Lysyl oxidase G473A (rs1800449) polymorphism influences the risk of cancer progression: a meta-analysis
Abstract The genetics of cancer progression is important for the design of optimal therapeutic strategies. Lysyl oxidase (LOX) is a cancer progression gene that has been studied enough to warrant a synthesis of its primary data from association studies. However, reported associations between the LOX G473A (rs1800449) gene polymorphism and cancer have been inconsistent, prompting a meta-analysis so that we could obtain more precise estimates. Database searches of the published literature yielded seven case-control studies. We calculated pooled odds ratios (ORs) and 95% confidence intervals (CIs) using four genetic models: homozygous (H), recessive (R), dominant (D) and codominant (C). Subgroup analysis was based on ethnicity and cancer type. Outlier analysis was used to examine sources of heterogeneity. The strength of evidence was based on the magnitude of effects, high associative significance, consistency and homogeneity. H/R outcomes exerted more associative effects than D/C results. Two reasons for this are as follows: (i) H/R analyses precluded outlier treatment; and (ii) the magnitude of H/R (ORs of > 2.0) was twice that of D/C (ORs > 1.0). All else being equal, significant pooled ORs in all genetic models had high significance (Pa < 10-5). Strong evidence for associations was found in the outcomes for Asian and gastrointestinal (GI) cancers. In summary, the LOX rs1800449 polymorphism confers significant overall susceptibility, particularly in GI cancers, and places Asians at risk.