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Logo of bmcimmBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Immunology
 
BMC Immunol. 2012; 13: 14.
Published online Mar 21, 2012. doi:  10.1186/1471-2172-13-14
PMCID: PMC3337286
Association between COX-2 rs2745557 polymorphism and prostate cancer risk: a systematic review and meta-analysis
Hongtuan Zhang,1 Yong Xu,corresponding author1,2 Zhihong Zhang,1 Ranlu Liu,1 and Baojie Ma1
1Department of Urology, Second Hospital of Tianjin Medical University, Tianjin Institute of Urology, Tianjin, China
2Department of Urology, Second Hospital of Tianjin Medical University, 23 Pingjiang Road, Hexi District, Tianjin 300211, China
corresponding authorCorresponding author.
Hongtuan Zhang: urology2009/at/hotmail.com; Yong Xu: xymnwk/at/163.com; Zhihong Zhang: lfmnwk/at/163.com; Ranlu Liu: liuranlu/at/126.com; Baojie Ma: zhtzqf/at/163.com
Received December 19, 2011; Accepted March 21, 2012.
Abstract
Background
Evidence is accumulating that chronic inflammation may have an important role in prostate cancer (PCa). The COX-2 polymorphism rs2745557 (+202 C/T) has been extensively investigated as a potential risk factor for PCa, but the results have thus far been inconclusive. This meta-analysis was performed to derive a more precise estimation of the association.
Methods
A comprehensive search was conducted to identify all case-control studies of COX-2 rs2745557 polymorphism and PCa risk. We used odds ratios (ORs) to assess the strength of the association, and 95% confidence intervals (CIs) give a sense of the precision of the estimate. Statistical analyses were performed by Review Manage, version 5.0 and Stata 10.0.
Results
A total of 8 available studies were considered in the present meta-analysis, with 11356 patients and 11641 controls for rs2745557. When all groups were pooled, there was no evidence that rs2745557 had significant association with PCa under co-dominant, recessive, over-dominant, and allelic models. However, our analysis suggested that rs2745557 was associated with a lower PCa risk under dominant model in overall population (OR = 0.85, 95%CI = 0.74-0.97, P = 0.02). When stratifying for race, there was a significant association between rs2745557 polymorphism and lower PCa risk in dominant model comparison in the subgroup of Caucasians (OR = 0.86, 95%CI = 0.75-0.99, P = 0.04), but not in co-dominant, recessive, over-dominant and allelic comparisons.
Conclusion
Based on our meta-analysis, COX-2 rs2745557 was associated with a lower PCa risk under dominant model in Caucasians.
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