Association of LEP G2548A and LEPR Q223R polymorphisms with cancer susceptibility: evidence from a meta-analysis

Numerous epidemiological studies have examined associations of genetic variations in LEP (G2548A, -2548 nucleotide upstream of the ATG start site) and LEPR (Q223R, nonsynonymous SNP in exon 6) with cancer susceptibility; however, the findings are inconsistent. Therefore, we performed a meta-analysis...

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Veröffentlicht in:PloS one 2013-10, Vol.8 (10), p.e75135-e75135
Hauptverfasser: He, Jing, Xi, Bo, Ruiter, Rikje, Shi, Ting-Yan, Zhu, Mei-Ling, Wang, Meng-Yun, Li, Qiao-Xin, Zhou, Xiao-Yan, Qiu, Li-Xin, Wei, Qing-Yi
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container_title PloS one
container_volume 8
creator He, Jing
Xi, Bo
Ruiter, Rikje
Shi, Ting-Yan
Zhu, Mei-Ling
Wang, Meng-Yun
Li, Qiao-Xin
Zhou, Xiao-Yan
Qiu, Li-Xin
Wei, Qing-Yi
description Numerous epidemiological studies have examined associations of genetic variations in LEP (G2548A, -2548 nucleotide upstream of the ATG start site) and LEPR (Q223R, nonsynonymous SNP in exon 6) with cancer susceptibility; however, the findings are inconsistent. Therefore, we performed a meta-analysis to comprehensively evaluate such associations. We searched published literature from MEDLINE, EMBASE, Web of Science and CBM for eligible publications. We also assessed genotype-based mRNA expression data from HapMap for rs7799039 (G2548A) and rs1137101 (Q223R) in normal cell lines derived from 270 subjects with different ethnicities. The final analysis included 16 published studies of 6569 cases and 8405 controls for the LEP G2548A and 19 studies of 7504 cases and 9581 controls for the LEPR Q223R. Overall, LEP G2548A was statistically significantly associated with an increased risk of overall cancer (AA vs. GG: OR=1.27, 95% CI=1.05-1.54; recessive model: OR=1.19, 95% CI=1.00-1.41). Further stratifications by cancer type showed an increased risk for prostate cancer (recessive model: OR=1.26, 95% CI=1.05-1.51) but not for other cancers. For LEPR Q223R, no statistical evidence for an association with risk of cancer was found for all; however, further stratification by ethnicity showed an increased risk for Africans but not for other ethnicities. No significantly differences in LEP and LEPR mRNA expression were found among genotypes or by ethnicity. Despite some limitations, this meta-analysis found some statistical evidence for an association between the LEP 2548AA genotype and overall risk of cancer, particularly for prostate cancer, but given this variant did not have an effect on mRNA expression, this association warrants additional validation in large and well-designed studies.
doi_str_mv 10.1371/journal.pone.0075135
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Therefore, we performed a meta-analysis to comprehensively evaluate such associations. We searched published literature from MEDLINE, EMBASE, Web of Science and CBM for eligible publications. We also assessed genotype-based mRNA expression data from HapMap for rs7799039 (G2548A) and rs1137101 (Q223R) in normal cell lines derived from 270 subjects with different ethnicities. The final analysis included 16 published studies of 6569 cases and 8405 controls for the LEP G2548A and 19 studies of 7504 cases and 9581 controls for the LEPR Q223R. Overall, LEP G2548A was statistically significantly associated with an increased risk of overall cancer (AA vs. GG: OR=1.27, 95% CI=1.05-1.54; recessive model: OR=1.19, 95% CI=1.00-1.41). Further stratifications by cancer type showed an increased risk for prostate cancer (recessive model: OR=1.26, 95% CI=1.05-1.51) but not for other cancers. For LEPR Q223R, no statistical evidence for an association with risk of cancer was found for all; however, further stratification by ethnicity showed an increased risk for Africans but not for other ethnicities. No significantly differences in LEP and LEPR mRNA expression were found among genotypes or by ethnicity. Despite some limitations, this meta-analysis found some statistical evidence for an association between the LEP 2548AA genotype and overall risk of cancer, particularly for prostate cancer, but given this variant did not have an effect on mRNA expression, this association warrants additional validation in large and well-designed studies.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0075135</identifier><identifier>PMID: 24146750</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Analysis ; Bibliographic literature ; Breast cancer ; Cancer ; Case-Control Studies ; Continental Population Groups ; Databases, Bibliographic ; Disease susceptibility ; Epidemiology ; Gene expression ; Genetic aspects ; Genetic diversity ; Genetic Predisposition to Disease ; Genotypes ; HapMap Project ; Health risk assessment ; Health risks ; Humans ; Leptin ; Leptin - genetics ; Male ; Maternal &amp; child health ; Meta-analysis ; Metabolism ; Minority &amp; ethnic groups ; Models, Genetic ; Neoplasms - ethnology ; Neoplasms - genetics ; Oncology ; Polymorphism, Single Nucleotide ; Prostate cancer ; Prostatic Neoplasms - ethnology ; Prostatic Neoplasms - genetics ; Proteins ; Public health ; Receptors, Leptin - genetics ; Risk ; RNA ; RNA, Messenger - genetics ; Single-nucleotide polymorphism ; Statistical analysis ; Statistics ; Studies ; Type 2 diabetes</subject><ispartof>PloS one, 2013-10, Vol.8 (10), p.e75135-e75135</ispartof><rights>COPYRIGHT 2013 Public Library of Science</rights><rights>2013 He et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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For LEPR Q223R, no statistical evidence for an association with risk of cancer was found for all; however, further stratification by ethnicity showed an increased risk for Africans but not for other ethnicities. No significantly differences in LEP and LEPR mRNA expression were found among genotypes or by ethnicity. 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however, the findings are inconsistent. Therefore, we performed a meta-analysis to comprehensively evaluate such associations. We searched published literature from MEDLINE, EMBASE, Web of Science and CBM for eligible publications. We also assessed genotype-based mRNA expression data from HapMap for rs7799039 (G2548A) and rs1137101 (Q223R) in normal cell lines derived from 270 subjects with different ethnicities. The final analysis included 16 published studies of 6569 cases and 8405 controls for the LEP G2548A and 19 studies of 7504 cases and 9581 controls for the LEPR Q223R. Overall, LEP G2548A was statistically significantly associated with an increased risk of overall cancer (AA vs. GG: OR=1.27, 95% CI=1.05-1.54; recessive model: OR=1.19, 95% CI=1.00-1.41). Further stratifications by cancer type showed an increased risk for prostate cancer (recessive model: OR=1.26, 95% CI=1.05-1.51) but not for other cancers. For LEPR Q223R, no statistical evidence for an association with risk of cancer was found for all; however, further stratification by ethnicity showed an increased risk for Africans but not for other ethnicities. No significantly differences in LEP and LEPR mRNA expression were found among genotypes or by ethnicity. Despite some limitations, this meta-analysis found some statistical evidence for an association between the LEP 2548AA genotype and overall risk of cancer, particularly for prostate cancer, but given this variant did not have an effect on mRNA expression, this association warrants additional validation in large and well-designed studies.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24146750</pmid><doi>10.1371/journal.pone.0075135</doi><tpages>e75135</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
ispartof PloS one, 2013-10, Vol.8 (10), p.e75135-e75135
issn 1932-6203
1932-6203
language eng
recordid cdi_plos_journals_1442651575
source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry
subjects Analysis
Bibliographic literature
Breast cancer
Cancer
Case-Control Studies
Continental Population Groups
Databases, Bibliographic
Disease susceptibility
Epidemiology
Gene expression
Genetic aspects
Genetic diversity
Genetic Predisposition to Disease
Genotypes
HapMap Project
Health risk assessment
Health risks
Humans
Leptin
Leptin - genetics
Male
Maternal & child health
Meta-analysis
Metabolism
Minority & ethnic groups
Models, Genetic
Neoplasms - ethnology
Neoplasms - genetics
Oncology
Polymorphism, Single Nucleotide
Prostate cancer
Prostatic Neoplasms - ethnology
Prostatic Neoplasms - genetics
Proteins
Public health
Receptors, Leptin - genetics
Risk
RNA
RNA, Messenger - genetics
Single-nucleotide polymorphism
Statistical analysis
Statistics
Studies
Type 2 diabetes
title Association of LEP G2548A and LEPR Q223R polymorphisms with cancer susceptibility: evidence from a meta-analysis
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