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Association between MDR1 C3435T polymorphism and risk of breast cancer
Authors:Zhaoming Wang  Ting Wang  Jianmin Bian
Affiliation:1. The First Clinical Medical College, Nanjing Medical University, Nanjing, China;2. School of Public Health, Nanjing Medical University, Nanjing, China;3. Department of General Surgery, The Affiliated Nanjing First Hospital of Nanjing Medical University, Nanjing, China
Abstract:The C3435T (rs1045642) polymorphism, located in multi-drug resistance gene 1 (MDR1), has demonstrated its role in decreasing the P-gp activity level which is related to the carcinogenesis. Many published studies have evaluated the association between the MDR1 C3435T polymorphism and breast cancer risk. However, the results remain conflicting rather than conclusive. To derive a more precise estimation of the association between MDR1 C3435T polymorphism and risk of breast cancer, we performed a meta-analysis comprised of 10 case–control studies, including 5282 breast cancer cases and 7703 controls. Odds ratios (ORs) and 95% confidence intervals (CIs) were used to evaluate the strength of the association. The overall results indicated that the variant genotypes were associated with a significantly increased risk of breast cancer (TT versus CC: OR = 1.45, 95% CI = 1.14–1.30, TT versus CT/CC: OR = 1.13, 95% CI = 1.04–1.23, TT/CT versus CC: OR = 1.22, 95% CI = 1.02–1.46). Our results suggest that the MDR1 C3435T polymorphism may contribute to individual susceptibility to breast cancer.
Keywords:ABCB1, ATP-binding cassette sub-family B gene 1   ATP, adenosine triphosphate   CI, confidence intervals   HWE, Hardy&ndash  Weinberg equilibrium   MALDI-TOF MS, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry   MDR, multi-drug resistance   MDR1, multi-drug resistance gene 1   OR, odds ratio   PCR, polymerase chain reaction   PCR-RFLP, polymerase chain reaction-restriction fragment length polymorphism   P-gp, P-glycoprotein   SNP, single-nucleotide polymorphism   TP53, tumor protein gene 53
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