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The associations between the Val158Met in the catechol-O-methyltransferase (COMT) gene and the risk of uterine leiomyoma (ULM)
Authors:Yi Feng  Xitong Zhao  Chunfen Zhou  Lu Yang  Yingwei Liu  Ce Bian  Jinhai Gou  Xiaojuan Lin  Zhenling Wang  Xia Zhao
Institution:1. Department of Gynecology and Obstetrics, Key Laboratory of Obstetrics & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second Hospital, Chengdu 610041, Sichuan, PR China;2. West China Medical School, Sichuan University, Chengdu 610041, Sichuan, PR China;3. The State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, PR China
Abstract:The Val158Met polymorphism of the COMT gene has been implicated in susceptibility to uterine leiomyoma (ULM), but the reported results were inconclusive. The aim of the study was to evaluate the Val158Met polymorphism of the COMT gene and the risk of ULM by meta-analysis. A comprehensive electronic search for relevant articles was conducted in Pubmed, Embase, CNKI, Wanfang, and Weipu databases. Statistical analysis was performed by using the Revman4.2 software and Stata10.0 software. A total of 7 articles including 12 case–control studies were identified in this meta-analysis. The results showed that the polymorphism was associated with decreased risk of ULM (Met/Met + Val/Met vs. Met/Met: OR = 0.84, 95% CI = 0.70–0.99, Z = 2.07, p = 0.04). In the subgroup analyses by ethnicity, significant decreased risk was found among the black populations (OR = 0.68, 95% CI = 0.48–0.97, Z = 2.15, p = 0.03). The current meta-analysis suggested that the Val158Met polymorphism in the COMT gene was associated with decreased risk of ULM, especially in the black population. Future studies are needed to validate our conclusions.
Keywords:COMT gene  catechol-O-methyltransferase gene  ULM  uterine leiomyoma  COMT  Catechol-O-methyltransferase  GWA  genome-wide association  OR  odds ratio  CI  confidence interval  Z  Z value for Q statistic  p  p-value for Q statistic  I  I statistic for heterogeneity  Phet  p value for heterogeneity  F  fixed model
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