Association between the triple-negative breast cancer and the risk of BRCA1 mutation: a Meta-analysis
10.3760/cma.j.issn.1673-422X.2015.01.008
- VernacularTitle:三阴性乳腺癌与BRCA1基因突变风险相关性的Meta分析
- Author:
Li ZHANG
;
Xinghua LONG
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Genes,BRCA1;
Meta-analysis
- From:
Journal of International Oncology
2015;42(1):32-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the risk of BRCA1 mutation in patients with triplenegative breast cancer (TNBC).Methods Articles about the association between the TNBC and BRCA1 mutation were retrieved from database,such as PubMed,CNKI,Wanfang,VIP and CBM databases.The odds ratio (OR) was used to evaluate the risk of BRCA1 mutation in TNBC compared with non-TNBC.Rev Man 5.2 software was applied to perform the Meta-analysis.Results A total of 23 articles were eligible for the Meta-analysis,including 1 104 patients with TNBC and 4 245 patients with non-TNBC.The pooled OR was 7.67 and 95% CI(6.24,9.42),and the difference was statistically significant (Z =19.38,P < 0.000 01).In the subgroup analysis about the race,the pooled OR for Asian was 6.67 and 95% CI (4.98,8.95).The pooled OR for Caucasian was 8.83 and 95% CI (6.61,11.80).There was statistically significant difference in the pooled OR between the Asian and the Caucasian (Z =14.74,P < 0.000 01).Conclusion The patients with TNBC are 7.67 times more likely to have BRCA1 mutation compared with non-TNBC phenotype.Largesample randomized controlled trials are warranted to demonstrate the detection of BRCA1 mutation can be a conven-tional application in clinical for the patients with TNBC.