Objective To examine the association between CYP1A1 polymorphisms (MspI and Ile/Val) and esophageal cancer (EC) by systematically reviewing the risk of the original studies. Methods Data from 16 papers (8 for MspI, 14 for Ile/Val) regarding case-control studies on the association of cytochrome P450 polymorphisms and risk of esophageal cancer was analyzed by dominant model (variant genotype vs. wild-type genotype) through meta-analysis. Stratified analysis was carried out according to the pathological types. Results In systematical analysis, CYP1A1 MspI variant genotype (TC+CC) had no association with EC risk (OR=1.17,95%CI: 0.82-1.66). Similar results were observed in esophageal squamous-cell carcinoma(ESCC) (OR=1.17,95%CI: 0.82-1.69) and esophageal adenocarcinoma (EAC) (OR=1.39,95% CI: 0.67-2.09). Individuals with the CYP1A1 Ile/Val variant genotype (Ile/Val + Val/Val) had an increased risk for EC, when comparing with wild type (Iie/Iie ), with an OR of 1.39 (95 %CI: 1.07-1.80). CYP1A1 Ile/Val variant genotype could increase the risk of ESCC (OR=1.43,95%CI:1.07-1.91) but no significant association was found with EAC (OR=1.20,95%CI:0.62-2.30). Conclusion CYP1A1 gene polymorphism Ile/Val might have played a role in the development of ESCC but CYP1A1 MspI polymorphism might not be associated with the susceptibility of EC.%目的 探讨细胞色素P4501A1(CYP1A1)MspI和Ile/Val位点基因多态性与食管癌发生的关系.方法 采用Meta分析方法,对国内外1997-2008年采用病例对照方法研究CYP1A1MspI和Ile/Val基因多态性与食管癌发生关系的16篇(MspI 8篇,Ile/Val 14篇)文献,采用显性模型(即突变基因型与野生型比较)进行综合定量分析,然后按病理分型(鳞癌/腺癌)分亚组进行分析.结果 综合分析CYP1A1 MspI突变基因型(TC+CC)与食管癌发生无统计学关联(OR=1.17,95%CI:0.82～1.66),亚组分析亦未发现CYP1A1 MspI突变基因型与食管鳞癌(OR=1.17,95%CI:0.82～1.69)和食管腺癌(OR=1.39,95%CI:0.67～2.09)的统计学关联;携带CYP1A1突变基因型(Ile/Val+Val/Val)的个体发生食管癌的危险性是野生型的1.39倍(OR=1.39,95%CI:1.07～1.80);亚组分析显示突变基因型与食管鳞癌发生的易感性相关但与食管腺癌无关联,OR值分别为1.43(95%CI:1.07～1.91)和1.20(95%CI:0.62～2.30).结论 CYP1A1 Ile/Val位点突变基因型可增加食管鳞癌发生的危险性,CYP1A1 MspI位点基因多态性与食管癌无关联.
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