AccScience Publishing / EJMO / Volume 5 / Issue 3 / DOI: 10.14744/ejmo.2021.46980
RESEARCH ARTICLE

A Meta-Analysis for Association of Cyclooxygenase-2 Polymorphisms with Susceptibility to Prostate Cancer

Fatemeh Asadian1 Hadi Maleki2 Sepideh Setayesh3 Seyed Alireza Dastgheib4 Mohamad Zare5 Saeed Kargar5 Seyed Hossein Shaker6 Mahta Mazaheri7,8,9 Hossein Neamatzadeh8,9
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1 Department of Medical Laboratory Sciences, School of Paramedical Science, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Urology, Alborz University of Medical Sciences, Karaj, Iran
3 Medical Student, Shiraz University of Medical Sciences, Shiraz, Iran
4 Department of Medical Genetics, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
5 Department of Surgery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
6 Department of Emergency Medicine University of Medical Sciences, Tehran, Iran
7 Department of Medical Genetics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
8 Mother and Newborn Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
9 Stem Cell Biology Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
EJMO 2021, 5(3), 228–238; https://doi.org/10.14744/ejmo.2021.46980
Submitted: 3 August 2021 | Accepted: 30 August 2021 | Published: 24 September 2021
© 2021 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC-by the license) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

A number of studies have evaluated the association of cyclooxygenase-2 (COX-2) polymorphisms with prostate cancer risk. However, the results still remain controversial. We carried out this meta-analysis to clarify the association of COX-2 polymorphisms and prostate cancer risk. An universal search in PubMed, Web of Knowledge and Google Scholar was performed to identify relevant studies up to January 2021. A total of 34 case-control studies including 11 studies with 13,248 cases and 14,768 controls were on -765G>C, 7 studies with 9,720 cases and 10,695 controls on -1195G>A, 9 studies with 11,476 cases and 11,761 controls on +202C>T, and 7 studies with 12,220 cases and 12,496 controls were on +8473T>C were selected. Pooled data showed that the COX-2 +202C>T polymorphism (T vs. C: OR= 1.305, 95% CI: 1.849-9.490; p= 0.001; TT+TC vs. CC: OR= 0.781, 95% CI: 0.669-0.913; p=0.002) was associated with risk of prostate cancer, but not the -765G>C, -1195G>A and +8473T>C polymorphisms. Stratified analyses showed that the -765G>C, -1195G>A and +202C>T polymorphisms were associated with prostate cancer risk by ethnicity. To sum up, our results indicated that the COX-2 +202C>T polymorphism was associated with risk of prostate cancer, while the -765G>C, -1195G>A and +8473T>C polymorphisms were not associated.

Keywords
Cyclooxygenase
prostate cancer
prostatic neoplasms
prostaglandin-endoperoxide synthases
polymorphism
Conflict of interest
None declared.
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Eurasian Journal of Medicine and Oncology, Electronic ISSN: 2587-196X Print ISSN: 2587-2400, Published by AccScience Publishing