (OR, 1.75; 95% CI, 1.14–2.68 for LL vs. (VV + VL); P = 0.01; Pheterogeneity = 0.12) models. However, no significant associations were found in Asians and Africans. CONCLUSIONS Our study suggests SRD5A2 V89L polymorphism could play a low‐penetrant role in PCa risk among Europeans and individuals younger than 65 years. Additional well‐designed studies are warranted to validate these findings. Prostate 70: 170–178, 2010. ©2009 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>19760631</pmid><doi>10.1002/pros.21050</doi><tpages>9</tpages></addata></record>
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subjects 3-Oxo-5-alpha-Steroid 4-Dehydrogenase - genetics
Biological and medical sciences
Case-Control Studies
Cyclophosphamide - analogs & derivatives
Genetic Predisposition to Disease
Gynecology. Andrology. Obstetrics
Humans
Male
Male genital diseases
Medical sciences
meta-analysis
Middle Aged
Nephrology. Urinary tract diseases
Polymorphism, Genetic
prostatic neoplasms
Prostatic Neoplasms - ethnology
Prostatic Neoplasms - genetics
single nucleotide polymorphism
SRD5A2
susceptibility
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
title SRD5A2 V89L polymorphism and prostate cancer risk: A meta-analysis
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